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See a sample rate comparisonCPT 33928 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 And Replacement Of Tot, Removal And Replacement Of Total Replacement Heartsystem (Artificial Heart) Unilateral Cryoablation Tery Disease Data Preparation And Transmission A
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 33928 |
| Medicaid Fee Schedule | $1,778.04 median of the 7 states in the free preview · View Medicaid rates for 33928 |
National average reimbursement for CPT 33928 by major payers:
$3,693.55
$3,324.38
$3,536.72
$4,000.55
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CPT 33928
5 of 25 sample ratesHigher to lower in this preview
North Suburban Spine Center Lp, North Metro Surgery Center
$2,785.00Published rateLake Endoscopy Center, LLC
Lake Endoscopy Center LLC
$983.00Published rateAdvanced Surgical Care Of Viera, LLC
Advanced Surgical Care Of Viera LLC
$594.00Published rateRockville Md Endoscopy Asc LLC, Gastrointestinal Endoscopy Associates (Giea)
Rockville Md Endoscopy Asc LLC
$408.00Published rateAffiliated Ambulatory Surgery Center LLC
Affiliated Ambulatory Surgery Center, LLC
$50.00Published rate
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See a sample payer proposalCPT 33928 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33928 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 33928 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 |
|---|---|---|
| 33927-CPT | High | Implantation Of A Total Replac, Implantation Of A Total Replacement Heart System (Artificial Heart) With Recipient Cardiectomy Unilateral Cryoablation Tery Disease Data Preparation And Transmission A |
| 33928-CPT | High | Removal And Replacement Of Tot, Removal And Replacement Of Total Replacement Heartsystem (Artificial Heart) Unilateral Cryoablation Tery Disease Data Preparation And Transmission A |
| 33929-CPT | High | Removal Of A Total Replacement, Removal Of A Total Replacement Heart System (Artificial Heart) For Heart Transplantation (List Separately In Addition To Code For Primary Procedure) Unilateral Cryoablation Tery Disease Data Preparation And Transmission A |
| 33930-CPT | High | Donr Cardiectmy-Pneum,Prep/Main.Hom |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33928. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33928 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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