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See a sample rate comparisonCPT 33404 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.
Place Heart Vessel With Valve, Surgery With Heart-Lung Bypass To Insert An Artificial Heart Vessel With A Valve Between The Left Ventricle (Lower Heart Chamber) And The Aorta (Large Artery). The Valve Allows Blood To Leave The Heart Without Flowing Back In.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery XU - Unusual Non-Overlapping Service |
| Complexity Level | High |
| Medicare Fee Schedule | $1,664.70 national non-facility rate (2026) · View Medicare rates for 33404 |
| Medicaid Fee Schedule | $1,397.675 median of the 8 states in the free preview · View Medicaid rates for 33404 |
National average reimbursement for CPT 33404 by major payers:
$2,282.85
$2,438.30
$2,511.39
$2,828.00
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CPT 33404
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, Multispecialty Surgery Center
$7,400.00Published rateGrossmont Surgery Center Lp
$1,231.00Published rateInsight Surgery Center, LLC
Insight Surgery Center LLC
$555.00Published rateEye Care Surgery Center Of Memphis, LLC
$375.00Published rateMahoning Valley Ambulatory Surgery Center Inc
$200.00Published rate
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See a sample payer proposalCPT 33404 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33404 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 33404 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 |
|---|---|---|
| 33404-CPT | High | Place Heart Vessel With Valve, Surgery With Heart-Lung Bypass To Insert An Artificial Heart Vessel With A Valve Between The Left Ventricle (Lower Heart Chamber) And The Aorta (Large Artery). The Valve Allows Blood To Leave The Heart Without Flowing Back In. |
| 33405-CPT | High | Surgery To Replace Heart Valve, Surgery To Replace A Valve Between The Lower Left Heart Chamber And The Aorta. The Replacement May Be Fully Artificial Or Made Of Biologically Similar Tissue. Heart-Lung Bypass Allows The Heart To Rest During Surgery. |
| 33406-CPT | High | Surgery To Replace Heart Valve, Surgery To Replace A Valve Between The Lower Left Heart Chamber And The Aorta. The Replacement May Be Fully Artificial Or Made Of Biologically Similar Tissue. Heart-Lung Bypass Allows The Heart To Rest During Surgery. |
| 33410-CPT | High | Surgery To Replace Heart Valve, Surgery To Replace A Valve Between The Lower Left Heart Chamber And The Aorta. The Replacement May Be Fully Artificial Or Made Of Biologically Similar Tissue. Heart-Lung Bypass Allows The Heart To Rest During Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33404. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33404 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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