No office rate
33988 reports insertion of a left heart vent; 33989 reports its removal. Use the operative documentation to identify the service performed.
On this page
CMS RVU26D · Effective 2026-10-01
33989 Heart vent removal Medicare reimbursement rates in New Jersey
Report removal of a left heart vent used to decompress the heart during cardiac surgery, typically when the vent is withdrawn after its use. Compare 33989 office and facility rates across CMS payment localities in New Jersey.
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 33989 in New Jersey?
New Jersey 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
$477.41–$487.04
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 33989: Removal of left heart vent
Report removal of a left heart vent used to decompress the heart during cardiac surgery, typically when the vent is withdrawn after its use.
A left heart vent is a temporary tube or cannula used during cardiac surgery to decompress the left side of the heart. A cardiac surgeon typically removes it in the operating room after it is no longer needed, often as the operation and support period are concluding. This service concerns removal of the vent, not removal of a ventricular assist device or other circulatory support device.
Report the removal when documentation identifies the left heart vent and its removal. Code 33988 describes insertion of the vent; the operative record should support the distinct service performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment require supporting documentation.
CMS billing rules for 33989
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery paid only with supporting documentation.
Where the value comes from
- Work RVU9.26 · 68%
- Practice expense (office) RVU2.05 · 15%
- Malpractice RVU2.21 · 16%
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.
33989 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
33992 describes removal of a percutaneous left heart ventricular assist device. Code 33989 is for removal of a left heart vent.
No office rate
33977 describes removal of a ventricular assist device, not removal of a temporary left heart vent.
Compare 33989 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
Northern Nj →
Office / nonfacility
Unavailable
Facility
$487.04
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$477.41
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33989 billing questions
How is removal of a left heart vent different from 33988?
Code 33989 is for removing the vent; 33988 is for inserting it. The operative report should make clear which service was performed.
Is this code for removing a ventricular assist device?
No. It describes removal of a left heart vent, not a ventricular assist device. Codes such as 33992 and 33977 describe removal of different support devices.
What documentation supports reporting 33989?
Document that a left heart vent was present and removed, along with the operative circumstances. The record should distinguish the vent from a ventricular assist device.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
What documentation is needed for assistant or team surgery payment?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon and team-surgery payment require supporting documentation.
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.
4,17033986,,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
4,17533991,,Insj perq vad l hrt artl&ven,A,,8.62,1.77,NA,1.77,,2.06,12.45,12.45,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,17633992,,Rmvl perq left heart vad,A,,3.46,0.66,NA,0.66,,0.82,4.94,4.94,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00