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See a sample rate comparisonCPT 33255 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.
Heart Rhythm Surgery, Surgery Aided By A Scope (Endoscopy) To Treat An Abnormal Heart Rhythm. The Surgery Destroys Tissue In The Upper Heart Chambers (Atria) In Order To Interrupt The Electrical Circuit That Is Creating The Abnormal Rhythm.
| 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 | AS - PA/NP/CNS assistant at surgery 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | $1,550.47 national non-facility rate (2026) · View Medicare rates for 33255 |
| Medicaid Fee Schedule | $1,214.73 median of the 8 states in the free preview · View Medicaid rates for 33255 |
National average reimbursement for CPT 33255 by major payers:
$2,101.24
$2,249.76
$2,312.47
$2,623.35
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CPT 33255
5 of 25 sample ratesHigher to lower in this preview
West Park Surgery Center, L.P., Medical City Surgery Center/Mckinney
West Park Surgery Center Lp
$2,705.00Published rateHagerstown Surgery Center,LLC
Hagerstown Surgery Center, LLC
$1,028.00Published rateGastro Operating Company LLC, (Dba) Meadowbrook Endoscopy Center
Gastro Operating Company, LLC
$895.00Published rateSummit Health Partners LLC, Western Carolina Surgery Center
Summit Health Partners LLC
$583.00Published rateNorthern Arizona Eye Associates
$100.00Published rate
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See a sample payer proposalCPT 33255 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33255 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 33255 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 |
|---|---|---|
| 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 |
| 33251-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 With Cardiopulmonary Bypass |
| 33254-CPT | High | Heart Rhythm Surgery, Surgery Aided By A Scope (Endoscopy) To Treat An Abnormal Heart Rhythm. The Surgery Destroys Tissue In The Upper Heart Chambers (Atria) In Order To Interrupt The Electrical Circuit That Is Creating The Abnormal Rhythm. |
| 33255-CPT | High | Heart Rhythm Surgery, Surgery Aided By A Scope (Endoscopy) To Treat An Abnormal Heart Rhythm. The Surgery Destroys Tissue In The Upper Heart Chambers (Atria) In Order To Interrupt The Electrical Circuit That Is Creating The Abnormal Rhythm. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33255. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33255 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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