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

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, 2026One payment locality376 Medicare services in 2024

In South Dakota, Medicare pays $279.37 for 33995 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$279.37Hospital or facility

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.

We’ll open 33995 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 33995 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How South Dakota 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. South Dakota pays $279.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

33995 in South Dakota vs other payment areas
  1. South Dakota · this page$279.37
  2. Los Angeles, CA · California$312.63+$33.26
  3. Washington, DC area · District of Columbia$337.77+$58.40
  4. Miami, FL · Florida$390.99+$111.62
  5. Chicago, IL · Illinois$379.27+$99.90
  6. Manhattan, NY · New York$362.98+$83.61
  7. Alaska · Alaska$402.80+$123.43

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

33995 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
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

See 33995 in every payment locality

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.

The exact South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Facility calculation for 33995 in South Dakota
ComponentRVULocality factorAdjusted
Physician work6.58× 1.0006.5800
Practice expense1.28× 1.0001.2800
Malpractice1.50× 0.3360.5040
Total RVUs8.3640
Conversion factor× 33.4009

Facility rate, South Dakota$279.37

Facility: (6.58 × 1 + 1.28 × 1 + 1.5 × 0.336) × $33.4009 = $279.37

Open 33995 in the RVU calculator

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

How 33995 has changed in South Dakota

33995 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. 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.

  2. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$279.37RVU26D
2026-07-01Not available in this setting$279.37RVU26C
2026-04-01Not available in this setting$279.37RVU26B
2026-01-01Not available in this setting$279.37RVU26A
2025-10-01Not available in this setting$305.57RVU25D
2025-07-01Not available in this setting$305.57RVU25C
2025-04-01Not available in this setting$305.57RVU25B
2025-01-01Not available in this setting$305.57RVU25A
2024-10-01Not available in this setting$315.28RVU24D
2024-07-01Not available in this setting$315.28RVU24C
2024-04-01Not available in this setting$315.28RVU24B
2024-03-09Not available in this setting$315.28RVU24AR
2024-01-01Not available in this setting$310.14RVU24A
2023-10-01Not available in this setting$323.98RVU23D
2023-07-01Not available in this setting$323.98RVU23C
2023-04-01Not available in this setting$323.98RVU23B
2023-01-01Not available in this setting$323.98RVU23A
2022-10-01Not available in this setting$334.62RVU22D
2022-07-01Not available in this setting$334.62RVU22C
2022-04-01Not available in this setting$334.62RVU22B
2022-01-01Not available in this setting$334.62RVU22A
2021-10-01Not available in this setting$337.86RVU21D
2021-07-01Not available in this setting$337.86RVU21C
2021-04-01Not available in this setting$337.86RVU21B
2021-01-01Not available in this setting$337.86RVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 33995 for an earlier date of service

Where the South Dakota rate applies

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

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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