33991 Insj percutaneous vad l hrt artl & venous
Also known as: percutaneous LVAD dual access, percutaneous left heart VAD arterial-venous
Insertion of a percutaneous left ventricular assist device (VAD) with both arterial and venous access. Placement of mechanical circulatory support with dual cannulation.
Clinical Context
Used for acute heart failure with cardiogenic shock requiring both inflow and outflow support. More complete hemodynamic support than arterial-only access.
RVU Breakdown
| Work RVU | 8.62 |
| Practice Expense RVU | 1.77 |
| Malpractice RVU | 2.06 |
| Total RVU | 12.45 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.