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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-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 11 - Office |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 82 - Assistant surgeon - no qualified resident |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $477.30 national non-facility rate (2026) · View Medicare rates for 33530 |
| Medicaid Fee Schedule | $386.815 median of the 8 states in the free preview · View Medicaid rates for 33530 |
National average reimbursement for CPT 33530 by major payers:

$650.39

$703.65

$790.13

$823.89
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See a sample payer proposalCPT 33530 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33530 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 33530 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 |
|---|---|---|
| 33506-CPT | High | Repair Heart Blood Vessel, Surgery To Correct An Abnormal Route Of A Heart Artery (Coronary Artery) That Has Been Present Since Birth. Common Methods To Reroute The Blood Flow Include Relocating The Blood Vessel Or Use Of A Graft. |
| 33510-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. |
| 33530-CPT | Moderate | Reoperation Coronary Artery B, Reoperation Coronary Artery Bypass Procedure Or Valveprocedure More Than One Month After Original Operation (List Separately In Addition To Code For Primary Procedure) |
| 33572-CPT | Moderate | Open Coronary Endarterectomy, Coronary Endarterectomy Open Any Method Of Left Anterior Descending Circumflex Or Right Coronary Artery Performed In Conjunction With Coronary Artery Bypass Graft Procedure Each Vessel List Separately In Addition To Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33530. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33530 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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