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CMS RVU26D · Effective 2026-10-01

0597T in Beaumont

Office / nonfacility

$545.96

Base rate per service

Facility setting

$51.74

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 procedure

About 0597T: Temporary femoral intravascular pump replacement

Reports replacement of a temporary femoral intravascular valve-pump during a procedural encounter, rather than its initial placement.

This Category III service represents replacing a temporary intravascular valve-pump introduced through femoral access. It is a device procedure performed by a physician involved in cardiovascular or endovascular intervention, typically in a procedural setting. The replacement is distinct from the device’s initial insertion and should be supported by documentation identifying the existing pump and the exchange performed.

Report 0597T when the documented service is replacement, not first insertion. The record should describe the reason for the exchange, the device and access site, and the procedural work. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. The code is not a bilateral service, so modifier 50 is not appropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 0597T

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU1.02 · 6%
  • Practice expense (office) RVU16.78 · 94%
  • Malpractice RVU0.06 · 0%

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.

0597T compared with similar codes

Office rates for Beaumont, from the same CMS release.

0596T

Intraurethral pump

Initial insertion

$1,844.59

Use 0596T for the pump’s first insertion. Use 0597T when an existing temporary femoral intravascular valve-pump is replaced.

33990

VAD insertion

Left heart, arterial access

No office rate

33990 describes a percutaneous ventricular-assist device insertion using arterial access. It is not the replacement service represented by 0597T.

33991

VAD insertion

Left heart, arterial and venous access

No office rate

33991 describes a percutaneous ventricular-assist device insertion using arterial and venous access. Choose 0597T only for replacement of the specified temporary femoral valve-pump.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 0597T is $628.89—$82.93 higher than the $545.96 rate in Beaumont. Both use the same code, release and participation basis.

0597T across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $545.96

  2. Austin

    $628.89

    $82.93 higher than Beaumont

  3. Brazoria

    $591.33

    $45.37 higher than Beaumont

  4. Dallas

    $594.32

    $48.36 higher than Beaumont

  5. Fort Worth

    $588.74

    $42.78 higher than Beaumont

  6. Galveston

    $592.54

    $46.58 higher than Beaumont

  7. Houston

    $593.64

    $47.68 higher than Beaumont

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 0597T ranges from $516.54 in Arkansas to $847.08 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 0597T

    Office

    $567.76

    Facility

    $52.36

    $21.80 higher than Beaumont for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 0597T

    Office

    $699.83

    Facility

    $57.34

    $153.87 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 0597T

    Office

    $698.37

    Facility

    $58.60

    $152.41 higher than Beaumont for the office setting.

  • Miami

    Florida · 0597T

    Office

    $622.58

    Facility

    $57.22

    $76.62 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 0597T

    Office

    $602.18

    Facility

    $56.36

    $56.22 higher than Beaumont for the office setting.

  • Manhattan

    New York · 0597T

    Office

    $690.69

    Facility

    $59.61

    $144.73 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 0597T

    Office

    $649.11

    Facility

    $70.71

    $103.15 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 0597T

    Office

    $525.61

    Facility

    $50.40

    $20.35 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 0597T

    Office

    $516.54

    Facility

    $50.02

    $29.42 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 0597T

    Office

    $578.88

    Facility

    $52.61

    $32.92 higher than Beaumont for the office setting.

  • Bakersfield

    California · 0597T

    Office

    $650.21

    Facility

    $54.97

    $104.25 higher than Beaumont for the office setting.

  • Chico

    California · 0597T

    Office

    $649.99

    Facility

    $54.76

    $104.03 higher than Beaumont for the office setting.

  • El Centro

    California · 0597T

    Office

    $650.00

    Facility

    $54.77

    $104.04 higher than Beaumont for the office setting.

  • Fresno

    California · 0597T

    Office

    $649.99

    Facility

    $54.76

    $104.03 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 0597T

    Office

    $649.99

    Facility

    $54.76

    $104.03 higher than Beaumont for the office setting.

