CPT code 33976: Ventricular assist device, extracorporeal, both ventricles2026 Medicare rate & RVUs in South Carolina
Reports surgical placement of an extracorporeal ventricular assist system supporting both ventricles, typically for temporary mechanical circulatory support in severe biventricular failure.
In South Carolina, Medicare pays $1,395.58 for 33976 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33976 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 33976 covers
A cardiac surgeon places an extracorporeal ventricular assist system with cannulas connected to support both the right and left ventricles. The pump remains outside the body while providing temporary circulatory support, such as for a patient with severe biventricular failure who needs support while awaiting recovery or further treatment. The service is performed in a hospital operating room as part of surgical mechanical circulatory support.
Choose this code when the implanted system provides extracorporeal support to both ventricles; a single-ventricle extracorporeal system is a different code. The operative report should identify the device configuration and document support of both ventricles. CMS applies the standard multiple-procedure reduction when other qualifying procedures occur in the same session: the highest-valued procedure is paid in full and the others at 50%. The code is already priced as bilateral, so modifier 50 does not increase payment.
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 South Carolina compares for 33976
Across 109 of 109 payment localities, the facility rate for 33976 runs from $1,272.22 in Wisconsin to $1,853.31 in Alaska. South Carolina pays $1,395.58. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Carolina · this page$1,395.58
- Los Angeles, CA · California$1,445.10+$49.52
- Washington, DC area · District of Columbia$1,565.07+$169.49
- Miami, FL · Florida$1,823.39+$427.81
- Chicago, IL · Illinois$1,766.73+$371.15
- Manhattan, NY · New York$1,685.55+$289.97
- Alaska · Alaska$1,853.31+$457.73
Other areas in South Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,317.21 |
| ArkansasArkansas | — | $1,301.66 |
| ArizonaArizona | — | $1,406.26 |
| Bakersfield, CACalifornia | — | $1,391.98 |
| Chico, CACalifornia | — | $1,372.42 |
| El Centro, CACalifornia | — | $1,373.62 |
| Fresno, CACalifornia | — | $1,372.42 |
| Hanford, CACalifornia | — | $1,372.42 |
| Madera, CACalifornia | — | $1,372.42 |
| Merced, CACalifornia | — | $1,372.42 |
| Modesto, CACalifornia | — | $1,372.42 |
| Napa, CACalifornia | — | $1,457.35 |
| Oxnard, CACalifornia | — | $1,422.02 |
| Redding, CACalifornia | — | $1,372.42 |
| Rest of CaliforniaCalifornia | — | $1,372.42 |
| Riverside, CACalifornia | — | $1,449.65 |
| Sacramento, CACalifornia | — | $1,405.21 |
| Salinas, CACalifornia | — | $1,399.38 |
| San Diego, CACalifornia | — | $1,407.42 |
| Marin County, CACalifornia | — | $1,496.51 |
| San Francisco, CACalifornia | — | $1,488.33 |
| San Benito County, CACalifornia | — | $1,536.62 |
| Santa Clara County, CACalifornia | — | $1,503.19 |
| San Luis Obispo, CACalifornia | — | $1,381.25 |
| Santa Cruz, CACalifornia | — | $1,400.87 |
| Santa Maria, CACalifornia | — | $1,397.81 |
| Santa Rosa, CACalifornia | — | $1,412.55 |
| Stockton, CACalifornia | — | $1,372.42 |
| Vallejo, CACalifornia | — | $1,445.57 |
| Visalia, CACalifornia | — | $1,372.42 |
| Yuba City, CACalifornia | — | $1,372.42 |
| ColoradoColorado | — | $1,419.76 |
| ConnecticutConnecticut | — | $1,533.61 |
| DelawareDelaware | — | $1,425.51 |
| Fort Lauderdale, FLFlorida | — | $1,644.24 |
| Rest of FloridaFlorida | — | $1,559.19 |
| Atlanta, GAGeorgia | — | $1,501.89 |
| Rest of GeorgiaGeorgia | — | $1,471.25 |
| Hawaii, Guam, HIHawaii | — | $1,374.16 |
| IowaIowa | — | $1,284.79 |
| IdahoIdaho | — | $1,304.09 |
| East St. Louis, ILIllinois | — | $1,674.68 |
| Rest of IllinoisIllinois | — | $1,564.78 |
| Suburban Chicago, ILIllinois | — | $1,645.47 |
| IndianaIndiana | — | $1,308.66 |
| KansasKansas | — | $1,308.26 |
| KentuckyKentucky | — | $1,404.02 |
| New Orleans, LALouisiana | — | $1,467.85 |
| Rest of LouisianaLouisiana | — | $1,413.54 |
| Metropolitan Boston, MAMassachusetts | — | $1,501.71 |
| Rest of MassachusettsMassachusetts | — | $1,425.35 |
| Baltimore area, MDMaryland | — | $1,535.27 |
| Rest of MarylandMaryland | — | $1,440.02 |
| Rest of MaineMaine | — | $1,339.92 |
| Southern Maine, MEMaine | — | $1,356.67 |
| Detroit, MIMichigan | — | $1,605.05 |
| Rest of MichiganMichigan | — | $1,460.41 |
| MinnesotaMinnesota | — | $1,283.92 |
| Metropolitan Kansas City, MOMissouri | — | $1,429.20 |
| Metropolitan St. Louis, MOMissouri | — | $1,437.88 |
| Rest of MissouriMissouri | — | $1,412.66 |
| MississippiMississippi | — | $1,355.94 |
| MontanaMontana | — | $1,446.78 |
| North CarolinaNorth Carolina | — | $1,346.68 |
| North DakotaNorth Dakota | — | $1,304.41 |
| NebraskaNebraska | — | $1,281.86 |
| New HampshireNew Hampshire | — | $1,425.62 |
| Northern New JerseyNew Jersey | — | $1,559.57 |
| Rest of New JerseyNew Jersey | — | $1,529.54 |
| New MexicoNew Mexico | — | $1,478.55 |
| NevadaNevada | — | $1,407.31 |
| NYC suburbs and Long Island, NYNew York | — | $1,756.27 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,562.34 |
| Queens, NYNew York | — | $1,655.03 |
| Rest of New YorkNew York | — | $1,365.57 |
| OhioOhio | — | $1,431.31 |
| OklahomaOklahoma | — | $1,371.65 |
| Portland, OROregon | — | $1,424.52 |
| Rest of OregonOregon | — | $1,375.01 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,520.12 |
| Rest of PennsylvaniaPennsylvania | — | $1,417.19 |
| Puerto RicoPuerto Rico | — | $1,445.91 |
| Rhode IslandRhode Island | — | $1,447.09 |
| South DakotaSouth Dakota | — | $1,287.58 |
| TennesseeTennessee | — | $1,317.22 |
| Austin, TXTexas | — | $1,433.76 |
| Beaumont, TXTexas | — | $1,411.70 |
| Brazoria, TXTexas | — | $1,400.52 |
| Dallas, TXTexas | — | $1,421.30 |
| Fort Worth, TXTexas | — | $1,422.37 |
| Galveston, TXTexas | — | $1,412.47 |
| Houston, TXTexas | — | $1,544.26 |
| Rest of TexasTexas | — | $1,413.46 |
| UtahUtah | — | $1,410.41 |
| VirginiaVirginia | — | $1,373.07 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,445.91 |
| VermontVermont | — | $1,326.41 |
