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See a sample rate comparisonCPT 33223 Fee Schedule
Last Verified: October 2026
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.
Revise Skin Sac Heart Device, Surgery To Relocate Pocket Of Skin That Holds Heart-Assist Device. The Device Emits Electrical Pulses To Train The Heart Improving Its Function.
| 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 | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $364.07 national non-facility rate (2026) · View Medicare rates for 33223 |
| Medicaid Fee Schedule | $287.50 median of the 8 states in the free preview · View Medicaid rates for 33223 |
National average reimbursement for CPT 33223 by major payers:
$565.03
$575.42
$592.77
$672.07
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CPT 33223
5 of 25 sample ratesHigher to lower in this preview
Kellie Wheeler
Mass General Brigham Incorporated
$1,806.50Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$683.66Published rateCollin Messerly
Town Center Orthopaedic Associates, P.C.
$574.90Published rateMartha Ford
$440.44Published rateChristopher Raio
St Francis Hospital
$216.67Published rate
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See a sample payer proposalCPT 33223 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33223 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 33223 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 |
|---|---|---|
| 33221-CPT | Moderate | Insrt Of Pacemker Pulse Generator Only; W/ Exist Multi Le, Insertion Of Pacemaker Pulse Generator Only; With Existing Multiple Le |
| 33222-CPT | Moderate | Revise Skin Sac Heart Device, Surgery To Relocate Pocket Of Skin That Holds Heart-Assist Device. The Device Emits Electrical Pulses To Train The Heart Improving Its Function. |
| 33223-CPT | Moderate | Revise Skin Sac Heart Device, Surgery To Relocate Pocket Of Skin That Holds Heart-Assist Device. The Device Emits Electrical Pulses To Train The Heart Improving Its Function. |
| 33224-CPT | Moderate | Insertion Of Pacing Electrode Cardiac Venous System For Left Ventricular Pacing With Attachment To Previously Placed Pacemaker Or Implantable Defibrillator Pulse Generator (Including Revision Of Pocket Removal Insertion And/Or Replacement Of Existing Generator) (Desc Revised 01/01/15) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33223. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33223 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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