CPT code 33989: Heart vent removal, left heart vent2026 Medicare rate & RVUs in Nevada
Report removal of a left heart vent used to decompress the heart during cardiac surgery, typically when the vent is withdrawn after its use.
In Nevada, Medicare pays $439.32 for 33989 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33989 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 33989 covers
A left heart vent is a temporary tube or cannula used during cardiac surgery to decompress the left side of the heart. A cardiac surgeon typically removes it in the operating room after it is no longer needed, often as the operation and support period are concluding. This service concerns removal of the vent, not removal of a ventricular assist device or other circulatory support device.
Report the removal when documentation identifies the left heart vent and its removal. Code 33988 describes insertion of the vent; the operative record should support the distinct service performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment require supporting documentation.
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 Nevada compares for 33989
Across 109 of 109 payment localities, the facility rate for 33989 runs from $397.62 in Wisconsin to $577.53 in Alaska. Nevada pays $439.32. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nevada · this page$439.32
- Los Angeles, CA · California$451.99+$12.67
- Washington, DC area · District of Columbia$488.81+$49.49
- Miami, FL · Florida$567.25+$127.93
- Chicago, IL · Illinois$549.68+$110.36
- Manhattan, NY · New York$525.72+$86.40
- Alaska · Alaska$577.53+$138.21
Other areas in Nevada first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $410.99 |
| ArkansasArkansas | — | $406.12 |
| ArizonaArizona | — | $438.83 |
| Bakersfield, CACalifornia | — | $435.17 |
| Chico, CACalifornia | — | $429.16 |
| El Centro, CACalifornia | — | $429.53 |
| Fresno, CACalifornia | — | $429.16 |
| Hanford, CACalifornia | — | $429.16 |
| Madera, CACalifornia | — | $429.16 |
| Merced, CACalifornia | — | $429.16 |
| Modesto, CACalifornia | — | $429.16 |
| Napa, CACalifornia | — | $456.52 |
| Oxnard, CACalifornia | — | $444.87 |
| Redding, CACalifornia | — | $429.16 |
| Rest of CaliforniaCalifornia | — | $429.16 |
| Riverside, CACalifornia | — | $452.87 |
| Sacramento, CACalifornia | — | $439.62 |
| Salinas, CACalifornia | — | $437.80 |
| San Diego, CACalifornia | — | $440.47 |
| Marin County, CACalifornia | — | $469.10 |
| San Francisco, CACalifornia | — | $466.59 |
| San Benito County, CACalifornia | — | $481.62 |
| Santa Clara County, CACalifornia | — | $471.36 |
| San Luis Obispo, CACalifornia | — | $432.11 |
| Santa Cruz, CACalifornia | — | $438.55 |
| Santa Maria, CACalifornia | — | $437.36 |
| Santa Rosa, CACalifornia | — | $442.22 |
| Stockton, CACalifornia | — | $429.16 |
| Vallejo, CACalifornia | — | $452.91 |
| Visalia, CACalifornia | — | $429.16 |
| Yuba City, CACalifornia | — | $429.16 |
| ColoradoColorado | — | $443.51 |
| ConnecticutConnecticut | — | $478.54 |
| DelawareDelaware | — | $444.85 |
| Fort Lauderdale, FLFlorida | — | $512.11 |
| Rest of FloridaFlorida | — | $485.70 |
| Atlanta, GAGeorgia | — | $468.44 |
| Rest of GeorgiaGeorgia | — | $458.36 |
| Hawaii, Guam, HIHawaii | — | $429.88 |
| IowaIowa | — | $401.25 |
| IdahoIdaho | — | $407.20 |
| East St. Louis, ILIllinois | — | $520.95 |
| Rest of IllinoisIllinois | — | $487.18 |
| Suburban Chicago, ILIllinois | — | $512.58 |
