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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 |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 82 - Assistant surgeon - no qualified resident 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | $4,516.80 national non-facility rate (2026) · View Medicare rates for 33945 |
| Medicaid Fee Schedule | $3,519.295 median of the 8 states in the free preview · View Medicaid rates for 33945 |
National average reimbursement for CPT 33945 by major payers:

$5,753.03

$6,399.17

$7,252.35

$7,772.90
Choose a payer to see a sample of rates for CPT 33945.
Stefanie Colavito
Deaconess Hospital Inc
Covenant High Plains Surgery Center, LLC, Covenant High Plains Surgery Center - Quaker Avenue
Covenant High Plains Surgery Center LLC
Lake Endoscopy Center, LLC
Lake Endoscopy Center LLC
The Eastside Endoscopy Center LLC
Pmtc Surgery Center, Inc
Pmtc Surgery Center Inc
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
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 33945 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33945 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 33945 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 |
| 33945-CPT | High | Heart Transplant, W/Wo Recipient Cardiec |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33945. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33945 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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