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See a sample rate comparisonCPT 33261 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.
Treat Irregular Heartbeat, Surgery To Locate And Treat The Tissue Causing An Irregular Heartbeat (Arrhythmia) In The Lower Heart Chambers. Heart-Lung Bypass Is Used To Allow The Heart To Rest During The Procedure.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | 51 - Multiple procedures AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,533.77 national non-facility rate (2026) · View Medicare rates for 33261 |
| Medicaid Fee Schedule | $1,201.305 median of the 8 states in the free preview · View Medicaid rates for 33261 |
National average reimbursement for CPT 33261 by major payers:
$2,083.32
$2,225.00
$2,308.62
$2,635.13
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CPT 33261
5 of 25 sample ratesHigher to lower in this preview
Indiana Endoscopy Centers LLC
$7,400.00Published rateAdvanced Spine Center Of Wisconsin, LLC
Advanced Spine Center Of Wisconsin
$1,028.00Published rateBaptist-Physicians Surgery Center
Baptist-Physicians Surgery Cent
$625.00Published rateConway Cardiovascular Surgery Center, LLC
Conway Cardiovascular Surgery Center LLC
$410.00Published rateJohn P Lydon Dpm, Bethesda Ambulatory Surgical Center
John P Lydon, Dpm
$158.00Published rate
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See a sample payer proposalCPT 33261 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33261 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 33261 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 |
| 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. |
| 33261-CPT | High | Treat Irregular Heartbeat, Surgery To Locate And Treat The Tissue Causing An Irregular Heartbeat (Arrhythmia) In The Lower Heart Chambers. Heart-Lung Bypass Is Used To Allow The Heart To Rest During The Procedure. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33261. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33261 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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