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See a sample rate comparisonCPT 33030 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Removal Of Sac Around Heart, Surgery To Remove The Fluid-Filled Sac Surrounding The Heart (Pericardium) When It Has Been Damaged By Disease.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,877.80 national non-facility rate (2026) · View Medicare rates for 33030 |
| Medicaid Fee Schedule | $1,455.785 median of the 8 states in the free preview · View Medicaid rates for 33030 |
National average reimbursement for CPT 33030 by major payers:
$2,308.05
$2,491.62
$2,699.23
$3,071.79
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CPT 33030
5 of 25 sample ratesHigher to lower in this preview
Aria Health Bucks County Spu
Jefferson Health-Northeast
$1,927.00Published rateHouston Surgery Center
Houston Surgery Center Lp
$702.00Published rateReno Orthopaedic Surgery Center LLC
$452.00Published rateMadison Surgery Center, LLC
Madison Surgery Center, L.L.C.
$400.00Published rateFour Corners Ambulatory Surgical Center LLC
$158.00Published rate
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See a sample payer proposalCPT 33030 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33030 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 33030 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 33030. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33030 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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