33990 Insj percutaneous vad l hrt arterial
Also known as: percutaneous LVAD, percutaneous left heart VAD, arterial VAD
Insertion of a percutaneous left ventricular assist device (VAD) via arterial access. Placement of mechanical circulatory support device through an arterial cannula.
In Plain Language
temporary heart pump through needle puncture; emergency mechanical heart support
Clinical Context
Used for acute cardiogenic shock, high-risk PCI, or bridge to definitive therapy. Typically a temporary measure in critical care settings.
RVU Breakdown
| Work RVU | 6.58 |
| Total RVU | 6.58 |
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 6.58, this code ranks in the 43rd percentile among Surgery codes — 1.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33990?
CPT 33990 (Insj percutaneous vad l hrt arterial) is a Surgery code. Insertion of a percutaneous left ventricular assist device (VAD) via arterial access. Placement of mechanical circulatory support device through an arterial cannula.
What is the wRVU value for CPT 33990?
The work RVU for CPT 33990 is 6.58. This code is primarily used by Cardiac Surgery, Interventional Cardiology, Critical Care.
When is CPT 33990 used?
Used for acute cardiogenic shock, high-risk PCI, or bridge to definitive therapy. Typically a temporary measure in critical care settings.
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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.