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See a sample rate comparisonCPT 33920 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.
Surgery To Repair Heart Defect, Surgery To Repair One Or More Defects Of The Heart Valves Blood Vessels Or Chambers. The Procedure Can Involve Moving Blood Vessels Reconstructing Valves And Repairing The Wall Between The Chambers (Septum).
| 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 | 82 - Assistant surgeon - no qualified resident 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | $1,690.09 national non-facility rate (2026) · View Medicare rates for 33920 |
| Medicaid Fee Schedule | $1,316.345 median of the 8 states in the free preview · View Medicaid rates for 33920 |
National average reimbursement for CPT 33920 by major payers:
$2,311.18
$2,535.64
$2,643.94
$2,933.42
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CPT 33920
5 of 25 sample ratesHigher to lower in this preview
Tallahassee Orthpaedic Surgery Partners Ltd
$2,746.00Published rateSomerset Ambulatory Surgical Center, LLC
$1,215.00Published rateSurgery Center, Dba Sawtooth Surgery Center
Surgery Center
$825.00Published rateInland Eye Specialists A Medical Corp, Inland Eye Specialists
Inland Eye Specialists, A Medical Corporation
$526.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$63.00Published rate
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See a sample payer proposalCPT 33920 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33920 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 33920 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 |
|---|---|---|
| 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 |
| 33920-CPT | High | Surgery To Repair Heart Defect, Surgery To Repair One Or More Defects Of The Heart Valves Blood Vessels Or Chambers. The Procedure Can Involve Moving Blood Vessels Reconstructing Valves And Repairing The Wall Between The Chambers (Septum). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33920. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33920 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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