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See a sample rate comparisonCPT 33031 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. A Heart-Lung Machine Allows The Heart To Rest During The Procedure (Cardiopulmonary Bypass).
| 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 | 51 - Multiple procedures AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $2,311.68 national non-facility rate (2026) · View Medicare rates for 33031 |
| Medicaid Fee Schedule | $1,791.12 median of the 8 states in the free preview · View Medicaid rates for 33031 |
National average reimbursement for CPT 33031 by major payers:
$2,788.60
$3,025.84
$3,320.01
$3,667.27
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CPT 33031
5 of 25 sample ratesHigher to lower in this preview
Thr/Stt Southlake Asc, LLC
Thrstt Southlake Asc LLC
$6,068.00Published rateFlatirons Surgery Center, LLC, Peak Gastroenterology
Flatirons Surgery Center, LLC
$1,064.00Published rateFillmore Eye Clinic Incorporated, Fillmore Eye Clinic Asc
Fillmore Eye Clinic, Inc.
$582.00Published rateMidatlantic Endoscopy LLC, Mid-Atlantic Gastrointestinal Center II
$319.00Published rateEscnc LLC, Eye Surgery Center Of Northern California
Escnc LLC
$122.00Published rate
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See a sample payer proposalCPT 33031 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33031 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 33031 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 33031. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33031 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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