CPT code 33983: VAD pump replacement, intracorporeal, with bypass2026 Medicare rate & RVUs in New Mexico
Reports replacement of an implanted intracorporeal ventricular assist device pump when cardiopulmonary bypass is used during the exchange.
In New Mexico, Medicare pays $2,142.20 for 33983 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33983 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 33983 covers
This service covers exchanging the pump of an implanted intracorporeal ventricular assist device, with cardiopulmonary bypass used during the operation. A cardiothoracic surgeon typically performs the procedure in a hospital operating room. The patient already has an implanted VAD; this is pump replacement, not placement of a new VAD or replacement of an external pump. The bypass detail distinguishes this service from the corresponding intracorporeal pump replacement performed without bypass.
Select the code based on the device being replaced and whether cardiopulmonary bypass was used. The operative report should identify the implanted intracorporeal pump exchange and document bypass use. The replacement service describes the exchange; do not separately report removal of the pump being replaced as though it were an independent removal procedure. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 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 New Mexico compares for 33983
Across 109 of 109 payment localities, the facility rate for 33983 runs from $1,843.32 in Wisconsin to $2,685.16 in Alaska. New Mexico pays $2,142.20. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$2,142.20
- Los Angeles, CA · California$2,093.85−$48.35
- Washington, DC area · District of Columbia$2,267.64+$125.44
- Miami, FL · Florida$2,641.78+$499.58
- Chicago, IL · Illinois$2,559.69+$417.49
- Manhattan, NY · New York$2,442.16+$299.96
- Alaska · Alaska$2,685.16+$542.96
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,908.47 |
| ArkansasArkansas | — | $1,885.94 |
| ArizonaArizona | — | $2,037.51 |
| Bakersfield, CACalifornia | — | $2,016.86 |
| Chico, CACalifornia | — | $1,988.53 |
| El Centro, CACalifornia | — | $1,990.27 |
| Fresno, CACalifornia | — | $1,988.53 |
| Hanford, CACalifornia | — | $1,988.53 |
| Madera, CACalifornia | — | $1,988.53 |
| Merced, CACalifornia | — | $1,988.53 |
| Modesto, CACalifornia | — | $1,988.53 |
| Napa, CACalifornia | — | $2,111.64 |
| Oxnard, CACalifornia | — | $2,060.41 |
| Redding, CACalifornia | — | $1,988.53 |
| Rest of CaliforniaCalifornia | — | $1,988.53 |
| Riverside, CACalifornia | — | $2,100.41 |
| Sacramento, CACalifornia | — | $2,036.05 |
| Salinas, CACalifornia | — | $2,027.60 |
| San Diego, CACalifornia | — | $2,039.27 |
| Marin County, CACalifornia | — | $2,168.40 |
| San Francisco, CACalifornia | — | $2,156.56 |
| San Benito County, CACalifornia | — | $2,226.52 |
| Santa Clara County, CACalifornia | — | $2,178.09 |
| San Luis Obispo, CACalifornia | — | $2,001.34 |
| Santa Cruz, CACalifornia | — | $2,029.78 |
| Santa Maria, CACalifornia | — | $2,025.34 |
| Santa Rosa, CACalifornia | — | $2,046.71 |
| Stockton, CACalifornia | — | $1,988.53 |
| Vallejo, CACalifornia | — | $2,094.57 |
| Visalia, CACalifornia | — | $1,988.53 |
| Yuba City, CACalifornia | — | $1,988.53 |
| ColoradoColorado | — | $2,057.09 |
| ConnecticutConnecticut | — | $2,222.02 |
| DelawareDelaware | — | $2,065.40 |
| Fort Lauderdale, FLFlorida | — | $2,382.27 |
| Rest of FloridaFlorida | — | $2,259.03 |
| Atlanta, GAGeorgia | — | $2,176.05 |
| Rest of GeorgiaGeorgia | — | $2,131.62 |
| Hawaii, Guam, HIHawaii | — | $1,991.06 |
| IowaIowa | — | $1,861.52 |
| IdahoIdaho | — | $1,889.48 |
| East St. Louis, ILIllinois | — | $2,426.32 |
| Rest of IllinoisIllinois | — | $2,267.12 |
| Suburban Chicago, ILIllinois | — | $2,384.05 |
| IndianaIndiana | — | $1,896.10 |
| KansasKansas | — | $1,895.51 |
| KentuckyKentucky | — | $2,034.23 |
| New Orleans, LALouisiana | — | $2,126.71 |
| Rest of LouisianaLouisiana | — | $2,048.01 |
| Metropolitan Boston, MAMassachusetts | — | $2,175.86 |
| Rest of MassachusettsMassachusetts | — | $2,065.19 |
| Baltimore area, MDMaryland | — | $2,224.43 |
| Rest of MarylandMaryland | — | $2,086.42 |
| Rest of MaineMaine | — | $1,941.39 |
| Southern Maine, MEMaine | — | $1,965.68 |
| Detroit, MIMichigan | — | $2,325.46 |
| Rest of MichiganMichigan | — | $2,115.93 |
| MinnesotaMinnesota | — | $1,860.30 |
| Metropolitan Kansas City, MOMissouri | — | $2,070.72 |
| Metropolitan St. Louis, MOMissouri | — | $2,083.30 |
| Rest of MissouriMissouri | — | $2,046.74 |
| MississippiMississippi | — | $1,964.57 |
| MontanaMontana | — | $2,096.21 |
| North CarolinaNorth Carolina | — | $1,951.18 |
| North DakotaNorth Dakota | — | $1,889.98 |
| NebraskaNebraska | — | $1,857.28 |
| New HampshireNew Hampshire | — | $2,065.58 |
| Northern New JerseyNew Jersey | — | $2,259.66 |
| Rest of New JerseyNew Jersey | — | $2,216.13 |
| NevadaNevada | — | $2,039.03 |
| NYC suburbs and Long Island, NYNew York | — | $2,544.61 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,263.65 |
| Queens, NYNew York | — | $2,397.95 |
| Rest of New YorkNew York | — | $1,978.55 |
| OhioOhio | — | $2,073.78 |
| OklahomaOklahoma | — | $1,987.34 |
| Portland, OROregon | — | $2,064.01 |
| Rest of OregonOregon | — | $1,992.25 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,202.47 |
| Rest of PennsylvaniaPennsylvania | — | $2,053.32 |
| Puerto RicoPuerto Rico | — | $2,094.96 |
| Rhode IslandRhode Island | — | $2,096.68 |
| South CarolinaSouth Carolina | — | $2,022.01 |
| South DakotaSouth Dakota | — | $1,865.59 |
| TennesseeTennessee | — | $1,908.50 |
| Austin, TXTexas | — | $2,077.38 |
| Beaumont, TXTexas | — | $2,045.36 |
| Brazoria, TXTexas | — | $2,029.19 |
| Dallas, TXTexas | — | $2,059.30 |
| Fort Worth, TXTexas | — | $2,060.85 |
| Galveston, TXTexas | — | $2,046.51 |
| Houston, TXTexas | — | $2,237.42 |
| Rest of TexasTexas | — | $2,047.92 |
| UtahUtah | — | $2,043.50 |
| VirginiaVirginia | — | $1,989.42 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,094.96 |
| VermontVermont | — | $1,921.83 |
