No office rate
Both address endovascular repair of the descending thoracic aorta, but 33880 involves coverage of the left subclavian artery origin and describes an initial endoprosthesis.
On this page
CMS RVU26D · Effective 2026-10-01
33882 Thoracic endograft Medicare reimbursement rates in Wyoming
Reports endovascular repair of the descending thoracic aorta using a multiple-component prosthesis, including the associated imaging supervision and interpretation. Compare 33882 office and facility rates across CMS payment localities in Wyoming.
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 33882 in Wyoming?
Wyoming 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
$1692.82
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Vascular surgery
About 33882: Descending thoracic aortic endovascular repair
Reports endovascular repair of the descending thoracic aorta using a multiple-component prosthesis, including the associated imaging supervision and interpretation.
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.
CMS billing rules for 33882
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU35.00 · 66%
- Practice expense (office) RVU9.71 · 18%
- Malpractice RVU8.07 · 15%
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.
33882 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
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.
No office rate
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.
No office rate
33875 describes open thoracic aortic graft repair. This code describes endovascular repair using a multiple-component prosthesis.
Compare 33882 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$1692.82
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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 33882 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
4,101
- Code
- 33882
- Physician work
- 35.00
- Practice expense
- 9.71
- Malpractice
- 8.07
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 35.00 | × 1.000 | 35.0000 |
| Practice expense | 9.71 | × 1.000 | 9.7100 |
| Malpractice | 8.07 | × 0.740 | 5.9718 |
| Total RVUs | 50.6818 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1692.82
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 35 | 1 |
| Practice expense | 9.71 | 1 |
| Malpractice | 8.07 | 0.74 |
(35 × 1 + 9.71 × 1 + 8.07 × 0.74) × $33.4009 = $1692.82
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.
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 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.
4,09833877,,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
4,10033881,,Evasc rpr ta ndgft xcov lsa,A,,21.97,4.90,NA,4.90,,5.49,32.36,32.36,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,10133882,,Evasc rpr ta dplmt mltpc sys,A,,35.00,9.71,NA,9.71,,8.07,52.78,52.78,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,10233883,,Delayed plmt prox xtn prosth,A,,19.41,4.60,NA,4.60,,4.78,28.79,28.79,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,10333886,,Delayed plmt dstl xtn prosth,A,,19.41,4.51,NA,4.51,,4.84,28.76,28.76,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,1043388F,,Ajcc cln cncr stage 3 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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,