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CPT 33474 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.

Valvotomy Pulmonary Open W Bypass
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Cardiovascular System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

AS - PA/NP/CNS assistant at surgery

82 - Assistant surgeon - no qualified resident

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 33474

National average reimbursement for CPT 33474 by major payers:

bcbs

$2,745.26

uhc

$2,898.12

aetna

$3,120.37

cigna

$3,475.18

Preview provider-level rates for...
For billing codeCPT 33474
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 33474

United
33474$7400.001275881179 - EAGLE HIGHLANDS SURGERY CENTER, LLC, MERIDIAN SOUTH SURGERY CENTER352072586INAmbulatory Surgical Clinic/Center (261QA1903X)
United
33474$3348.221578208435 - NPI SURGERY CENTER LLC852578527 - (NE) NPI SURGERY CENTER LLCNEAmbulatory Surgical Clinic/Center (261QA1903X)
United
33474$829.001922093293 - LEWIS & CLARK ORTHOPAEDIC INSTITUTE LLC352210163 - LEWIS & CLARK ORTHOPAEDIC, LLC 401(K) PLANIDAmbulatory Surgical Clinic/Center (261QA1903X)
United
33474$1231.001114196151 - SUMMIT AMBULATORY SURGICAL CENTER LLC522148280MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
33474$682.001649944521 - PRECISION BONE AND JOINT SURGERY CENTER861302912 - (FL) PRECISION BONE AND JOINT SURGERY CENTERFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
33474$1687.001013962521 - NEWPORT PLAZA SURGERY CENTER392060266CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
33474$863.001558785683 - SOUTHERN SPORTS SURGICAL, LLC., INDIAN LAKE SURGERY CENTER463690503 - (TN) SOUTHERN SPORTS SURGICAL LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
33474$719.001740201607 - TALLAHASSEE ENDOSCOPY CENTER INC593050876 - (FL) TALLAHASSEE ENDOSCOPY CENTER INCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
33474$2705.001548223068 - COLUMBIA SURGICARE OF AUGUSTA, LTD621671906 - (GA) COLUMBIA SURGICARE OF AUGUSTA LTDGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
33474$1081.001639195217 - CY FAIR SURGERY CENTER760386971 - (TX) CY FAIR SURGERY CENTERTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
33474$517.001568469328 - WYOMISSING SURGICAL SERVICES INC.731647840 - (PA) WYOMISSING SURGICAL SERVICES INCPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
33474$960.001619036381 - WILMINGTON AMBULATORY SURGICAL CENTER, LLC, AMERICAN SURGERY CENTER510385184 - (DE) WILMINGTON AMBULATORY SURGICAL CENTER LLCDEAmbulatory Surgical Clinic/Center (261QA1903X)
United
33474$410.001740700111 - M. REZA MIZANI, M.D., P.A., TOTAL VASCULAR CARE200743330 - (TX) M. REZA MIZANI MD, PATXAmbulatory Surgical Clinic/Center (261QA1903X)
United
33474$2785.001639804248 - WILLIS SURGICENTER, LLC842342776 - (TX) WILLIS SURGICENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
33474$2188.001346270329 - MARY IMMACULATE AMBULATORY SURGERY CENTER LLC200485202 - (VA) MARY IMMACULATE AMBULATORY SURGERY CENTER LLCVAAmbulatory 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 33474 vs. Other Surgical Procedures on the Cardiovascular System Codes

The CPT 33474 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 33474 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
33471-CPTHighIncision Of Valve Between Lower Right Heart Chamber And Main Lung Artery, Closed Heart Procedure, Ap
33474-CPTHighValvotomy Pulmonary Open W Bypass
33475-CPTHighReplacement Pulmonary Valve
33476-CPTHighRt.Ventricular Resect-Infundibular Sten,

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33474. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 33474 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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