CPT code 33977: VAD removal, extracorporeal, single ventricle2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $1,124.74 for 33977 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33977 nationwide

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

What 33977 covers

This code covers surgery to remove an extracorporeal ventricular assist device that has been supporting a single ventricle. A cardiac or cardiothoracic surgeon typically performs the removal in a hospital operating room after the patient’s need for temporary mechanical circulatory support has ended. The code distinguishes this device and support configuration from an intracorporeal VAD and from extracorporeal support for both ventricles.

Select the code when the operative record identifies an extracorporeal device, support of one ventricle, and its removal. Documentation should establish the device type and the removal performed; the code is not selected by the length of support. Under the CMS multiple-procedure rule, when this service is performed with other procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

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 Washington, DC area compares for 33977

Across 109 of 109 payment localities, the facility rate for 33977 runs from $913.01 in Wisconsin to $1,313.28 in Alaska. Washington, DC area pays $1,124.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33977 rates by state

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

See 33977 in every payment locality

How the 33977 rate is calculated

Each of 33977’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.

Payment rules and modifiers for 33977

The CMS indicators that decide how 33977 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 33977

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 33977 has changed in Washington, DC area

Price 33977 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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

Open CMS sourceHow we calculate rates