CPT 33212 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-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 |
| Common Modifiers | • None • 51 - Multiple procedures • KX - Requirements specified in the medical policy have been met • 63 |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 33212 |
National average reimbursement for CPT 33212 by major payers:
$436.84
$457.90
$464.40
$553.54
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 33212 | ||||||
United | 33212 | $1535.00 | 1275564346 - CEDAR OAKS SURGERY CENTER LLC | 450528697 - (MO) CEDAR OAKS SURGERY CENTER LLC | MO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33212 | $5500.00 | 1245207687 - CDI TWIN CITIES ASC LLC, RAYUS TWIN CITIES ASC | 820565885 | MN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33212 | $1325.00 | 1275507527 - ENDOSCOPY CENTER OF NORTHWEST CONNECTICUT | 61609993 - (CT) ENDOSCOPY CENTER OF NORTHWEST CT | CT | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33212 | $11399.00 | 1275774747 - CHRISTIANA SPINE AMBULATORY SURGICAL CENTER, LLC | 263859264 - (DE) CHRISTIANA SPINE AMBULATORY SURGICAL CENTER LLC | DE | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33212 | $5495.00 | 1023420577 - TEXAS ENDOSCOPY CENTERS, LLC, TEXAS ENDOSCOPY | 470985876 | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33212 | $4128.00 | 1992034763 - CENTRAL ARKANSAS SURGICAL CENTER, LLC | 270564540 - (AR) CENTRAL ARKANSAS SURGICAL CENTER LLC | AR | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33212 | $5436.00 | 1477619005 - SOUTHWEST IDAHO SURGERY CENTER, INC. | 841394136 - (ID) SOUTHWEST IDAHO SURGERY CENTER INC | ID | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33212 | $9510.00 | 1760491385 - ENDOSCOPY CENTER OF NORTHERN OHIO, LLC | 341966846 - (OH) ENDOSCOPY CENTER OF NORTHERN OHIO LLC | OH | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33212 | $8800.00 | 1508169921 - SAINT LUKES-GI DIAGNOSTICS LLC | 274142549 - (MO) SAINT LUKESGI DIAGNOSTICS LLC | MO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33212 | $3943.00 | 1922301712 - THE SURGERY CENTER AT WILLIAMSON LLC | 270929515 - (TX) THE SURGERY CENTER AT WILLIAMSON LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33212 | $9834.00 | 1952945156 - PHYSICIANS WEST SURGICENTER, LLC | 843452204 | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33212 | $2100.00 | 1831636752 - RIVER VIEW SURGERY CENTER, LLC | 814790945 - (ID) RIVER VIEW SURGERY CENTER, LLC | ID | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33212 | $10891.00 | 1285944504 - NEWBRIDGE SURGERY CENTER AT PRINCE FREDERICK, LLC | 272840356 - (MD) NEWBRIDGE SURGERY CENTER AT PRINCE FREDERICK LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33212 | $13955.00 | 1760412803 - MEMORIAL HERMANN SURGERY CENTER KATY LLP | 203360737 - (TX) MEMORIAL HERMANN SURGERY CENTER KATY LLP | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33212 | $4201.00 | 1326097536 - HARRISBURG ENDOSCOPY & SURGERY CENTER, INC. | 251847719 - (PA) HARRISBURG ENDOSCOPY SURGERY CENTER INC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 33212 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33212 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 33212 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 |
|---|---|---|
| 33210-CPT | Moderate | Insertion Or Replacement Of Temporary Transvenous Single Chamber Cardiac Electrode Or Pacemaker Catheter (Separate Procedure) |
| 33211-CPT | Moderate | Insert/Repl Temp Transvenous Dual Chamber Pacing Electrodes (Sep Proc) |
| 33212-CPT | Moderate | Insertion Or Replacement Of Pacemaker Pulse Generator Or Automatic Implantable Cardioverter-Defibrillator Pul |
| 33213-CPT | Moderate | Insertion Or Replacement Of Pacemaker Pulse Generator Only; Dual Chamber |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33212. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33212 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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