Billing code 33882: Thoracic endograftMedicare rate & RVUs in Texas
Reports endovascular repair of the descending thoracic aorta using a multiple-component prosthesis, including the associated imaging supervision and interpretation.
CMS doesn’t publish an office rate for 33882 in Texas.
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 33882 covers
This service repairs disease or injury of the descending thoracic aorta by delivering and deploying a multiple-component endovascular prosthesis through the vascular system. Typical indications include a thoracic aortic aneurysm, dissection, pseudoaneurysm, penetrating ulcer, or traumatic disruption. A vascular or cardiothoracic surgeon generally performs the repair in an operating room or hybrid suite with endovascular imaging guidance. The code includes the radiological supervision and interpretation associated with the repair.
Select this code when the documented repair uses a multiple-component endovascular prosthesis; distinguish it from the related repair codes based on prosthesis configuration and whether the left subclavian artery origin is covered. The operative report should support the treated aortic segment, indication, device deployment, and relevant branch-vessel coverage. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery and co-surgeon services may be paid; 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.
Where 33882 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $1,753.32 |
| Beaumont | Unavailable | $1,714.57 |
| Brazoria | Unavailable | $1,710.03 |
| Dallas | Unavailable | $1,733.85 |
| Fort Worth | Unavailable | $1,734.11 |
| Galveston | Unavailable | $1,723.62 |
| Houston | Unavailable | $1,871.33 |
| Rest Of Texas | Unavailable | $1,720.21 |
How the 33882 rate is calculated
Each of 33882’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 · 33882
RVUs × geographic indexes × conversion factor
Work35.00
35.00 RVUs× 1.000 GPCI
Practice expense9.71
9.71 RVUs× 1.000 GPCI
Malpractice8.07
8.07 RVUs× 1.000 GPCI
Adjusted RVUs
52.7800
Conversion factor
$33.4009
Medicare rate
$1,762.90
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 33882
33882 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33882
Thoracic endograft
| 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) | 2 | Permitted. |
| 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 · 33882
Thoracic endograft
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
33882 without 51 · national facility
$1,762.90
Thoracic endograft
33882-51 · Second procedure: 50%
$881.45
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%).
33882 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 33880Thoracic endovascular repair
- Both address endovascular repair of the descending thoracic aorta, but 33880 involves coverage of the left subclavian artery origin and describes an initial endoprosthesis.
- 33881Thoracic endograft
- This related repair code describes an initial endoprosthesis without coverage of the left subclavian artery origin; this code is distinguished by a multiple-component prosthesis.
- 33883Aortic extension
- 33883 describes delayed placement of a proximal extension prosthesis. Use this code for the multiple-component descending thoracic aortic repair itself, not a delayed extension placement.
- 33875Aortic graft
- 33875 describes open thoracic aortic graft repair. This code describes endovascular repair using a multiple-component prosthesis.
33882 billing questions
How does this code differ from 33880 and 33881?
This code is for a multiple-component endovascular prosthesis. Codes 33880 and 33881 describe the related repair using an initial endoprosthesis, with the distinction involving coverage of the left subclavian artery origin.
Can the imaging guidance be billed separately?
The radiological supervision and interpretation associated with this repair are included in the code. Do not report that same guidance separately as a distinct service.
What documentation supports reporting this service?
The operative report should identify the descending thoracic aortic condition and segment treated, the multiple-component prosthesis deployed, and whether the left subclavian artery origin was covered.
What global period applies?
CMS assigns a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery and for co-surgeons. Team surgery is not permitted for this code.
Should modifier 50 be used for bilateral repair?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
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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