33989 Removal of left heart vent
Also known as: LVAD removal, VAD explantation, left heart vent removal
Removal or explantation of a left ventricular assist device (LVAD). Surgical extraction of the mechanical support pump from the left ventricle.
In Plain Language
taking out the heart pump; removing mechanical heart support
Clinical Context
Performed after heart transplantation, recovery of cardiac function, or due to device complications. Often done when patient no longer requires mechanical support.
RVU Breakdown
| Work RVU | 9.26 |
| Total RVU | 9.26 |
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. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 9.26, this code ranks in the 56th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33989?
CPT 33989 (Removal of left heart vent) is a Surgery code. Removal or explantation of a left ventricular assist device (LVAD). Surgical extraction of the mechanical support pump from the left ventricle.
What is the wRVU value for CPT 33989?
The work RVU for CPT 33989 is 9.26. This code is primarily used by Cardiac Surgery, Thoracic Surgery.
When is CPT 33989 used?
Performed after heart transplantation, recovery of cardiac function, or due to device complications. Often done when patient no longer requires mechanical support.
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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.