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See a sample rate comparisonCPT 33726 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 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).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | 82 - Assistant surgeon - no qualified resident 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | $1,890.49 national non-facility rate (2026) · View Medicare rates for 33726 |
| Medicaid Fee Schedule | $1,471.025 median of the 8 states in the free preview · View Medicaid rates for 33726 |
National average reimbursement for CPT 33726 by major payers:
$2,588.95
$2,813.38
$2,946.82
$3,338.73
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CPT 33726
5 of 25 sample ratesHigher to lower in this preview
Baycare Aurora Kaukauna Surgery Center LLC, Kaukauna Surgery Center
Baycare Aurora Kaukauna Surgery Center LLC
$16,236.00Published rateSurgcenter Of White Marsh, LLC
$1,028.00Published rateAmbulatory Center For Aesthetic And Reconstructive Surgery
$693.00Published rateSan Joaquin Laser Surgery Center
$421.00Published rateMesa Az Endoscopy Asc LLC, Desert Endoscopy Center
The Mesa Az Endoscopy Asc, LLC
$103.00Published rate
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See a sample payer proposalCPT 33726 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33726 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 33726 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 |
|---|---|---|
| 33724-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). |
| 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). |
| 33730-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). |
| 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 33726. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33726 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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