CPT code 33995: VAD insertion, percutaneous, right heart2026 Medicare rate & RVUs in Colorado
Reports percutaneous placement of a venous right heart assist device to provide temporary mechanical support when right ventricular function is inadequate.
In Colorado, Medicare pays $307.03 for 33995 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33995 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 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.
How Colorado compares for 33995
Across 109 of 109 payment localities, the facility rate for 33995 runs from $276.17 in Wisconsin to $402.80 in Alaska. Colorado pays $307.03. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Colorado · this page$307.03
- Los Angeles, CA · California$312.63+$5.60
- Washington, DC area · District of Columbia$337.77+$30.74
- Miami, FL · Florida$390.99+$83.96
- Chicago, IL · Illinois$379.27+$72.24
- Manhattan, NY · New York$362.98+$55.95
- Alaska · Alaska$402.80+$95.77
Other areas in Colorado first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $285.54 |
| ArkansasArkansas | — | $282.31 |
| ArizonaArizona | — | $304.09 |
| Bakersfield, CACalifornia | — | $301.32 |
| Chico, CACalifornia | — | $297.23 |
| El Centro, CACalifornia | — | $297.48 |
| Fresno, CACalifornia | — | $297.23 |
| Hanford, CACalifornia | — | $297.23 |
| Madera, CACalifornia | — | $297.23 |
| Merced, CACalifornia | — | $297.23 |
| Modesto, CACalifornia | — | $297.23 |
| Napa, CACalifornia | — | $315.42 |
| Oxnard, CACalifornia | — | $307.68 |
| Redding, CACalifornia | — | $297.23 |
| Rest of CaliforniaCalifornia | — | $297.23 |
| Riverside, CACalifornia | — | $313.33 |
| Sacramento, CACalifornia | — | $304.27 |
| Salinas, CACalifornia | — | $303.00 |
| San Diego, CACalifornia | — | $304.66 |
| Marin County, CACalifornia | — | $323.94 |
| San Francisco, CACalifornia | — | $322.23 |
| San Benito County, CACalifornia | — | $332.46 |
| Santa Clara County, CACalifornia | — | $325.49 |
| San Luis Obispo, CACalifornia | — | $299.06 |
| Santa Cruz, CACalifornia | — | $303.19 |
| Santa Maria, CACalifornia | — | $302.64 |
| Santa Rosa, CACalifornia | — | $305.73 |
| Stockton, CACalifornia | — | $297.23 |
| Vallejo, CACalifornia | — | $312.97 |
| Visalia, CACalifornia | — | $297.23 |
| Yuba City, CACalifornia | — | $297.23 |
| ConnecticutConnecticut | — | $330.84 |
| DelawareDelaware | — | $308.16 |
| Fort Lauderdale, FLFlorida | — | $353.67 |
| Rest of FloridaFlorida | — | $335.95 |
| Atlanta, GAGeorgia | — | $324.05 |
| Rest of GeorgiaGeorgia | — | $317.63 |
| Hawaii, Guam, HIHawaii | — | $297.40 |
| IowaIowa | — | $278.79 |
| IdahoIdaho | — | $282.81 |
| East St. Louis, ILIllinois | — | $360.01 |
| Rest of IllinoisIllinois | — | $337.12 |
| Suburban Chicago, ILIllinois | — | $354.00 |
| IndianaIndiana | — | $283.76 |
| KansasKansas | — | $283.68 |
| KentuckyKentucky | — | $303.63 |
| New Orleans, LALouisiana | — | $316.92 |
| Rest of LouisianaLouisiana | — | $305.61 |
| Metropolitan Boston, MAMassachusetts | — | $324.43 |
| Rest of MassachusettsMassachusetts | — | $308.24 |
| Baltimore area, MDMaryland | — | $331.14 |
| Rest of MarylandMaryland | — | $311.23 |
| Rest of MaineMaine | — | $290.27 |
| Southern Maine, MEMaine | — | $293.76 |
| Detroit, MIMichigan | — | $345.51 |
| Rest of MichiganMichigan | — | $315.38 |
| MinnesotaMinnesota | — | $278.60 |
| Metropolitan Kansas City, MOMissouri | — | $308.87 |
| Metropolitan St. Louis, MOMissouri | — | $310.68 |
| Rest of MissouriMissouri | — | $305.43 |
| MississippiMississippi | — | $293.61 |
| MontanaMontana | — | $312.53 |
| North CarolinaNorth Carolina | — | $291.68 |
| North DakotaNorth Dakota | — | $282.87 |
| NebraskaNebraska | — | $278.18 |
| New HampshireNew Hampshire | — | $308.12 |
| Northern New JerseyNew Jersey | — | $336.73 |
| Rest of New JerseyNew Jersey | — | $330.22 |
| New MexicoNew Mexico | — | $319.15 |
| NevadaNevada | — | $304.31 |
| NYC suburbs and Long Island, NYNew York | — | $377.72 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $337.11 |
| Queens, NYNew York | — | $356.62 |
| Rest of New YorkNew York | — | $295.61 |
