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See a sample rate comparisonCPT 33720 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.
Repair Heart Artery And Valve, Surgery To Repair An Abnormal Passageway (Fistula) Or Bulge (Aneurysm) In The Largest Artery (Aorta) The Aortic Valve And Surrounding Heart Structures.
| 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 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $1,464.96 national non-facility rate (2026) · View Medicare rates for 33720 |
| Medicaid Fee Schedule | $1,143.56 median of the 8 states in the free preview · View Medicaid rates for 33720 |
National average reimbursement for CPT 33720 by major payers:
$1,957.63
$2,157.17
$2,253.83
$2,508.71
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CPT 33720
5 of 25 sample ratesHigher to lower in this preview
Mansfield Surgical Plaza LLC, Mansfield Surgery Center
$1,955.00Published rateEnti Surgery Center LLC
$834.00Published rateGeorgia Ophthalmologists LLC, Georgia Ophthalmologists Ambulatory Surgery Center
Georgia Ophthalmologists, LLC
$584.00Published rateOrlando Fl Endoscopy Asc LLC, Central Florida Surgical Center
Orlando Fl Endoscopy Asc LLC
$343.00Published rateNorthern Arizona Eye Associates
$100.00Published rate
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See a sample payer proposalCPT 33720 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33720 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 33720 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 |
|---|---|---|
| 33702-CPT | High | Repair Heart Artery And Valve, Surgery To Repair An Abnormal Passageway (Fistula) Or Bulge (Aneurysm) In The Largest Artery (Aorta) The Aortic Valve And Surrounding Heart Structures. |
| 33710-CPT | High | Repair Heart Artery And Valve, Surgery To Repair An Abnormal Passageway (Fistula) Or Bulge (Aneurysm) In The Largest Artery (Aorta) The Aortic Valve And Surrounding Heart Structures. |
| 33720-CPT | High | Repair Heart Artery And Valve, Surgery To Repair An Abnormal Passageway (Fistula) Or Bulge (Aneurysm) In The Largest Artery (Aorta) The Aortic Valve And Surrounding Heart Structures. |
| 33726-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 33720. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33720 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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