| IndianaIndiana | — | $408.64 |
| KansasKansas | — | $408.39 |
| KentuckyKentucky | — | $437.71 |
| New Orleans, LALouisiana | — | $457.58 |
| Rest of LouisianaLouisiana | — | $440.61 |
| Metropolitan Boston, MAMassachusetts | — | $469.42 |
| Rest of MassachusettsMassachusetts | — | $445.17 |
| Baltimore area, MDMaryland | — | $479.02 |
| Rest of MarylandMaryland | — | $449.44 |
| Rest of MaineMaine | — | $418.20 |
| Southern Maine, MEMaine | — | $423.73 |
| Detroit, MIMichigan | — | $499.82 |
| Rest of MichiganMichigan | — | $455.15 |
| MinnesotaMinnesota | — | $401.60 |
| Metropolitan Kansas City, MOMissouri | — | $445.71 |
| Metropolitan St. Louis, MOMissouri | — | $448.44 |
| Rest of MissouriMissouri | — | $440.21 |
| MississippiMississippi | — | $422.80 |
| MontanaMontana | — | $451.43 |
| North CarolinaNorth Carolina | — | $420.34 |
| North DakotaNorth Dakota | — | $407.73 |
| NebraskaNebraska | — | $400.39 |
| New HampshireNew Hampshire | — | $445.16 |
| Northern New JerseyNew Jersey | — | $487.04 |
| Rest of New JerseyNew Jersey | — | $477.41 |
| New MexicoNew Mexico | — | $460.73 |
| NYC suburbs and Long Island, NYNew York | — | $547.58 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $487.50 |
| Queens, NYNew York | — | $516.46 |
| Rest of New YorkNew York | — | $426.23 |
| OhioOhio | — | $446.21 |
| OklahomaOklahoma | — | $427.79 |
| Portland, OROregon | — | $445.23 |
| Rest of OregonOregon | — | $429.38 |
| Metropolitan Philadelphia, PAPennsylvania | — | $474.20 |
| Rest of PennsylvaniaPennsylvania | — | $441.91 |
| Puerto RicoPuerto Rico | — | $451.23 |
| Rhode IslandRhode Island | — | $451.74 |
| South CarolinaSouth Carolina | — | $435.30 |
| South DakotaSouth Dakota | — | $402.57 |
| TennesseeTennessee | — | $411.17 |
| Austin, TXTexas | — | $447.76 |
| Beaumont, TXTexas | — | $440.18 |
| Brazoria, TXTexas | — | $437.20 |
| Dallas, TXTexas | — | $443.61 |
| Fort Worth, TXTexas | — | $443.88 |
| Galveston, TXTexas | — | $440.88 |
| Houston, TXTexas | — | $481.33 |
| Rest of TexasTexas | — | $440.93 |
| UtahUtah | — | $439.94 |
| VirginiaVirginia | — | $428.71 |
| Virgin Islands, VIUnited States Virgin Islands | — | $451.23 |
| VermontVermont | — | $414.43 |
| Rest of WashingtonWashington | — | $441.59 |
| King County, WAWashington | — | $469.08 |
| WisconsinWisconsin | — | $397.62 |
| West VirginiaWest Virginia | — | $474.43 |
| WyomingWyoming | — | $432.39 |
33989 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 33989 rate is calculated
Each of 33989’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 · 33989
RVUs × geographic indexes × conversion factor
Work9.26
9.26 RVUs× 1.000 GPCI
Practice expense2.05
2.05 RVUs× 1.000 GPCI
Malpractice2.21
2.21 RVUs× 1.000 GPCI
Adjusted RVUs
13.5200
Conversion factor
$33.4009
Medicare rate
$451.58
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Nevada inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,173
- Code
- 33989
- Physician work
- 9.26
- Practice expense
- 2.05
- Malpractice
- 2.21
GPCI2026.csv
73
- Locality
- Nevada
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.26 | × 1.000 | 9.2600 |
| Practice expense | 2.05 | × 1.001 | 2.0520 |
| Malpractice | 2.21 | × 0.833 | 1.8409 |
| Total RVUs | 13.1530 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada$439.32
Facility: (9.26 × 1 + 2.05 × 1.001 + 2.21 × 0.833) × $33.4009 = $439.32
Payment rules and modifiers for 33989
The CMS indicators that decide how 33989 is paid alongside other services.
