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See a sample rate comparisonCPT 33516 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 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | 82 - Assistant surgeon - no qualified resident AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $2,539.80 national non-facility rate (2026) · View Medicare rates for 33516 |
| Medicaid Fee Schedule | $2,078.165 median of the 8 states in the free preview · View Medicaid rates for 33516 |
National average reimbursement for CPT 33516 by major payers:
$3,690.04
$3,709.12
$3,909.41
$4,305.16
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CPT 33516
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Kingsland LLC, Memorial Hermann Surgery Center Kingsland
$5,554.00Published rateNorthern Monmouth Regional Surgery Center LLC, Center For Bone And Joint Surgery
Northern Monmouth Regional Surgery Center LLC
$1,136.00Published rateGeorgia Surgical Center On Peachtree, LLC
Georgia Surgical Center On Peachtree LLC
$969.00Published rateAdvanced Surgical Care Of Maryland, LLC
Advanced Surgical Care Of Maryland LLC
$568.00Published rateNorthern Arizona Surgicenter, LLC
Northern Arizona Surgicenter LLC
$100.00Published rate
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See a sample payer proposalCPT 33516 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33516 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 33516 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 |
|---|---|---|
| 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. |
| 33516-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. |
| 33523-CPT | High | 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 33516. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33516 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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