No office rate
Choose 33990 for percutaneous left heart device insertion with arterial access only; 33995 is for right heart support through venous access.
On this page
CMS RVU26D · Effective 2026-10-01
33995 VAD insertion Medicare reimbursement rates in Arizona
Reports percutaneous placement of a venous right heart assist device to provide temporary mechanical support when right ventricular function is inadequate. Compare 33995 office and facility rates across CMS payment localities in Arizona.
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.
What does Medicare pay for 33995 in Arizona?
Arizona has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$304.09
1 of 1 localities have a supported rate.
Payment area: Arizona
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Cardiovascular surgery
About 33995: Percutaneous right heart assist device insertion
Reports percutaneous placement of a venous right heart assist device to provide temporary mechanical support when right ventricular function is inadequate.
CPT 33995 reports percutaneous placement of a ventricular assist device to support the right heart. An interventional cardiologist or cardiac surgeon typically advances the device through venous access and positions it to provide right-sided circulatory support. Placement is generally performed in a hospital setting, such as a catheterization laboratory, for patients who need temporary mechanical support because of right ventricular failure. The service includes the imaging guidance and interpretation associated with device placement.
Select this code for percutaneous right heart device insertion, rather than insertion of a left heart device. The operative report should identify the support indication, venous access, device placement, and imaging used to confirm position. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 33995
- 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 may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.58 · 70%
- Practice expense (office) RVU1.28 · 14%
- Malpractice RVU1.50 · 16%
376
Medicare services in 2024 · #3789 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.
33995 compared with similar codes
Office rates for Arizona, from the same CMS release.
No office rate
Choose 33991 for percutaneous left heart device insertion using arterial and venous access. The right heart insertion is reported with 33995.
No office rate
33997 describes removal of a percutaneous right heart assist device, not its initial insertion.
No office rate
33993 is for repositioning a percutaneous right or left heart device; 33995 is for right heart device insertion.
Compare 33995 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arizona →
Office / nonfacility
Unavailable
Facility
$304.09
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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 33995 in Arizona.
PPRRVU2026_Oct_nonQPP.csv
4,178
- Code
- 33995
- Physician work
- 6.58
- Practice expense
- 1.28
- Malpractice
- 1.50
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.58 | × 1.000 | 6.5800 |
| Practice expense | 1.28 | × 0.969 | 1.2403 |
| Malpractice | 1.50 | × 0.856 | 1.2840 |
| Total RVUs | 9.1043 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arizona$304.09
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.58 | 1 |
| Practice expense | 1.28 | 0.969 |
| Malpractice | 1.5 | 0.856 |
(6.58 × 1 + 1.28 × 0.969 + 1.5 × 0.856) × $33.4009 = $304.09
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.
33995 billing questions
How does 33995 differ from 33990 or 33991?
33995 is for percutaneous right heart support through venous access. Codes 33990 and 33991 describe percutaneous left heart device insertion, distinguished by their access configuration.
Is 33995 used for device removal or repositioning?
No. Report 33995 for insertion; 33997 describes removal of a percutaneous right heart device, and 33993 describes repositioning a percutaneous right or left heart device.
What documentation supports reporting 33995?
Document the right-sided support indication, venous access, device insertion and final position, and the imaging used during placement.
Can modifier 50 be appended for bilateral work?
No. The code’s anatomy and descriptor make bilateral adjustment inappropriate, so modifier 50 should not be used.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons and team surgery are not permitted for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic 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.
4,17533991,,Insj perq vad l hrt artl&ven,A,,8.62,1.77,NA,1.77,,2.06,12.45,12.45,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,17633992,,Rmvl perq left heart vad,A,,3.46,0.66,NA,0.66,,0.82,4.94,4.94,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,17733993,,Reposg perq r/l hrt vad,A,,3.02,0.66,NA,0.66,,0.58,4.26,4.26,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,17833995,,Insj perq vad r hrt venous,A,,6.58,1.28,NA,1.28,,1.50,9.36,9.36,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,17933997,,Rmvl perq right heart vad,A,,2.93,0.58,NA,0.58,,0.67,4.18,4.18,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18033999,,Unlisted px cardiac surgery,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,18134001,,Removal of artery clot,A,,17.43,3.11,NA,3.11,,4.46,25.00,25.00,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
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