No office rate
Both cover replacement of an intracorporeal VAD pump; the distinction is whether cardiopulmonary bypass is used.
On this page
CMS RVU26D · Effective 2026-10-01
33982 VAD pump replacement Medicare reimbursement rates in Hawaii
Reports replacement of an implanted intracorporeal ventricular assist device pump when cardiopulmonary bypass is not used during the operation. Compare 33982 office and facility rates across CMS payment localities in Hawaii.
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 33982 in Hawaii?
Hawaii 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
$1691.46
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
Cardiac surgery
About 33982: Intracorporeal VAD pump replacement without bypass
Reports replacement of an implanted intracorporeal ventricular assist device pump when cardiopulmonary bypass is not used during the operation.
This code describes operative replacement of the pump in an intracorporeal ventricular assist device (VAD), a form of mechanical circulatory support. It applies when the pump is implanted within the body and the replacement is performed without cardiopulmonary bypass. A cardiac surgeon typically performs the exchange in an operating room; the operative report should identify the pump being replaced and the bypass approach used.
Choose this code for an intracorporeal pump replacement without bypass, not for replacement of an external pump or an intracorporeal pump replacement performed with bypass. Documentation should establish that the service was a pump replacement, rather than initial VAD implantation or device removal alone. When multiple procedures are performed in the same session, CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full and the others at 50%.
CMS billing rules for 33982
- 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 RVU36.91 · 69%
- Practice expense (office) RVU7.57 · 14%
- Malpractice RVU8.85 · 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.
33982 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
Use 33981 for replacement of an external VAD pump. Code 33982 is for an intracorporeal pump replaced without bypass.
No office rate
Code 33979 describes implantation of an intracorporeal VAD; 33982 describes replacement of an existing intracorporeal pump.
No office rate
Code 33980 is for intracorporeal VAD removal, not replacement of the pump.
Compare 33982 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$1691.46
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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 33982 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
4,166
- Code
- 33982
- Physician work
- 36.91
- Practice expense
- 7.57
- Malpractice
- 8.85
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 36.91 | × 1.000 | 36.9100 |
| Practice expense | 7.57 | × 1.137 | 8.6071 |
| Malpractice | 8.85 | × 0.579 | 5.1241 |
| Total RVUs | 50.6412 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$1691.46
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 36.91 | 1 |
| Practice expense | 7.57 | 1.137 |
| Malpractice | 8.85 | 0.579 |
(36.91 × 1 + 7.57 × 1.137 + 8.85 × 0.579) × $33.4009 = $1691.46
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.
33982 billing questions
How does this differ from 33983?
Both describe replacement of an intracorporeal VAD pump. Use 33982 when cardiopulmonary bypass is not used and 33983 when it is used.
How does this differ from 33981?
Code 33981 is for replacement of an external VAD pump. Code 33982 is for an intracorporeal pump replaced without cardiopulmonary bypass.
What documentation supports 33982?
The operative report should identify the intracorporeal VAD pump that was replaced and state whether cardiopulmonary bypass was used.
Can another procedure be reported in the same session?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50% under the standard multiple procedure reduction.
Is 33982 for initial VAD implantation?
No. It describes replacement of an existing intracorporeal VAD pump; initial implantation is a different service.
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.
4,16333979,,Insert intracorporeal device,A,,36.56,7.38,NA,7.38,,9.01,52.95,52.95,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,16433980,,Remove intracorporeal device,A,,32.66,8.26,NA,8.26,,8.07,48.99,48.99,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,16533981,,Replace vad pump ext,A,,15.71,3.23,NA,3.23,,3.75,22.69,22.69,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,16633982,,Replace vad intra w/o bp,A,,36.91,7.57,NA,7.57,,8.85,53.33,53.33,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,16733983,,Replace vad intra w/bp,A,,43.43,8.92,NA,8.92,,10.43,62.78,62.78,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,16833984,,Ecmo/ecls rmvl prph cannula,A,,5.32,1.11,NA,1.11,,1.31,7.74,7.74,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,16933985,,Ecmo/ecls rmvl ctr cannula,A,,9.64,2.13,NA,2.13,,2.32,14.09,14.09,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014