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CPT 33463 Fee Schedule

Last Verified: January 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.

Valvuloplasty, Tricuspid Valve; Without Ring Insertion
Key FactDetail
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

None

AS - PA/NP/CNS assistant at surgery

82 - Assistant surgeon - no qualified resident

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 33463

National average reimbursement for CPT 33463 by major payers:

bcbs

$3,826.36

uhc

$4,069.49

aetna

$4,549.37

cigna

$4,873.79

Preview provider-level rates for...
For billing codeCPT 33463
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 33463

United
33463$445.001487090452 - DIGESTIVE HEALTH SPECIALISTS, PA561242980 - (NC) DIGESTIVE HEALTH SPECIALISTS, P.A.NCAmbulatory Surgical Clinic/Center (261QA1903X)
United
33463$465.001255911970 - PINNACLE SURGERY CENTER842367400 - (LA) PINNACLE SURGERY CENTERLAAmbulatory Surgical Clinic/Center (261QA1903X)
United
33463$1274.001043803877 - PALM BEACH INTERNATIONAL SURGERY CENTER LLC, PALM BEACH INTERNATIONAL SURGERY CENTER AT THE PALEY INSTITUTE384092545 - (FL) PALM BEACH INTERNATIONAL SURGERY CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
33463$422.001144482753 - CLARKSVILLE EYE SURGERY CENTER261815638 - (TN) CLARKSVILLE EYE SURGERY CENTERTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
33463$825.001740479476 - MEADOW LAKE SURGERY CENTER INC204804837 - (ID) MEADOW LAKE SURGERY CENTER INCIDAmbulatory Surgical Clinic/Center (261QA1903X)
United
33463$477.001326107509 - OMAHA AMBULATORY SURGERY CENTER LLC205880863NEAmbulatory Surgical Clinic/Center (261QA1903X)
United
33463$861.001588711162 - SEATTLE HAND SURGERY GROUP PC, SEATTLE HAND SURGERY UNIT, INC911652268 - (WA) SEATTLE HAND SURGERY GROUP, P.C.WAAmbulatory Surgical Clinic/Center (261QA1903X)
United
33463$1264.001700661212 - PUYALLUP AMBULATORY SURGERY CENTER, LLC931376698 - (WA) PUYALLUP AMBULATORY SURGERY CENTER LLCWAAmbulatory Surgical Clinic/Center (261QA1903X)
United
33463$1049.001154474583 - CREEKWOOD SURGERY CENTER, LP431656044 - (MO) CREEKWOOD SURGERY CENTER LPMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
33463$309.001366032617 - EMERSON ENDOSCOPY AND DIGESTIVE HEALTH CENTER, LLC843673604 - (MA) EMERSON ENDOSCOPY AND DIGESTIVE HEALTH CENTER LLCMAAmbulatory Surgical Clinic/Center (261QA1903X)
United
33463$2705.001952945156 - PHYSICIANS WEST SURGICENTER, LLC843452204TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
33463$712.001669660817 - SPH IRVINE, L.L.C.752507129CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
33463$424.001942553300 - COLUMBIA SURGICAL INSTITUTE, LLC454449408 - (MD) COLUMBIA SURGICAL INSTITUTE LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
33463$983.001235395385 - TENN SM LLC680569923 - (TN) TENN SM LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
33463$1077.001417287137 - EAST PORTLAND SURGERY CENTER LLC271402985 - (OR) EAST PORTLAND SURGERY CENTER, LLCORAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 33463 vs. Other Surgical Procedures on the Cardiovascular System Codes

The CPT 33463 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 33463 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.

CodeComplexityDescription
33460-CPTHighValvuloplasty Tricuspid W Bypass
33463-CPTHighValvuloplasty, Tricuspid Valve; Without Ring Insertion
33464-CPTHighValvuloplasty, Tricuspid Valve; With Ring Insertion
33465-CPTHighValvulopl/Valvec,Tricuspid Valv,Cp Bypas

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33463. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 33463 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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