CPT code 33993: VAD repositioning, percutaneous right or left heart2026 Medicare rate & RVUs in Colorado

In Colorado, Medicare pays $140.67 for 33993 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33993 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 33993 covers

This service adjusts the position of an already placed percutaneous ventricular assist device in the right or left heart, using imaging guidance to direct and confirm the repositioning. It is typically performed by an interventional cardiologist in a catheterization laboratory or another setting where temporary mechanical circulatory support is managed. The work is distinct from placing a new device or removing one that is no longer needed.

Report the code when the record supports a separate repositioning service, including the device involved, why its position required adjustment, and how imaging was used to guide the work. Imaging guidance and its associated supervision and interpretation are included. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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 Colorado compares for 33993

Across 109 of 109 payment localities, the facility rate for 33993 runs from $127.96 in Wisconsin to $185.46 in Alaska. Colorado pays $140.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33993 rates by state

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

See 33993 in every payment locality

How the 33993 rate is calculated

Each of 33993’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 33993

The CMS indicators that decide how 33993 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 33993

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

How 33993 has changed in Colorado

Price 33993 for an earlier date of service

Where the Colorado rate applies

Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.

• Acres Green
• Aetna Estates
• Aguilar
• Air Force Academy
• Akron
• Alamosa
• Alamosa East
• Allenspark

Browse all communities in Colorado

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