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See a sample rate comparisonCPT 33904 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Percutaneous Pulmonary Artery, Percutaneous Pulmonary Artery Revascularization Bystent Placement Each Additional Vessel Or Separa Te Lesion Normal Or Abnormal Connections (List Separately In Addition To Code For Primary 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 |
| Common Modifiers | 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $257.19 national non-facility rate (2026) · View Medicare rates for 33904 |
| Medicaid Fee Schedule | $198.82 median of the 8 states in the free preview · View Medicaid rates for 33904 |
National average reimbursement for CPT 33904 by major payers:
$386.18
$416.70
$401.25
$483.77
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CPT 33904
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Kingsland LLC, Memorial Hermann Surgery Center Kingsland
$1,831.00Published rateChandler Endoscopy Ambulatory Surgery Center, LLC, Chandler Endoscopy Center
$566.00Published rateHeart Care Center, LLC
$341.00Published rateEye Surgery And Laser Clinic, Inc.
Eye Surgery And Laser Clinic Inc
$121.00Published rateEye Surgicenter LLC
$42.00Published rate
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See a sample payer proposalCPT 33904 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33904 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 33904 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 |
|---|---|---|
| 33900-CPT | Moderate | Restore Blood Flow In Artery, Procedure To Restore Blood Flow To One Or Both Of The Pulmonary Arteries That Goes From The Heart To The Lungs By Implanting A Small Mesh Tube (Stent). |
| 33901-CPT | High | Restore Blood Flow In Artery, Procedure To Restore Blood Flow To One Or Both Of The Pulmonary Arteries That Goes From The Heart To The Lungs By Implanting A Small Mesh Tube (Stent). |
| 33902-CPT | Moderate | Restore Blood Flow In Artery, Procedure To Restore Blood Flow To One Or Both Of The Pulmonary Arteries That Goes From The Heart To The Lungs By Implanting A Small Mesh Tube (Stent). |
| 33904-CPT | Moderate | Percutaneous Pulmonary Artery, Percutaneous Pulmonary Artery Revascularization Bystent Placement Each Additional Vessel Or Separa Te Lesion Normal Or Abnormal Connections (List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33904. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33904 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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