CPT 33949 Fee Schedule
Healthcare 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 | • None • AG - Primary physician • GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
National average reimbursement for CPT 33949 by major payers:
$298.15
$330.19
$364.43
$393.50
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 33949 | ||||||
United | 33949 | $434.00 | 1477876696 - KEY BISCAYNE SURGERY CENTER LLC | 271725488 - (FL) KEY BISCAYNE SURGERY CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33949 | $1954.00 | 1073758298 - BAPTIST SURGERY AND ENDOSCOPY CENTERS LLC, BAPTIST HEALTH ENDOSCOPY CENTER AT GALLOWAY NORTH | 201796841 | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33949 | $2180.00 | 1952405284 - CHILDRENS HEALTH CARE SERVICES INC, CHILDRENS MINNETONKA | 411756478 - (MN) CHILDRENS HEALTH CARE SERVICES INC | MN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33949 | $550.00 | 1588663512 - THOMAS EYE SURGERY CENTER LLC | 582464498 - (GA) THOMAS EYE SURGERY CENTER LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33949 | $375.00 | 1568079788 - DIALYSIS ACCESS CENTER OF CINCINNATI, INC. | 815023998 - (OH) DIALYSIS ACCESS CENTER OF CINCINNATI INC | OH | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33949 | $650.00 | 1841259694 - ENT FACIAL SURGERY CENTER LLC | 770470934 - (CA) ENT FACIAL SURGERY CENTER LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33949 | $520.00 | 1740918887 - ORTHOMIDWEST SURGERY CENTER BELOIT, LLC | 881260648 - (WI) ORTHOMIDWEST SURGERY CENTER BELOIT LLC | WI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33949 | $477.00 | 1558511881 - ADVANCED EYE MEDICAL GROUP A PROFESSIONAL CORPORATION, OPHTHALMOLOGY MEDICAL CENTER | 953875237 - (CA) ADVANCED EYE MEDICAL GROUP A PROFESSIONAL CORPORATION | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33949 | $775.00 | 1871774174 - SURGICAL EYE EXPERTS, LLC, SURGICAL EYE EXPERTS OF NEW ENGLAND, LLC | 651321064 - (MA) SURGICAL EYE EXPERTS LLC | MA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33949 | $529.00 | 1053575852 - EYNON SURGERY CENTER, LLC | 262791252 | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33949 | $1049.00 | 1962671487 - HYDE PARK SURGERY CENTER, LLC, HYDE PARK SURGERY CENTER, LP | 421731685 | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33949 | $819.00 | 1235567264 - WENTWORTH SURGERY CENTER, LLC | 900975592 - (NH) WENTWORTH SURGERY CENTER LLC | NH | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33949 | $441.00 | 1801179619 - SURGICARE OF FREEHOLD LIMITED LIABILITY COMPANY | 273075822 - (NJ) SURGICARE OF FREEHOLD LIMITED LIABILITY COMPANY | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33949 | $660.00 | 1912423633 - NWO SURGERY CENTER LLC | 821773714 - (OH) NWO SURGERY CENTER LLC | OH | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33949 | $1064.00 | 1588854772 - ALABAMA DIGESTIVE HEALTH ENDOSCOPY CENTER, LLC | 201243484 - (AL) ALABAMA DIGESTIVE HEALTH | AL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 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 | Extracorporeal Membrane Oxygenation (Ecmo)/ Extracorporeal Life Support (Ecls) Provided By Physician; Initiation Veno-Venous |
| 33947-CPT | Moderate | Xtracorporeal Membrane Oxygenation (Ecmo)/ Extracorporeal Life Support (Ecls) Provided By Physician; Initiation Veno-Arterial |
| 33948-CPT | Moderate | Extracorporeal Membrane Oxygenation (Ecmo)/ Extracorporeal Life Support (Ecls) Provided By Physician; Daily Management Each Day Veno-Venous |
| 33949-CPT | Moderate | 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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