  • Madera

    California · 0597T

    Office

    $649.99

    Facility

    $54.76

    $104.03 higher than Beaumont for the office setting.

  • Merced

    California · 0597T

    Office

    $649.99

    Facility

    $54.76

    $104.03 higher than Beaumont for the office setting.

  • Modesto

    California · 0597T

    Office

    $649.99

    Facility

    $54.76

    $104.03 higher than Beaumont for the office setting.

  • Napa

    California · 0597T

    Office

    $775.93

    Facility

    $60.12

    $229.97 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 0597T

    Office

    $698.74

    Facility

    $56.80

    $152.78 higher than Beaumont for the office setting.

  • Redding

    California · 0597T

    Office

    $649.99

    Facility

    $54.76

    $104.03 higher than Beaumont for the office setting.

  • Rest Of California

    California · 0597T

    Office

    $649.99

    Facility

    $54.76

    $104.03 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 0597T

    Office

    $650.66

    Facility

    $55.43

    $104.70 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 0597T

    Office

    $688.19

    Facility

    $56.57

    $142.23 higher than Beaumont for the office setting.

  • Salinas

    California · 0597T

    Office

    $685.78

    Facility

    $56.33

    $139.82 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 0597T

    Office

    $706.50

    Facility

    $56.95

    $160.54 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 0597T

    Office

    $828.48

    Facility

    $62.71

    $282.52 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 0597T

    Office

    $828.42

    Facility

    $62.65

    $282.46 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 0597T

    Office

    $847.08

    Facility

    $63.94

    $301.12 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 0597T

    Office

    $846.81

    Facility

    $63.66

    $300.85 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 0597T

    Office

    $674.09

    Facility

    $55.50

    $128.13 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 0597T

    Office

    $716.83

    Facility

    $56.96

    $170.87 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 0597T

    Office

    $689.60

    Facility

    $56.35

    $143.64 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 0597T

    Office

    $724.42

    Facility

    $57.49

    $178.46 higher than Beaumont for the office setting.

  • Stockton

    California · 0597T

    Office

    $649.99

    Facility

    $54.76

    $104.03 higher than Beaumont for the office setting.

  • Vallejo

    California · 0597T

    Office

    $775.83

    Facility

    $60.03

    $229.87 higher than Beaumont for the office setting.

  • Visalia

    California · 0597T

    Office

    $649.99

    Facility

    $54.76

    $104.03 higher than Beaumont for the office setting.

  • Yuba City

    California · 0597T

    Office

    $649.99

    Facility

    $54.76

    $104.03 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 0597T

    Office

    $632.38

    Facility

    $54.52

    $86.42 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 0597T

    Office

    $640.80

    Facility

    $55.88

    $94.84 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 0597T

    Office

    $589.78

    Facility

    $53.20

    $43.82 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 0597T

    Office

    $605.45

    Facility

    $55.29

    $59.49 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 0597T

    Office

    $572.89

    Facility

    $53.69

    $26.93 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 0597T

    Office

    $606.01

    Facility

    $54.22

    $60.05 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 0597T

    Office

    $536.39

    Facility

    $51.95

    $9.57 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 0597T

    Office

    $672.48

    Facility

    $54.98

    $126.52 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 0597T

    Office

    $547.69

    Facility

    $50.76

    $1.73 higher than Beaumont for the office setting.

  • Idaho

    Idaho · 0597T

    Office

    $550.65

    Facility

    $51.00

    $4.69 higher than Beaumont for the office setting.

  • East St. Louis

    Illinois · 0597T

    Office

    $553.73

    Facility

    $54.08

    $7.77 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 0597T

    Office

    $548.91

    Facility

    $53.06

    $2.95 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 0597T

    Office

    $613.46

    Facility

    $55.70

    $67.50 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 0597T

    Office

    $554.60

    Facility

    $51.14

    $8.64 higher than Beaumont for the office setting.

