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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $3,133.67 national non-facility rate (2026) · View Medicare rates for 33858 |
| Medicaid Fee Schedule | $2,424.075 median of the 8 states in the free preview · View Medicaid rates for 33858 |
National average reimbursement for CPT 33858 by major payers:

$4,442.76

$4,778.55

$4,913.17

$5,372.19
Choose a payer to see a sample of rates for CPT 33858.
Mckinney Surgery Center, Lp, The Surgery Centre At Craig Ranch
Ophthalmology Surgery Center Of Orlando LLC, Orlando Ophthalmology Surgery Center
Summit Ventures Of Santa Barbara, Lp, Summit Surgery Center
Summit Ventures Of Santa Barbara, Lp
Precision Vision Surgery Center, LLC
Edward D. Glinski, D.O. & Accociates, Inc.
Winter Haven Sebring Fl Ophthalmology Asc LLC, Eye Surgery & Laser Center
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 33858 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33858 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 33858 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 |
|---|---|---|
| 33858-CPT | High | Repair Largest Artery (Aorta), Surgery To Repair A Bulge Damage Or Other Problem In A Section Of The Largest Artery (Aorta). The Procedure Requires Grafts And Moves One Or More Smaller Attached Vessels. |
| 33859-CPT | High | Repair Largest Artery (Aorta), Surgery To Repair A Bulge Damage Or Other Problem In A Section Of The Largest Artery (Aorta). The Procedure Requires Grafts And Moves One Or More Smaller Attached Vessels. |
| 33863-CPT | High | Repair Largest Artery (Aorta), Surgery To Repair A Bulge Damage Or Other Problem In A Section Of The Largest Artery (Aorta). The Procedure Requires Grafts And Moves One Or More Smaller Attached Vessels. |
| 33864-CPT | High | Ascending Aorta Graft With Ca, Ascending Aorta Graft With Cardiopulmonary Bypasswith Valve Suspension With Coronary Reconstructi On And Valve-Sparing Aortic Annulus Remodeling (E.G. David Procedure Yacoub Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33858. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33858 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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