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See a sample rate comparisonCPT 33545 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 Partition Repair, Surgery After A Heart Attack To Repair The Partition Separating The Two Sides Of The Heart (Septum). All Muscle Tissue That Has Died From Loss Of Blood Is Removed And The Septum May Be Rebuilt With Synthetic Material.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $2,868.14 national non-facility rate (2026) · View Medicare rates for 33545 |
| Medicaid Fee Schedule | $2,224.68 median of the 8 states in the free preview · View Medicaid rates for 33545 |
National average reimbursement for CPT 33545 by major payers:
$3,896.87
$4,146.28
$4,451.76
$4,921.88
Compare published rates across providers.
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CPT 33545
5 of 25 sample ratesHigher to lower in this preview
Melbourne Surgical Services, Ll
Melbourne Surgical Services Ll
$5,500.00Published rateStark Ambulatory Surgery Center, LLC
Stark Ambulatory Surgery Center LLC
$1,049.00Published rateEndoscopy Center At Robinwood, LLC
Endoscopy Center At Robinwood LLC
$719.00Published rateSouthwestern Eye Center, Southwestern Eye Surgicenter-Show Low
Southwestern Eye Center, Ltd.
$492.00Published rateAkdhc Surgery Center, LLC
$100.00Published rate
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See a sample payer proposalCPT 33545 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33545 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 33545 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 |
|---|---|---|
| 33542-CPT | High | Myocardial Resection |
| 33545-CPT | High | Heart Partition Repair, Surgery After A Heart Attack To Repair The Partition Separating The Two Sides Of The Heart (Septum). All Muscle Tissue That Has Died From Loss Of Blood Is Removed And The Septum May Be Rebuilt With Synthetic Material. |
| 33548-CPT | High | Heart Chamber Restoration, Surgery To Repair The Left Lower Heart Chamber (Ventricle) After A Heart Attack. Damage Or Scarring Has Reshaped And Enlarged The Heart. The Procedure Inserts A Patch To Restore Normal Shape And Improve Blood Flow And Oxygen To The Heart. |
| 33619-CPT | High | Surgery For Heart Defect, Surgery To Repair One Or More Defects Involving Valves Blood Vessels Or Heart Chambers. The Procedure Can Involve Moving Blood Vessels Reconstructing Or Repairing Valves Or Repairing The Wall Between The Chambers (Septum). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33545. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33545 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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