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See a sample rate comparisonCPT 33926 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 22 - On Campus Outpatient Hospital |
| Common Modifiers | 82 - Assistant surgeon - no qualified resident 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $2,232.85 national non-facility rate (2026) · View Medicare rates for 33926 |
| Medicaid Fee Schedule | $1,735.695 median of the 8 states in the free preview · View Medicaid rates for 33926 |
National average reimbursement for CPT 33926 by major payers:
$3,434.77
$3,368.73
$3,520.15
$3,895.27
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CPT 33926
5 of 25 sample ratesHigher to lower in this preview
Ann & Robert H. Lurie Children'S Hospital Of Chicago, Lurie Children'S Surgery Center In Northbrook
Ann & Robert H Lurie Childrens Hospital Of Chicago
$8,891.00Published rateGreat South Bay Endoscopy Center, LLC
Great South Bay Endoscopy Center LLC
$1,192.00Published rateSummit Ambulatory Surgical Center, LLC
$983.00Published rateCenter For Assisted Reproduction Laboratory And Surgery Center, Inc.
Center For Assisted Reproduction Laboratory And Surgery Center Inc
$410.00Published ratePain-Mds Ambulatory Surgical Center, LLC
Painmds Ambulatory Surgical Center LLC
$105.00Published rate
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See a sample payer proposalCPT 33926 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33926 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 33926 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 33926. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33926 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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