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See a sample rate comparisonCPT 33697 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 | 80 - Assistant surgeon 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,910.87 national non-facility rate (2026) · View Medicare rates for 33697 |
| Medicaid Fee Schedule | $1,487.06 median of the 8 states in the free preview · View Medicaid rates for 33697 |
National average reimbursement for CPT 33697 by major payers:
$2,853.18
$2,874.54
$3,015.19
$3,318.53
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CPT 33697
5 of 25 sample ratesHigher to lower in this preview
Melbourne Surgical Services, Ll
Melbourne Surgical Services Ll
$5,500.00Published rateSurgcenter Of Glen Burnie, Surgcenter Of Glen Burnie, LLC
Surgcenter Of Glen Burnie, LLC
$1,064.00Published rateMission Surgery Center, Inc.
$650.00Published rateUrology Surgery Center Lp
$516.00Published rateEdison Surgery Center LLC
$250.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 33697 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33697 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 33697 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 |
|---|---|---|
| 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). |
| 33782-CPT | High | Aortic Root Translocation With, Aortic Root Translocation With Ventricular Septal Defect And Pulmonary Stenosis Repair (Ie Nikaidohprocedure) Without Coronary Ostium Reimplantatio N |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33697. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33697 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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