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See a sample rate comparisonCPT 33864 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.
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)
| 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 | AS - PA/NP/CNS assistant at surgery 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | $2,966.33 national non-facility rate (2026) · View Medicare rates for 33864 |
| Medicaid Fee Schedule | $2,309.21 median of the 8 states in the free preview · View Medicaid rates for 33864 |
National average reimbursement for CPT 33864 by major payers:
$4,029.15
$4,428.18
$4,840.24
$5,130.03
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CPT 33864
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Texas International Endoscopy Center, LLC, Texas International Endoscopy Center
$4,893.00Published rateThe Surgery Center At Williamson LLC
$2,101.00Published rateEndoscopy Center Of Dayton North LLC
$1,028.00Published rateSan Antonio Childrens Surgical
$569.00Published rateCataract & Laser Center, Inc.
The Cataract And Laser Center, I
$322.00Published rate
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See a sample payer proposalCPT 33864 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33864 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 33864 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 33864. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33864 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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