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See a sample rate comparisonCPT 33412 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 | AS - PA/NP/CNS assistant at surgery 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | $2,933.27 national non-facility rate (2026) · View Medicare rates for 33412 |
| Medicaid Fee Schedule | $2,282.59 median of the 8 states in the free preview · View Medicaid rates for 33412 |
National average reimbursement for CPT 33412 by major payers:
$3,774.67
$4,144.90
$4,394.33
$4,862.32
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CPT 33412
5 of 25 sample ratesHigher to lower in this preview
Mt Laurel Endoscopy Center L P
$4,300.00Published rateAdvanced Surgery Center Of Metairie LLC
Advanced Surgery Center Of Metairie
$1,049.00Published rateThe Endoscopy Center At Bainbridge LLC
$853.00Published rateOcean Endosurgery Center LLC, Ocean Endosurgery Center
Ocean Endosurgery Center LLC
$472.00Published rateEast Texas Eye Associates, East Texas Eye Associates Surgery Center
$95.00Published rate
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See a sample payer proposalCPT 33412 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33412 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 33412 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 |
|---|---|---|
| 33412-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. |
| 33413-CPT | High | Heart Valve Replacement, Surgery To Replace A Heart Valve (Aortic Valve) Using A Similar Valve (Pulmonic Valve) From The Same Heart. The Pulmonic Valve Is Replaced With An Artificial One. |
| 33414-CPT | High | Heart Chamber Modification, Surgery To Modify Parts Of The Left Ventricle (Main Pumping Chamber Of The Heart). The Procedure Enables Blood To Flow Freely Out Of The Heart. |
| 33415-CPT | High | Heart Muscle Surgery, Surgery To Reduce An Oversized Heart Muscle (Septum) Between The Lower Heart Chambers (Ventricles). The Muscle Is Blocking Blood Flow From The Left Ventricle. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33412. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33412 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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