  • Kansas

    Kansas · 0597T

    Office

    $541.74

    Facility

    $50.78

    $4.22 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 0597T

    Office

    $534.16

    Facility

    $51.34

    $11.80 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 0597T

    Office

    $563.75

    Facility

    $52.69

    $17.79 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 0597T

    Office

    $532.00

    Facility

    $51.36

    $13.96 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 0597T

    Office

    $706.45

    Facility

    $57.99

    $160.49 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 0597T

    Office

    $626.38

    Facility

    $54.50

    $80.42 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 0597T

    Office

    $638.47

    Facility

    $55.73

    $92.51 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 0597T

    Office

    $603.44

    Facility

    $53.83

    $57.48 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 0597T

    Office

    $550.95

    Facility

    $51.29

    $4.99 higher than Beaumont for the office setting.

  • Southern Maine

    Maine · 0597T

    Office

    $590.76

    Facility

    $52.55

    $44.80 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 0597T

    Office

    $578.30

    Facility

    $54.21

    $32.34 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 0597T

    Office

    $548.04

    Facility

    $52.19

    $2.08 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 0597T

    Office

    $611.38

    Facility

    $52.53

    $65.42 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 0597T

    Office

    $562.31

    Facility

    $52.34

    $16.35 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 0597T

    Office

    $569.64

    Facility

    $52.61

    $23.68 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 0597T

    Office

    $519.14

    Facility

    $50.99

    $26.82 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 0597T

    Office

    $518.11

    Facility

    $50.50

    $27.85 lower than Beaumont for the office setting.

  • Montana**

    Montana · 0597T

    Office

    $596.54

    Facility

    $53.44

    $50.58 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 0597T

    Office

    $558.27

    Facility

    $51.55

    $12.31 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 0597T

    Office

    $595.35

    Facility

    $52.25

    $49.39 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 0597T

    Office

    $552.14

    Facility

    $50.86

    $6.18 higher than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 0597T

    Office

    $619.27

    Facility

    $53.90

    $73.31 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 0597T

    Office

    $688.50

    Facility

    $58.50

    $142.54 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 0597T

    Office

    $649.66

    Facility

    $56.60

    $103.70 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 0597T

    Office

    $550.42

    Facility

    $52.40

    $4.46 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 0597T

    Office

    $596.77

    Facility

    $53.12

    $50.81 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 0597T

    Office

    $706.37

    Facility

    $60.62

    $160.41 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 0597T

    Office

    $651.74

    Facility

    $57.05

    $105.78 higher than Beaumont for the office setting.

  • Queens

    New York · 0597T

    Office

    $701.61

    Facility

    $59.67

    $155.65 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 0597T

    Office

    $567.92

    Facility

    $51.98

    $21.96 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 0597T

    Office

    $547.80

    Facility

    $51.95

    $1.84 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 0597T

    Office

    $536.12

    Facility

    $51.14

    $9.84 lower than Beaumont for the office setting.

  • Portland

    Oregon · 0597T

    Office

    $658.78

    Facility

    $55.40

    $112.82 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 0597T

    Office

    $593.70

    Facility

    $52.78

    $47.74 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 0597T

    Office

    $620.52

    Facility

    $55.15

    $74.56 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 0597T

    Office

    $550.47

    Facility

    $51.91

    $4.51 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 0597T

    Office

    $602.68

    Facility

    $53.60

    $56.72 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 0597T

    Office

    $615.47

    Facility

    $54.45

    $69.51 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 0597T

    Office

    $553.64

    Facility

    $51.82

    $7.68 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 0597T

    Office

    $595.21

    Facility

    $52.11

    $49.25 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 0597T

    Office

    $544.61

    Facility

    $50.93

    $1.35 lower than Beaumont for the office setting.

