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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 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 82 - Assistant surgeon - no qualified resident AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,580.20 national non-facility rate (2026) · View Medicare rates for 33417 |
| Medicaid Fee Schedule | $1,233.46 median of the 8 states in the free preview · View Medicaid rates for 33417 |
National average reimbursement for CPT 33417 by major payers:

$2,168.85

$2,327.40

$2,434.80

$2,705.07
Choose a payer to see a sample of rates for CPT 33417.
Saint Lukes-Gi Diagnostics LLC
Saint Lukesgi Diagnostics LLC
Endoscopy Center Of Dayton Ltd
Southwest Idaho Surgery Center, Inc.
Southwest Idaho Surgery Center Inc
Bel Clair Ambulatory Surgical Treatment Center, Ltd., Bel Clair Surgical Center
Bel Clair Ambulatory Surgical Treatment Center Ltd
Southeastern Outpatient Surgery Center LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
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 33417 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33417 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 33417 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. |
| 33417-CPT | High | Aortoplasy (Gusset) For Subvalvular Sten |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33417. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33417 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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