33513 Cabg vein four
Also known as: four vessel CABG, quadruple vein bypass, four vein CABG
Surgical placement of four coronary artery bypass grafts using saphenous vein conduits, providing revascularization of four coronary territories.
In Plain Language
four vein bypasses around blocked heart arteries
Clinical Context
Used for extensive multivessel disease with four territories requiring revascularization; provides comprehensive ischemic relief in patients with critical stenosis and reduced ejection fraction.
RVU Breakdown
| Work RVU | 44.24 |
| Total RVU | 44.24 |
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 44.24, this code ranks in the 98th percentile among Surgery codes — 5.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33513?
CPT 33513 (Cabg vein four) is a Surgery code. Surgical placement of four coronary artery bypass grafts using saphenous vein conduits, providing revascularization of four coronary territories.
What is the wRVU value for CPT 33513?
The work RVU for CPT 33513 is 44.24. This code is primarily used by Cardiac Surgery, Thoracic Surgery. It has a 90-day global period.
When is CPT 33513 used?
Used for extensive multivessel disease with four territories requiring revascularization; provides comprehensive ischemic relief in patients with critical stenosis and reduced ejection fraction.
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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.