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See a sample rate comparisonCPT 33422 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.
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).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | 51 - Multiple procedures AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,588.21 national non-facility rate (2026) · View Medicare rates for 33422 |
| Medicaid Fee Schedule | $1,335.745 median of the 8 states in the free preview · View Medicaid rates for 33422 |
National average reimbursement for CPT 33422 by major payers:
$2,230.10
$2,316.03
$2,391.28
$2,742.80
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CPT 33422
5 of 25 sample ratesHigher to lower in this preview
Santa Monica Surgical Partners LLC, Surgery Center Of The Pacific
Santa Monica Surgical Partners LLC
$1,995.00Published rateCarolinas Endoscopy Center LLC
$1,049.00Published rateLagreca Eye Clinic, P.C., The Eye Clinic Surgicenter
Lagreca Eye Clinic, PC
$600.00Published rateBrazosport Eye Facility, Inc., Brazosport Eye Institute
Brazosport Eye Facility Inc
$191.00Published rateAffiliated Ambulatory Surgery Center LLC
Affiliated Ambulatory Surgery Center, LLC
$50.00Published rate
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See a sample payer proposalCPT 33422 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33422 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 33422 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 33422. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33422 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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