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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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 78 - Return to OR - related procedure 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $567.82 national non-facility rate (2026) · View Medicare rates for 33235 |
| Medicaid Fee Schedule | $446.86 median of the 8 states in the free preview · View Medicaid rates for 33235 |
National average reimbursement for CPT 33235 by major payers:

$796.31

$882.99

$950.99

$1,033.17
Choose a payer to see a sample of rates for CPT 33235.
Mid-America Surgery Institute LLC
Midamerica Surgery Institute LLC
Summit Ambulatory Surgical Center, LLC
Concord Eye Surgery LLC
Silver State Surgery Center West LLC
Princeton Endoscopy Center LLC
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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 33235 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33235 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 33235 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 |
|---|---|---|
| 33234-CPT | Moderate | Remval Of Transvenous Pacemker Electrod(S); Sngle Lead System, Removal Of Transvenous Pacemaker Electrode(S); Single Lead System Atr |
| 33235-CPT | Moderate | Remove Pacemaker, Surgery To Remove Pacemaker Wires (Electrodes). A Pacemaker Is An Implanted Device For Regulating The Heartbeat. |
| 33236-CPT | High | Remove Electrode Thoracotomy, Removal Of Permanent Epicardial Pacemaker And Electrodes By Thoracotomy Single Lead System Atrial Or Ventricular |
| 33237-CPT | High | Remval Of Perman Epicardial Pacemker & Electrdes By Thoracotom, Removal Of Permanent Epicardial Pacemaker And Electrodes By Thoracotom |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33235. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33235 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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