2025 CPT code 33967

Percutaneous insertion of an intra-aortic balloon assist device.

Follow current CPT guidelines and coding conventions for cardiovascular procedures.

Modifiers may be applicable depending on the circumstances of the procedure (e.g., modifier 59 for a distinct procedural service).

Medical necessity for IABP insertion is established when a patient demonstrates hemodynamic instability (e.g., refractory cardiogenic shock, severe left ventricular failure) that requires immediate mechanical circulatory support to improve organ perfusion and survival.

Cardiologist or cardiovascular surgeon performs the insertion, monitors the device's function, and manages the patient's hemodynamic status.Anesthesiologist may be involved for sedation or anesthesia.

IMPORTANT 33970 (open approach insertion), 33968 (removal)

In simple words: The doctor inserts a small balloon-like device into a major artery in the leg to help the heart pump blood more efficiently. This is done through a small puncture in the skin, guided by imaging. The device inflates and deflates with the heartbeat to support blood flow and improve heart function.

This CPT code, 33967, represents the percutaneous insertion of an intra-aortic balloon pump (IABP).The procedure involves percutaneous insertion of the IABP catheter into the aorta, typically via the femoral artery, under fluoroscopic guidance.The catheter is then positioned near the origin of the subclavian artery and secured. The device is connected to a console, the system is de-aired, and counterpulsation is initiated, closely monitoring aortic pressure and timing. The IABP assists cardiac function by inflating during diastole to increase coronary perfusion and deflating during systole to augment left ventricular ejection.Removal of the device is separately coded (33968).

Example 1: A patient presents with cardiogenic shock post-acute myocardial infarction. The cardiologist inserts an IABP via percutaneous approach to provide temporary hemodynamic support while awaiting further treatment., A patient in the ICU post-cardiac surgery exhibits low cardiac output. The cardiovascular surgeon inserts an IABP percutaneously to improve hemodynamics and support myocardial function., A patient undergoing high-risk percutaneous coronary intervention (PCI) has an IABP placed percutaneously for hemodynamic support during and after the procedure to reduce the risk of complications.

* Pre-procedure assessment, including complete cardiac evaluation and risk assessment.* Documentation of the procedure, including approach (femoral artery), device size, placement confirmation (fluoroscopy), and connection to the console.* Intraoperative hemodynamic monitoring data (e.g., arterial blood pressure, heart rate, cardiac output).* Post-procedure assessment, including device function, hemodynamic stability, and any complications.

** This code is for percutaneous insertion only. Open surgical insertion is coded separately (33970).

  • Payment Status: Active
  • Specialties:Cardiology, Cardiovascular Surgery
  • Place of Service:Inpatient Hospital, Cardiac Catheterization Lab
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