No office rate
33979 is for insertion of an implantable intracorporeal device supporting one ventricle. Choose 33980 for removal of that type of device.
On this page
CMS RVU26D · Effective 2026-10-01
33980 VAD removal Medicare reimbursement rates in Indiana
Removal of an implanted intracorporeal ventricular assist device supporting one ventricle, such as during heart transplantation or when the device is no longer needed. Compare 33980 office and facility rates across CMS payment localities in Indiana.
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 33980 in Indiana?
Indiana 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
$1477.62
1 of 1 localities have a supported rate.
Payment area: Indiana
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 33980: Intracorporeal ventricular assist device removal
Removal of an implanted intracorporeal ventricular assist device supporting one ventricle, such as during heart transplantation or when the device is no longer needed.
CPT 33980 covers surgical removal of an implantable ventricular assist device located within the body and supporting a single ventricle. A cardiothoracic surgeon typically performs the procedure in an operating room. A common clinical situation is removal of the device during heart transplantation; removal may also be needed when the patient no longer requires mechanical support or the device must be taken out for a clinical reason.
Report the code for removal of the intracorporeal device, not for its initial placement or replacement of a pump while retaining the device. The operative report should establish the device’s implantable, intracorporeal configuration, single-ventricle support, and the removal performed. When multiple procedures occur during the same session, Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others: they are paid at 50%.
CMS billing rules for 33980
- 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 RVU32.66 · 67%
- Practice expense (office) RVU8.26 · 17%
- Malpractice RVU8.07 · 16%
189
Medicare services in 2024 · #4367 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.
33980 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
33977 describes removal of an extracorporeal device supporting one ventricle; 33980 is for an implantable intracorporeal device.
No office rate
33982 describes pump replacement while the intracorporeal device is retained, without cardiopulmonary bypass. 33980 describes device removal.
Compare 33980 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
Indiana →
Office / nonfacility
Unavailable
Facility
$1477.62
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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 33980 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
4,164
- Code
- 33980
- Physician work
- 32.66
- Practice expense
- 8.26
- Malpractice
- 8.07
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 32.66 | × 1.000 | 32.6600 |
| Practice expense | 8.26 | × 0.927 | 7.6570 |
| Malpractice | 8.07 | × 0.486 | 3.9220 |
| Total RVUs | 44.2390 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$1477.62
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 32.66 | 1 |
| Practice expense | 8.26 | 0.927 |
| Malpractice | 8.07 | 0.486 |
(32.66 × 1 + 8.26 × 0.927 + 8.07 × 0.486) × $33.4009 = $1477.62
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.
33980 billing questions
How does 33980 differ from 33977 or 33978?
33980 is for removal of an implantable intracorporeal device supporting one ventricle. Codes 33977 and 33978 describe removal of extracorporeal devices, with the applicable code depending on the device configuration.
Can 33980 be reported for pump replacement?
Use a pump-replacement code when the pump is replaced and the implanted device is retained. 33980 describes removal of the intracorporeal device, rather than replacement of a pump alone.
What documentation supports reporting 33980?
The operative report should identify the implanted intracorporeal device, its single-ventricle support, and the removal performed. Include the clinical circumstance prompting removal.
How does Medicare handle other procedures in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures in the same session are paid at 50%.
Is 33980 the code for placing an intracorporeal VAD?
No. Code 33979 describes insertion of an implantable intracorporeal ventricular assist device supporting one ventricle; 33980 describes removal.
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.
4,16133977,,Remove ventricular device,A,,20.34,5.71,NA,5.71,,4.95,31.00,31.00,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,16233978,,Remove ventricular device,A,,24.38,6.81,NA,6.81,,5.84,37.03,37.03,0,XXX,0.00,0.00,0.00,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915