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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 | $2,460.64 national non-facility rate (2026) · View Medicare rates for 33536 |
| Medicaid Fee Schedule | $1,918.215 median of the 8 states in the free preview · View Medicaid rates for 33536 |
National average reimbursement for CPT 33536 by major payers:

$3,332.50

$3,618.33

$3,825.98

$4,189.50
Choose a payer to see a sample of rates for CPT 33536.
Castle Hills Surgicare, LLC
Castle Hills Surgicare LLC
Woodbury Surgery Center, LLC
Woodbury Surgery Center LLC
Surgicare Of La Veta Inc., Barranca Surgery Center
Carolina Interventional Pain Institute, LLC, Carolina Interventional Pain Institute, LLC
Carolina Interventional Pain Institute LLC
Tulsa Ok Ophthalmology Asc LLC, Eye Surgery Center Of Tulsa
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Rate Benchmarking
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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 33536 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33536 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 33536 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 |
|---|---|---|
| 33533-CPT | High | Heart Bypass Surgery, Surgery To Bypass A Section Of A Blocked Heart Artery With An Artery Graft. Heart-Lung Bypass Is Used. One Or More Arteries Are Grafted To The Heart And Aorta (Largest Artery) So That Blood Can Flow Past The Blockage. |
| 33534-CPT | High | Heart Bypass Surgery, Surgery To Bypass A Section Of A Blocked Heart Artery With An Artery Graft. Heart-Lung Bypass Is Used. One Or More Arteries Are Grafted To The Heart And Aorta (Largest Artery) So That Blood Can Flow Past The Blockage. |
| 33535-CPT | High | Heart Bypass Surgery, Surgery To Bypass A Section Of A Blocked Heart Artery With An Artery Graft. Heart-Lung Bypass Is Used. One Or More Arteries Are Grafted To The Heart And Aorta (Largest Artery) So That Blood Can Flow Past The Blockage. |
| 33536-CPT | High | Heart Bypass Surgery, Surgery To Bypass A Section Of A Blocked Heart Artery With An Artery Graft. Heart-Lung Bypass Is Used. One Or More Arteries Are Grafted To The Heart And Aorta (Largest Artery) So That Blood Can Flow Past The Blockage. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33536. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33536 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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