CPT 33995
Global 000 ActiveInsj perq vad r hrt venous
CPT 33995 Billing & Documentation Guide
CPT code 33995 (Insj perq vad r hrt venous) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 6.58, a non-facility practice expense RVU of 1.28, and a malpractice RVU of 1.5, a total non-facility RVU of 9.36 and facility RVU of 9.36. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $311.77, though rates vary from $276.17 to $402.8 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 33995, 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 33995 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 33995 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 33995
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 6.58 | 6.58 |
| Practice Expense RVU | 1.28 | 1.28 |
| Malpractice RVU | 1.5 | 1.5 |
| Total RVU | 9.36 | 9.36 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 33995
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 | $305.41 | $305.41 | $297.23 - $332.46 | 29 |
| Florida | $360.2 | $360.2 | $335.95 - $390.99 | 3 |
| Georgia | $320.84 | $320.84 | $317.63 - $324.05 | 2 |
| Illinois | $357.6 | $357.6 | $337.12 - $379.27 | 4 |
| Michigan | $330.45 | $330.45 | $315.38 - $345.51 | 2 |
| North Carolina | $291.68 | $291.68 | $291.68 - $291.68 | 1 |
| New York | $346.01 | $346.01 | $295.61 - $377.72 | 5 |
| Ohio | $309.31 | $309.31 | $309.31 - $309.31 | 1 |
| Pennsylvania | $317.19 | $317.19 | $306.37 - $328.01 | 2 |
| Texas | $309.61 | $309.61 | $302.98 - $332.93 | 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 33995
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 33995 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0451T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0452T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0453T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0454T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0459T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0460T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0461T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 33995
What does CPT code 33995 mean? +
CPT code 33995 represents: Insj perq vad r hrt venous. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 33995? +
The 2026 Medicare national average non-facility payment for CPT 33995 is $311.77. Rates range from $276.17 to $402.8 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 33995? +
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 33995? +
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 1, 2026.
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