33975 Implant ventricular device
What 33975 is
CMS fee schedule short descriptor: Implant ventricular device.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 33975 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 24.38 | 4.87 | 6.02 | 35.27 | $1,178.05 |
| Facility (hospital, ASC) | 24.38 | 4.87 | 6.02 | 35.27 | $1,178.05 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 33975 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 33975? These codes are bundled into it
33975 is a Column 1 code in 90 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
0213T | Njx paravert w/us cer/thor | 1 - modifier may bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 1 - modifier may bypass | Check pair |
0632T | Perq tcat us abltj nrv p-art | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
11000 | Dbrdmt ecz/infected skin<10% | 1 - modifier may bypass | Check pair |
11001 | Dbrdmt ecz/infct skn ea addl | 1 - modifier may bypass | Check pair |
11004 | Dbrdmt skin xtrnl gent&per | 1 - modifier may bypass | Check pair |
11005 | Dbrdmt skin abdominal wall | 1 - modifier may bypass | Check pair |
11006 | Dbrdmt skin xtrnl gent per | 1 - modifier may bypass | Check pair |
11042 | Dbrdmt subq tis 1st 20sqcm/< | 1 - modifier may bypass | Check pair |
11043 | Dbrdmt musc&/fsca 1st 20/< | 1 - modifier may bypass | Check pair |
11044 | Dbrdmt bone 1st 20 sq cm/< | 1 - modifier may bypass | Check pair |
11045 | Dbrdmt subq tiss each addl | 1 - modifier may bypass | Check pair |
11046 | Dbrdmt musc&/fsca ea addl | 1 - modifier may bypass | Check pair |
11047 | Dbrdmt bone each addl | 1 - modifier may bypass | Check pair |
32551 | Insertion of chest tube | 1 - modifier may bypass | Check pair |
33210 | Insert electrd/pm cath sngl | 0 - no modifier bypass | Check pair |
33211 | Insert card electrodes dual | 0 - no modifier bypass | Check pair |
33254 | Ablate atria lmtd | 0 - no modifier bypass | Check pair |
33255 | Ablate atria w/o bypass ext | 0 - no modifier bypass | Check pair |
33256 | Ablate atria w/bypass exten | 0 - no modifier bypass | Check pair |
33267 | Excl laa open any method | 0 - no modifier bypass | Check pair |
33310 | Exploratory heart surgery | 1 - modifier may bypass | Check pair |
33315 | Exploratory heart surgery | 1 - modifier may bypass | Check pair |
33404 | Prepare heart-aorta conduit | 0 - no modifier bypass | Check pair |
33928 | Rmvl & rplcmt tot hrt sys | 0 - no modifier bypass | Check pair |
33977 | Remove ventricular device | 0 - no modifier bypass | Check pair |
33990 | Insj perq vad l hrt arterial | 0 - no modifier bypass | Check pair |
33991 | Insj perq vad l hrt artl&ven | 0 - no modifier bypass | Check pair |
Showing 30 of 90 column 2 codes. Use the pair checker for any specific combination.
33975 is bundled into these codes
33975 appears as a Column 2 code in 7 active edits. Reported with one of these Column 1 codes on the same date of service, 33975 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
33927 | Impltj tot rplcmt hrt sys | 0 | Check pair |
33976 | Implant ventricular device | 1 | Check pair |
33978 | Remove ventricular device | 0 | Check pair |
33979 | Insert intracorporeal device | 1 | Check pair |
33981 | Replace vad pump ext | 0 | Check pair |
33982 | Replace vad intra w/o bp | 0 | Check pair |
33983 | Replace vad intra w/bp | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.