FeeBase
Log inGet started
Menu

CPT code 33995: VAD insertion, percutaneous, right heart2026 Medicare rate & RVUs

Reports percutaneous placement of a venous right heart assist device to provide temporary mechanical support when right ventricular function is inadequate.

CMS RVU26DEffective Oct 1, 2026109 payment localities376 Medicare services in 2024

Medicare pays $312.63 for 33995 nationally in a facility.

Medicare rate · 33995

VAD insertion, percutaneous, right heart

Office or facility?

Work RVUs
6.58
Total RVUs
9.36
Global days
000

National rate · 2026

$312.63

Facility setting, before claim adjustments.

See every locality for 33995 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 33995 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 33995 covers

CPT 33995 reports percutaneous placement of a ventricular assist device to support the right heart. An interventional cardiologist or cardiac surgeon typically advances the device through venous access and positions it to provide right-sided circulatory support. Placement is generally performed in a hospital setting, such as a catheterization laboratory, for patients who need temporary mechanical support because of right ventricular failure. The service includes the imaging guidance and interpretation associated with device placement.

Select this code for percutaneous right heart device insertion, rather than insertion of a left heart device. The operative report should identify the support indication, venous access, device placement, and imaging used to confirm position. CMS assigns 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 the others are subject to the standard 50% multiple procedure reduction. Modifier 50 is inappropriate for this code. 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.

Where 33995 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

33995 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$285.54
AlaskaUnavailable$402.80
ArizonaUnavailable$304.09
ArkansasUnavailable$282.31
Atlanta, GAUnavailable$324.05
Austin, TXUnavailable$309.84
Bakersfield, CAUnavailable$301.32
Baltimore area, MDUnavailable$331.14
Beaumont, TXUnavailable$305.23
Brazoria, TXUnavailable$302.98

33995 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
33995 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

How the 33995 rate is calculated

Each of 33995’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 · 33995

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.58

6.58 RVUs× 1.000 GPCI

Practice expense1.28

1.28 RVUs× 1.000 GPCI

Malpractice1.50

1.50 RVUs× 1.000 GPCI

Adjusted RVUs

9.3600

Conversion factor

$33.4009

Medicare rate

$312.63

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 33995

The CMS indicators that decide how 33995 is paid alongside other services.

CMS payment indicators · 33995

VAD insertion, percutaneous, right heart

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
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

33995 without 51 · national facility

$312.63

VAD insertion, percutaneous, right heart

33995-51 · Second procedure: 50%

$156.32

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

33995 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 33995

    VAD insertion, percutaneous, right heart6.58 wRVU

    Not priced

  • 33990

    VAD insertion, left heart, arterial access6.58 wRVU

    Not priced

  • 33991

    VAD insertion, left heart, arterial and venous access8.62 wRVU

    Not priced

  • 33997

    VAD removal, percutaneous, right heart2.93 wRVU

    Not priced

  • 33993

    VAD repositioning, percutaneous right or left heart3.02 wRVU

    Not priced

How to choose

33990VAD insertionLeft heart, arterial access
Choose 33990 for percutaneous left heart device insertion with arterial access only; 33995 is for right heart support through venous access.
33991VAD insertionLeft heart, arterial and venous access
Choose 33991 for percutaneous left heart device insertion using arterial and venous access. The right heart insertion is reported with 33995.
33997VAD removalPercutaneous, right heart
33997 describes removal of a percutaneous right heart assist device, not its initial insertion.
33993VAD repositioningPercutaneous right or left heart
33993 is for repositioning a percutaneous right or left heart device; 33995 is for right heart device insertion.

Codes related to 33995

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

Codes related to 33995
CodeHow it relatesNational office range
Same family
33990VAD insertion, left heart, arterial accessPercutaneous left heart device insertion using arterial access; differs by supported heart chamber and access.No office rate
33991VAD insertion, left heart, arterial and venous accessPercutaneous left heart device insertion using arterial and venous access.No office rate
33993VAD repositioning, percutaneous right or left heartRepositioning code for a percutaneous right or left heart assist device.No office rate
33997VAD removal, percutaneous, right heartRemoval code for a percutaneous right heart assist device.No office rate

33995 billing questions

How does 33995 differ from 33990 or 33991?

33995 is for percutaneous right heart support through venous access. Codes 33990 and 33991 describe percutaneous left heart device insertion, distinguished by their access configuration.

Is 33995 used for device removal or repositioning?

No. Report 33995 for insertion; 33997 describes removal of a percutaneous right heart device, and 33993 describes repositioning a percutaneous right or left heart device.

What documentation supports reporting 33995?

Document the right-sided support indication, venous access, device insertion and final position, and the imaging used during placement.

Can modifier 50 be appended for bilateral work?

No. The code’s anatomy and descriptor make bilateral adjustment inappropriate, so modifier 50 should not be used.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.

Can an assistant or another surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeons and team surgery are not permitted for this code.

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 33995PPRRVU2026_Oct_nonQPP.csv, line 4,178 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 33995 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 33995 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist