33928
No office rateRmvl & rplcmt tot hrt sys
33927 describes initial implantation with recipient cardiectomy. 33928 is for removing and replacing a total replacement heart system already in place.
On this page
CMS RVU26D · Effective 2026-10-01
33927 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2183.78
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 surgery
About 33927: Total artificial heart implantation
Report total artificial heart implantation, including removal of the recipient’s heart, for patients requiring complete ventricular replacement.
This operation implants a total replacement heart system, an artificial heart that takes over the pumping work of both ventricles. The procedure includes cardiectomy, or removal of the recipient’s heart. Cardiothoracic surgeons perform it in an operating room, generally for patients with end-stage biventricular failure who need complete ventricular support, often while awaiting transplantation. It is distinct from implanting a ventricular assist device that supports only one ventricle.
Report 33927 for the initial implantation with recipient cardiectomy, not for later removal and replacement of an existing system. The operative report should identify the indication, removal of the recipient’s heart, and implantation of the total replacement heart system. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50% under the standard multiple-procedure rule.
CMS billing rules for 33927
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU47.78 · 69%
- Practice expense (office) RVU9.42 · 14%
- Malpractice RVU12.06 · 17%
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.
33927 compared with similar codes
Office rates for Redding, from the same CMS release.
33929
No office rateRmvl rplcmt hrt sys f/trnspl
33927 is the initial total artificial heart implant. 33929 describes removal and replacement of the system in the heart-transplant setting.
33945
No office rateTransplantation of heart
33945 reports transplantation of a donor heart. 33927 reports implantation of a total artificial heart, including recipient cardiectomy.
The same code, a different location
How does Redding compare?
33927 across payment areas
Same release and payment basis · bars start at $0
Redding · 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.
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
Madera
California · 33927
Office
Unavailable
Facility
$2183.78
No comparable office rate is available.
Merced
California · 33927
Office
Unavailable
Facility
$2183.78
No comparable office rate is available.
Modesto
California · 33927
Office
Unavailable
Facility
$2183.78
No comparable office rate is available.
Napa
California · 33927
Office
Unavailable
Facility
$2315.76
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33927
Office
Unavailable
Facility
$2263.43
No comparable office rate is available.
Rest Of California
California · 33927
Office
Unavailable
Facility
$2183.78
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33927
Office
Unavailable
Facility
$2313.06
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33927
Office
Unavailable
Facility
$2235.18
No comparable office rate is available.
Salinas
California · 33927
Office
Unavailable
Facility
$2225.94
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33927
Office
Unavailable
Facility
$2238.40
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33927
Office
Unavailable
Facility
$2376.03
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33927
Office
Unavailable
Facility
$2362.34
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33927
Office
Unavailable
Facility
$2441.06
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33927
Office
Unavailable
Facility
$2385.07
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33927
Office
Unavailable
Facility
$2197.30
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33927
Office
Unavailable
Facility
$2227.60
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33927
Office
Unavailable
Facility
$2223.35
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33927
Office
Unavailable
Facility
$2246.05
No comparable office rate is available.
Stockton
California · 33927
Office
Unavailable
Facility
$2183.78
No comparable office rate is available.
Vallejo
California · 33927
Office
Unavailable
Facility
$2296.02
No comparable office rate is available.
Visalia
California · 33927
Office
Unavailable
Facility
$2183.78
No comparable office rate is available.
Yuba City
California · 33927
Office
Unavailable
Facility
$2183.78
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33927
Office
Unavailable
Facility
$2501.05
No comparable office rate is available.
Miami
Florida · 33927
Office
Unavailable
Facility
$2942.15
No comparable office rate is available.
Chicago
Illinois · 33927
Office
Unavailable
Facility
$2847.74
No comparable office rate is available.
Manhattan
New York · 33927
Office
Unavailable
Facility
$2702.50
No comparable office rate is available.
Alaska*
Alaska · 33927
Office
Unavailable
Facility
$2950.88
No comparable office rate is available.
Alabama
Alabama · 33927
Office
Unavailable
Facility
$2099.20
No comparable office rate is available.
Arkansas
Arkansas · 33927
Office
Unavailable
Facility
$2073.62
No comparable office rate is available.
Arizona
Arizona · 33927
Office
Unavailable
Facility
$2245.59
No comparable office rate is available.
Colorado
Colorado · 33927
Office
Unavailable
Facility
$2264.42
No comparable office rate is available.
Connecticut
Connecticut · 33927
Office
Unavailable
Facility
$2454.08
No comparable office rate is available.
Delaware
Delaware · 33927
Office
Unavailable
Facility
$2276.87
No comparable office rate is available.
Fort Lauderdale
Florida · 33927
Office
Unavailable
Facility
$2642.91
No comparable office rate is available.
Rest Of Florida
Florida · 33927
Office
Unavailable
Facility
$2502.12
No comparable office rate is available.
