33992 removal percutaneous left heart vad
Also known as: percutaneous LVAD removal, percutaneous VAD extraction
Removal of a percutaneous left ventricular assist device (VAD). Extraction of temporary mechanical circulatory support device placed through arterial/venous access.
In Plain Language
taking out temporary heart pump
Clinical Context
Performed after weaning from percutaneous mechanical support or resolution of acute cardiogenic shock. May be done at bedside or in operating room.
RVU Breakdown
| Work RVU | 3.46 |
| Total RVU | 3.46 |
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 3.46, this code ranks in the 24th percentile among Surgery codes — 2.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33992?
CPT 33992 (removal percutaneous left heart vad) is a Surgery code. Removal of a percutaneous left ventricular assist device (VAD). Extraction of temporary mechanical circulatory support device placed through arterial/venous access.
What is the wRVU value for CPT 33992?
The work RVU for CPT 33992 is 3.46. This code is primarily used by Cardiac Surgery, Interventional Cardiology, Critical Care.
When is CPT 33992 used?
Performed after weaning from percutaneous mechanical support or resolution of acute cardiogenic shock. May be done at bedside or in operating room.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.