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See a sample rate comparisonCPT 33475 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 To Replace The Heart Valve That Brings Blood From The Lung Into The Lower Right Heart Chamber. The Replacement Valve May Be 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 |
| Common Modifiers | 82 - Assistant surgeon - no qualified resident 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $2,148.68 national non-facility rate (2026) · View Medicare rates for 33475 |
| Medicaid Fee Schedule | $1,680.12 median of the 8 states in the free preview · View Medicaid rates for 33475 |
National average reimbursement for CPT 33475 by major payers:
$3,049.40
$3,191.43
$3,522.05
$3,700.91
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CPT 33475
5 of 25 sample ratesHigher to lower in this preview
Park Central Surgical Center, Ltd, Medical City Surgery Center/Park Central
Park Central Surgical Center Ltd
$2,705.00Published rateEast Jefferson Ambulatory Surgery Center
East Jefferson Ambulatory
$924.00Published rateDeschutes Surgery Center, LLC, Deschutes Surgery Center, LLC
Deschutes Surgery Center LLC
$750.00Published rateBayfront Same Day Surgery Center, LLC.
Ohi West Inc
$495.00Published rateRegional Eye Associates, Inc, Surgical Eye Center Of Morgantown
Regional Eye Associates, Inc.
$150.00Published rate
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See a sample payer proposalCPT 33475 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33475 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 33475 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 |
|---|---|---|
| 33475-CPT | High | Heart Valve Replacement, Surgery To Replace The Heart Valve That Brings Blood From The Lung Into The Lower Right Heart Chamber. The Replacement Valve May Be Made From Biologically Similar Tissue. |
| 33476-CPT | High | Heart Muscle Surgery, Surgery To Modify Or Reduce Muscle Tissue At The Outlet Of The Right Heart Chamber (Ventricle) In Order To Improve Blood Flow. A Gusset Or Reinforcement May Be Used. |
| 33477-CPT | High | Replace Heart Valve, Replacement Of The Pulmonary Valve Of The Heart. The Replacement Valve Is Delivered Through A Stent (Mesh Tube) Inserted In The Blood Vessels. |
| 33478-CPT | High | Heart Muscle Surgery, Surgery To Modify Or Reduce Muscle Tissue At The Outlet Of The Right Heart Chamber (Ventricle) In Order To Improve Blood Flow. A Gusset Or Reinforcement May Be Used. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33475. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33475 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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