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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 82 - Assistant surgeon - no qualified resident 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,618.27 national non-facility rate (2026) · View Medicare rates for 33645 |
| Medicaid Fee Schedule | $1,261.275 median of the 8 states in the free preview · View Medicaid rates for 33645 |
National average reimbursement for CPT 33645 by major payers:

$2,247.32

$2,341.95

$2,575.06

$2,740.29
Choose a payer to see a sample of rates for CPT 33645.
South Jersey Musculoskeletal Institute, LLC, Advanced Surgical Institute
South Jersey Musculoskeletal Institute, LLC
Haymarket Surgery Center, LLC
Haymarket Surgery Center
Ap Surgery Center LLC
Novant Health Wilmington Endoscopy Center LLC, Novant Health Wilmington Endoscopy Center
Carolina Healthcare Associates Inc
Liberty Endoscopy Center
Liberty Endoscopy Center, LLC
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 33645 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33645 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 33645 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 |
|---|---|---|
| 33602-CPT | High | Close Off Heart Valve, Surgery To Close A Valve In The Heart. The Valve May Be Stitched Closed Or A Patch May Be Attached. Access To The Valve Is Gained By Opening The Heart Chambers Or One Of The Great Vessels. |
| 33606-CPT | High | Heart Blood Vessel Surgery, Surgery To Combine Blood Flow Of The Two Major Heart Arteries. Flow From The Right Side Of The Heart Is Shifted Over To The Flow From The Left Side Of The Heart (Aorta). This Enables A Single Chamber To Pump Blood To The Body. |
| 33641-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). |
| 33645-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 33645. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33645 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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