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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-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 | Q0 - Investigational clinical service provided in a clinical research study KX - Requirements specified in the medical policy have been met |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $419.52 national non-facility rate (2026) · View Medicare rates for 33274 |
| Medicaid Fee Schedule | $375.17 median of the 8 states in the free preview · View Medicaid rates for 33274 |
National average reimbursement for CPT 33274 by major payers:

$638.65

$686.11

$704.40

$785.26
Choose a payer to see a sample of rates for CPT 33274.
Abilene Center For Orthopedic And Multispecialty Surgery, L.L.C.
Abilene Center For Orthopedic And Multispecialty Surgery LLC
Grand Rapids Surgical Suites LLC
Grand Rapids Surgical Suites, PLLC
Plaza Ambulatory Surgery Center LLC
Arlington Surgery Center, LLC, Arlington Surgery Center Associates, Lp
Arlington Surgery Center LLC
Venkata Yelamanchili
Deaconess Hospital Inc
Choose your state and specialty to build a report from payer-published rates.
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 33274 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33274 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 33274 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 |
|---|---|---|
| 33270-CPT | Moderate | Ins Rep Subq Defibrillator, Insertion Or Replacement Of Permanent Subcutaneous Implantable Defibrillator System With Subcutaneous Electrode Including Defibrillation Threshold Evaluation Induction Of Arrhythmia Evaluation Of Sensing For Arrhythmia Termination And Programming Or Reprogramming Of Sensing Or Therapeutic Parameters When Performed |
| 33271-CPT | Moderate | Heart Defibrillator Placement, Surgery To Insert One Or More Wires (Electrodes) For A Pacemaker Or Defibrillator (Devices For Regulating The Heartbeat). |
| 33272-CPT | Moderate | Remval Of Subcutane Implnt Defibrillator Electrod, Removal Of Subcutaneous Implantable Defibrillator Electrode |
| 33274-CPT | Moderate | Tcat Insj Rpl Perm Ldls Pm, Transcatheter Insertion Or Replacement Of Permanent Leadless Pacemaker Right Ventricular Including Imaging Guidance Eg Fluoroscopy Venous Ultrasound Ventriculography Femoral Venography And Device Evaluation Eg Interrogation Or Programming When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33274. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33274 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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