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See a sample rate comparisonCPT 33265 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 11 - Office |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 53 - Discontinued procedure |
| Complexity Level | High |
| Medicare Fee Schedule | $1,294.29 national non-facility rate (2026) · View Medicare rates for 33265 |
| Medicaid Fee Schedule | $1,013.075 median of the 8 states in the free preview · View Medicaid rates for 33265 |
National average reimbursement for CPT 33265 by major payers:
$1,765.77
$1,868.86
$1,977.33
$2,191.94
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CPT 33265
5 of 25 sample ratesHigher to lower in this preview
Anchorage Surgicenter, LLC
$4,115.00Published rateGastroenterology Associates, LLC, Gastroenterology Associates Endoscopy Center
Gastroenterology Associates PLLC
$1,028.00Published rateSurgical Associates Endoscopy Clinic LLC, Avera Endoscopy/Surgical Center
Surgical Associates Endoscopy Clinic LLC
$900.00Published rateHeartland Cataract & Laser Surgery Center, Inc., Heartland Cataract & Laser Surgery Center
Heartland Cataract Laser Surgery Center Inc
$603.00Published rateAffiliated Physicians & Surgeons, Ltd
Affiliated Physicians Surgeons Ltd
$110.00Published rate
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See a sample payer proposalCPT 33265 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33265 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 33265 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 |
|---|---|---|
| 33265-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. |
| 33266-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. |
| 33267-CPT | High | Surgery To Help Prevent Stroke, Surgery To Block A Small Sac (Left Atrial Appendage) In The Wall Of The Top Left Chamber Of The Heart In Order To Prevent A Stroke In Patients With Atrial Fibrillation. |
| 33268-CPT | Low | Excl Laa Opn Oth Px Any Meth, Exclusion Of Left Atrial Appendage Open Performed At The Time Of Other Sternotomy Or Thoracotomy Procedure S Any Method Eg Excision Isolation Via Stapling Oversewing Ligation Plication Clip List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33265. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33265 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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