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See a sample rate comparisonHealthcare 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 | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | KX - Requirements specified in the medical policy have been met 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $425.53 national non-facility rate (2026) · View Medicare rates for 33214 |
| Medicaid Fee Schedule | $335.09 median of the 8 states in the free preview · View Medicaid rates for 33214 |
National average reimbursement for CPT 33214 by major payers:

$607.80

$670.11

$692.80

$783.79
Choose a payer to see a sample of rates for CPT 33214.
Saint Vincent Hlth Ctr Spu
Highmark Health
St. Mary'S Outpatient Surgery Center At Galena LLC, Summit Surgery Center At St. Marys Galena
St. Mary'S Outpatient Surgery Center At Galena LLC D/B/A Summit
Endoscopic Surgical Centre Of Maryland-North LLC, Endoscopic Surgical Centre Of Maryland North
Noc Surgery Center LLC, Loc Surgery Center
Noc Surgery Center LLC
Daniel Henry
Deaconess Hospital Inc
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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 33214 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33214 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 33214 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 |
|---|---|---|
| 33212-CPT | Moderate | Insertion Or Replacement Of Pa, Insertion Or Replacement Of Pacemaker Pulse Generator Only Single Chamber Atrial Or Ventricular Insertion Or Replacement Of Pacemaker Pulse Generator Only |
| 33213-CPT | Moderate | Insertion Or Replacement Of Pa, Insertion Or Replacement Of Pacemaker Pulse Generator Only Dual Chamber Insertion Or Replacement Of Pacemaker Pulse Generator Only |
| 33214-CPT | Moderate | Upgrade Of Pacemaker System, Upgrade Of Implanted Pacemaker System Conversion Of Single Chamber System To Dual Chamber System Includes Removal Of Previously Placed Pulse Generator Testing Of Existing Lead Insertion Of New Lead Insertion Of New Pulse Generator |
| 33215-CPT | Moderate | Repositioning Of Previously Im, Repositioning Of Previously Implanted Transvenous Pacemaker Or Implantable Defibrillator (Right Atrial Or Right Ventricular) Electrode |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33214. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33214 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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