Billing code 33535: Arterial CABGMedicare rate & RVUs in Utah
Reported for coronary artery bypass surgery using three arterial grafts to create three bypasses, rather than a mixed arterial-and-venous graft pattern.
CMS doesn’t publish an office rate for 33535 in Utah.
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 33535 covers
This code represents coronary artery bypass surgery using arterial grafts for three coronary bypasses. A cardiac surgeon typically performs the operation in a hospital operating room. Common arterial conduits include the internal thoracic artery and radial artery. The operative report should identify the conduits used and the coronary targets bypassed so the arterial count and graft type are clear.
Select this level based on three arterial bypasses; use the mixed-conduit code family when the operation also uses venous grafts. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. Modifier 50 is inappropriate for this code. CMS permits payment for an assistant at surgery, but does not permit co-surgeons or team surgery.
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.
33535 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $2,220.88 |
How the 33535 rate is calculated
Each of 33535’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 · 33535
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 43.63Practice expense 14.08Malpractice 10.72
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 33535
33535 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33535
Arterial CABG
| 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) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.82/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33535
Arterial CABG
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
33535 without 51 · national facility
$2,285.62
Arterial CABG
33535-51 · Second procedure: 50%
$1,142.81
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%).
33535 compared with similar codes
Compare codes
33535 vs 33534 vs 33536 vs 33512 vs 33519: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 33534Arterial CABG
- Use 33534 for two arterial bypasses; use 33535 when three arterial bypasses are performed.
- 33536CABG
- Use 33536 when four or more arterial bypasses are performed, rather than the three-bypass level in 33535.
- 33512Coronary bypass
- 33512 describes three venous bypass grafts. Choose 33535 for three arterial bypasses.
- 33519CABG grafts
- 33519 represents a mixed arterial-and-venous CABG pattern; 33535 is for the three-bypass arterial-only level.
33535 billing questions
How is this code distinguished from the two- or four-bypass arterial codes?
Use this code when the operation includes three arterial bypasses. The adjacent arterial levels describe two bypasses and four or more bypasses.
Can this code be used when the surgeon also uses a vein graft?
Use the mixed arterial-and-venous CABG coding structure when both conduit types are used. This code describes the three-bypass arterial-only level.
What should the operative report document?
Document the arterial conduits used, the coronary targets bypassed, and the number of bypasses. These details support the arterial-only classification and three-bypass level.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code because its descriptor and anatomy are not bilateral.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and related postoperative care. CMS permits assistant-at-surgery payment, but not co-surgeon or team-surgery payment.
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
Fee sheets
Put 33535 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →