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CPT 33813 Fee Schedule

Last Verified: December 2025

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.

Oblit.Aortopulm.Sep.Dfct;W/O Bypass
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Cardiovascular System

Complexity LevelHigh

National average reimbursement for CPT 33813 by major payers:

bcbs

$1,779.74

uhc

$1,742.71

aetna

$N/A

cigna

$2,290.74

Preview provider-level rates for...
For billing codeCPT 33813
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 33813

United
33813$1055.001043612534 - HHC ASC, LLC824195385MOAmbulatory Surgical Clinic/Center (261QA1903X)
United
33813$672.001659679074 - EYE SURGERY CENTER OF MIDDLE TENNESSEE, LLC275124581TNAmbulatory Surgical Clinic/Center (261QA1903X)
United
33813$582.001841589116 - RENAISSANCE SURGERY CENTER OF CHATTANOOGA, LLC273013392 - (TN) RENAISSANCE SURGERY CENTER OF CHATTANOOGA LLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
33813$1028.001134613979 - SUMMIT AMBULATORY SURGICAL CENTER LLC522148280MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
33813$734.001366868572 - PREMIER SURGERY CENTER, LLC463321793 - (NC) PREMIER SURGERY CENTER LLCNCAmbulatory Surgical Clinic/Center (261QA1903X)
United
33813$1461.001558053868 - LORAIN AMHERST SURGERY CENTER LLC853470191 - (OH) LORAIN AMHERST SURGERY CENTER LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
33813$600.001154839678 - R&R SURGICAL INSTITUTE820815470 - (CA) RR SURGICAL INSTITUTECAAmbulatory Surgical Clinic/Center (261QA1903X)
United
33813$326.541275687873 - DERMATOLOGY ASSOCIATES OF KENTUCKY, PSC610701663 - (KY) DERMATOLOGY ASSOCIATES OF KENTUCKY, P.S.C.KYAmbulatory Surgical Clinic/Center (261QA1903X)
United
33813$1682.001598258865 - NORTHERN WESTCHESTER FACILITY PROJECT LLC, YORKTOWN CENTER FOR SPECIALTY SURGERY383989643 - (NY) NORTHERN WESTCHESTER FACILITY PROJECT LLCNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
33813$550.001588663512 - THOMAS EYE SURGERY CENTER LLC582464498 - (GA) THOMAS EYE SURGERY CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
33813$750.001700389822 - CENTER FOR SPINE INTERVENTIONS ASC 2813634134GAAmbulatory Surgical Clinic/Center (261QA1903X)
United
33813$410.001053634030 - DALLAS NEPHROLOGY ASSOCIATES, DALLAS NEPHROLOGY ASSOCIATES VASCULAR CENTER DALLAS751366650 - (TX) DALLAS NEPHROLOGY ASSOCIATES, P.A.TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
33813$162.001306199757 - SONTERRA PROCEDURE CENTER, LLC455125802 - (TX) SONTERRA PROCEDURE CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
33813$1036.001992497762 - SEATTLE SURGERY CENTER LLC882819593WAAmbulatory Surgical Clinic/Center (261QA1903X)
United
33813$250.001710552278 - CHILDREN'S DENTAL SURGERY CENTER OF JACKSON LLC, CHILDREN'S DENTAL SURGERY OF JACKSON852790585 - (NJ) CHILDRENS DENTAL SURGERY CENTER OF JACKSON LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 33813 vs. Other Surgical Procedures on the Cardiovascular System Codes

The CPT 33813 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 33813 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.

CodeComplexityDescription
33800-CPTHighAortic Susp-Trach Decomp(Seprt Pro)
33803-CPTHighDivision Of Aberrant Vessel;W Reanastomo
33813-CPTHighOblit.Aortopulm.Sep.Dfct;W/O Bypass
33814-CPTHighObliterate Aortopulmonary Septal Defect;

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33813. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 33813 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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