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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | 51 - Multiple procedures 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | $937.23 national non-facility rate (2026) · View Medicare rates for 33238 |
| Medicaid Fee Schedule | $738.44 median of the 8 states in the free preview · View Medicaid rates for 33238 |
National average reimbursement for CPT 33238 by major payers:

$1,211.79

$1,298.03

$1,354.28

$1,530.39
Choose a payer to see a sample of rates for CPT 33238.
Aurora Surgery Centers, LLC
Aurora Surgery Centers LLC
Queens Endoscopy Asc, LLC
Haymarket Surgery Center, LLC
Haymarket Surgery Center
Savannah Partners, LLC, Ent Surgical Center
Savannah Partners LLC
Akstein Eye Center, Asc, Akstein Eye Center, Asc
Akstein Eye Center PC
Choose your state and specialty to build a report from payer-published rates.
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 33238 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33238 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 33238 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 |
| 33238-CPT | High | Remove Pacemaker, Surgery To Remove Pacemaker Wires (Electrodes). A Pacemaker Is An Implanted Device For Regulating The Heartbeat. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33238. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33238 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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