33858 As-aort grf f/aortic dsj
What 33858 is
CMS fee schedule short descriptor: As-aort grf f/aortic dsj.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 33858 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 61.82 | 16.69 | 15.31 | 93.82 | $3,133.67 |
| Facility (hospital, ASC) | 61.82 | 16.69 | 15.31 | 93.82 | $3,133.67 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: 90-day global period.
Medically Unlikely Edit (MUE)
Medicare caps 33858 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 33858? These codes are bundled into it
33858 is a Column 1 code in 250 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
0632T | Perq tcat us abltj nrv p-art | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
12001 | Rpr s/n/ax/gen/trnk 2.5cm/< | 1 - modifier may bypass | Check pair |
12002 | Rpr s/n/ax/gen/trnk2.6-7.5cm | 1 - modifier may bypass | Check pair |
12004 | Rpr s/n/ax/gen/trk7.6-12.5cm | 1 - modifier may bypass | Check pair |
12005 | Rpr s/n/a/gen/trk12.6-20.0cm | 1 - modifier may bypass | Check pair |
12006 | Rpr s/n/a/gen/trk20.1-30.0cm | 1 - modifier may bypass | Check pair |
12007 | Rpr s/n/ax/gen/trnk >30.0 cm | 1 - modifier may bypass | Check pair |
12020 | Tx supfc wnd dehsn smpl clsr | 1 - modifier may bypass | Check pair |
12021 | Tx supfc wnd dehsn w/packing | 1 - modifier may bypass | Check pair |
12031 | Intmd rpr s/a/t/ext 2.5 cm/< | 1 - modifier may bypass | Check pair |
12032 | Intmd rpr s/a/t/ext 2.6-7.5 | 1 - modifier may bypass | Check pair |
12034 | Intmd rpr s/tr/ext 7.6-12.5 | 1 - modifier may bypass | Check pair |
12035 | Intmd rpr s/a/t/ext 12.6-20 | 1 - modifier may bypass | Check pair |
12036 | Intmd rpr s/a/t/ext 20.1-30 | 1 - modifier may bypass | Check pair |
12037 | Intmd rpr s/tr/ext >30.0 cm | 1 - modifier may bypass | Check pair |
12041 | Intmd rpr n-hf/genit 2.5cm/< | 1 - modifier may bypass | Check pair |
12042 | Intmd rpr n-hf/genit2.6-7.5 | 1 - modifier may bypass | Check pair |
12044 | Intmd rpr n-hf/genit7.6-12.5 | 1 - modifier may bypass | Check pair |
12045 | Intmd rpr n-hf/genit12.6-20 | 1 - modifier may bypass | Check pair |
12046 | Intmd rpr n-hf/genit20.1-30 | 1 - modifier may bypass | Check pair |
12047 | Intmd rpr n-hf/genit >30.0cm | 1 - modifier may bypass | Check pair |
Showing 30 of 250 column 2 codes. Use the pair checker for any specific combination.
33858 is bundled into these codes
33858 appears as a Column 2 code in 6 active edits. Reported with one of these Column 1 codes on the same date of service, 33858 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
33863 | Ascending aortic graft | 0 | Check pair |
33864 | Ascending aortic graft | 0 | Check pair |
64466 | Thrc fascial pln blk uni njx | 0 | Check pair |
64467 | Thrc fascial pln blk uni nfs | 0 | Check pair |
64468 | Thrc fascial pln blk bi njx | 0 | Check pair |
64469 | Thrc fascial pln blk bi nfs | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.