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

Reports replacement of an implanted intracorporeal ventricular assist device pump when cardiopulmonary bypass is not used during the operation.

CMS RVU26DEffective Oct 1, 2026One payment locality

In South Carolina, Medicare pays $1,717.71 for 33982 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,717.71Hospital or facility

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.

We’ll open 33982 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Carolina
  2. What 33982 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 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 South Carolina 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. South Carolina pays $1,717.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

33982 in South Carolina vs other payment areas
  1. South Carolina · this page$1,717.71
  2. Los Angeles, CA · California$1,778.77+$61.06
  3. Washington, DC area · District of Columbia$1,926.25+$208.54
  4. Miami, FL · Florida$2,243.61+$525.90
  5. Chicago, IL · Illinois$2,173.96+$456.25
  6. Manhattan, NY · New York$2,074.35+$356.64
  7. Alaska · Alaska$2,281.40+$563.69

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

Every other payment area

33982 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,621.37
ArkansasArkansas—$1,602.25
ArizonaArizona—$1,730.87
Bakersfield, CACalifornia—$1,713.39
Chico, CACalifornia—$1,689.34
El Centro, CACalifornia—$1,690.82
Fresno, CACalifornia—$1,689.34
Hanford, CACalifornia—$1,689.34

33982 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
33982 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 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.

How the rate is built · 33982

RVUs × geographic indexes × conversion factor

Office or facility?

Work36.91

36.91 RVUs× 1.000 GPCI

Practice expense7.57

7.57 RVUs× 1.000 GPCI

Malpractice8.85

8.85 RVUs× 1.000 GPCI

Adjusted RVUs

53.3300

Conversion factor

$33.4009

Medicare rate

$1,781.27

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

4,166

Code
33982
Physician work
36.91
Practice expense
7.57
Malpractice
8.85

GPCI2026.csv

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Facility calculation for 33982 in South Carolina
ComponentRVULocality factorAdjusted
Physician work36.91× 1.00036.9100
Practice expense7.57× 0.9246.9947
Malpractice8.85× 0.8507.5225
Total RVUs51.4272
Conversion factor× 33.4009

Facility rate, South Carolina$1717.71

Facility: (36.91 × 1 + 7.57 × 0.924 + 8.85 × 0.85) × $33.4009 = $1717.71

Open 33982 in the RVU calculator

Payment rules and modifiers for 33982

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

CMS payment indicators · 33982

VAD pump replacement, intracorporeal, without bypass

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33982 without 51 · national facility

$1,781.27

VAD pump replacement, intracorporeal, without bypass

33982-51 · Second procedure: 50%

$890.64

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%).

When to use modifier 51

How 33982 has changed in South Carolina

33982 · 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$1,717.71RVU26D
2026-07-01Not available in this setting$1,717.71RVU26C
2026-04-01Not available in this setting$1,717.71RVU26B
2026-01-01Not available in this setting$1,717.71RVU26A
2025-10-01Not available in this setting$1,760.01RVU25D
2025-07-01Not available in this setting$1,760.01RVU25C
2025-04-01Not available in this setting$1,760.01RVU25B
2025-01-01Not available in this setting$1,760.01RVU25A
2024-10-01Not available in this setting$1,805.42RVU24D
2024-07-01Not available in this setting$1,805.42RVU24C
2024-04-01Not available in this setting$1,805.42RVU24B
2024-03-09Not available in this setting$1,805.42RVU24AR
2024-01-01Not available in this setting$1,775.96RVU24A
2023-10-01Not available in this setting$1,820.89RVU23D
2023-07-01Not available in this setting$1,820.89RVU23C
2023-04-01Not available in this setting$1,820.89RVU23B
2023-01-01Not available in this setting$1,820.89RVU23A
2022-10-01Not available in this setting$1,849.14RVU22D
2022-07-01Not available in this setting$1,849.14RVU22C
2022-04-01Not available in this setting$1,849.14RVU22B
2022-01-01Not available in this setting$1,849.14RVU22A
2021-10-01Not available in this setting$1,860.67RVU21D
2021-07-01Not available in this setting$1,860.67RVU21C
2021-04-01Not available in this setting$1,860.67RVU21B
2021-01-01Not available in this setting$1,860.67RVU21A
2020-10-01Not available in this setting$1,896.68RVU20D
2020-07-01Not available in this setting$1,896.68RVU20C
2020-04-01Not available in this setting$1,896.68RVU20B
2020-01-01Not available in this setting$1,896.68RVU20A
2019-10-01Not available in this setting$1,883.12RVU19D
2019-07-01Not available in this setting$1,883.12RVU19C
2019-04-01Not available in this setting$1,880.53RVU19B
2019-01-01Not available in this setting$1,880.53RVU19A
2018-10-01Not available in this setting$1,880.18RVU18D
2018-07-01Not available in this setting$1,880.18RVU18C
2018-04-01Not available in this setting$1,880.18RVU18B
2018-01-01Not available in this setting$1,880.18RVU18AR1
2017-10-01Not available in this setting$1,903.12RVU17D
2017-07-01Not available in this setting$1,903.12RVU17C
2017-04-01Not available in this setting$1,903.12RVU17B
2017-01-01Not available in this setting$1,903.12RVU17A
2016-10-01Not available in this setting$1,948.24RVU16D
2016-07-01Not available in this setting$1,948.24RVU16C
2016-04-01Not available in this setting$1,948.24RVU16B
2016-01-01Not available in this setting$1,948.24RVU16A
2015-10-01Not available in this setting$1,937.41RVU15D
2015-07-01Not available in this setting$1,937.41RVU15C
2015-04-01Not available in this setting$1,927.77RVU15B
2015-01-01Not available in this setting$1,927.77RVU15A
2014-10-01Not available in this setting$1,899.34RVU14D
2014-07-01Not available in this setting$1,899.34RVU14C
2014-04-01Not available in this setting$1,899.34RVU14B
2014-01-01Not available in this setting$1,899.34RVU14A
2013-10-01Not available in this setting$1,911.86RVU13D
2013-07-01Not available in this setting$1,911.86RVU13C
2013-04-01Not available in this setting$1,911.86RVU13B
2013-01-01Not available in this setting$1,911.86RVU13AR

Price 33982 for an earlier date of service

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

Browse all communities in South Carolina

33982 billing questions

How does this differ from 33983?

Both describe replacement of an intracorporeal VAD pump. Use 33982 when cardiopulmonary bypass is not used and 33983 when it is used.

How does this differ from 33981?

Code 33981 is for replacement of an external VAD pump. Code 33982 is for an intracorporeal pump replaced without cardiopulmonary bypass.

What documentation supports 33982?

The operative report should identify the intracorporeal VAD pump that was replaced and state whether cardiopulmonary bypass was used.

Can another procedure be reported in the same session?

When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50% under the standard multiple procedure reduction.

Is 33982 for initial VAD implantation?

No. It describes replacement of an existing intracorporeal VAD pump; initial implantation is a different service.

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 33982PPRRVU2026_Oct_nonQPP.csv, line 4,166 (RVU26D)
Geographic factors for South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

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