Billing code 33322: Vessel repairMedicare rate & RVUs in Oklahoma
Reports major blood vessel repair performed with cardiopulmonary bypass and hypothermic circulatory arrest, such as complex repair involving the aorta.
CMS doesn’t publish an office rate for 33322 in Oklahoma.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 33322 covers
This service covers operative repair of a major blood vessel while the patient is supported by cardiopulmonary bypass and placed in hypothermic circulatory arrest. It may involve direct closure or patch repair; complex aortic arch repair is a typical setting. Cardiothoracic surgeons perform the procedure in an operating room, generally in a hospital facility.
Select this code when the operative record supports major-vessel repair and documents hypothermic circulatory arrest, rather than repair using bypass without arrest or repair without bypass. The report should identify the vessel, the repair performed, and the use of bypass and circulatory arrest. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
33322 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $1,248.34 |
How the 33322 rate is calculated
Each of 33322’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 33322
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 23.81Practice expense 10.03Malpractice 5.93
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 33322
33322 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33322
Vessel repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33322
Vessel repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33322 without 51 · national facility
$1,328.35
Vessel repair
33322-51 · Second procedure: 50%
$664.18
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
33322 compared with similar codes
Compare codes
33322 vs 33320 vs 33321 vs 33330: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 33320Major vessel repair
- 33320 describes major-vessel repair without cardiopulmonary bypass. Choose 33322 when the repair involves bypass and hypothermic circulatory arrest.
- 33321Vessel repair
- 33321 describes major-vessel repair with cardiopulmonary bypass but without hypothermic circulatory arrest. The arrest documented in the operative record distinguishes 33322.
- 33330Vessel graft
- 33330 is for insertion of a major-vessel graft. Use 33322 when the service is repair of the vessel with hypothermic circulatory arrest, rather than graft insertion.
33322 billing questions
How is this code distinguished from 33321?
Use 33322 when the major-vessel repair includes hypothermic circulatory arrest. Code 33321 describes repair with cardiopulmonary bypass without that distinguishing circumstance.
What should the operative report document?
Document the vessel repaired, the repair performed, and use of cardiopulmonary bypass and hypothermic circulatory arrest. These details distinguish the service from other major-vessel repair codes.
Can an assistant surgeon be reported?
CMS indicates that assistant-at-surgery payment may be made for this service. Co-surgeon payment requires supporting documentation.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are other procedures from the same session paid?
Under the standard multiple procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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