No office rate
Both involve removal of aortic circulatory-support equipment. Use the code whose full CPT descriptor matches the specific device and service documented.
On this page
CMS RVU26D · Effective 2026-10-01
33974 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$874.82
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Cardiovascular surgery
About 33974: Intra-aortic balloon removal
Removal of an intra-aortic balloon used for temporary circulatory support, reported when the balloon is taken out after the support period ends.
This service covers removal of an intra-aortic balloon used for temporary mechanical circulatory support, commonly after a patient’s hemodynamic status improves or the care team changes the support plan. It is generally performed in a hospital by a cardiovascular surgeon or another physician qualified to manage the balloon and its access site. The clinical record should make clear that the device removed was an intra-aortic balloon, rather than a ventricular assist device or another aortic support device.
Report the service for the removal itself, supported by the procedure note identifying the device, the removal performed, and the clinical circumstances. CMS assigns a 90-day major-surgery global period, which includes the day-before preoperative visit and 90 days of related postoperative care. If 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% multiple-procedure reduction. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
CMS billing rules for 33974
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.65 · 56%
- Practice expense (office) RVU7.95 · 30%
- Malpractice RVU3.50 · 13%
17
Medicare services in 2024 · #6005 by national volume
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.
33974 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
This code concerns balloon-device insertion; 33974 is for removal of an intra-aortic balloon.
No office rate
This code is for removal of a ventricular assist device. Use 33974 when the device removed is an intra-aortic balloon.
The same code, a different location
How does Austin compare?
33974 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 33974
Office
Unavailable
Facility
$846.88
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 33974
Office
Unavailable
Facility
$901.14
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33974
Office
Unavailable
Facility
$958.66
No comparable office rate is available.
Miami
Florida · 33974
Office
Unavailable
Facility
$1061.40
No comparable office rate is available.
Chicago
Illinois · 33974
Office
Unavailable
Facility
$1027.91
No comparable office rate is available.
Manhattan
New York · 33974
Office
Unavailable
Facility
$1014.60
No comparable office rate is available.
Alaska*
Alaska · 33974
Office
Unavailable
Facility
$1081.20
No comparable office rate is available.
Alabama
Alabama · 33974
Office
Unavailable
Facility
$787.84
No comparable office rate is available.
Arkansas
Arkansas · 33974
Office
Unavailable
Facility
$777.62
No comparable office rate is available.
Arizona
Arizona · 33974
Office
Unavailable
Facility
$846.70
No comparable office rate is available.
Bakersfield
California · 33974
Office
Unavailable
Facility
$860.84
No comparable office rate is available.
Chico
California · 33974
Office
Unavailable
Facility
$851.33
No comparable office rate is available.
El Centro
California · 33974
Office
Unavailable
Facility
$851.92
No comparable office rate is available.
Fresno
California · 33974
Office
Unavailable
Facility
$851.33
No comparable office rate is available.
Hanford-Corcoran
California · 33974
Office
Unavailable
Facility
$851.33
No comparable office rate is available.
Madera
California · 33974
Office
Unavailable
Facility
$851.33
No comparable office rate is available.
Merced
California · 33974
Office
Unavailable
Facility
$851.33
No comparable office rate is available.
Modesto
California · 33974
Office
Unavailable
Facility
$851.33
No comparable office rate is available.
Napa
California · 33974
Office
Unavailable
Facility
$929.52
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33974
Office
Unavailable
Facility
$889.72
No comparable office rate is available.
Redding
California · 33974
Office
Unavailable
Facility
$851.33
No comparable office rate is available.
Rest Of California
California · 33974
Office
Unavailable
Facility
$851.33
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33974
Office
Unavailable
Facility
$888.88
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33974
Office
Unavailable
Facility
$878.42
No comparable office rate is available.
Salinas
California · 33974
Office
Unavailable
Facility
$874.91
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33974
Office
Unavailable
Facility
$884.95
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33974
Office
Unavailable
Facility
$963.87
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33974
Office
Unavailable
Facility
$959.90
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33974
Office
Unavailable
Facility
$988.71
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33974
Office
Unavailable
Facility
$972.46
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33974
Office
Unavailable
Facility
$862.75
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33974
Office
Unavailable
Facility
$884.89
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33974
Office
Unavailable
Facility
$875.30
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33974
Office
Unavailable
Facility
$892.74
No comparable office rate is available.
Stockton
California · 33974
Office
Unavailable
Facility
$851.33
No comparable office rate is available.
Vallejo
California · 33974
Office
Unavailable
Facility
$923.79
No comparable office rate is available.
Visalia
California · 33974
Office
Unavailable
Facility
$851.33
No comparable office rate is available.
Yuba City
California · 33974
Office
Unavailable
Facility
$851.33
No comparable office rate is available.
Colorado
Colorado · 33974
Office
Unavailable
Facility
$869.03
No comparable office rate is available.
