No office rate
33967 identifies percutaneous insertion of an intra-aortic balloon assist device. Use the code whose CPT definition matches the documented insertion service.
On this page
CMS RVU26D · Effective 2026-10-01
33973 Balloon device Medicare reimbursement rates in Idaho
Reports insertion of an intra-aortic balloon assist device for temporary circulatory support, with code selection guided by the documented insertion service. Compare 33973 office and facility rates across CMS payment localities in Idaho.
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 33973 in Idaho?
Idaho 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
$413.43
1 of 1 localities have a supported rate.
Payment area: Idaho
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 assistance
About 33973: Intra-aortic balloon device insertion
Reports insertion of an intra-aortic balloon assist device for temporary circulatory support, with code selection guided by the documented insertion service.
An intra-aortic balloon assist device provides temporary circulatory support by counterpulsation. Placement may be needed for a patient with cardiogenic shock or inadequate cardiac output, including in an acute cardiac-care or post-cardiac-surgery setting. A cardiologist or cardiac surgeon typically performs the procedure in a hospital catheterization laboratory or operating room. The operative or procedure note should identify the balloon device, the insertion service performed, and the clinical reason for support.
Report this insertion code when the documented service matches its CPT definition; distinguish it from other balloon-device insertion codes by the specific procedure and approach documented. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33973
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.51 · 69%
- Practice expense (office) RVU1.95 · 14%
- Malpractice RVU2.27 · 17%
39
Medicare services in 2024 · #5518 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.
33973 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
33970 is another aortic circulation-assist insertion code. Distinguish it from 33973 by matching the documented procedure to the applicable CPT definition.
No office rate
33974 reports removal of an intra-aortic balloon device; 33973 concerns insertion.
Compare 33973 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
Idaho →
Office / nonfacility
Unavailable
Facility
$413.43
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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 33973 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
4,157
- Code
- 33973
- Physician work
- 9.51
- Practice expense
- 1.95
- Malpractice
- 2.27
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.51 | × 1.000 | 9.5100 |
| Practice expense | 1.95 | × 0.920 | 1.7940 |
| Malpractice | 2.27 | × 0.473 | 1.0737 |
| Total RVUs | 12.3777 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$413.43
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.51 | 1 |
| Practice expense | 1.95 | 0.92 |
| Malpractice | 2.27 | 0.473 |
(9.51 × 1 + 1.95 × 0.92 + 2.27 × 0.473) × $33.4009 = $413.43
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.
33973 billing questions
How should this code be distinguished from 33967?
Both involve intra-aortic balloon support, but 33967 identifies percutaneous insertion. Select the code that matches the specific insertion service documented and the applicable CPT definition.
Can removal be reported with this insertion code?
Removal is represented by a separate code, such as 33974. Report removal only when it is performed and documented as a distinct service.
Is modifier 50 appropriate?
No. The CMS bilateral adjustment does not apply, and the service's descriptor or anatomy makes modifier 50 inappropriate.
How does Medicare handle other procedures performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.
What should the procedure note support?
Document the clinical need for temporary circulatory support, the balloon device inserted, and the insertion service and approach performed so the selected code is supported.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
4,15433969,,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
4,15633971,,Aortic circulation assist,A,,11.69,5.64,NA,5.64,,2.77,20.10,20.10,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15733973,,Insert balloon device,A,,9.51,1.95,NA,1.95,,2.27,13.73,13.73,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15833974,,Remove intra-aortic balloon,A,,14.65,7.95,NA,7.95,,3.50,26.10,26.10,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,15933975,,Implant ventricular device,A,,24.38,4.87,NA,4.87,,6.02,35.27,35.27,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,16033976,,Implant ventricular device,A,,29.98,6.15,NA,6.15,,7.20,43.33,43.33,0,XXX,0.00,0.00,0.00,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772