CPT code 33968: Balloon removal, percutaneous approach2026 Medicare rate & RVUs in Wisconsin

Reports percutaneous removal of an intra-aortic balloon assist device after mechanical circulatory support is no longer needed.

CMS RVU26DEffective Oct 1, 2026One payment locality3K Medicare services in 2024

In Wisconsin, Medicare pays $26.31 for 33968 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$26.31Hospital or facility

Check a contract rate as a % of Medicare · 33968 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 33968 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Wisconsin
  2. What 33968 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 33968 covers

This service removes an intra-aortic balloon assist device through its percutaneous arterial access, typically after the patient’s hemodynamic status allows balloon-pump support to end. It is commonly performed in a hospital, such as an intensive care unit or cardiac catheterization setting, by a physician managing the patient’s cardiac support. The work centers on withdrawing the balloon catheter and managing the access site; it is distinct from removing an ECMO cannula or a ventricular assist device.

Report 33968 when the intra-aortic balloon device is removed percutaneously, rather than when it is inserted or removed through an open aortic approach. The record should identify the device, the percutaneous removal, and the clinical event ending support. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery for this code, and 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 Wisconsin compares for 33968

Across 109 of 109 payment localities, the facility rate for 33968 runs from $26.31 in Wisconsin to $38.26 in Alaska. Wisconsin pays $26.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

33968 in Wisconsin vs other payment areas
  1. Wisconsin · this page$26.31
  2. Los Angeles, CA · California$29.80+$3.49
  3. Washington, DC area · District of Columbia$32.15+$5.84
  4. Miami, FL · Florida$37.05+$10.74
  5. Chicago, IL · Illinois$35.95+$9.64
  6. Manhattan, NY · New York$34.50+$8.19
  7. Alaska · Alaska$38.26+$11.95

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

Every other payment area

33968 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$27.15
ArkansasArkansas—$26.85
ArizonaArizona—$28.92
Bakersfield, CACalifornia—$28.71
Chico, CACalifornia—$28.33
El Centro, CACalifornia—$28.35
Fresno, CACalifornia—$28.33
Hanford, CACalifornia—$28.33

33968 rates by state

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

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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
33968 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 33968 in every payment locality

How the 33968 rate is calculated

Each of 33968’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 · 33968

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.62

0.62 RVUs× 1.000 GPCI

Practice expense0.13

0.13 RVUs× 1.000 GPCI

Malpractice0.14

0.14 RVUs× 1.000 GPCI

Adjusted RVUs

0.8900

Conversion factor

$33.4009

Medicare rate

$29.73

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

The exact Wisconsin inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,153

Code
33968
Physician work
0.62
Practice expense
0.13
Malpractice
0.14

GPCI2026.csv

111

Locality
Wisconsin
Physician work
1.000
Practice expense
0.958
Malpractice
0.308
Facility calculation for 33968 in Wisconsin
ComponentRVULocality factorAdjusted
Physician work0.62× 1.0000.6200
Practice expense0.13× 0.9580.1245
Malpractice0.14× 0.3080.0431
Total RVUs0.7877
Conversion factor× 33.4009

Facility rate, Wisconsin$26.31

Facility: (0.62 × 1 + 0.13 × 0.958 + 0.14 × 0.308) × $33.4009 = $26.31

Open 33968 in the RVU calculator

Payment rules and modifiers for 33968

The CMS indicators that decide how 33968 is paid alongside other services.

CMS payment indicators · 33968

Balloon removal, percutaneous approach

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 33968 has changed in Wisconsin

33968 · 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$26.31RVU26D
2026-07-01Not available in this setting$26.31RVU26C
2026-04-01Not available in this setting$26.31RVU26B
2026-01-01Not available in this setting$26.31RVU26A
2025-10-01Not available in this setting$28.81RVU25D
2025-07-01Not available in this setting$28.81RVU25C
2025-04-01Not available in this setting$28.81RVU25B
2025-01-01Not available in this setting$28.81RVU25A
2024-10-01Not available in this setting$29.54RVU24D
2024-07-01Not available in this setting$29.54RVU24C
2024-04-01Not available in this setting$29.54RVU24B
2024-03-09Not available in this setting$29.54RVU24AR
2024-01-01Not available in this setting$29.05RVU24A
2023-10-01Not available in this setting$29.94RVU23D
2023-07-01Not available in this setting$29.94RVU23C
2023-04-01Not available in this setting$29.94RVU23B
2023-01-01Not available in this setting$29.94RVU23A
2022-10-01Not available in this setting$30.22RVU22D
2022-07-01Not available in this setting$30.22RVU22C
2022-04-01Not available in this setting$30.22RVU22B
2022-01-01Not available in this setting$30.22RVU22A
2021-10-01Not available in this setting$30.68RVU21D
2021-07-01Not available in this setting$30.68RVU21C
2021-04-01Not available in this setting$30.68RVU21B
2021-01-01Not available in this setting$30.68RVU21A
2020-10-01Not available in this setting$31.80RVU20D
2020-07-01Not available in this setting$31.80RVU20C
2020-04-01Not available in this setting$31.80RVU20B
2020-01-01Not available in this setting$31.80RVU20A
2019-10-01Not available in this setting$31.93RVU19D
2019-07-01Not available in this setting$31.93RVU19C
2019-04-01Not available in this setting$31.93RVU19B
2019-01-01Not available in this setting$31.93RVU19A
2018-10-01Not available in this setting$31.90RVU18D
2018-07-01Not available in this setting$31.90RVU18C
2018-04-01Not available in this setting$31.90RVU18B
2018-01-01Not available in this setting$31.90RVU18AR1
2017-10-01Not available in this setting$32.31RVU17D
2017-07-01Not available in this setting$32.31RVU17C
2017-04-01Not available in this setting$32.31RVU17B
2017-01-01Not available in this setting$32.31RVU17A
2016-10-01Not available in this setting$32.73RVU16D
2016-07-01Not available in this setting$32.73RVU16C
2016-04-01Not available in this setting$32.73RVU16B
2016-01-01Not available in this setting$32.73RVU16A
2015-10-01Not available in this setting$32.64RVU15D
2015-07-01Not available in this setting$32.64RVU15C
2015-04-01Not available in this setting$32.48RVU15B
2015-01-01Not available in this setting$32.48RVU15A
2014-10-01Not available in this setting$32.73RVU14D
2014-07-01Not available in this setting$32.73RVU14C
2014-04-01Not available in this setting$32.73RVU14B
2014-01-01Not available in this setting$32.73RVU14A
2013-10-01Not available in this setting$31.57RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 33968 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

  • Abbotsford
  • Abrams
  • Adams
  • Adell
  • Albany
  • Algoma
  • Allens Grove
  • Allenton

Browse all communities in Wisconsin

33968 billing questions

How is 33968 different from 33967?

33968 reports percutaneous removal of an intra-aortic balloon assist device. 33967 reports its percutaneous insertion.

Can removal be reported when the device was inserted on an earlier date?

Yes. Report 33968 for the percutaneous removal service when support ends; it describes removal, not the earlier insertion.

Is modifier 50 appropriate?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 33968. Co-surgeons and team surgery are not permitted.

What same-day care is included?

The 0-day global period includes same-day preoperative and postoperative care.

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 33968PPRRVU2026_Oct_nonQPP.csv, line 4,153 (RVU26D)
Geographic factors for WisconsinGPCI2026.csv, line 111 (RVU26D)

Open CMS sourceHow we calculate rates

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