CPT 33955 Fee Schedule
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.
| 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 | • None • 78 - Return to OR - related procedure • 63 |
| Complexity Level | High |
National average reimbursement for CPT 33955 by major payers:
$1,094.36
$1,203.82
$1,225.59
$1,378.82
| 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 33955 | ||||||
United | 33955 | $715.00 | 1629713730 - PG COUNTY ENDOSCOPY CENTER LLC | 881766792 - (MD) PG COUNTY ENDOSCOPY CENTER LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33955 | $1595.00 | 1215211552 - PUTNAM GI, LLC, PUTNAM ENDOSCOPY ASC, LLC | 274431591 - (NY) PUTNAM GI LLC | NY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33955 | $1114.00 | 1023551413 - MID-BRONX ENDOSCOPY CENTER LLC | 471156630 - (NY) MIDBRONX ENDOSCOPY CENTER LLC | NY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33955 | $459.00 | 1295088292 - CADENCE AMBULATORY SURGERY CENTER, LLC | 800838376 | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33955 | $1155.00 | 1275938102 - FOURTH CORNER NEUROSURGICAL ASSOCIATES INC PS, CASCADE OUTPATIENT SPINE CENTER | 911416044 - (WA) FOURTH CORNER NEUROSURGICAL ASSOCIATES, INC. | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33955 | $708.00 | 1619013455 - RUSH SURGICENTER AT THE PROFESSIONAL BUILDING LTD. PARTNERSHIP, RUSH SURGICENTER LTD. PARTNERSHIP | 363853026 - (IL) RUSH SURGICENTER, LTD. | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33955 | $2270.00 | 1619974219 - ST. JOSEPH'S SURGERY CENTER LP | 201019390 - (CA) ST JOSEPHS SURGERY CENTER LP | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33955 | $523.00 | 1912480070 - SOG SURGERY CENTER LLC | 822479805 - (MS) SOG SURGERY CENTER LLC | MS | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33955 | $1049.00 | 1538126362 - WINTER HAVEN AMBULATORY SURGICAL CENTER LLC | 593659906 - (FL) WINTER HAVEN AMBULATORY SURGICAL CENTER, LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33955 | $510.00 | 1346662186 - NATIONAL SURGICAL CENTERS OF AMERICA LLC, NSCOA PORT ST. LUCIE | 264278807 - (FL) NATIONAL SURGICAL CENTERS OF AMERICA LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33955 | $2705.00 | 1104947357 - TARRANT COUNTY SURGERY CENTER LP | 710985084 - (TX) TARRANT COUNTY SURGERY CENTER LP | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33955 | $1049.00 | 1962788059 - SURGCENTER OF SILVER SPRING, LLC | 452950933 - (MD) SURGCENTER OF SILVER SPRING LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33955 | $1208.00 | 1255796017 - GOSHEN HEALTH SURGERY CENTER, LLC | 475619052 - (IN) GOSHEN HEALTH SURGERY CENTER LLC | IN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33955 | $773.00 | 1306851902 - SPECIALTY SURGICAL CENTER OF IRVINE LP | 571149464 - (CA) SPECIALTY SURGICAL CENTER OF IRVINE, LP | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33955 | $600.00 | 1700843208 - FAYETTEVILLE AMBULATORY SURGERY CENTER LIMITED PARTNERSHIP, FAYETTEVILLE AMBULATORY SURGERY CENTER | 561754482 - (NC) FAYETTEVILLE AMBULATORY SURGERY | NC | 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 33955 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33955 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 33955 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 |
|---|---|---|
| 33955-CPT | High | Extracorporeal Membrane Oxygenation (Ecmo)/ Extracorporeal Life Support (Ecls) Provided By Physician; Insertion Of Central Cannula(E) By Sternotomy Or Thoracotomy Birth Through 5 Years Of Age |
| 33956-CPT | High | Extracorporeal Membrane Oxygenation (Ecmo)/ Extracorporeal Life Support (Ecls) Provided By Physician; Insertion Of Central Cannula(E) By Sternotomy Or Thoracotomy 6 Years And Older |
| 33957-CPT | Moderate | Extracorporeal Membrane Oxygenation (Ecmo)/ Extracorporeal Life Support (Ecls) Provided By Physician; Reposition Peripheral (Arterial And/Or Venous) Cannula(E) Percutaneous Birth Through 5 Years Of Age (Includes Fluoroscopic Guidance Whenperformed) |
| 33959-CPT | Moderate | Extracorporeal Membrane Oxygenation (Ecmo)/ Extracorporeal Life Support (Ecls) Provided By Physician; Reposition Peripheral (Arterial And/Or Venous) Cannula(E) Open Birth Through 5 Years Ofage (Includes Fluoroscopic Guidance When Performed) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33955. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33955 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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