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See a sample rate comparisonCPT 33419 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Repair Tcat Mitral Valve, Transcatheter Mitral Valve Repair Percutaneous Approach Including Transseptal Puncture When Performed Additional Prosthesis Es During Same Session List Separately In Addition To Code For Primary Procedure
| 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 | Q0 - Investigational clinical service provided in a clinical research study 62 - Co-Surgeons |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $368.08 national non-facility rate (2026) · View Medicare rates for 33419 |
| Medicaid Fee Schedule | $320.555 median of the 8 states in the free preview · View Medicaid rates for 33419 |
National average reimbursement for CPT 33419 by major payers:
$587.30
$604.49
$627.23
$689.20
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CPT 33419
5 of 25 sample ratesHigher to lower in this preview
Park Nicollet Methodist Hospital, Park Nicollet Same Day Surgery Center
Park Nicollet Health Services
$1,534.00Published ratePrecision Surgery Center, LLC
$528.00Published rateGalea Center, LLC., Galea Center For Advanced Surgery
Galea Center LLC
$175.00Published rateOhi West, Inc, Bayfront Health Ambulatory Surgery Center
Ohi West Inc
$106.00Published rateAssociates Surgery Centers, LLC
Associates Surgery Centers LLC
$50.00Published rate
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See a sample payer proposalCPT 33419 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33419 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 33419 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 |
|---|---|---|
| 33418-CPT | High | Transcatheter Mitral Valve Rep, Transcatheter Mitral Valve Repair Percutaneous Approach Including Transseptal Puncture When Performed Initial Prosthesis |
| 33419-CPT | Moderate | Repair Tcat Mitral Valve, Transcatheter Mitral Valve Repair Percutaneous Approach Including Transseptal Puncture When Performed Additional Prosthesis Es During Same Session List Separately In Addition To Code For Primary Procedure |
| 33420-CPT | High | Heart Valve Surgery, Surgery To Open The Heart Valve (Mitral) That Moves Blood Between The Left Upper And Lower Heart Chambers. Scar Tissue Or Inflammation Has Closed The Valve. The Stuck Tissue Is Cut Apart Or Separated By Progressive Dilation (Manually Widening The Opening). |
| 33422-CPT | High | Heart Valve Surgery, Surgery To Open The Heart Valve (Mitral) That Moves Blood Between The Left Upper And Lower Heart Chambers. Scar Tissue Or Inflammation Has Closed The Valve. The Stuck Tissue Is Cut Apart Or Separated By Progressive Dilation (Manually Widening The Opening). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33419. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33419 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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