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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 11 - Office |
| Common Modifiers | 62 - Co-Surgeons Q0 - Investigational clinical service provided in a clinical research study |
| Complexity Level | High |
| Medicare Fee Schedule | $1,079.18 national non-facility rate (2026) · View Medicare rates for 33361 |
| Medicaid Fee Schedule | $840.655 median of the 8 states in the free preview · View Medicaid rates for 33361 |
National average reimbursement for CPT 33361 by major payers:

$1,568.02

$1,813.27

$1,830.42

$2,019.90
Choose a payer to see a sample of rates for CPT 33361.
Texas Health Huguley Surgery Center, LLC
Texas Health Huguley Surgery Center LLC
Alexis Sosh
Deaconess Hospital Inc
Tampa Bay Surgery Center Associates Ltd, Center For Advanced Surgical Specialist
Tampa Bay Surgery Center Assoc
Same Day Surgicare Of New England, Inc., Same Day Surgiclinic
Same Day Surgicare Of New England, Inc.
Allegheny Clinic, Wexford Surgery Center
Highmark Health
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Rate Benchmarking
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See a sample payer proposalCPT 33361 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33361 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 33361 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 |
|---|---|---|
| 33361-CPT | High | Surgery To Replace Heart Valve, Surgery To Replace A Heart Valve With An Artificial One. A Thin Tube (Catheter) With Valve Attached Is Inserted Into An Artery In The Leg Pelvis Or Chest And Threaded Into The Heart Where The Valve Is Inserted. |
| 33362-CPT | High | Surgery To Replace Heart Valve, Surgery To Replace A Heart Valve With An Artificial One. A Thin Tube (Catheter) With Valve Attached Is Inserted Into An Artery In The Leg Pelvis Or Chest And Threaded Into The Heart Where The Valve Is Inserted. |
| 33363-CPT | High | Surgery To Replace Heart Valve, Surgery To Replace A Heart Valve With An Artificial One. A Thin Tube (Catheter) With Valve Attached Is Inserted Into An Artery In The Leg Pelvis Or Chest And Threaded Into The Heart Where The Valve Is Inserted. |
| 33364-CPT | High | Surgery To Replace Heart Valve, Surgery To Replace A Heart Valve With An Artificial One. A Thin Tube (Catheter) With Valve Attached Is Inserted Into An Artery In The Leg Pelvis Or Chest And Threaded Into The Heart Where The Valve Is Inserted. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33361. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33361 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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