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See a sample rate comparisonCPT 33692 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 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 82 - Assistant surgeon - no qualified resident AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | $1,808.99 national non-facility rate (2026) · View Medicare rates for 33692 |
| Medicaid Fee Schedule | $1,406.39 median of the 8 states in the free preview · View Medicaid rates for 33692 |
National average reimbursement for CPT 33692 by major payers:
$2,530.07
$2,685.67
$2,829.30
$3,108.49
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CPT 33692
5 of 25 sample ratesHigher to lower in this preview
Freehold Endoscopy Associates, LLC, Endoscopy Center Of Monmouth County
Freehold Endoscopy Associates
$4,300.00Published rateEast West Surgery Center Lp
$1,064.00Published rateUchealth Ambulatory Surgery Centers, Uchealth Eastview Surgery Center
Uchealth Ambulatory Surgery Centers
$842.00Published rateUrology Associates Of Central California, Inc, Urology Associates Of Central California Ambulatory Surgical Center
Urology Associates Of Central California Inc
$541.00Published rateRegional Eye Associates, Inc, Surgical Eye Center Of Morgantown
Regional Eye Associates, Inc.
$150.00Published rate
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See a sample payer proposalCPT 33692 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33692 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 33692 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). |
| 33697-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 33692. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33692 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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