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See a sample rate comparisonCPT 33406 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.
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.
| 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 | 22 - Increased Procedural Services 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | $2,679.42 national non-facility rate (2026) · View Medicare rates for 33406 |
| Medicaid Fee Schedule | $2,072.365 median of the 8 states in the free preview · View Medicaid rates for 33406 |
National average reimbursement for CPT 33406 by major payers:
$3,892.47
$3,918.19
$4,132.33
$4,542.41
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CPT 33406
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Sugar Land LLP
$5,554.00Published rateUnity Linden Oaks Surgery Center
$1,124.00Published rateGi Specialists LLC, Moreland Endoscopy Center
Gi Specialists LLC
$994.26Published rateThe Urology Center, PC, Urology Center Asc
The Urology Center, P.C.
$619.00Published rateNorthland Eye Surgery Center, LLC
$66.00Published rate
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See a sample payer proposalCPT 33406 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33406 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 33406 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 |
|---|---|---|
| 33390-CPT | High | Repair Of Heart Valve, Surgery To Open A Heart Valve (Aortic) That Has Become Stuck Closed By Scar Tissue Or Inflammation. Heart-Lung Bypass Is Used. The Tissue Is Separated By Cutting Or Progressive Dilation (Manually Widening The Opening). |
| 33391-CPT | High | Repair Of Heart Valve, Surgery To Open A Heart Valve (Aortic) That Has Become Stuck Closed By Scar Tissue Or Inflammation. Heart-Lung Bypass Is Used. The Tissue Is Separated By Cutting Or Progressive Dilation (Manually Widening The Opening). |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33406. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33406 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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