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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 33930 |
| Medicaid Fee Schedule | $1,515.825 median of the 8 states in the free preview · View Medicaid rates for 33930 |
National average reimbursement for CPT 33930 by major payers:

$1,368.58

$1,560.30

$2,043.23

$2,163.17
Choose a payer to see a sample of rates for CPT 33930.
Monterey Peninsula Surgery Center Capitola, Capitola Surgery Center
Monterey Peninsula Surgery Center, LLC
Mountain View Endoscopy Center Lp
Mountain View Endoscopy Center,
R&R Surgical Institute
Rr Surgical Institute
Independence Asc LLC, The Endoscopy Center - East
Surgicenter Ltd, Bloomberg Eye Center
Surgicenter Ltd
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 33930 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33930 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 33930 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 33930. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33930 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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