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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 11 - Office |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 82 - Assistant surgeon - no qualified resident 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $2,383.82 national non-facility rate (2026) · View Medicare rates for 33410 |
| Medicaid Fee Schedule | $1,857.855 median of the 8 states in the free preview · View Medicaid rates for 33410 |
National average reimbursement for CPT 33410 by major payers:

$3,481.15

$3,452.99

$3,650.11

$4,007.88
Choose a payer to see a sample of rates for CPT 33410.
South Jersey Musculoskeletal Institute, LLC, Advanced Surgical Institute
South Jersey Musculoskeletal Institute, LLC
Holston Valley Ambulatory Surgery Center, LLC
Point Of Rocks Surgery Center, LLC
Clermont Ambulatory Surgical Center
Anderson Endoscopy Center LLC
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Rate Benchmarking
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See a sample payer proposalCPT 33410 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33410 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 33410 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. |
| 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 33410. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33410 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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