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See a sample rate comparisonCPT 33465 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 Replacement, Surgery With Heart-Lung Bypass To Replace The Heart Tricuspid Valve (Between Lower And Upper Right Chambers). The Replacement May Be Fully Artificial Or Made From Biologically Similar Tissue.
| 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 | AS - PA/NP/CNS assistant at surgery 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $2,563.85 national non-facility rate (2026) · View Medicare rates for 33465 |
| Medicaid Fee Schedule | $1,986.63 median of the 8 states in the free preview · View Medicaid rates for 33465 |
National average reimbursement for CPT 33465 by major payers:
$3,457.13
$3,681.19
$4,051.66
$4,299.62
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CPT 33465
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC
Aurora Surgery Centers LLC
$17,689.00Published rateShrewsbury Surgery Center, LLC, Shrewsbury Surgery Center
Shrewsbury Surgery Center LLC
$1,893.00Published rateSummit Ambulatory Surgical Center, LLC
$1,028.00Published rateCoral Desert Surgery Center LLC
$571.00Published rateSouthwest Endoscopy LLC
$100.00Published rate
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See a sample payer proposalCPT 33465 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33465 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 33465 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 |
|---|---|---|
| 33460-CPT | High | Removal Of Heart Valve, Surgery With Heart-Lung Bypass To Remove The Tricuspid Valve. This Heart Valve Separates The Upper And Lower Right Chambers. |
| 33463-CPT | High | Heart Valve Surgery, Surgery To Repair The Heart Valve (Tricuspid) That Allows Blood To Flow Between The Upper And Lower Chambers On The Right Side Of The Heart. An Artificial Ring Is Inserted To Narrow The Mouth Of The Valve. |
| 33464-CPT | High | Heart Valve Surgery, Surgery To Repair The Heart Valve (Tricuspid) That Allows Blood To Flow Between The Upper And Lower Chambers On The Right Side Of The Heart. An Artificial Ring Is Inserted To Narrow The Mouth Of The Valve. |
| 33465-CPT | High | Heart Valve Replacement, Surgery With Heart-Lung Bypass To Replace The Heart Tricuspid Valve (Between Lower And Upper Right Chambers). The Replacement May Be Fully Artificial Or Made From Biologically Similar Tissue. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33465. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33465 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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