33995 Insj percutaneous vad r hrt venous
Also known as: percutaneous RVAD, percutaneous right heart VAD
Insertion of a percutaneous right ventricular assist device (RVAD) via venous access. Placement of mechanical circulatory support for right heart failure.
In Plain Language
temporary right heart pump; mechanical support for right side of heart
Clinical Context
Used for acute right ventricular failure, pulmonary hypertension crisis, or post-left VAD right heart failure. Critical in advanced heart failure management.
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 33995?
CPT 33995 (Insj percutaneous vad r hrt venous) is a Surgery code. Insertion of a percutaneous right ventricular assist device (RVAD) via venous access. Placement of mechanical circulatory support for right heart failure.
What is the wRVU value for CPT 33995?
The work RVU for CPT 33995 is 6.58. This code is primarily used by Cardiac Surgery, Interventional Cardiology, Critical Care.
When is CPT 33995 used?
Used for acute right ventricular failure, pulmonary hypertension crisis, or post-left VAD right heart failure. Critical in advanced heart failure management.
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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.