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See a sample rate comparisonCPT 33766 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 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 51 - Multiple procedures 99 - Multiple Modifiers |
| Complexity Level | High |
| Medicare Fee Schedule | $1,257.21 national non-facility rate (2026) · View Medicare rates for 33766 |
| Medicaid Fee Schedule | $981.195 median of the 8 states in the free preview · View Medicaid rates for 33766 |
National average reimbursement for CPT 33766 by major payers:
$1,755.16
$1,879.93
$1,929.53
$2,173.55
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CPT 33766
5 of 25 sample ratesHigher to lower in this preview
Franciscan Surgery Center, LLC
$6,362.00Published rateSouth Shore Sc, LLC
South Shore Surgery Center, LLC
$1,093.00Published rateOak Asc, LLC
Oak Asc LLC
$780.00Published rateChristus Santa Rosa Pasc-San Antonio LLC, Christus Santa Rosa Physicians Ambulatory Surgery Center-Stone Oak
Christus Srpasc - San Antonio, LLC
$501.00Published rateZion Eye Institute, Inc
Zion Eye Institute Inc
$200.00Published rate
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See a sample payer proposalCPT 33766 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33766 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 33766 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 |
|---|---|---|
| 33755-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). |
| 33764-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). |
| 33766-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). |
| 33768-CPT | Moderate | Redirect Heart Blood Vessel, Surgery Secondary To Another Procedure In Which An Upper Vein Is Detached From The Heart And Attached To The Left Pulmonary (Lung) Artery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33766. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33766 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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