$1,860.15–$2,100.81
Use 0596T for the pump’s first insertion. Use 0597T when an existing temporary femoral intravascular valve-pump is replaced.
On this page
CMS RVU26D · Effective 2026-10-01
0597T Pump replacement Medicare reimbursement rates in Pennsylvania
Reports replacement of a temporary femoral intravascular valve-pump during a procedural encounter, rather than its initial placement. Compare 0597T office and facility rates across CMS payment localities in Pennsylvania.
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 0597T in Pennsylvania?
Pennsylvania 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
$550.47–$620.52
2 of 2 localities have a supported rate.
Facility setting
$51.91–$55.15
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.
Cardiovascular procedure
About 0597T: Temporary femoral intravascular pump replacement
Reports replacement of a temporary femoral intravascular valve-pump during a procedural encounter, rather than its initial placement.
This Category III service represents replacing a temporary intravascular valve-pump introduced through femoral access. It is a device procedure performed by a physician involved in cardiovascular or endovascular intervention, typically in a procedural setting. The replacement is distinct from the device’s initial insertion and should be supported by documentation identifying the existing pump and the exchange performed.
Report 0597T when the documented service is replacement, not first insertion. The record should describe the reason for the exchange, the device and access site, and the procedural work. The 0-day global period includes same-day preoperative and postoperative care. 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% reduction. The code is not a bilateral service, so modifier 50 is not appropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 0597T
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.02 · 6%
- Practice expense (office) RVU16.78 · 94%
- Malpractice RVU0.06 · 0%
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.
0597T compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
33990 describes a percutaneous ventricular-assist device insertion using arterial access. It is not the replacement service represented by 0597T.
No office rate
33991 describes a percutaneous ventricular-assist device insertion using arterial and venous access. Choose 0597T only for replacement of the specified temporary femoral valve-pump.
Compare 0597T 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
Metropolitan Philadelphia →
Office / nonfacility
$620.52
Facility
$55.15
Rest Of Pennsylvania →
Office / nonfacility
$550.47
Facility
$51.91
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0597T billing questions
How is 0597T different from 0596T?
0596T describes the first insertion of the temporary femoral intravascular valve-pump. Use 0597T when the documented procedure replaces an existing pump.
Should modifier 50 be reported for replacement on both sides?
No. This code describes a procedure that is not reported as a bilateral service, so modifier 50 is inappropriate.
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.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
What should the procedure note document?
Identify the temporary pump already in place, the femoral access site, and the replacement performed. Document the reason for the exchange and the device involved.
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.
5470593T,,Hlth&wb coaching group,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5480594T,,Osteot hum xtrnl lngth dev,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5490596T,,Temp fml iu vlv-pmp 1st insj,A,,2.37,57.93,,0.82,,0.15,60.45,3.34,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5500597T,,Temp fml iu valve-pmp rplcmt,A,,1.02,16.78,,0.52,,0.06,17.86,1.60,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5510598T,,R-t fluor wound img 1st site,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5520599T,,R-t fluor wound img ea addl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5530600T,,Ablt ire 1+ o/t lv/prst8 prq,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00