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See a sample rate comparisonCPT 33130 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.
Resection External Cardiac Tumor
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $1,309.98 national non-facility rate (2026) · View Medicare rates for 33130 |
| Medicaid Fee Schedule | $1,085.88 median of the 8 states in the free preview · View Medicaid rates for 33130 |
National average reimbursement for CPT 33130 by major payers:
$1,768.69
$1,888.84
$1,986.21
$2,242.82
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CPT 33130
5 of 25 sample ratesHigher to lower in this preview
Dublin Surgery Center LLC
$12,881.00Published rateProliance Surgeons, Inc., P.S., Proliance Surgeons Seattle Orthopedic Center-Asc
Proliance Surgeons, Inc., P.S.
$1,367.00Published ratePremier-Covenant Astc LLC, Premier Ambulatory Surgery Center
Premiercovenant Astc LLC
$566.00Published rateGalleria Surgery Center LLC
$350.00Published rateCheckerspot Surgery Centers, LLC
Checkerspot Surgery Centers LLC
$120.00Published rate
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See a sample payer proposalCPT 33130 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33130 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 33130 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 |
|---|---|---|
| 33120-CPT | High | Heart Tumor Removal, Surgery To Remove Abnormal Tissue (Tumor) From Within The Heart. Heart Tissue May Be Repaired Or Reconstructed. The Surgery Uses Heart-Lung Bypass To Rest The Heart During The Procedure. |
| 33130-CPT | High | Resection External Cardiac Tumor |
| 33140-CPT | High | Creation Of Blood Channels, Surgery To Create Channels In The Heart Muscle For Blood Flow When Opening A Blocked Vessel Is Not Possible. The Surgery Uses A Laser And May Be Done At The Same Time As Another Procedure. |
| 33141-CPT | Low | Transmyocardial Laser Revascul, Transmyocardial Laser Revascularization By Thoracotomy(Separate Procedure)Performed At The Time Of Other Open Cardiac Procedure(S) (List Separately In Addition To Code For Primary Proc. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33130. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33130 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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