Connecticut
Connecticut · 33974
Office
Unavailable
Facility
$926.55
No comparable office rate is available.
Delaware
Delaware · 33974
Office
Unavailable
Facility
$859.22
No comparable office rate is available.
Fort Lauderdale
Florida · 33974
Office
Unavailable
Facility
$969.67
No comparable office rate is available.
Rest Of Florida
Florida · 33974
Office
Unavailable
Facility
$918.88
No comparable office rate is available.
Atlanta
Georgia · 33974
Office
Unavailable
Facility
$900.98
No comparable office rate is available.
Rest Of Georgia
Georgia · 33974
Office
Unavailable
Facility
$865.53
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33974
Office
Unavailable
Facility
$858.93
No comparable office rate is available.
Iowa
Iowa · 33974
Office
Unavailable
Facility
$778.70
No comparable office rate is available.
Idaho
Idaho · 33974
Office
Unavailable
Facility
$788.91
No comparable office rate is available.
East St. Louis
Illinois · 33974
Office
Unavailable
Facility
$969.06
No comparable office rate is available.
Rest Of Illinois
Illinois · 33974
Office
Unavailable
Facility
$914.48
No comparable office rate is available.
Suburban Chicago
Illinois · 33974
Office
Unavailable
Facility
$972.61
No comparable office rate is available.
Indiana
Indiana · 33974
Office
Unavailable
Facility
$792.29
No comparable office rate is available.
Kansas
Kansas · 33974
Office
Unavailable
Facility
$788.29
No comparable office rate is available.
Kentucky
Kentucky · 33974
Office
Unavailable
Facility
$832.35
No comparable office rate is available.
New Orleans
Louisiana · 33974
Office
Unavailable
Facility
$872.00
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33974
Office
Unavailable
Facility
$836.32
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33974
Office
Unavailable
Facility
$930.48
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33974
Office
Unavailable
Facility
$869.93
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33974
Office
Unavailable
Facility
$926.68
No comparable office rate is available.
Rest Of Maryland
Maryland · 33974
Office
Unavailable
Facility
$870.26
No comparable office rate is available.
Rest Of Maine
Maine · 33974
Office
Unavailable
Facility
$806.33
No comparable office rate is available.
Southern Maine
Maine · 33974
Office
Unavailable
Facility
$826.24
No comparable office rate is available.
Detroit
Michigan · 33974
Office
Unavailable
Facility
$942.67
No comparable office rate is available.
Rest Of Michigan
Michigan · 33974
Office
Unavailable
Facility
$863.74
No comparable office rate is available.
Minnesota
Minnesota · 33974
Office
Unavailable
Facility
$797.16
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33974
Office
Unavailable
Facility
$852.88
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33974
Office
Unavailable
Facility
$859.25
No comparable office rate is available.
Rest Of Missouri
Missouri · 33974
Office
Unavailable
Facility
$832.08
No comparable office rate is available.
Mississippi
Mississippi · 33974
Office
Unavailable
Facility
$804.34
No comparable office rate is available.
Montana**
Montana · 33974
Office
Unavailable
Facility
$871.53
No comparable office rate is available.
North Carolina
North Carolina · 33974
Office
Unavailable
Facility
$811.77
No comparable office rate is available.
North Dakota**
North Dakota · 33974
Office
Unavailable
Facility
$802.32
No comparable office rate is available.
Nebraska
Nebraska · 33974
Office
Unavailable
Facility
$778.60
No comparable office rate is available.
New Hampshire
New Hampshire · 33974
Office
Unavailable
Facility
$868.04
No comparable office rate is available.
Northern Nj
New Jersey · 33974
Office
Unavailable
Facility
$953.03
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33974
Office
Unavailable
Facility
$927.11
No comparable office rate is available.
New Mexico
New Mexico · 33974
Office
Unavailable
Facility
$873.22
No comparable office rate is available.
Nevada**
Nevada · 33974
Office
Unavailable
Facility
$852.51
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33974
Office
Unavailable
Facility
$1053.45
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33974
Office
Unavailable
Facility
$943.56
No comparable office rate is available.
Queens
New York · 33974
Office
Unavailable
Facility
$1003.08
No comparable office rate is available.
Rest Of New York
New York · 33974
Office
Unavailable
Facility
$823.77
No comparable office rate is available.
Ohio
Ohio · 33974
Office
Unavailable
Facility
$849.60
No comparable office rate is available.
Oklahoma
Oklahoma · 33974
Office
Unavailable
Facility
$817.28
No comparable office rate is available.
Portland
Oregon · 33974
Office
Unavailable
Facility
$879.14
No comparable office rate is available.
Rest Of Oregon
Oregon · 33974
Office
Unavailable
Facility
$835.98
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33974
Office
Unavailable
Facility
$914.02
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33974
Office
Unavailable
Facility
$843.56
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33974
Office
Unavailable
Facility
$872.93
No comparable office rate is available.
