33335 Insert major vessel graft
Also known as: aortic graft with bypass, complex vessel graft insertion
Insertion of aortic or major blood vessel graft with cardiopulmonary bypass or significant hemodynamic support.
In Plain Language
placing vessel tube graft with heart-lung machine support
Clinical Context
Used for complex aortic disease or when bypass is required for hemodynamic stability.
RVU Breakdown
| Work RVU | 33.06 |
| Total RVU | 33.06 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 33.06, this code ranks in the 94th percentile among Surgery codes — 4.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33335?
CPT 33335 (Insert major vessel graft) is a Surgery code. Insertion of aortic or major blood vessel graft with cardiopulmonary bypass or significant hemodynamic support.
What is the wRVU value for CPT 33335?
The work RVU for CPT 33335 is 33.06. This code is primarily used by Cardiac Surgery, Vascular Surgery, Cardiothoracic Surgery. It has a 90-day global period.
When is CPT 33335 used?
Used for complex aortic disease or when bypass is required for hemodynamic stability.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.