| Rest of WashingtonWashington | — | $2,048.30 |
| King County, WAWashington | — | $2,173.32 |
| WisconsinWisconsin | — | $1,843.32 |
| West VirginiaWest Virginia | — | $2,208.03 |
| WyomingWyoming | — | $2,006.33 |
33983 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 33983 rate is calculated
Each of 33983’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 · 33983
RVUs × geographic indexes × conversion factor
Work43.43
43.43 RVUs× 1.000 GPCI
Practice expense8.92
8.92 RVUs× 1.000 GPCI
Malpractice10.43
10.43 RVUs× 1.000 GPCI
Adjusted RVUs
62.7800
Conversion factor
$33.4009
Medicare rate
$2,096.91
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,167
- Code
- 33983
- Physician work
- 43.43
- Practice expense
- 8.92
- Malpractice
- 10.43
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 43.43 | × 1.000 | 43.4300 |
| Practice expense | 8.92 | × 0.917 | 8.1796 |
| Malpractice | 10.43 | × 1.201 | 12.5264 |
| Total RVUs | 64.1361 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$2142.20
Facility: (43.43 × 1 + 8.92 × 0.917 + 10.43 × 1.201) × $33.4009 = $2142.20
Payment rules and modifiers for 33983
The CMS indicators that decide how 33983 is paid alongside other services.
CMS payment indicators · 33983
VAD pump replacement, intracorporeal, with bypass
| 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
33983 without 51 · national facility
$2,096.91
VAD pump replacement, intracorporeal, with bypass
33983-51 · Second procedure: 50%
$1,048.46
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 33983 has changed in New Mexico
33983 · 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 | $2,142.20 | RVU26D |
| 2026-07-01 | Not available in this setting | $2,142.20 | RVU26C |
| 2026-04-01 | Not available in this setting | $2,142.20 | RVU26B |
| 2026-01-01 | Not available in this setting | $2,142.60 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,185.34 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,185.34 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,185.34 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,185.34 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,244.70 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,244.70 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,244.70 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,244.70 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,208.07 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,306.15 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,306.15 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,306.15 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,306.15 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,352.23 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,352.23 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,352.23 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,352.23 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,364.99 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,364.99 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,364.99 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,364.99 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,454.16 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,454.16 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,454.16 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,454.16 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,475.53 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,475.53 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,475.53 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,475.53 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,468.68 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,468.68 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,468.68 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,468.68 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,460.20 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,460.20 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,460.20 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,460.20 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,445.53 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,445.53 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,445.53 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,445.53 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,459.05 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,459.05 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,446.81 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,446.81 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,409.75 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,409.75 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,409.75 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,409.75 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,313.63 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,313.63 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,313.63 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,313.63 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
33983 billing questions
How does this differ from 33982?
Both describe replacement of an implanted intracorporeal VAD pump. Use 33983 when cardiopulmonary bypass is used; 33982 describes the exchange without bypass.
Can the pump removal be reported separately?
Do not report a separate removal code merely for taking out the pump being replaced; 33983 describes the pump exchange.
What documentation supports 33983?
The operative report should identify the intracorporeal VAD pump being exchanged and document use of cardiopulmonary bypass during the procedure.
How are other procedures paid when performed in the same session?
Under the CMS multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
Is 33983 for replacing an external VAD pump?
No. It is for an implanted intracorporeal pump; 33981 is the related code for replacement of an external VAD pump.
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
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