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See a sample rate comparisonCPT 33315 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.
Exploratory Heart Surgery, Cardiotomy Exploratory Includes Removal Of Foreign Body Atrial Or Ventricular Thrombus With Cardiopulmonary Bypass
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 99 - Other POS |
| Common Modifiers | 59 - Distinct Procedural Service AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,783.61 national non-facility rate (2026) · View Medicare rates for 33315 |
| Medicaid Fee Schedule | $1,382.725 median of the 8 states in the free preview · View Medicaid rates for 33315 |
National average reimbursement for CPT 33315 by major payers:
$2,374.20
$2,478.75
$2,671.81
$2,945.22
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CPT 33315
5 of 25 sample ratesHigher to lower in this preview
Aurora Gi Asc LLC, Wisconsin Digestive Health Center
Aurora Gi Asc LLC
$16,236.00Published rateBsc Chandler LLC
$1,124.00Published rateSandy Springs Center For Urologic Surgery LLC
$750.00Published rateDallas Nephrology Associates, Dallas Nephrology Associates Vascular Center Dallas
Dallas Nephrology Associates, P.A.
$410.00Published rateNw Ambulatory Surgery Center LLP, Nw Surgery Center
Nw Ambulatory Surgery Center LLP
$190.00Published rate
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See a sample payer proposalCPT 33315 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33315 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 33315 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 |
|---|---|---|
| 33315-CPT | High | Exploratory Heart Surgery, Cardiotomy Exploratory Includes Removal Of Foreign Body Atrial Or Ventricular Thrombus With Cardiopulmonary Bypass |
| 33320-CPT | High | Suture Rpair Of Aorta Or Great Vessels; W/O Shunt Or Cardiopulm, Suture Repair Of Aorta Or Great Vessels; Without Shunt Or Cardiopulmon |
| 33321-CPT | High | Suture Repair Of Aorta Or Great Vessels; With Shunt Bypass |
| 33322-CPT | High | Heart Blood Vessel Surgery, Surgery To Repair The Largest Artery (Aorta) Or Other Major Blood Vessels Of The Heart. The Surgery Uses Heart-Lung Bypass To Rest The Heart 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 33315. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33315 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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