CMS payment indicators · 33989
Heart vent removal, left heart vent
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 1 | Permitted with supporting documentation. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33989 without 51 · national facility
$451.58
Heart vent removal, left heart vent
33989-51 · Second procedure: 50%
$225.79
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 33989 has changed in Nevada
33989 · 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
January 1, 2015
RVU15A
No ratechanged toNo rate
Held through RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $439.32 | RVU26D |
| 2026-07-01 | Not available in this setting | $439.32 | RVU26C |
| 2026-04-01 | Not available in this setting | $439.32 | RVU26B |
| 2026-01-01 | Not available in this setting | $439.32 | RVU26A |
| 2025-10-01 | Not available in this setting | $454.24 | RVU25D |
| 2025-07-01 | Not available in this setting | $454.24 | RVU25C |
| 2025-04-01 | Not available in this setting | $454.24 | RVU25B |
| 2025-01-01 | Not available in this setting | $454.24 | RVU25A |
| 2024-10-01 | Not available in this setting | $466.25 | RVU24D |
| 2024-07-01 | Not available in this setting | $466.25 | RVU24C |
| 2024-04-01 | Not available in this setting | $466.25 | RVU24B |
| 2024-03-09 | Not available in this setting | $466.25 | RVU24AR |
| 2024-01-01 | Not available in this setting | $458.64 | RVU24A |
| 2023-10-01 | Not available in this setting | $493.73 | RVU23D |
| 2023-07-01 | Not available in this setting | $493.73 | RVU23C |
| 2023-04-01 | Not available in this setting | $493.73 | RVU23B |
| 2023-01-01 | Not available in this setting | $493.73 | RVU23A |
| 2022-10-01 | Not available in this setting | $528.32 | RVU22D |
| 2022-07-01 | Not available in this setting | $528.32 | RVU22C |
| 2022-04-01 | Not available in this setting | $528.32 | RVU22B |
| 2022-01-01 | Not available in this setting | $528.32 | RVU22A |
| 2021-10-01 | Not available in this setting | $529.63 | RVU21D |
| 2021-07-01 | Not available in this setting | $529.63 | RVU21C |
| 2021-04-01 | Not available in this setting | $529.63 | RVU21B |
| 2021-01-01 | Not available in this setting | $529.63 | RVU21A |
| 2020-10-01 | Not available in this setting | $528.17 | RVU20D |
| 2020-07-01 | Not available in this setting | $528.17 | RVU20C |
| 2020-04-01 | Not available in this setting | $528.17 | RVU20B |
| 2020-01-01 | Not available in this setting | $528.17 | RVU20A |
| 2019-10-01 | Not available in this setting | $515.40 | RVU19D |
| 2019-07-01 | Not available in this setting | $515.40 | RVU19C |
| 2019-04-01 | Not available in this setting | $504.59 | RVU19B |
| 2019-01-01 | Not available in this setting | $504.59 | RVU19A |
| 2018-10-01 | Not available in this setting | $514.54 | RVU18D |
| 2018-07-01 | Not available in this setting | $514.54 | RVU18C |
| 2018-04-01 | Not available in this setting | $514.54 | RVU18B |
| 2018-01-01 | Not available in this setting | $514.54 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $519.69 | RVU17D |
| 2017-07-01 | Not available in this setting | $519.69 | RVU17C |
| 2017-04-01 | Not available in this setting | $519.69 | RVU17B |
| 2017-01-01 | Not available in this setting | $519.69 | RVU17A |
| 2016-10-01 | Not available in this setting | $531.23 | RVU16D |
| 2016-07-01 | Not available in this setting | $531.23 | RVU16C |
| 2016-04-01 | Not available in this setting | $531.23 | RVU16B |
| 2016-01-01 | Not available in this setting | $531.23 | RVU16A |
| 2015-10-01 | Not available in this setting | $523.53 | RVU15D |
| 2015-07-01 | Not available in this setting | $523.53 | RVU15C |
| 2015-04-01 | Not available in this setting | $520.92 | RVU15B |
| 2015-01-01 | Not available in this setting | $520.92 | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Nevada rate applies
Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.
- Alamo
- Amargosa Valley
- Austin
- Baker
- Battle Mountain
- Beatty
- Beaverdam
- Bennett Springs
33989 billing questions
How is removal of a left heart vent different from 33988?
Code 33989 is for removing the vent; 33988 is for inserting it. The operative report should make clear which service was performed.
Is this code for removing a ventricular assist device?
No. It describes removal of a left heart vent, not a ventricular assist device. Codes such as 33992 and 33977 describe removal of different support devices.
What documentation supports reporting 33989?
Document that a left heart vent was present and removed, along with the operative circumstances. The record should distinguish the vent from a ventricular assist device.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
What documentation is needed for assistant or team surgery payment?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon and team-surgery payment require supporting documentation.
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 33989 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist