No office rate
33967 reports percutaneous insertion; 33968 reports percutaneous removal of the intra-aortic balloon pump.
On this page
CMS RVU26D · Effective 2026-10-01
33967 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$213.53
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.
Cardiac support procedure
About 33967: Percutaneous intra-aortic balloon pump insertion
Reports percutaneous placement of an intra-aortic balloon pump for temporary circulatory support, such as in cardiogenic shock or selected high-risk cardiac procedures.
This service places an intra-aortic balloon catheter through percutaneous arterial access, commonly in a hospital catheterization laboratory or operating room. The balloon sits in the aorta and provides counterpulsation to support circulation. Cardiologists and cardiothoracic surgeons commonly perform the insertion for patients needing temporary hemodynamic support, including some patients with cardiogenic shock or undergoing high-risk cardiac procedures.
Report 33967 for the percutaneous insertion itself, not for removal or insertion by a nonpercutaneous approach. The procedure note should establish the indication, access technique, and device placement. The 0-day global period includes same-day preoperative and postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 33967
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.72 · 70%
- Practice expense (office) RVU0.92 · 14%
- Malpractice RVU1.09 · 16%
9.9K
Medicare services in 2024 · #1470 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.
33967 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
Both describe intra-aortic balloon pump insertion, but 33970 is for a nonpercutaneous approach.
No office rate
33990 describes percutaneous insertion of a ventricular assist device, not placement of an intra-aortic balloon pump.
The same code, a different location
How does Chico compare?
33967 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 33967
Office
Unavailable
Facility
$213.53
No comparable office rate is available.
Modesto
California · 33967
Office
Unavailable
Facility
$213.53
No comparable office rate is available.
Napa
California · 33967
Office
Unavailable
Facility
$226.58
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33967
Office
Unavailable
Facility
$221.07
No comparable office rate is available.
Redding
California · 33967
Office
Unavailable
Facility
$213.53
No comparable office rate is available.
Rest Of California
California · 33967
Office
Unavailable
Facility
$213.53
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33967
Office
Unavailable
Facility
$225.22
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33967
Office
Unavailable
Facility
$218.58
No comparable office rate is available.
Salinas
California · 33967
Office
Unavailable
Facility
$217.67
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33967
Office
Unavailable
Facility
$218.87
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33967
Office
Unavailable
Facility
$232.67
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33967
Office
Unavailable
Facility
$231.43
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33967
Office
Unavailable
Facility
$238.82
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33967
Office
Unavailable
Facility
$233.76
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33967
Office
Unavailable
Facility
$214.85
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33967
Office
Unavailable
Facility
$217.81
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33967
Office
Unavailable
Facility
$217.41
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33967
Office
Unavailable
Facility
$219.63
No comparable office rate is available.
Stockton
California · 33967
Office
Unavailable
Facility
$213.53
No comparable office rate is available.
Vallejo
California · 33967
Office
Unavailable
Facility
$224.80
No comparable office rate is available.
Visalia
California · 33967
Office
Unavailable
Facility
$213.53
No comparable office rate is available.
Yuba City
California · 33967
Office
Unavailable
Facility
$213.53
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33967
Office
Unavailable
Facility
$242.88
No comparable office rate is available.
Miami
Florida · 33967
Office
Unavailable
Facility
$281.71
No comparable office rate is available.
Chicago
Illinois · 33967
Office
Unavailable
Facility
$273.19
No comparable office rate is available.
Manhattan
New York · 33967
Office
Unavailable
Facility
$261.19
No comparable office rate is available.
Alaska*
Alaska · 33967
Office
Unavailable
Facility
$289.26
No comparable office rate is available.
Alabama
Alabama · 33967
Office
Unavailable
Facility
$205.15
No comparable office rate is available.
Arkansas
Arkansas · 33967
Office
Unavailable
Facility
$202.80
No comparable office rate is available.
Arizona
Arizona · 33967
Office
Unavailable
Facility
$218.59
No comparable office rate is available.
Colorado
Colorado · 33967
Office
Unavailable
Facility
$220.67
No comparable office rate is available.
Connecticut
Connecticut · 33967
Office
Unavailable
Facility
$237.95
No comparable office rate is available.
Delaware
Delaware · 33967
Office
Unavailable
Facility
$221.53
No comparable office rate is available.
Fort Lauderdale
Florida · 33967
Office
Unavailable
Facility
$254.60
No comparable office rate is available.
Rest Of Florida
Florida · 33967
Office
Unavailable
Facility
$241.75
No comparable office rate is available.
Atlanta
Georgia · 33967
Office
Unavailable
Facility
$233.07
No comparable office rate is available.
Rest Of Georgia
Georgia · 33967
Office
Unavailable
Facility
$228.46
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33967
Office
Unavailable
Facility
$213.67
No comparable office rate is available.
Iowa
Iowa · 33967
Office
Unavailable
Facility
$200.22
No comparable office rate is available.
Idaho
Idaho · 33967
Office
Unavailable
Facility
$203.14
No comparable office rate is available.
East St. Louis
Illinois · 33967
Office
Unavailable
Facility
$259.25
No comparable office rate is available.
Rest Of Illinois
Illinois · 33967
Office
Unavailable
Facility
$242.61
No comparable office rate is available.
Suburban Chicago
Illinois · 33967
Office
Unavailable
Facility
$254.83
No comparable office rate is available.
Indiana
Indiana · 33967
Office
Unavailable
Facility
$203.83
No comparable office rate is available.
Kansas
Kansas · 33967
Office
Unavailable
Facility
$203.78
No comparable office rate is available.
Kentucky
Kentucky · 33967
Office
Unavailable
Facility
$218.28
No comparable office rate is available.
New Orleans
Louisiana · 33967
Office
Unavailable
Facility
$227.93
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33967
Office
Unavailable
Facility
$219.73
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33967
Office
Unavailable
Facility
$233.21
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33967
Office
Unavailable
Facility
$221.55
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33967
Office
Unavailable
Facility
$238.18
No comparable office rate is available.
Rest Of Maryland
Maryland · 33967
Office
Unavailable
Facility
$223.75
No comparable office rate is available.
Rest Of Maine
Maine · 33967
Office
Unavailable
Facility
$208.57
No comparable office rate is available.
Southern Maine
Maine · 33967
Office
Unavailable
Facility
$211.08
No comparable office rate is available.
Detroit
Michigan · 33967
Office
Unavailable
Facility
$248.69
No comparable office rate is available.
Rest Of Michigan
Michigan · 33967
Office
Unavailable
Facility
$226.81
No comparable office rate is available.
Minnesota
Minnesota · 33967
Office
Unavailable
Facility
$200.05
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33967
Office
Unavailable
Facility
$222.08
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33967
Office
Unavailable
Facility
$223.39
No comparable office rate is available.
Rest Of Missouri
Missouri · 33967
Office
Unavailable
Facility
$219.60
No comparable office rate is available.
Mississippi
Mississippi · 33967
Office
Unavailable
Facility
$211.01
No comparable office rate is available.
Montana**
Montana · 33967
Office
Unavailable
Facility
$224.72
No comparable office rate is available.
North Carolina
North Carolina · 33967
Office
Unavailable
Facility
$209.59
No comparable office rate is available.
North Dakota**
North Dakota · 33967
Office
Unavailable
Facility
$203.16
No comparable office rate is available.
Nebraska
Nebraska · 33967
Office
Unavailable
Facility
$199.78
No comparable office rate is available.
New Hampshire
New Hampshire · 33967
Office
Unavailable
Facility
$221.50
No comparable office rate is available.
Northern Nj
New Jersey · 33967
Office
Unavailable
Facility
$242.11
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33967
Office
Unavailable
Facility
$237.45
No comparable office rate is available.
New Mexico
New Mexico · 33967
Office
Unavailable
Facility
$229.56
No comparable office rate is available.
Nevada**
Nevada · 33967
Office
Unavailable
Facility
$218.74
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33967
Office
Unavailable
Facility
$271.89
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33967
Office
Unavailable
Facility
$242.45
No comparable office rate is available.
Queens
New York · 33967
Office
Unavailable
Facility
$256.56
No comparable office rate is available.
Rest Of New York
New York · 33967
Office
Unavailable
Facility
$212.44
No comparable office rate is available.
Ohio
Ohio · 33967
Office
Unavailable
Facility
$222.41
No comparable office rate is available.
Oklahoma
Oklahoma · 33967
Office
Unavailable
Facility
$213.38
No comparable office rate is available.
Portland
Oregon · 33967
Office
Unavailable
Facility
$221.40
No comparable office rate is available.
Rest Of Oregon
Oregon · 33967
Office
Unavailable
Facility
$213.85
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33967
Office
Unavailable
Facility
$235.91
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33967
Office
Unavailable
Facility
$220.27
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33967
Office
Unavailable
Facility
$224.58
No comparable office rate is available.
Rhode Island
Rhode Island · 33967
Office
Unavailable
Facility
$224.87
No comparable office rate is available.
South Carolina
South Carolina · 33967
Office
Unavailable
Facility
$216.99
No comparable office rate is available.
South Dakota**
South Dakota · 33967
Office
Unavailable
Facility
$200.61
No comparable office rate is available.
Tennessee
Tennessee · 33967
Office
Unavailable
Facility
$205.14
No comparable office rate is available.
Austin
Texas · 33967
Office
Unavailable
Facility
$222.74
No comparable office rate is available.
Beaumont
Texas · 33967
Office
Unavailable
Facility
$219.44
No comparable office rate is available.
Brazoria
Texas · 33967
Office
Unavailable
Facility
$217.76
No comparable office rate is available.
Dallas
Texas · 33967
Office
Unavailable
Facility
$220.91
No comparable office rate is available.
Fort Worth
Texas · 33967
Office
Unavailable
Facility
$221.08
No comparable office rate is available.
Galveston
Texas · 33967
Office
Unavailable
Facility
$219.57
No comparable office rate is available.
Houston
Texas · 33967
Office
Unavailable
Facility
$239.52
No comparable office rate is available.
Rest Of Texas
Texas · 33967
Office
Unavailable
Facility
$219.69
No comparable office rate is available.
Utah
Utah · 33967
Office
Unavailable
Facility
$219.23
No comparable office rate is available.
Virginia
Virginia · 33967
Office
Unavailable
Facility
$213.56
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33967
Office
Unavailable
Facility
$224.58
No comparable office rate is available.
Vermont
Vermont · 33967
Office
Unavailable
Facility
$206.50
No comparable office rate is available.
Rest Of Washington
Washington · 33967
Office
Unavailable
Facility
$219.76
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33967
Office
Unavailable
Facility
$232.98
No comparable office rate is available.
Wisconsin
Wisconsin · 33967
Office
Unavailable
Facility
$198.30
No comparable office rate is available.
West Virginia
West Virginia · 33967
Office
Unavailable
Facility
$236.45
No comparable office rate is available.
Wyoming**
Wyoming · 33967
Office
Unavailable
Facility
$215.32
No comparable office rate is available.
See how rates vary across the country
33967 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 33967 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$234.88
$213.53 × 110% = $234.88
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 33967 in Chico.
PPRRVU2026_Oct_nonQPP.csv
4,152
- Code
- 33967
- Physician work
- 4.72
- Practice expense
- 0.92
- Malpractice
- 1.09
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.72 | × 1.017 | 4.8002 |
| Practice expense | 0.92 | × 1.096 | 1.0083 |
| Malpractice | 1.09 | × 0.536 | 0.5842 |
| Total RVUs | 6.3928 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$213.53
Open 33967 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.72 | 1.017 |
| Practice expense | 0.92 | 1.096 |
| Malpractice | 1.09 | 0.536 |
(4.72 × 1.017 + 0.92 × 1.096 + 1.09 × 0.536) × $33.4009 = $213.53
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
33967 · 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 | $213.53 | RVU26D |
| 2026-07-01 | Not available in this setting | $213.53 | RVU26C |
| 2026-04-01 | Not available in this setting | $213.53 | RVU26B |
| 2026-01-01 | Not available in this setting | $213.53 | RVU26A |
| 2025-10-01 | Not available in this setting | $237.01 | RVU25D |
| 2025-07-01 | Not available in this setting | $237.01 | RVU25C |
| 2025-04-01 | Not available in this setting | $237.01 | RVU25B |
| 2025-01-01 | Not available in this setting | $237.01 | RVU25A |
33967 billing questions
How does 33967 differ from 33970?
33967 is for percutaneous balloon-pump insertion. Use 33970 for insertion by a nonpercutaneous approach.
Is removal included in 33967?
No. Code 33967 reports insertion; 33968 is the percutaneous removal code.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the global period.
Can modifier 50 be reported?
No. Bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
When is assistant-at-surgery payment allowed?
It is allowed only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.
How does 33967 differ from percutaneous ventricular assist device insertion?
33967 is for an intra-aortic balloon pump. Codes such as 33990 and 33991 describe percutaneous ventricular assist device insertion, a different form of circulatory support.
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.
4,14933964,,Ecmo/ecls repos perph cnula,A,,9.26,2.05,NA,2.05,,2.21,13.52,13.52,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15033965,,Ecmo/ecls rmvl perph cannula,A,,3.42,0.85,NA,0.85,,0.82,5.09,5.09,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15133966,,Ecmo/ecls rmvl prph cannula,A,,4.39,1.04,NA,1.04,,1.03,6.46,6.46,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15233967,,Insert i-aort percut device,A,,4.72,0.92,NA,0.92,,1.09,6.73,6.73,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15333968,,Remove aortic assist device,A,,0.62,0.13,NA,0.13,,0.14,0.89,0.89,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15433969,,Ecmo/ecls rmvl perph cannula,A,,5.09,1.19,NA,1.19,,1.22,7.50,7.50,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536