  • Utah

    Utah · 0597T

    Office

    $562.71

    Facility

    $52.19

    $16.75 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 0597T

    Office

    $586.42

    Facility

    $52.56

    $40.46 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 0597T

    Office

    $602.68

    Facility

    $53.60

    $56.72 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 0597T

    Office

    $589.95

    Facility

    $52.28

    $43.99 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 0597T

    Office

    $626.21

    Facility

    $54.33

    $80.25 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 0597T

    Office

    $725.10

    Facility

    $58.72

    $179.14 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 0597T

    Office

    $571.61

    Facility

    $51.33

    $25.65 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 0597T

    Office

    $523.98

    Facility

    $52.03

    $21.98 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 0597T

    Office

    $596.02

    Facility

    $52.92

    $50.06 higher than Beaumont for the office setting.

See how rates vary across the country

0597T · 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.

$516.54

$748.54

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$649.111
AL$525.611
AR$516.541
AZ$578.881
CA$649.99–$847.0829
CO$632.381
CT$640.801
DC$698.371
DE$589.781
FL$572.89–$622.583
GA$536.39–$606.012
GU$672.481
HI$672.481
IA$547.691
ID$550.651
IL$548.91–$613.464
IN$554.601
KS$541.741
KY$534.161
LA$532.00–$563.752
MA$626.38–$706.452
MD$603.44–$698.373
ME$550.95–$590.762
MI$548.04–$578.302
MN$611.381
MO$519.14–$569.643
MS$518.111
MT$596.541
NC$558.271
ND$595.351
NE$552.141
NH$619.271
NJ$649.66–$688.502
NM$550.421
NV$596.771
NY$567.92–$706.375
OH$547.801
OK$536.121
OR$593.70–$658.782
PA$550.47–$620.522
PR$602.681
RI$615.471
SC$553.641
SD$595.211
TN$544.611
TX$545.96–$628.898
UT$562.711
VA$586.42–$698.372
VI$602.681
VT$589.951
WA$626.21–$725.102
WI$571.611
WV$523.981
WY$596.021

Explore 0597T on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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.

Why are the office and facility amounts different?

For 0597T in Beaumont, the physician’s office rate is $545.96 and the facility-setting rate is $51.74: a difference of $494.22.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 0597T in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$600.56

$545.96 × 110% = $600.56

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

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Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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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 0597T in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

550

Code
0597T
Physician work
1.02
Practice expense
16.78
Malpractice
0.06

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 0597T in Beaumont
ComponentRVULocality factorAdjusted
Physician work1.02× 1.0001.0200
Practice expense16.78× 0.91015.2698
Malpractice0.06× 0.9290.0557
Total RVUs16.3455
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$545.96

Open 0597T in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.021
Practice expense16.780.91
Malpractice0.060.929

(1.02 × 1 + 16.78 × 0.91 + 0.06 × 0.929) × $33.4009 = $545.96

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.021
Practice expense0.520.91
Malpractice0.060.929

(1.02 × 1 + 0.52 × 0.91 + 0.06 × 0.929) × $33.4009 = $51.74

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

0597T · Office / nonfacility

$545.96

Effective 2026-10-01

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

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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, 2026

    RVU26A

    No ratechanged to$545.96

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: No rate

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$545.96$51.74RVU26D
2026-07-01$545.96$51.74RVU26C
2026-04-01$545.96$51.74RVU26B
2026-01-01$545.96$51.74RVU26A
2025-10-01Contractor-pricedContractor-pricedRVU25D
2025-07-01Contractor-pricedContractor-pricedRVU25C
2025-04-01Contractor-pricedContractor-pricedRVU25B
2025-01-01Contractor-pricedContractor-pricedRVU25A

0597T billing questions

How is 0597T different from 0596T?

0596T describes the first insertion of the temporary femoral intravascular valve-pump. Use 0597T when the documented procedure replaces an existing pump.

Should modifier 50 be reported for replacement on both sides?

No. This code describes a procedure that is not reported as a bilateral service, so modifier 50 is inappropriate.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure’s 0-day global period.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.

Can an assistant surgeon or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.

What should the procedure note document?

Identify the temporary pump already in place, the femoral access site, and the replacement performed. Document the reason for the exchange and the device involved.

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.

RVUs for 0597TPPRRVU2026_Oct_nonQPP.csv, line 550 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)