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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 22 - On Campus Outpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $795.94 national non-facility rate (2026) · View Medicare rates for 33269 |
| Medicaid Fee Schedule | $692.73 median of the 8 states in the free preview · View Medicaid rates for 33269 |
National average reimbursement for CPT 33269 by major payers:

$1,040.36

$1,179.51

$1,149.16

$1,365.77
Choose a payer to see a sample of rates for CPT 33269.
Aurora Surgery Centers, LLC
Aurora Surgery Centers LLC
Seattle Surgery Center LLC
Evergreen Endoscopy Center, LLC
Evergreen Endoscopy Center LLC
Osi, LLC
Charlotte Gastroenterology & Hepatology, PLLC
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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 33269 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33269 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 33269 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. |
| 33269-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33269. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33269 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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