CPT code 33980: VAD removal, implantable, single ventricle2026 Medicare rate & RVUs in Delaware
Removal of an implanted intracorporeal ventricular assist device supporting one ventricle, such as during heart transplantation or when the device is no longer needed.
In Delaware, Medicare pays $1,611.23 for 33980 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33980 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 33980 covers
CPT 33980 covers surgical removal of an implantable ventricular assist device located within the body and supporting a single ventricle. A cardiothoracic surgeon typically performs the procedure in an operating room. A common clinical situation is removal of the device during heart transplantation; removal may also be needed when the patient no longer requires mechanical support or the device must be taken out for a clinical reason.
Report the code for removal of the intracorporeal device, not for its initial placement or replacement of a pump while retaining the device. The operative report should establish the device’s implantable, intracorporeal configuration, single-ventricle support, and the removal performed. When multiple procedures occur during the same session, Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others: they are paid at 50%.
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 Delaware compares for 33980
Across 109 of 109 payment localities, the facility rate for 33980 runs from $1,438.20 in Wisconsin to $2,078.65 in Alaska. Delaware pays $1,611.23. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$1,611.23
- Los Angeles, CA · California$1,640.96+$29.73
- Washington, DC area · District of Columbia$1,774.78+$163.55
- Miami, FL · Florida$2,059.76+$448.53
- Chicago, IL · Illinois$1,994.39+$383.16
- Manhattan, NY · New York$1,908.77+$297.54
- Alaska · Alaska$2,078.65+$467.42
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,484.84 |
| ArkansasArkansas | — | $1,466.68 |
| ArizonaArizona | — | $1,588.94 |
| Bakersfield, CACalifornia | — | $1,578.13 |
| Chico, CACalifornia | — | $1,556.27 |
| El Centro, CACalifornia | — | $1,557.62 |
| Fresno, CACalifornia | — | $1,556.27 |
| Hanford, CACalifornia | — | $1,556.27 |
| Madera, CACalifornia | — | $1,556.27 |
| Merced, CACalifornia | — | $1,556.27 |
| Modesto, CACalifornia | — | $1,556.27 |
| Napa, CACalifornia | — | $1,660.15 |
| Oxnard, CACalifornia | — | $1,615.45 |
| Redding, CACalifornia | — | $1,556.27 |
| Rest of CaliforniaCalifornia | — | $1,556.27 |
| Riverside, CACalifornia | — | $1,642.81 |
| Sacramento, CACalifornia | — | $1,595.48 |
| Salinas, CACalifornia | — | $1,588.92 |
| San Diego, CACalifornia | — | $1,599.66 |
| Marin County, CACalifornia | — | $1,707.23 |
| San Francisco, CACalifornia | — | $1,698.07 |
| San Benito County, CACalifornia | — | $1,753.18 |
| Santa Clara County, CACalifornia | — | $1,715.71 |
| San Luis Obispo, CACalifornia | — | $1,568.13 |
| Santa Cruz, CACalifornia | — | $1,593.47 |
| Santa Maria, CACalifornia | — | $1,587.58 |
| Santa Rosa, CACalifornia | — | $1,606.87 |
| Stockton, CACalifornia | — | $1,556.27 |
| Vallejo, CACalifornia | — | $1,646.94 |
| Visalia, CACalifornia | — | $1,556.27 |
| Yuba City, CACalifornia | — | $1,556.27 |
| ColoradoColorado | — | $1,608.03 |
| ConnecticutConnecticut | — | $1,735.98 |
| Fort Lauderdale, FLFlorida | — | $1,857.69 |
| Rest of FloridaFlorida | — | $1,759.75 |
| Atlanta, GAGeorgia | — | $1,698.18 |
| Rest of GeorgiaGeorgia | — | $1,658.27 |
| Hawaii, Guam, HIHawaii | — | $1,560.63 |
| IowaIowa | — | $1,450.32 |
| IdahoIdaho | — | $1,472.19 |
| East St. Louis, ILIllinois | — | $1,887.56 |
| Rest of IllinoisIllinois | — | $1,764.06 |
| Suburban Chicago, ILIllinois | — | $1,859.48 |
| IndianaIndiana | — | $1,477.62 |
| KansasKansas | — | $1,476.13 |
| KentuckyKentucky | — | $1,582.77 |
| New Orleans, LALouisiana | — | $1,656.69 |
| Rest of LouisianaLouisiana | — | $1,593.26 |
| Metropolitan Boston, MAMassachusetts | — | $1,704.91 |
| Rest of MassachusettsMassachusetts | — | $1,613.67 |
| Baltimore area, MDMaryland | — | $1,737.79 |
| Rest of MarylandMaryland | — | $1,628.43 |
| Rest of MaineMaine | — | $1,512.35 |
| Southern Maine, MEMaine | — | $1,534.36 |
| Detroit, MIMichigan | — | $1,811.56 |
| Rest of MichiganMichigan | — | $1,647.08 |
| MinnesotaMinnesota | — | $1,454.55 |
| Metropolitan Kansas City, MOMissouri | — | $1,613.28 |
| Metropolitan St. Louis, MOMissouri | — | $1,623.61 |
| Rest of MissouriMissouri | — | $1,591.23 |
| MississippiMississippi | — | $1,527.61 |
| MontanaMontana | — | $1,635.77 |
| North CarolinaNorth Carolina | — | $1,520.52 |
| North DakotaNorth Dakota | — | $1,476.20 |
| NebraskaNebraska | — | $1,447.41 |
| New HampshireNew Hampshire | — | $1,613.93 |
| Northern New JerseyNew Jersey | — | $1,767.51 |
| Rest of New JerseyNew Jersey | — | $1,731.47 |
| New MexicoNew Mexico | — | $1,667.59 |
| NevadaNevada | — | $1,591.57 |
| NYC suburbs and Long Island, NYNew York | — | $1,989.27 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,768.21 |
| Queens, NYNew York | — | $1,875.48 |
| Rest of New YorkNew York | — | $1,542.46 |
| OhioOhio | — | $1,614.46 |
| OklahomaOklahoma | — | $1,546.68 |
| Portland, OROregon | — | $1,615.38 |
| Rest of OregonOregon | — | $1,555.15 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,719.28 |
| Rest of PennsylvaniaPennsylvania | — | $1,598.86 |
| Puerto RicoPuerto Rico | — | $1,635.30 |
| Rhode IslandRhode Island | — | $1,637.03 |
| South CarolinaSouth Carolina | — | $1,574.91 |
| South DakotaSouth Dakota | — | $1,457.33 |
| TennesseeTennessee | — | $1,486.40 |
| Austin, TXTexas | — | $1,623.77 |
| Beaumont, TXTexas | — | $1,592.34 |
| Brazoria, TXTexas | — | $1,583.25 |
| Dallas, TXTexas | — | $1,606.75 |
| Fort Worth, TXTexas | — | $1,607.49 |
| Galveston, TXTexas | — | $1,596.74 |
| Houston, TXTexas | — | $1,744.45 |
| Rest of TexasTexas | — | $1,596.09 |
| UtahUtah | — | $1,592.26 |
| VirginiaVirginia | — | $1,552.37 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,635.30 |
| VermontVermont | — | $1,500.40 |
| Rest of WashingtonWashington | — | $1,600.69 |
| King County, WAWashington | — | $1,704.15 |
| WisconsinWisconsin | — | $1,438.20 |
