33978 Remove ventricular device
Also known as: Second VAD removal, BVAD explantation, biventricular device removal
Removal of ventricular assist device (second removal); removal of a second or additional ventricular assist device, typically in biventricular systems.
In Plain Language
Second heart pump removal; Biventricular support device removal
Clinical Context
Removal of second (right) ventricular assist device when biventricular support is no longer needed or at transplantation.
RVU Breakdown
| Work RVU | 24.38 |
| Total RVU | 24.38 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 24.38, this code ranks in the 88th percentile among Surgery codes — 3.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33978?
CPT 33978 (Remove ventricular device) is a Surgery code. Removal of ventricular assist device (second removal); removal of a second or additional ventricular assist device, typically in biventricular systems.
What is the wRVU value for CPT 33978?
The work RVU for CPT 33978 is 24.38. This code is primarily used by Cardiac Surgery, Heart Failure Surgery, Transplantation.
When is CPT 33978 used?
Removal of second (right) ventricular assist device when biventricular support is no longer needed or at transplantation.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.