$918.91–$1,188.27
Use 93451 for a standalone right heart catheterization when a pulmonary artery pressure sensor is not implanted. The catheterization integral to sensor placement is included in 33289.
On this page
CMS RVU26D · Effective 2026-10-01
33289 Pressure sensor implant Medicare reimbursement rates in California
Implants a wireless pulmonary artery pressure sensor by catheter for long-term hemodynamic monitoring, commonly to guide management of heart failure. Compare 33289 office and facility rates across CMS payment localities in California.
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 33289 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$273.83–$308.99
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $35.16 per service.
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.
Where 33289 pays more and less in California
Cardiology procedure
About 33289: Transcatheter pulmonary artery pressure sensor implantation
Implants a wireless pulmonary artery pressure sensor by catheter for long-term hemodynamic monitoring, commonly to guide management of heart failure.
An interventional cardiologist places a wireless pressure sensor in a pulmonary artery branch using a transcatheter approach. The procedure includes right heart catheterization and placement of the sensor for long-term hemodynamic monitoring; the patient later uses an external reader to transmit pressure readings. It is typically performed in a hospital or other facility setting for patients whose clinicians need ongoing pulmonary artery pressure data, such as in heart failure management.
Report 33289 for the sensor implantation service, not for pressure readings collected after the procedure. The operative record should support transcatheter sensor placement and the associated catheterization. The right heart catheterization integral to implantation is included in the service. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted. A bilateral modifier is inappropriate for this procedure.
CMS billing rules for 33289
- 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 RVU5.85 · 69%
- Practice expense (office) RVU1.47 · 17%
- Malpractice RVU1.19 · 14%
2.9K
Medicare services in 2024 · #2198 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.
33289 compared with similar codes
Office rates for California, from the same CMS release.
$55.11–$67.05
93264 describes remote monitoring of an implanted wireless pulmonary artery pressure sensor over a monitoring period; 33289 is the implantation procedure.
$4,386.61–$5,758.05
33285 implants a subcutaneous cardiac rhythm monitor. It monitors cardiac rhythm, unlike 33289, which implants a sensor for pulmonary artery pressure monitoring.
Compare 33289 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office Unavailable | Facility $277.13 |
| Chico | Office Unavailable | Facility $273.83 |
| El Centro | Office Unavailable | Facility $274.03 |
| Fresno | Office Unavailable | Facility $273.83 |
| Hanford-Corcoran | Office Unavailable | Facility $273.83 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $287.88 |
| Madera | Office Unavailable | Facility $273.83 |
| Merced | Office Unavailable | Facility $273.83 |
| Modesto | Office Unavailable | Facility $273.83 |
| Napa | Office Unavailable | Facility $292.61 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $283.66 |
| Redding | Office Unavailable | Facility $273.83 |
| Rest Of California | Office Unavailable | Facility $273.83 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $286.63 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $280.84 |
| Salinas | Office Unavailable | Facility $279.66 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $281.52 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $301.43 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $300.08 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $308.99 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $303.47 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $275.95 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $280.46 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $279.42 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $282.86 |
| Stockton | Office Unavailable | Facility $273.83 |
| Vallejo | Office Unavailable | Facility $290.66 |
| Visalia | Office Unavailable | Facility $273.83 |
| Yuba City | Office Unavailable | Facility $273.83 |
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33289 billing questions
How is 33289 different from a standalone right heart catheterization?
33289 describes transcatheter implantation of a wireless pulmonary artery pressure sensor and includes the right heart catheterization integral to placement. A standalone diagnostic catheterization without sensor implantation is a different service.
Can the integral right heart catheterization be reported separately?
Do not separately report the catheterization work that is part of the sensor implantation service. Code 33289 includes right heart catheterization.
Does 33289 cover remote pressure monitoring after implantation?
No. 33289 covers implantation; remote collection and review of readings are a separate monitoring service, such as the service described by 93264.
What documentation supports reporting 33289?
Document the transcatheter implantation of the wireless pulmonary artery pressure sensor and the associated catheterization. The record should establish that a sensor was placed, rather than only diagnostic pressure measurements being obtained.
How does the multiple-procedure rule affect 33289?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard reduction to the others. The rule is based on the procedures performed in that session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery 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.
3,90633286,,Rmvl subq car rhythm mntr,A,,1.46,2.04,,0.42,,0.36,3.86,2.24,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,90733287,,Rmv&rplcmt phrnc nrv stim pg,A,,5.90,2.97,NA,2.97,,1.34,10.21,10.21,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,90833288,,Rmv&rplcmt phrnc nrv stim ld,A,,8.30,3.52,NA,3.52,,1.84,13.66,13.66,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,90933289,,Tcat impl wrls p-art prs snr,A,,5.85,1.47,NA,1.47,,1.19,8.51,8.51,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,9103328F,,Prfrmnc docd 2 wks b/4 surg,I,,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
3,91133300,,Repair of heart wound,A,,43.85,13.23,NA,13.23,,10.85,67.93,67.93,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,91233305,,Repair of heart wound,A,,75.01,19.13,NA,19.13,,18.66,112.80,112.80,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00