Billing code 33289: Pressure sensor implantMedicare rate & RVUs in Oregon
Implants a wireless pulmonary artery pressure sensor by catheter for long-term hemodynamic monitoring, commonly to guide management of heart failure.
CMS doesn’t publish an office rate for 33289 in Oregon.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 33289 covers
An interventional cardiologist places a wireless pressure sensor in a pulmonary artery branch using a transcatheter approach. The procedure includes right heart catheterization and placement of the sensor for long-term hemodynamic monitoring; the patient later uses an external reader to transmit pressure readings. It is typically performed in a hospital or other facility setting for patients whose clinicians need ongoing pulmonary artery pressure data, such as in heart failure management.
Report 33289 for the sensor implantation service, not for pressure readings collected after the procedure. The operative record should support transcatheter sensor placement and the associated catheterization. The right heart catheterization integral to implantation is included in the service. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted. A bilateral modifier is inappropriate for this procedure.
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.
Where 33289 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $282.64 |
| Rest Of Oregon | Unavailable | $272.24 |
How the 33289 rate is calculated
Each of 33289’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 33289
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.85Practice expense 1.47Malpractice 1.19
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 33289
The CMS indicators that decide how 33289 is paid alongside other services.
CMS payment indicators · 33289
Pressure sensor implant
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33289 without 51 · national facility
$284.24
Pressure sensor implant
33289-51 · Second procedure: 50%
$142.12
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
33289 compared with similar codes
Compare codes
33289 vs 93451 vs 93264 vs 33285: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93451Right heart cath
- Use 93451 for a standalone right heart catheterization when a pulmonary artery pressure sensor is not implanted. The catheterization integral to sensor placement is included in 33289.
- 93264PA pressure monitoring
- 93264 describes remote monitoring of an implanted wireless pulmonary artery pressure sensor over a monitoring period; 33289 is the implantation procedure.
- 33285Rhythm monitor
- 33285 implants a subcutaneous cardiac rhythm monitor. It monitors cardiac rhythm, unlike 33289, which implants a sensor for pulmonary artery pressure monitoring.
33289 billing questions
How is 33289 different from a standalone right heart catheterization?
33289 describes transcatheter implantation of a wireless pulmonary artery pressure sensor and includes the right heart catheterization integral to placement. A standalone diagnostic catheterization without sensor implantation is a different service.
Can the integral right heart catheterization be reported separately?
Do not separately report the catheterization work that is part of the sensor implantation service. Code 33289 includes right heart catheterization.
Does 33289 cover remote pressure monitoring after implantation?
No. 33289 covers implantation; remote collection and review of readings are a separate monitoring service, such as the service described by 93264.
What documentation supports reporting 33289?
Document the transcatheter implantation of the wireless pulmonary artery pressure sensor and the associated catheterization. The record should establish that a sensor was placed, rather than only diagnostic pressure measurements being obtained.
How does the multiple-procedure rule affect 33289?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard reduction to the others. The rule is based on the procedures performed in that session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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