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See a sample rate comparisonCPT 33681 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.
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).
| 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 | 51 - Multiple procedures 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | $1,745.87 national non-facility rate (2026) · View Medicare rates for 33681 |
| Medicaid Fee Schedule | $1,484.545 median of the 8 states in the free preview · View Medicaid rates for 33681 |
National average reimbursement for CPT 33681 by major payers:
$2,345.45
$2,555.32
$2,789.20
$2,972.80
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CPT 33681
5 of 25 sample ratesHigher to lower in this preview
Chca Mainland, L.P., Mainland Medical Center
$8,158.00Published rateSurgcenter Of Deer Valley, LLC
Surgcenter Of Deer Valley LLC
$983.00Published rateSheepshead Bay Surgery Center, Inc., Sheepshead Bay Surgery Center
Sheepshead Bay Surgery Center
$750.00Published rateButler Ambulatory Surgery Center L L C
Butler Ambulatory Surgery Center, LLC
$412.00Published rateToms River Ambulatory Surgical Center, Bey Lea Ambulatory Surgical Center
Toms River Ambulatory Surgical Center
$150.00Published rate
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See a sample payer proposalCPT 33681 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33681 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 33681 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 |
|---|---|---|
| 33647-CPT | High | Repair Heart Partition, Surgery To Repair One Or More Defects In The Wall Separating The Two Sides Of The Heart (Septum). The Partition Repair May Be In The Upper Or Lower Heart Chambers And May Involve Use Of An Artificial Patch. |
| 33681-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). |
| 33684-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). |
| 33688-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 33681. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33681 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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