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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-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 23 - Emergency Room |
| Common Modifiers | AG - Primary physician GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $209.09 national non-facility rate (2026) · View Medicare rates for 33949 |
| Medicaid Fee Schedule | $164.825 median of the 8 states in the free preview · View Medicaid rates for 33949 |
National average reimbursement for CPT 33949 by major payers:

$298.15

$330.19

$364.43

$384.88
Choose a payer to see a sample of rates for CPT 33949.
Ann & Robert H. Lurie Children'S Hospital Of Chicago, Lurie Children'S Surgery Center In Northbrook
Ann & Robert H Lurie Childrens Hospital Of Chicago
Surgcenter Camelback LLC
Physicians' Surgery Center Of Victorville LLC
Physicians Surgery Center Of Victorville, LLC
Pasadena Surgery Center LLC, Pasadena Surgery Center
Pasadena Surgery Center LLC
Martha Jefferson Hospital, Martha Jefferson Outpatient Surgery Center
Martha Jefferson Hospital
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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 33949 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33949 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 33949 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 |
|---|---|---|
| 33946-CPT | Moderate | Life Support System, Life Support System That Mimics The Natural Function Of The Heart And Lungs. This Allows An Infant Or Child To Rest While The Organs Heal. |
| 33947-CPT | Moderate | Life Support System, Life Support System That Mimics The Natural Function Of The Heart And Lungs. This Allows An Infant Or Child To Rest While The Organs Heal. |
| 33948-CPT | Moderate | Ecmo Ecls Daily Mgmt Venous, Extracorporeal Membrane Oxygenation Ecmo Extracorporeal Life Support Ecls Provided By Physician Daily Management Each Day Veno Venous |
| 33949-CPT | Moderate | Ecmo Ecls Daily Mgmt Artery, Extracorporeal Membrane Oxygenation Ecmo Extracorporeal Life Support Ecls Provided By Physician Daily Management Each Day Veno Arterial |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33949. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33949 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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