| West VirginiaWest Virginia | — | $1,716.34 |
| WyomingWyoming | — | $1,566.23 |
33980 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 33980 rate is calculated
Each of 33980’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 · 33980
RVUs × geographic indexes × conversion factor
Work32.66
32.66 RVUs× 1.000 GPCI
Practice expense8.26
8.26 RVUs× 1.000 GPCI
Malpractice8.07
8.07 RVUs× 1.000 GPCI
Adjusted RVUs
48.9900
Conversion factor
$33.4009
Medicare rate
$1,636.31
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,164
- Code
- 33980
- Physician work
- 32.66
- Practice expense
- 8.26
- Malpractice
- 8.07
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 32.66 | × 1.005 | 32.8233 |
| Practice expense | 8.26 | × 0.988 | 8.1609 |
| Malpractice | 8.07 | × 0.899 | 7.2549 |
| Total RVUs | 48.2391 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1611.23
Facility: (32.66 × 1.005 + 8.26 × 0.988 + 8.07 × 0.899) × $33.4009 = $1611.23
Payment rules and modifiers for 33980
The CMS indicators that decide how 33980 is paid alongside other services.
CMS payment indicators · 33980
VAD removal, implantable, single ventricle
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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
33980 without 51 · national facility
$1,636.31
VAD removal, implantable, single ventricle
33980-51 · Second procedure: 50%
$818.16
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 33980 has changed in Delaware
33980 · 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 | $1,611.23 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,611.23 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,611.23 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,611.23 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,684.76 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,684.76 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,684.76 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,684.76 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,732.42 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,732.42 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,732.42 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,732.42 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,704.14 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,755.87 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,755.87 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,755.87 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,755.87 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,795.72 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,795.72 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,795.72 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,795.72 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,803.59 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,803.59 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,803.59 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,803.59 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,882.27 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,882.27 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,882.27 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,882.27 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,916.65 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,916.65 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,916.65 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,916.65 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,912.91 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,912.91 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,912.91 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,912.91 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,914.34 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,914.34 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,914.34 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,914.34 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,917.94 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,917.94 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,917.94 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,917.94 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,918.39 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,918.39 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,908.85 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,908.85 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,864.01 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,864.01 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,864.01 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,864.01 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,765.14 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,765.14 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,765.14 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,765.14 | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
33980 billing questions
How does 33980 differ from 33977 or 33978?
33980 is for removal of an implantable intracorporeal device supporting one ventricle. Codes 33977 and 33978 describe removal of extracorporeal devices, with the applicable code depending on the device configuration.
Can 33980 be reported for pump replacement?
Use a pump-replacement code when the pump is replaced and the implanted device is retained. 33980 describes removal of the intracorporeal device, rather than replacement of a pump alone.
What documentation supports reporting 33980?
The operative report should identify the implanted intracorporeal device, its single-ventricle support, and the removal performed. Include the clinical circumstance prompting removal.
How does Medicare handle other procedures in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures in the same session are paid at 50%.
Is 33980 the code for placing an intracorporeal VAD?
No. Code 33979 describes insertion of an implantable intracorporeal ventricular assist device supporting one ventricle; 33980 describes removal.
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
Fee sheets · Coming soon
Put 33980 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist