CPT code 33967: Balloon pump insertion, percutaneous approach2026 Medicare rate & RVUs in Arkansas

Reports percutaneous placement of an intra-aortic balloon pump for temporary circulatory support, such as in cardiogenic shock or selected high-risk cardiac procedures.

CMS RVU26DEffective Oct 1, 2026One payment locality9.9K Medicare services in 2024

In Arkansas, Medicare pays $202.80 for 33967 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$202.80Hospital or facility

Check a contract rate as a % of Medicare · 33967 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 33967 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 33967 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 33967 covers

This service places an intra-aortic balloon catheter through percutaneous arterial access, commonly in a hospital catheterization laboratory or operating room. The balloon sits in the aorta and provides counterpulsation to support circulation. Cardiologists and cardiothoracic surgeons commonly perform the insertion for patients needing temporary hemodynamic support, including some patients with cardiogenic shock or undergoing high-risk cardiac procedures.

Report 33967 for the percutaneous insertion itself, not for removal or insertion by a nonpercutaneous approach. The procedure note should establish the indication, access technique, and device placement. The 0-day global period includes same-day preoperative and postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Arkansas compares for 33967

Across 109 of 109 payment localities, the facility rate for 33967 runs from $198.30 in Wisconsin to $289.26 in Alaska. Arkansas pays $202.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

33967 in Arkansas vs other payment areas
  1. Arkansas · this page$202.80
  2. Los Angeles, CA · California$224.64+$21.84
  3. Washington, DC area · District of Columbia$242.88+$40.08
  4. Miami, FL · Florida$281.71+$78.91
  5. Chicago, IL · Illinois$273.19+$70.39
  6. Manhattan, NY · New York$261.19+$58.39
  7. Alaska · Alaska$289.26+$86.46

Other areas in Arkansas first, then benchmark localities. Bars start at $0.

Every other payment area

33967 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$205.15
ArizonaArizona—$218.59
Bakersfield, CACalifornia—$216.50
Chico, CACalifornia—$213.53
El Centro, CACalifornia—$213.71
Fresno, CACalifornia—$213.53
Hanford, CACalifornia—$213.53
Madera, CACalifornia—$213.53

33967 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
33967 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 33967 in every payment locality

How the 33967 rate is calculated

Each of 33967’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 33967

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.72

4.72 RVUs× 1.000 GPCI

Practice expense0.92

0.92 RVUs× 1.000 GPCI

Malpractice1.09

1.09 RVUs× 1.000 GPCI

Adjusted RVUs

6.7300

Conversion factor

$33.4009

Medicare rate

$224.79

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,152

Code
33967
Physician work
4.72
Practice expense
0.92
Malpractice
1.09

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Facility calculation for 33967 in Arkansas
ComponentRVULocality factorAdjusted
Physician work4.72× 1.0004.7200
Practice expense0.92× 0.8590.7903
Malpractice1.09× 0.5150.5614
Total RVUs6.0716
Conversion factor× 33.4009

Facility rate, Arkansas$202.80

Facility: (4.72 × 1 + 0.92 × 0.859 + 1.09 × 0.515) × $33.4009 = $202.80

Open 33967 in the RVU calculator

Payment rules and modifiers for 33967

The CMS indicators that decide how 33967 is paid alongside other services.

CMS payment indicators · 33967

Balloon pump insertion, percutaneous approach

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33967 without 51 · national facility

$224.79

Balloon pump insertion, percutaneous approach

33967-51 · Second procedure: 50%

$112.40

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 33967 has changed in Arkansas

33967 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$202.80RVU26D
2026-07-01Not available in this setting$202.80RVU26C
2026-04-01Not available in this setting$202.80RVU26B
2026-01-01Not available in this setting$202.80RVU26A
2025-10-01Not available in this setting$220.89RVU25D
2025-07-01Not available in this setting$220.89RVU25C
2025-04-01Not available in this setting$220.89RVU25B
2025-01-01Not available in this setting$220.89RVU25A
2024-10-01Not available in this setting$226.63RVU24D
2024-07-01Not available in this setting$226.63RVU24C
2024-04-01Not available in this setting$226.63RVU24B
2024-03-09Not available in this setting$226.63RVU24AR
2024-01-01Not available in this setting$222.93RVU24A
2023-10-01Not available in this setting$228.80RVU23D
2023-07-01Not available in this setting$228.80RVU23C
2023-04-01Not available in this setting$228.80RVU23B
2023-01-01Not available in this setting$228.80RVU23A
2022-10-01Not available in this setting$233.56RVU22D
2022-07-01Not available in this setting$233.56RVU22C
2022-04-01Not available in this setting$233.56RVU22B
2022-01-01Not available in this setting$233.56RVU22A
2021-10-01Not available in this setting$235.33RVU21D
2021-07-01Not available in this setting$235.33RVU21C
2021-04-01Not available in this setting$235.33RVU21B
2021-01-01Not available in this setting$235.33RVU21A
2020-10-01Not available in this setting$244.64RVU20D
2020-07-01Not available in this setting$244.64RVU20C
2020-04-01Not available in this setting$244.64RVU20B
2020-01-01Not available in this setting$244.64RVU20A
2019-10-01Not available in this setting$248.17RVU19D
2019-07-01Not available in this setting$248.17RVU19C
2019-04-01Not available in this setting$248.17RVU19B
2019-01-01Not available in this setting$248.17RVU19A
2018-10-01Not available in this setting$247.69RVU18D
2018-07-01Not available in this setting$247.69RVU18C
2018-04-01Not available in this setting$247.69RVU18B
2018-01-01Not available in this setting$247.69RVU18AR1
2017-10-01Not available in this setting$246.19RVU17D
2017-07-01Not available in this setting$246.19RVU17C
2017-04-01Not available in this setting$246.19RVU17B
2017-01-01Not available in this setting$246.19RVU17A
2016-10-01Not available in this setting$244.49RVU16D
2016-07-01Not available in this setting$244.49RVU16C
2016-04-01Not available in this setting$244.49RVU16B
2016-01-01Not available in this setting$244.49RVU16A
2015-10-01Not available in this setting$245.30RVU15D
2015-07-01Not available in this setting$245.30RVU15C
2015-04-01Not available in this setting$244.08RVU15B
2015-01-01Not available in this setting$244.08RVU15A
2014-10-01Not available in this setting$242.10RVU14D
2014-07-01Not available in this setting$242.10RVU14C
2014-04-01Not available in this setting$242.10RVU14B
2014-01-01Not available in this setting$242.10RVU14A
2013-10-01Not available in this setting$232.41RVU13D
2013-07-01Not available in this setting$232.41RVU13C
2013-04-01Not available in this setting$232.41RVU13B
2013-01-01Not available in this setting$232.41RVU13AR

Price 33967 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

33967 billing questions

How does 33967 differ from 33970?

33967 is for percutaneous balloon-pump insertion. Use 33970 for insertion by a nonpercutaneous approach.

Is removal included in 33967?

No. Code 33967 reports insertion; 33968 is the percutaneous removal code.

Does the 0-day global period include same-day care?

Yes. Same-day preoperative and postoperative care is included in the global period.

Can modifier 50 be reported?

No. Bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.

When is assistant-at-surgery payment allowed?

It is allowed only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.

How does 33967 differ from percutaneous ventricular assist device insertion?

33967 is for an intra-aortic balloon pump. Codes such as 33990 and 33991 describe percutaneous ventricular assist device insertion, a different form of circulatory support.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 33967PPRRVU2026_Oct_nonQPP.csv, line 4,152 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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