Atlanta
Georgia · 33927
Office
Unavailable
Facility
$2404.13
No comparable office rate is available.
Rest Of Georgia
Georgia · 33927
Office
Unavailable
Facility
$2356.71
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33927
Office
Unavailable
Facility
$2186.87
No comparable office rate is available.
Iowa
Iowa · 33927
Office
Unavailable
Facility
$2043.70
No comparable office rate is available.
Idaho
Idaho · 33927
Office
Unavailable
Facility
$2075.89
No comparable office rate is available.
East St. Louis
Illinois · 33927
Office
Unavailable
Facility
$2696.63
No comparable office rate is available.
Rest Of Illinois
Illinois · 33927
Office
Unavailable
Facility
$2512.76
No comparable office rate is available.
Suburban Chicago
Illinois · 33927
Office
Unavailable
Facility
$2643.99
No comparable office rate is available.
Indiana
Indiana · 33927
Office
Unavailable
Facility
$2083.33
No comparable office rate is available.
Kansas
Kansas · 33927
Office
Unavailable
Facility
$2083.35
No comparable office rate is available.
Kentucky
Kentucky · 33927
Office
Unavailable
Facility
$2244.18
No comparable office rate is available.
New Orleans
Louisiana · 33927
Office
Unavailable
Facility
$2349.57
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33927
Office
Unavailable
Facility
$2260.24
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33927
Office
Unavailable
Facility
$2395.51
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33927
Office
Unavailable
Facility
$2273.78
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33927
Office
Unavailable
Facility
$2457.32
No comparable office rate is available.
Rest Of Maryland
Maryland · 33927
Office
Unavailable
Facility
$2300.05
No comparable office rate is available.
Rest Of Maine
Maine · 33927
Office
Unavailable
Facility
$2135.91
No comparable office rate is available.
Southern Maine
Maine · 33927
Office
Unavailable
Facility
$2161.88
No comparable office rate is available.
Detroit
Michigan · 33927
Office
Unavailable
Facility
$2578.67
No comparable office rate is available.
Rest Of Michigan
Michigan · 33927
Office
Unavailable
Facility
$2337.94
No comparable office rate is available.
Minnesota
Minnesota · 33927
Office
Unavailable
Facility
$2038.89
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33927
Office
Unavailable
Facility
$2284.89
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33927
Office
Unavailable
Facility
$2299.05
No comparable office rate is available.
Rest Of Missouri
Missouri · 33927
Office
Unavailable
Facility
$2259.45
No comparable office rate is available.
Mississippi
Mississippi · 33927
Office
Unavailable
Facility
$2164.48
No comparable office rate is available.
Montana**
Montana · 33927
Office
Unavailable
Facility
$2312.54
No comparable office rate is available.
North Carolina
North Carolina · 33927
Office
Unavailable
Facility
$2146.85
No comparable office rate is available.
North Dakota**
North Dakota · 33927
Office
Unavailable
Facility
$2074.07
No comparable office rate is available.
Nebraska
Nebraska · 33927
Office
Unavailable
Facility
$2038.57
No comparable office rate is available.
New Hampshire
New Hampshire · 33927
Office
Unavailable
Facility
$2275.89
No comparable office rate is available.
Northern Nj
New Jersey · 33927
Office
Unavailable
Facility
$2491.62
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33927
Office
Unavailable
Facility
$2445.20
No comparable office rate is available.
New Mexico
New Mexico · 33927
Office
Unavailable
Facility
$2368.20
No comparable office rate is available.
Nevada**
Nevada · 33927
Office
Unavailable
Facility
$2246.39
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33927
Office
Unavailable
Facility
$2820.16
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33927
Office
Unavailable
Facility
$2499.64
No comparable office rate is available.
Queens
New York · 33927
Office
Unavailable
Facility
$2650.79
No comparable office rate is available.
Rest Of New York
New York · 33927
Office
Unavailable
Facility
$2177.98
No comparable office rate is available.
Ohio
Ohio · 33927
Office
Unavailable
Facility
$2289.20
No comparable office rate is available.
Oklahoma
Oklahoma · 33927
Office
Unavailable
Facility
$2189.85
No comparable office rate is available.
Portland
Oregon · 33927
Office
Unavailable
Facility
$2270.68
No comparable office rate is available.
Rest Of Oregon
Oregon · 33927
Office
Unavailable
Facility
$2192.45
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33927
Office
Unavailable
Facility
$2432.72
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33927
Office
Unavailable
Facility
$2265.39
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33927
Office
Unavailable
Facility
$2310.77
No comparable office rate is available.
Rhode Island
Rhode Island · 33927
Office
Unavailable
Facility
$2310.55
No comparable office rate is available.
South Carolina
South Carolina · 33927
Office
Unavailable
Facility
$2229.01
No comparable office rate is available.
South Dakota**
South Dakota · 33927
Office
Unavailable
Facility
$2045.88
No comparable office rate is available.
