No office rate
33866 is for aortic hemiarch graft work. Use 33871 when the documented replacement extends across the transverse arch and uses hypothermic circulatory arrest.
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CMS RVU26D · Effective 2026-10-01
33871 Aortic arch graft Medicare reimbursement rates in New Jersey
Reported when an open operation replaces the transverse aortic arch with a graft and uses hypothermic circulatory arrest. Compare 33871 office and facility rates across CMS payment localities in New Jersey.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 33871 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$3179.08–$3246.40
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Cardiothoracic surgery
About 33871: Transverse aortic arch graft under hypothermic arrest
Reported when an open operation replaces the transverse aortic arch with a graft and uses hypothermic circulatory arrest.
A cardiac surgeon uses this code for open graft replacement of the transverse aortic arch during hypothermic circulatory arrest, typically with cardiopulmonary bypass. The operation may address an arch aneurysm or aortic dissection involving the transverse arch. It is performed in an operating room, generally in a hospital setting; the operative report should identify the arch segment replaced and describe the graft reconstruction and use of hypothermic arrest.
Select the code from the operation actually performed, distinguishing transverse arch replacement from a hemiarch repair or a repair specifically for hypoplastic arch. The code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be available. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
CMS billing rules for 33871
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU59.36 · 66%
- Practice expense (office) RVU15.84 · 18%
- Malpractice RVU14.72 · 16%
761
Medicare services in 2024 · #3199 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
33871 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
33853 addresses repair of a hypoplastic aortic arch with bypass. 33871 describes transverse arch graft replacement with hypothermic circulatory arrest.
No office rate
33875 concerns thoracic aortic graft replacement outside the transverse arch operation described by 33871. Use the code matching the treated aortic segment and procedure.
No office rate
33858 describes ascending aortic graft repair for disease at the aortic dissection site. 33871 is the transverse arch graft procedure with hypothermic circulatory arrest.
Compare 33871 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
Unavailable
Facility
$3246.40
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$3179.08
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33871 billing questions
How does this differ from a hemiarch graft?
Use 33871 for transverse arch graft replacement with hypothermic circulatory arrest. Code 33866 describes aortic hemiarch graft work, a more limited extent of arch replacement.
When would 33853 be considered instead?
Code 33853 describes repair of a hypoplastic aortic arch with bypass. Choose based on the documented operation and indication, rather than treating it as interchangeable with transverse arch graft replacement.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included. The day-before preoperative visit is also included.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted for this code.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the session are subject to the standard 50% multiple-procedure reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,09333864,,Ascending aortic graft,A,,58.58,15.81,NA,15.81,,14.42,88.81,88.81,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,09433866,,Aortic hemiarch graft,A,,17.31,3.47,NA,3.47,,4.27,25.05,25.05,0,ZZZ,0.00,0.00,0.00,0,0,0,0,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,0953386F,,Ajcc cln cncr stage 2 docd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,09633871,,Transvrs a-arch grf hypthrm,A,,59.36,15.84,NA,15.84,,14.72,89.92,89.92,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,09733875,,Thoracic aortic graft,A,,49.45,14.17,NA,14.17,,12.33,75.95,75.95,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,09833877,,Thoracoabdominal graft,A,,67.30,14.21,NA,14.21,,17.06,98.57,98.57,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,09933880,,Evasc rpr ta ndgft cov lsa,A,,26.33,5.63,NA,5.63,,6.58,38.54,38.54,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00