Rhode Island
Rhode Island · 33974
Office
Unavailable
Facility
$877.20
No comparable office rate is available.
South Carolina
South Carolina · 33974
Office
Unavailable
Facility
$834.05
No comparable office rate is available.
South Dakota**
South Dakota · 33974
Office
Unavailable
Facility
$794.14
No comparable office rate is available.
Tennessee
Tennessee · 33974
Office
Unavailable
Facility
$793.47
No comparable office rate is available.
Utah
Utah · 33974
Office
Unavailable
Facility
$843.91
No comparable office rate is available.
Virginia
Virginia · 33974
Office
Unavailable
Facility
$832.88
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33974
Office
Unavailable
Facility
$872.93
No comparable office rate is available.
Vermont
Vermont · 33974
Office
Unavailable
Facility
$811.36
No comparable office rate is available.
Rest Of Washington
Washington · 33974
Office
Unavailable
Facility
$864.26
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33974
Office
Unavailable
Facility
$935.11
No comparable office rate is available.
Wisconsin
Wisconsin · 33974
Office
Unavailable
Facility
$779.71
No comparable office rate is available.
West Virginia
West Virginia · 33974
Office
Unavailable
Facility
$887.36
No comparable office rate is available.
Wyoming**
Wyoming · 33974
Office
Unavailable
Facility
$841.37
No comparable office rate is available.
See how rates vary across the country
33974 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 33974 in Austin
Multiple payment areas
- 33974 in Barton Creek
- 33974 in Bee Cave
- 33974 in Briarcliff
- 33974 in Cedar Park
Multiple payment areas
- 33974 in Creedmoor
Multiple payment areas
- 33974 in Elgin
Multiple payment areas
- 33974 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 33974 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$962.30
$874.82 × 110% = $962.30
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 33974 in Austin.
PPRRVU2026_Oct_nonQPP.csv
4,158
- Code
- 33974
- Physician work
- 14.65
- Practice expense
- 7.95
- Malpractice
- 3.50
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.65 | × 1.002 | 14.6793 |
| Practice expense | 7.95 | × 1.058 | 8.4111 |
| Malpractice | 3.50 | × 0.886 | 3.1010 |
| Total RVUs | 26.1914 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$874.82
Open 33974 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.65 | 1.002 |
| Practice expense | 7.95 | 1.058 |
| Malpractice | 3.5 | 0.886 |
(14.65 × 1.002 + 7.95 × 1.058 + 3.5 × 0.886) × $33.4009 = $874.82
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
33974 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $874.82 | RVU26D |
| 2026-07-01 | Not available in this setting | $874.82 | RVU26C |
| 2026-04-01 | Not available in this setting | $874.82 | RVU26B |
| 2026-01-01 | Not available in this setting | $874.82 | RVU26A |
| 2025-10-01 | Not available in this setting | $858.88 | RVU25D |
| 2025-07-01 | Not available in this setting | $858.88 | RVU25C |
| 2025-04-01 | Not available in this setting | $858.88 | RVU25B |
| 2025-01-01 | Not available in this setting | $858.88 | RVU25A |
33974 billing questions
How is this code different from 33968?
Both codes concern aortic circulatory-support device removal, but their descriptors distinguish the services. Confirm the device and removal circumstances in the operative note and select the code whose full CPT descriptor matches.
Can balloon insertion and removal be reported together?
Insertion and removal are different services and may occur at different points in care. Report removal only when the balloon is actually taken out; the insertion code does not describe that work.
Does the 90-day global period include postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in this code’s major-surgery global period.
Can modifier 50 or an assistant-at-surgery modifier be used?
Modifier 50 is inappropriate for this service. CMS does not pay an assistant at surgery for this code.
What documentation supports reporting this service?
The procedure note should identify the intra-aortic balloon, document that it was removed, and describe the clinical circumstances surrounding removal.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,15533970,,Aortic circulation assist,A,,6.57,1.27,NA,1.27,,1.57,9.41,9.41,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15633971,,Aortic circulation assist,A,,11.69,5.64,NA,5.64,,2.77,20.10,20.10,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15733973,,Insert balloon device,A,,9.51,1.95,NA,1.95,,2.27,13.73,13.73,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15833974,,Remove intra-aortic balloon,A,,14.65,7.95,NA,7.95,,3.50,26.10,26.10,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15933975,,Implant ventricular device,A,,24.38,4.87,NA,4.87,,6.02,35.27,35.27,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,16033976,,Implant ventricular device,A,,29.98,6.15,NA,6.15,,7.20,43.33,43.33,0,XXX,0.00,0.00,0.00,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,16133977,,Remove ventricular device,A,,20.34,5.71,NA,5.71,,4.95,31.00,31.00,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858