Tennessee
Tennessee · 33927
Office
Unavailable
Facility
$2098.21
No comparable office rate is available.
Austin
Texas · 33927
Office
Unavailable
Facility
$2288.87
No comparable office rate is available.
Beaumont
Texas · 33927
Office
Unavailable
Facility
$2256.43
No comparable office rate is available.
Brazoria
Texas · 33927
Office
Unavailable
Facility
$2234.66
No comparable office rate is available.
Dallas
Texas · 33927
Office
Unavailable
Facility
$2269.25
No comparable office rate is available.
Fort Worth
Texas · 33927
Office
Unavailable
Facility
$2271.34
No comparable office rate is available.
Galveston
Texas · 33927
Office
Unavailable
Facility
$2254.63
No comparable office rate is available.
Houston
Texas · 33927
Office
Unavailable
Facility
$2475.37
No comparable office rate is available.
Rest Of Texas
Texas · 33927
Office
Unavailable
Facility
$2258.23
No comparable office rate is available.
Utah
Utah · 33927
Office
Unavailable
Facility
$2253.38
No comparable office rate is available.
Virginia
Virginia · 33927
Office
Unavailable
Facility
$2189.57
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33927
Office
Unavailable
Facility
$2310.77
No comparable office rate is available.
Vermont
Vermont · 33927
Office
Unavailable
Facility
$2111.21
No comparable office rate is available.
Rest Of Washington
Washington · 33927
Office
Unavailable
Facility
$2254.50
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33927
Office
Unavailable
Facility
$2390.85
No comparable office rate is available.
Wisconsin
Wisconsin · 33927
Office
Unavailable
Facility
$2021.38
No comparable office rate is available.
West Virginia
West Virginia · 33927
Office
Unavailable
Facility
$2445.74
No comparable office rate is available.
Wyoming**
Wyoming · 33927
Office
Unavailable
Facility
$2208.61
No comparable office rate is available.
See how rates vary across the country
33927 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 33927 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2402.16
$2183.78 × 110% = $2402.16
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 33927 in Redding.
PPRRVU2026_Oct_nonQPP.csv
4,123
- Code
- 33927
- Physician work
- 47.78
- Practice expense
- 9.42
- Malpractice
- 12.06
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 47.78 | × 1.017 | 48.5923 |
| Practice expense | 9.42 | × 1.096 | 10.3243 |
| Malpractice | 12.06 | × 0.536 | 6.4642 |
| Total RVUs | 65.3807 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$2183.78
Open 33927 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 47.78 | 1.017 |
| Practice expense | 9.42 | 1.096 |
| Malpractice | 12.06 | 0.536 |
(47.78 × 1.017 + 9.42 × 1.096 + 12.06 × 0.536) × $33.4009 = $2183.78
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
33927 · 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 | $2183.78 | RVU26D |
| 2026-07-01 | Not available in this setting | $2183.78 | RVU26C |
| 2026-04-01 | Not available in this setting | $2183.78 | RVU26B |
| 2026-01-01 | Not available in this setting | $2183.78 | RVU26A |
| 2025-10-01 | Not available in this setting | $2308.35 | RVU25D |
| 2025-07-01 | Not available in this setting | $2308.35 | RVU25C |
| 2025-04-01 | Not available in this setting | $2308.35 | RVU25B |
| 2025-01-01 | Not available in this setting | $2308.35 | RVU25A |
33927 billing questions
How does 33927 differ from 33928?
Use 33927 for initial implantation of a total replacement heart system with recipient cardiectomy. Code 33928 describes removal and replacement of an existing total heart system.
Does 33927 include removal of the recipient’s heart?
Yes. Recipient cardiectomy is included in the implantation service.
Is this the code for an LVAD implant?
No. 33927 is for a total artificial heart replacing the pumping function of both ventricles; an LVAD supports the left ventricle.
What documentation supports 33927?
The operative report should establish that this was an initial total artificial heart implantation and document recipient cardiectomy and placement of the replacement system.
How does Medicare handle another procedure performed in the same session?
Under the standard multiple-procedure reduction, Medicare pays the highest-valued procedure in full and pays the other procedures at 50%.
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.
4,12033924,,Remove pulmonary shunt,A,,5.35,1.06,NA,1.06,,1.33,7.74,7.74,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12133925,,Rpr pul art unifocal w/o cpb,A,,30.52,9.65,NA,9.65,,7.69,47.86,47.86,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12233926,,Repr pul art unifocal w/cpb,A,,43.61,12.23,NA,12.23,,11.01,66.85,66.85,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12333927,,Impltj tot rplcmt hrt sys,A,,47.78,9.42,NA,9.42,,12.06,69.26,69.26,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12433928,,Rmvl & rplcmt tot hrt sys,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12533929,,Rmvl rplcmt hrt sys f/trnspl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12633930,,Removal of donor heart/lung,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536