CPT 33976
Global XXX ActiveImplant ventricular device
CPT 33976 Billing & Documentation Guide
CPT code 33976 (Implant ventricular device) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 29.98, a non-facility practice expense RVU of 6.15, and a malpractice RVU of 7.2, a total non-facility RVU of 43.33 and facility RVU of 43.33. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1442.05, though rates vary from $1272.22 to $1853.31 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 33976, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 33976 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 33976 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 33976
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 29.98 | 29.98 |
| Practice Expense RVU | 6.15 | 6.15 |
| Malpractice RVU | 7.2 | 7.2 |
| Total RVU | 43.33 | 43.33 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 33976
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $1410.73 | $1410.73 | $1372.42 - $1536.62 | 29 |
| Florida | $1675.61 | $1675.61 | $1559.19 - $1823.39 | 3 |
| Georgia | $1486.57 | $1486.57 | $1471.25 - $1501.89 | 2 |
| Illinois | $1662.92 | $1662.92 | $1564.78 - $1766.73 | 4 |
| Michigan | $1532.73 | $1532.73 | $1460.41 - $1605.05 | 2 |
| North Carolina | $1346.68 | $1346.68 | $1346.68 - $1346.68 | 1 |
| New York | $1604.95 | $1604.95 | $1365.57 - $1756.27 | 5 |
| Ohio | $1431.31 | $1431.31 | $1431.31 - $1431.31 | 1 |
| Pennsylvania | $1468.66 | $1468.66 | $1417.19 - $1520.12 | 2 |
| Texas | $1432.48 | $1432.48 | $1400.52 - $1544.26 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 33976
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 33976 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0048T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0050T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0051T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0213T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0451T | Column 1 (primary), can be billed with modifier | No | Mutually exclusive procedures |
| 0452T | Column 1 (primary), can be billed with modifier | No | Mutually exclusive procedures |
| 0453T | Column 1 (primary), can be billed with modifier | No | Mutually exclusive procedures |
| 0454T | Column 1 (primary), can be billed with modifier | No | Mutually exclusive procedures |
| 0632T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 33976
What does CPT code 33976 mean? +
CPT code 33976 represents: Implant ventricular device. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of XXX.
What is the Medicare reimbursement for CPT 33976? +
The 2026 Medicare national average non-facility payment for CPT 33976 is $1442.05. Rates range from $1272.22 to $1853.31 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 33976? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 33976? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 3, 2026.
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