| Rest of WashingtonWashington | — | $1,413.69 |
| King County, WAWashington | — | $1,499.95 |
| WisconsinWisconsin | — | $1,272.22 |
| West VirginiaWest Virginia | — | $1,524.00 |
| WyomingWyoming | — | $1,384.73 |
33976 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 33976 rate is calculated
Each of 33976’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 · 33976
RVUs × geographic indexes × conversion factor
Work29.98
29.98 RVUs× 1.000 GPCI
Practice expense6.15
6.15 RVUs× 1.000 GPCI
Malpractice7.20
7.20 RVUs× 1.000 GPCI
Adjusted RVUs
43.3300
Conversion factor
$33.4009
Medicare rate
$1,447.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,160
- Code
- 33976
- Physician work
- 29.98
- Practice expense
- 6.15
- Malpractice
- 7.20
GPCI2026.csv
93
- Locality
- South Carolina
- Physician work
- 1.000
- Practice expense
- 0.924
- Malpractice
- 0.850
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 29.98 | × 1.000 | 29.9800 |
| Practice expense | 6.15 | × 0.924 | 5.6826 |
| Malpractice | 7.20 | × 0.850 | 6.1200 |
| Total RVUs | 41.7826 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Carolina$1395.58
Facility: (29.98 × 1 + 6.15 × 0.924 + 7.2 × 0.85) × $33.4009 = $1395.58
Payment rules and modifiers for 33976
The CMS indicators that decide how 33976 is paid alongside other services.
CMS payment indicators · 33976
Ventricular assist device, extracorporeal, both ventricles
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33976 without 51 · national facility
$1,447.26
Ventricular assist device, extracorporeal, both ventricles
33976-51 · Second procedure: 50%
$723.63
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%).
How 33976 has changed in South Carolina
33976 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,395.58 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,395.58 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,395.58 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,395.58 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,428.84 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,428.84 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,428.84 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,428.84 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,466.44 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,466.44 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,466.44 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,466.44 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,442.50 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,479.01 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,479.01 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,479.01 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,479.01 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,501.51 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,501.51 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,501.51 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,501.51 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,511.46 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,511.46 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,511.46 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,511.46 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,540.33 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,540.33 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,540.33 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,540.33 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,529.11 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,529.11 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,526.32 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,526.32 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,527.35 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,527.35 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,527.35 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,527.35 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,546.72 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,546.72 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,546.72 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,546.72 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,574.85 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,574.85 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,574.85 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,574.85 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,573.95 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,573.95 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,566.11 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,566.11 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,560.70 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,560.70 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,560.70 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,560.70 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,481.14 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,481.14 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,481.14 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,481.14 | RVU13AR |
Where the South Carolina rate applies
South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Abney Crossroads
- Adams Run
- Aiken
- Alcolu
- Allendale
- Anderson
- Andrews
33976 billing questions
How does 33976 differ from 33975?
33976 represents an extracorporeal system supporting both ventricles. Use 33975 for an extracorporeal system supporting a single ventricle.
How does 33976 differ from 33979?
33976 is for an extracorporeal biventricular system. Code 33979 describes an implantable intracorporeal ventricular assist device, a different device configuration.
Should modifier 50 be appended?
CMS identifies 33976 as already priced bilaterally. Modifier 50 does not increase payment.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other qualifying procedures are paid at 50%.
What documentation supports reporting 33976?
The operative report should identify the extracorporeal device and establish that it provides ventricular support to both sides of the heart.
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
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