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See a sample rate comparisonCPT 33243 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Removal Of Implantable Cardiov, Removal Of Implantable Cardioverter-Defibrillator Pulsegenerator Andor Lead System By Thoracotomy Removal Of Implantable Cardioverter-Defibrillator Pulse
| 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 | 51 - Multiple procedures AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,302.97 national non-facility rate (2026) · View Medicare rates for 33243 |
| Medicaid Fee Schedule | $1,020.905 median of the 8 states in the free preview · View Medicaid rates for 33243 |
National average reimbursement for CPT 33243 by major payers:
$1,799.81
$1,886.87
$2,017.58
$2,204.89
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CPT 33243
5 of 25 sample ratesHigher to lower in this preview
Franciscan Surgery Center, LLC
$15,626.00Published rateSouthern Hills Medical Center, LLC, Southern Hills Hospital & Medical Center
Southern Hills Medical Center LLC
$4,820.00Published rateCommonwealth Orthopaedics & Rehabilitation, PC
Orthovirginia, Inc.
$3,028.00Published rateOxford Urocare PLLC
$1,743.00Published rateSaint Mary'S Ambulatory Surgery
Saint Marys Ambulatory Surgery
$753.00Published rate
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See a sample payer proposalCPT 33243 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33243 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 33243 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 |
|---|---|---|
| 33243-CPT | High | Removal Of Implantable Cardiov, Removal Of Implantable Cardioverter-Defibrillator Pulsegenerator Andor Lead System By Thoracotomy Removal Of Implantable Cardioverter-Defibrillator Pulse |
| 33244-CPT | High | Removal Of Implantable Cardiov, Removal Of Implantable Cardioverter-Defibrillator Pulsegenerator Andor Lead System By Other Than Thoracotomy Removal Of Implantable Cardioverter-Defibrillator Pulse |
| 33249-CPT | High | Insertion Or Replacement Of Im, Insertion Or Replacement Of Implantablecardioverter-Defibrillator Lead(S) By Other Than Thoracotomy With Insertion Of Cardio-Defibrillator Pulse |
| 33250-CPT | High | Ablate Heart Dysrhythm Focus, Operative Ablation Of Supraventricular Arrhythmogenic Focus Or Pathway Eg Wolff Parkinson White Atrioventricular Node Re Entry Tract S And Or Focus Foci Without Cardiopulmonary Bypass |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33243. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33243 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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