CPT® Code 33995

Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; right heart, venous access only

The CPT® Code 33995 refers to the procedure of inserting a ventricular assist device (VAD) through a percutaneous approach, specifically for the right heart, utilizing venous access only. This procedure is critical for patients experiencing acute right heart failure, a condition that can arise from various complications such as myocardial ischemia, pulmonary embolism, or postcardiotomy syndrome. The right ventricular assist device (RVAD) functions as a mechanical pump that aids in the circulation of blood, effectively supporting the heart's ability to pump blood and relieving pressure on the right side of the heart. The RVAD operates by drawing blood from the right atrium or ventricle and directing it into the pulmonary artery, thereby facilitating oxygenation in the lungs. The insertion of the RVAD is performed using a minimally invasive technique, which involves the placement of two cannulas: one positioned in the right atrium and the other in the pulmonary artery. This procedure is conducted under fluoroscopic guidance, ensuring precise placement of the cannulas. The use of dual catheters allows for effective blood flow management, with one cannula serving as the inflow from the right atrium and the other as the outflow to the pulmonary artery. The procedure is designed to enhance patient outcomes by providing necessary circulatory support during critical episodes of heart failure.