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See a sample rate comparisonCPT 33915 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.
Removal Of Blood Clot, Surgery To Remove A Blood Clot From The Pulmonary (Lung) Artery. The Pulmonary Artery Carries Blood From The Heart To The Lungs.
| 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 | RT - Right side of body 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,303.30 national non-facility rate (2026) · View Medicare rates for 33915 |
| Medicaid Fee Schedule | $1,019.83 median of the 8 states in the free preview · View Medicaid rates for 33915 |
National average reimbursement for CPT 33915 by major payers:
$1,805.86
$1,857.57
$1,968.29
$2,171.27
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CPT 33915
5 of 25 sample ratesHigher to lower in this preview
Nextmed Laser, LLC
$5,500.00Published rateSt. Joseph'S Outpatient Surgery Center, LLC
St Josephs Outpatient Surgery Center LLC
$1,049.00Published ratePrairie Orthopaedic & Plastic Surgery, P.C.
$536.00Published rateSouthern California Stone Center
Urological Institute Of Southern California 401(K) Plan
$406.00Published rateValley Medical Plaza Ambulatory
$107.00Published rate
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See a sample payer proposalCPT 33915 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33915 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 33915 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 |
|---|---|---|
| 33910-CPT | High | Removal Of Blood Clot, Surgery To Remove A Blood Clot From The Pulmonary (Lung) Artery. The Pulmonary Artery Carries Blood From The Heart To The Lungs. |
| 33915-CPT | High | Removal Of Blood Clot, Surgery To Remove A Blood Clot From The Pulmonary (Lung) Artery. The Pulmonary Artery Carries Blood From The Heart To The Lungs. |
| 33916-CPT | High | Repair Major Artery To Lung, Surgery To Clear Out A Blockage From The Pulmonary (Lung) Artery. The Pulmonary Artery Carries Blood To The Lungs From The Heart. |
| 33917-CPT | High | Rpair Of Pulmona Arter Stenosis By Reconstr W/ Patch Or Gr, Repair Of Pulmonary Artery Stenosis By Reconstruction With Patch Or Gr |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33915. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33915 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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