No office rate
33990 reports percutaneous insertion of a left-heart ventricular assist device through arterial access. Use 33987 only for the additional surgical neck-artery exposure when performed.
On this page
CMS RVU26D · Effective 2026-10-01
33987 Artery exposure Medicare reimbursement rates in Michigan
Reports surgical exposure of a neck artery to deliver an intravascular device, as an add-on to a qualifying primary procedure. Compare 33987 office and facility rates across CMS payment localities in Michigan.
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 33987 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$192.12–$211.21
2 of 2 localities have a supported rate.
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 33987: Neck artery exposure for device delivery
Reports surgical exposure of a neck artery to deliver an intravascular device, as an add-on to a qualifying primary procedure.
This service is the surgical exposure of a neck artery through an incision so an intravascular device can be delivered. It may be performed by a cardiac or vascular surgeon during a procedure involving temporary ventricular support. The exposure is an access service; it does not describe insertion or management of the support device itself. The operative report should identify the vessel exposed and explain its role in delivering the device.
Report 33987 only with an eligible primary procedure, such as percutaneous ventricular assist device insertion when neck-artery exposure is performed. The code is reported for each vessel exposed, so documentation should establish the number of vessels and the specific exposure performed. CMS classifies it as an add-on, and payment falls within the primary procedure's global period. It is not a standalone service.
CMS billing rules for 33987
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU3.94 · 69%
- Practice expense (office) RVU0.81 · 14%
- Malpractice RVU0.95 · 17%
45
Medicare services in 2024 · #5419 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.
33987 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
33991 reports percutaneous insertion using arterial and venous access. It describes the device insertion, while 33987 describes qualifying neck-artery exposure.
No office rate
33988 describes insertion of a left-heart vent, not surgical exposure of a neck artery to deliver an intravascular device.
No office rate
33975 describes ventricular assist device insertion using an extracorporeal approach; 33987 is an access add-on for neck-artery exposure.
Compare 33987 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
Unavailable
Facility
$211.21
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$192.12
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33987 billing questions
When is 33987 reported with 33990 or 33991?
Report it when the percutaneous ventricular assist device procedure includes surgical exposure of a neck artery for device delivery. The exposure is additional to, not a substitute for, the primary insertion procedure.
Is 33987 separately reportable as a standalone procedure?
No. CMS identifies it as an add-on code, so it must be billed with a qualifying primary procedure and is paid within that procedure's global period.
How many units should be reported?
The code is specified for each vessel exposed. The operative documentation should support the number of vessels surgically exposed.
What documentation supports reporting 33987?
Document the neck incision, the artery exposed, the number of vessels, and how the exposure enabled delivery of the intravascular device.
Does 33987 describe insertion of the ventricular assist device?
No. It describes the neck-artery exposure for access; the primary code describes the ventricular assist device insertion.
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.
4,16833984,,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
4,17033986,,Ecmo/ecls rmvl ctr cannula,A,,9.75,2.13,NA,2.13,,2.41,14.29,14.29,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,17133987,,Artery expos/graft artery,A,,3.94,0.81,NA,0.81,,0.95,5.70,5.70,0,ZZZ,0.00,0.00,0.00,0,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,17233988,,Insertion of left heart vent,A,,14.63,3.16,NA,3.16,,3.49,21.28,21.28,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,17333989,,Removal of left heart vent,A,,9.26,2.05,NA,2.05,,2.21,13.52,13.52,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,17433990,,Insj perq vad l hrt arterial,A,,6.58,1.26,NA,1.26,,1.53,9.37,9.37,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00