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See a sample rate comparisonCPT 33690 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.
Limit Blood Flow Of Artery, Surgery To Limit Blood Flow Through The Main Heart Vessel On The Right Side By Placing A Band Around It. This Is Usually A Temporary Measure In Preparation For Other Procedures.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room 22 - On Campus Outpatient Hospital |
| Common Modifiers | 51 - Multiple procedures 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | $1,155.67 national non-facility rate (2026) · View Medicare rates for 33690 |
| Medicaid Fee Schedule | $904.835 median of the 8 states in the free preview · View Medicaid rates for 33690 |
National average reimbursement for CPT 33690 by major payers:
$1,513.24
$1,654.61
$1,786.37
$1,943.22
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CPT 33690
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford
$9,124.00Published rateQueensridge Surgery Center
$1,282.00Published rateNorthwest Surgery Center, LLP, Northwest Surgery Center
Northwest Surgery Center LLP
$1,049.00Published rateBone And Joint Surgical Suites, LLC
Bone And Joint Surgical Suites LLC
$594.00Published rateArizona Endoscopy Center, LLC
Arizona Endoscopy Center LLC
$109.00Published rate
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See a sample payer proposalCPT 33690 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33690 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 33690 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 |
|---|---|---|
| 33690-CPT | High | Limit Blood Flow Of Artery, Surgery To Limit Blood Flow Through The Main Heart Vessel On The Right Side By Placing A Band Around It. This Is Usually A Temporary Measure In Preparation For Other Procedures. |
| 33692-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). |
| 33694-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). |
| 33750-CPT | High | Surgery For Heart Defect, Surgery To Repair One Or More Structural Defects Of The Valves Major Blood Vessels Or Chambers Of The Heart. The Procedure May Move Blood Vessels Reconstruct Valves And Repair 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 33690. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33690 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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