| OhioOhio | — | $309.31 |
| OklahomaOklahoma | — | $296.89 |
| Portland, OROregon | — | $308.07 |
| Rest of OregonOregon | — | $297.58 |
| Metropolitan Philadelphia, PAPennsylvania | — | $328.01 |
| Rest of PennsylvaniaPennsylvania | — | $306.37 |
| Puerto RicoPuerto Rico | — | $312.35 |
| Rhode IslandRhode Island | — | $312.81 |
| South CarolinaSouth Carolina | — | $301.87 |
| South DakotaSouth Dakota | — | $279.37 |
| TennesseeTennessee | — | $285.54 |
| Austin, TXTexas | — | $309.84 |
| Beaumont, TXTexas | — | $305.23 |
| Brazoria, TXTexas | — | $302.98 |
| Dallas, TXTexas | — | $307.33 |
| Fort Worth, TXTexas | — | $307.55 |
| Galveston, TXTexas | — | $305.47 |
| Houston, TXTexas | — | $332.93 |
| Rest of TexasTexas | — | $305.59 |
| UtahUtah | — | $304.96 |
| VirginiaVirginia | — | $297.18 |
| Virgin Islands, VIUnited States Virgin Islands | — | $312.35 |
| VermontVermont | — | $287.45 |
| Rest of WashingtonWashington | — | $305.78 |
| King County, WAWashington | — | $324.16 |
| WisconsinWisconsin | — | $276.17 |
| West VirginiaWest Virginia | — | $328.63 |
| WyomingWyoming | — | $299.61 |
33995 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 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
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.
The exact Colorado inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,178
- Code
- 33995
- Physician work
- 6.58
- Practice expense
- 1.28
- Malpractice
- 1.50
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.58 | × 1.012 | 6.6590 |
| Practice expense | 1.28 | × 1.064 | 1.3619 |
| Malpractice | 1.50 | × 0.781 | 1.1715 |
| Total RVUs | 9.1924 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$307.03
Facility: (6.58 × 1.012 + 1.28 × 1.064 + 1.5 × 0.781) × $33.4009 = $307.03
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
| 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) | 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
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%).
How 33995 has changed in Colorado
33995 · 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, 2021
RVU21A
No ratechanged toNo rate
Held through 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, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $307.03 | RVU26D |
| 2026-07-01 | Not available in this setting | $307.03 | RVU26C |
| 2026-04-01 | Not available in this setting | $307.03 | RVU26B |
| 2026-01-01 | Not available in this setting | $307.03 | RVU26A |
| 2025-10-01 | Not available in this setting | $332.69 | RVU25D |
| 2025-07-01 | Not available in this setting | $332.69 | RVU25C |
| 2025-04-01 | Not available in this setting | $332.69 | RVU25B |
| 2025-01-01 | Not available in this setting | $332.69 | RVU25A |
| 2024-10-01 | Not available in this setting | $342.67 | RVU24D |
| 2024-07-01 | Not available in this setting | $342.67 | RVU24C |
| 2024-04-01 | Not available in this setting | $342.67 | RVU24B |
| 2024-03-09 | Not available in this setting | $342.67 | RVU24AR |
| 2024-01-01 | Not available in this setting | $337.07 | RVU24A |
| 2023-10-01 | Not available in this setting | $348.44 | RVU23D |
| 2023-07-01 | Not available in this setting | $348.44 | RVU23C |
| 2023-04-01 | Not available in this setting | $348.44 | RVU23B |
| 2023-01-01 | Not available in this setting | $348.44 | RVU23A |
| 2022-10-01 | Not available in this setting | $359.30 | RVU22D |
| 2022-07-01 | Not available in this setting | $359.30 | RVU22C |
| 2022-04-01 | Not available in this setting | $359.30 | RVU22B |
| 2022-01-01 | Not available in this setting | $359.30 | RVU22A |
| 2021-10-01 | Not available in this setting | $362.91 | RVU21D |
| 2021-07-01 | Not available in this setting | $362.91 | RVU21C |
| 2021-04-01 | Not available in this setting | $362.91 | RVU21B |
| 2021-01-01 | Not available in this setting | $362.91 | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | 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 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
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
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