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See a sample rate comparisonCPT 33786 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 |
| Common Modifiers | 82 - Assistant surgeon - no qualified resident 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $2,108.93 national non-facility rate (2026) · View Medicare rates for 33786 |
| Medicaid Fee Schedule | $1,640.41 median of the 8 states in the free preview · View Medicaid rates for 33786 |
National average reimbursement for CPT 33786 by major payers:
$2,871.27
$3,165.16
$3,303.76
$3,644.06
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CPT 33786
5 of 25 sample ratesHigher to lower in this preview
North Dakota Surgery Center, LLC
North Dakota Surgery Center, LLP
$2,091.00Published rateEndoscopy Asc Of Middle Georgia LLC
$1,028.00Published rateMorganton Eye Physicians, P.A., Surgery Center Of Morganton Eye Physicians
Morganton Eye Physicians, P.A.
$600.00Published rateCumberland Valley Surgical Center, LLC
Cumberland Valley Surgical Center LLC
$346.00Published rateValley Medical Plaza Ambulatory
$107.00Published rate
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See a sample payer proposalCPT 33786 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33786 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 33786 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 |
|---|---|---|
| 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). |
| 33786-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). |
| 33803-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). |
| 33852-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 33786. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33786 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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