33864 Ascending aortic graft
Also known as: Composite graft, ascending aortic graft with AVR, Bentall procedure
Ascending aortic graft with composite graft including aortic valve replacement; surgical replacement of the ascending aorta and aortic valve with a composite conduit containing a mechanical or bioprosthetic valve.
In Plain Language
Heart surgery to replace aorta and valve; Aorta and valve replacement together
Clinical Context
Used for patients with concurrent ascending aortic disease and aortic valve pathology, typically in connective tissue disorders (Marfan syndrome) or aortic root dilatation with regurgitation.
RVU Breakdown
| Work RVU | 58.58 |
| Total RVU | 58.58 |
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 58.58, this code ranks in the 99th percentile among Surgery codes — 7.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33864?
CPT 33864 (Ascending aortic graft) is a Surgery code. Ascending aortic graft with composite graft including aortic valve replacement; surgical replacement of the ascending aorta and aortic valve with a composite conduit containing a mechanical or bioprosthetic valve.
What is the wRVU value for CPT 33864?
The work RVU for CPT 33864 is 58.58. This code is primarily used by Cardiac Surgery, Cardiothoracic Surgery, Valve Surgery. It has a 90-day global period.
When is CPT 33864 used?
Used for patients with concurrent ascending aortic disease and aortic valve pathology, typically in connective tissue disorders (Marfan syndrome) or aortic root dilatation with regurgitation.
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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.