CPT code 33982: VAD pump replacement, intracorporeal, without bypass2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $1,754.54 for 33982 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33982 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 33982 covers

This code describes operative replacement of the pump in an intracorporeal ventricular assist device (VAD), a form of mechanical circulatory support. It applies when the pump is implanted within the body and the replacement is performed without cardiopulmonary bypass. A cardiac surgeon typically performs the exchange in an operating room; the operative report should identify the pump being replaced and the bypass approach used.

Choose this code for an intracorporeal pump replacement without bypass, not for replacement of an external pump or an intracorporeal pump replacement performed with bypass. Documentation should establish that the service was a pump replacement, rather than initial VAD implantation or device removal alone. When multiple procedures are performed in the same session, CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full and the others 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 33982

Across 109 of 109 payment localities, the facility rate for 33982 runs from $1,566.10 in Wisconsin to $2,281.40 in Alaska. Delaware pays $1,754.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33982 rates by state

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

See 33982 in every payment locality

How the 33982 rate is calculated

Each of 33982’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 33982

The CMS indicators that decide how 33982 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 33982

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

How 33982 has changed in Delaware

Price 33982 for an earlier date of service

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

Browse all communities in Delaware

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