33536 Cabg arterial four or more
Also known as: quadruple arterial CABG, four or more arterial CABG, extensive arterial grafting, coronary bypass x4+
Surgical placement of four or more coronary artery bypass grafts using internal mammary and other arterial conduits.
In Plain Language
four or more artery grafts
Clinical Context
Employed for extensive multivessel disease with predominantly or all-arterial revascularization; represents the gold standard for coronary revascularization with lowest reintervention rates.
RVU Breakdown
| Work RVU | 47.22 |
| Total RVU | 47.22 |
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 47.22, this code ranks in the 98th percentile among Surgery codes — 5.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33536?
CPT 33536 (Cabg arterial four or more) is a Surgery code. Surgical placement of four or more coronary artery bypass grafts using internal mammary and other arterial conduits.
What is the wRVU value for CPT 33536?
The work RVU for CPT 33536 is 47.22. This code is primarily used by Cardiac Surgery, Thoracic Surgery. It has a 90-day global period.
When is CPT 33536 used?
Employed for extensive multivessel disease with predominantly or all-arterial revascularization; represents the gold standard for coronary revascularization with lowest reintervention rates.
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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.