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See a sample rate comparisonCPT 33925 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.
Repair Major Artery To Lung, Surgery To Correct Blood Flow In The Major Artery To The Lungs (Pulmonary). The Procedure Redirects The Flow From Abnormal Branch Vessels.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | 80 - Assistant surgeon 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,598.57 national non-facility rate (2026) · View Medicare rates for 33925 |
| Medicaid Fee Schedule | $1,244.35 median of the 8 states in the free preview · View Medicaid rates for 33925 |
National average reimbursement for CPT 33925 by major payers:
$2,333.68
$2,409.38
$2,469.44
$2,840.58
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CPT 33925
5 of 25 sample ratesHigher to lower in this preview
Texas Health Surgery Center Alliance, LLC, Texas Health Surgery Center Alliance
$6,068.00Published rateAdvanced Spine And Pain Surgery Centers LLC
$1,124.00Published rateSummit Ventures Of Santa Barbara, Lp, Summit Surgery Center
Summit Ventures Of Santa Barbara, Lp
$854.00Published ratePasadena Surgery Center LLC, Pasadena Surgery Center
Pasadena Surgery Center LLC
$525.00Published rateAmbulatory Surgical Center Of Union County, LLC
$319.00Published rate
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See a sample payer proposalCPT 33925 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33925 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 33925 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 |
|---|---|---|
| 33922-CPT | High | Surgery On Lung Artery, Surgery To Repair A Blockage Or Damage To The Lung Artery Or Its Branches. The Procedure May Use Grafts. |
| 33924-CPT | Moderate | Remove Pulmonary Shunt, Ligation And Takedown Of A Systemic-To-Pulmonary Artery Shunt Performed In Conjunction With A Congenital Heart Procedure (List Separately In Addition To Code For Primary Procedure) |
| 33925-CPT | High | Repair Major Artery To Lung, Surgery To Correct Blood Flow In The Major Artery To The Lungs (Pulmonary). The Procedure Redirects The Flow From Abnormal Branch Vessels. |
| 33926-CPT | High | Repair Major Artery To Lung, Surgery To Correct Blood Flow In The Major Artery To The Lungs (Pulmonary). The Procedure Redirects The Flow From Abnormal Branch Vessels. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33925. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33925 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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