CPT code 33992: VAD removal, percutaneous left-heart device2026 Medicare rate & RVUs in Ohio

In Ohio, Medicare pays $163.30 for 33992 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33992 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 33992 covers

This service covers withdrawing a catheter-based ventricular assist device used to support the left heart. It is commonly performed by an interventional cardiologist or cardiac surgeon in a catheterization laboratory or other procedural setting when the patient’s hemodynamic condition allows temporary support to end. The code identifies removal of the percutaneous left-heart device, rather than implantation, repositioning, or removal of a right-heart device.

Report the code when the documented service removes that percutaneous left-heart VAD; the record should identify the device and support the removal performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this descriptor. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.

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 Ohio compares for 33992

Across 109 of 109 payment localities, the facility rate for 33992 runs from $145.12 in Wisconsin to $211.92 in Alaska. Ohio pays $163.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33992 rates by state

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

See 33992 in every payment locality

How the 33992 rate is calculated

Each of 33992’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 33992

The CMS indicators that decide how 33992 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 33992

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

How 33992 has changed in Ohio

Price 33992 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Ada
• Adamsville
• Addyston
• Adelphi
• Adena
• Ai
• Akron

Browse all communities in Ohio

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