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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 99 - Other POS |
| Common Modifiers | 62 - Co-Surgeons Q0 - Investigational clinical service provided in a clinical research study |
| Complexity Level | High |
| Medicare Fee Schedule | $1,264.89 national non-facility rate (2026) · View Medicare rates for 33364 |
| Medicaid Fee Schedule | $986.185 median of the 8 states in the free preview · View Medicaid rates for 33364 |
National average reimbursement for CPT 33364 by major payers:

$1,828.63

$2,114.30

$2,055.35

$2,390.72
Choose a payer to see a sample of rates for CPT 33364.
Christus Santa Rosa Outpatient Surgery, Christus Physicians Surgery Center - New Braunfels
Surgcenter Camelback LLC
Chicago Prostate Cancer Surgery Center, LLC, Dupage Medical Group Surgery Center, Westmont
Chicago Prostate Cancer Surgery Center LLC
Ocala Surgical Center, Ocala Surgical Center, LLC
Anderson Endoscopy Center LLC
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Rate Benchmarking
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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 33364 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33364 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 33364 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 33364. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33364 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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