33993 Reposg percutaneous r/l hrt vad
Also known as: percutaneous VAD repositioning, percutaneous LVAD/RVAD reposition
Repositioning of a percutaneous right or left ventricular assist device (VAD). Surgical adjustment of cannula placement for optimal hemodynamic function.
In Plain Language
adjusting the temporary heart pump position
Clinical Context
Performed when device function is suboptimal due to cannula malposition or migration. Restores adequate flow without full device removal and reinsertion.
RVU Breakdown
| Work RVU | 3.02 |
| Total RVU | 3.02 |
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 3.02, this code ranks in the 21st percentile among Surgery codes — 2.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33993?
CPT 33993 (Reposg percutaneous r/l hrt vad) is a Surgery code. Repositioning of a percutaneous right or left ventricular assist device (VAD). Surgical adjustment of cannula placement for optimal hemodynamic function.
What is the wRVU value for CPT 33993?
The work RVU for CPT 33993 is 3.02. This code is primarily used by Cardiac Surgery, Interventional Cardiology, Critical Care.
When is CPT 33993 used?
Performed when device function is suboptimal due to cannula malposition or migration. Restores adequate flow without full device removal and reinsertion.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA 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.