No office rate
33510 describes a venous-only CABG with one venous graft. Use 33517 with an arterial CABG primary code when the operation also includes arterial grafting.
On this page
CMS RVU26D · Effective 2026-10-01
33517 Combined CABG Medicare reimbursement rates in New Mexico
Reports one venous graft used during coronary bypass surgery that also includes arterial grafting, alongside the primary code for the arterial graft count. Compare 33517 office and facility rates across CMS payment localities in New Mexico.
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 33517 in New Mexico?
New Mexico has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$174.22
1 of 1 localities have a supported rate.
Payment area: New Mexico
One mapped payment locality.
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.
Cardiac surgery
About 33517: CABG with one venous graft
Reports one venous graft used during coronary bypass surgery that also includes arterial grafting, alongside the primary code for the arterial graft count.
Code 33517 identifies one venous conduit used during coronary artery bypass surgery that also uses an arterial conduit. A cardiothoracic surgeon creates the bypass grafts in the operating room, commonly using a leg vein for the venous graft and an arterial conduit, such as an internal mammary artery, for another bypass. The arterial graft count is represented by the separate primary CABG code; 33517 captures the single venous graft in the combined operation.
Report 33517 only as an add-on with the applicable arterial CABG code from 33533–33536; it is not a stand-alone code for a venous-only operation. The operative report should establish that a venous graft was used and support the arterial graft count selected for the primary code. CMS places payment for 33517 within the primary procedure's global period. Code 33508 may describe endoscopic vein harvest when performed; harvesting is distinct from the graft count represented here.
CMS billing rules for 33517
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU3.52 · 69%
- Practice expense (office) RVU0.71 · 14%
- Malpractice RVU0.87 · 17%
17.8K
Medicare services in 2024 · #1193 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.
33517 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
Both are add-on levels for combined arterial-and-venous CABG; 33517 represents one venous graft, while 33518 represents two.
No office rate
33533 represents a single arterial graft and serves as a primary code. Add 33517 when the combined operation also uses one venous graft.
No office rate
33508 describes endoscopic vein harvesting, not the venous graft used to perform the bypass. It may be reported with the CABG when that harvest service is performed.
Compare 33517 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.
1 of 1 payment localities
New Mexico →
Office / nonfacility
Unavailable
Facility
$174.22
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 33517 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
3,989
- Code
- 33517
- Physician work
- 3.52
- Practice expense
- 0.71
- Malpractice
- 0.87
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.52 | × 1.000 | 3.5200 |
| Practice expense | 0.71 | × 0.917 | 0.6511 |
| Malpractice | 0.87 | × 1.201 | 1.0449 |
| Total RVUs | 5.2159 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$174.22
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.52 | 1 |
| Practice expense | 0.71 | 0.917 |
| Malpractice | 0.87 | 1.201 |
(3.52 × 1 + 0.71 × 0.917 + 0.87 × 1.201) × $33.4009 = $174.22
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
33517 billing questions
Which primary code is reported with 33517?
Report it with the applicable arterial CABG code from 33533–33536. The primary code represents the arterial graft count, while 33517 represents one venous graft.
Can 33517 be reported for a venous-only bypass?
No. It is for a combined operation that includes venous and arterial grafting. A venous-only CABG is reported from the venous-only code series, such as 33510 for one venous graft.
When is 33518 used instead?
Use 33518 when the combined arterial-and-venous CABG includes two venous grafts. Code 33517 represents one venous graft.
Does 33517 include endoscopic vein harvesting?
No. The code represents the venous graft used in the bypass; 33508 describes endoscopic vein harvest when that service is performed.
What documentation supports 33517?
The operative report should establish use of one venous graft and document the arterial grafting that supports the separately reported primary CABG code.
How does CMS treat payment for 33517?
It is an add-on code reported only with a primary procedure, and CMS places its payment within that procedure's global period.
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.
3,98633513,,Cabg vein four,A,,44.24,13.97,NA,13.97,,10.76,68.97,68.97,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,98733514,,Cabg vein five,A,,46.88,15.27,NA,15.27,,11.27,73.42,73.42,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,98833516,,Cabg vein six or more,A,,48.52,15.86,NA,15.86,,11.66,76.04,76.04,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,98933517,,Cabg artery-vein single,A,,3.52,0.71,NA,0.71,,0.87,5.10,5.10,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,99033518,,Cabg artery-vein two,A,,7.73,1.55,NA,1.55,,1.91,11.19,11.19,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,99133519,,Cabg artery-vein three,A,,10.23,2.04,NA,2.04,,2.52,14.79,14.79,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,9923351F,,Neg scrn dep symp by deptool,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
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210