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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | $740.16 national non-facility rate (2026) · View Medicare rates for 33025 |
| Medicaid Fee Schedule | $579.855 median of the 8 states in the free preview · View Medicaid rates for 33025 |
National average reimbursement for CPT 33025 by major payers:

$1,025.63

$1,080.94

$1,167.95

$1,261.25
Choose a payer to see a sample of rates for CPT 33025.
Baycare Aurora Kaukauna Surgery Center LLC, Kaukauna Surgery Center
Baycare Aurora Kaukauna Surgery Center LLC
The Corvallis Clinic PC
The Corvallis Clinic, P.C.
Zitelli & Brodland PC, Zitelli & Brodland Asf Central
John A. Zitelli, Md, PC
Norman Endoscopy Center, LLC
Norman Endoscopy Center LLC
Sun City Az Endoscopy Asc LLC, Sun City Endoscopy Center
Sun City Az Endoscopy Asc LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 33025 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33025 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 33025 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 33016-CPT | Moderate | Remove Fluid From Around Heart, Surgery To Drain Fluid That Has Built Up In The Sac Around The Heart. |
| 33025-CPT | High | Heart Fluid Drainage, Drainage Of Fluid From The Sac Around The Heart (Pericardium) Either By Using A Needle Or Thin Tube (Catheter) Or By Cutting A Hole In The Sac. A Catheter May Be Left For Future Drainage. Ultrasound Or Other Imaging May Be Used. |
| 33030-CPT | High | Removal Of Sac Around Heart, Surgery To Remove The Fluid-Filled Sac Surrounding The Heart (Pericardium) When It Has Been Damaged By Disease. |
| 33031-CPT | High | Removal Of Sac Around Heart, Surgery To Remove The Fluid-Filled Sac Surrounding The Heart (Pericardium) When It Has Been Damaged By Disease. A Heart-Lung Machine Allows The Heart To Rest During The Procedure (Cardiopulmonary Bypass). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33025. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33025 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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