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See a sample rate comparisonHealthcare 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.
| 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 | AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $2,303.66 national non-facility rate (2026) · View Medicare rates for 33513 |
| Medicaid Fee Schedule | $1,797.905 median of the 8 states in the free preview · View Medicaid rates for 33513 |
National average reimbursement for CPT 33513 by major payers:

$3,111.74

$3,391.29

$3,563.26

$3,933.79
Choose a payer to see a sample of rates for CPT 33513.
Beltway Surgery Centers, LLC, East Washington Surgery Center
Columbus Endoscopy Center LLC
Journey Lite Of The Central Coast, LLC, Conejo Surgical Center
Journey Lite Of The Central Coast LLC
Orthoarkansas Spine Institute Procedure Center LLC
Nisenfeld & Chilton, Md PA, Orthopaedic Associates Of Frederick, Asc
Nisenfeld & Chilton, M.D., P.A.
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 33513 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33513 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 33513 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 |
|---|---|---|
| 33512-CPT | High | Heart Bypass Surgery, Surgery To Replace A Diseased Section Of A Heart Artery With A Vein Graft. Heart-Lung Bypass Is Used. The Graft Is Attached From The Heart Artery To The Aorta (Largest Artery) Bypassing The Blocked Artery. |
| 33513-CPT | High | Heart Bypass Surgery, Surgery To Replace A Diseased Section Of A Heart Artery With A Vein Graft. Heart-Lung Bypass Is Used. The Graft Is Attached From The Heart Artery To The Aorta (Largest Artery) Bypassing The Blocked Artery. |
| 33514-CPT | High | Heart Bypass Surgery, Surgery To Replace A Diseased Section Of A Heart Artery With A Vein Graft. Heart-Lung Bypass Is Used. The Graft Is Attached From The Heart Artery To The Aorta (Largest Artery) Bypassing The Blocked Artery. |
| 33519-CPT | Moderate | Heart Vein And Artery Grafts, Surgery To Bypass A Section Of A Heart Artery With Grafts From Both Veins And Arteries. The Grafts Are Attached To A Healthy Artery To Enable Blood To Flow Past The Blocked Artery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33513. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33513 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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