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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 23 - Emergency Room |
| Common Modifiers | 51 - Multiple procedures 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | $756.20 national non-facility rate (2026) · View Medicare rates for 33956 |
| Medicaid Fee Schedule | $584.735 median of the 8 states in the free preview · View Medicaid rates for 33956 |
National average reimbursement for CPT 33956 by major payers:

$1,080.65

$1,182.56

$1,246.99

$1,337.04
Choose a payer to see a sample of rates for CPT 33956.
Franconia-Springfield Surgery Center, LLC, Inova Surgery Center @ Franconia-Springfield
Inova Ambulatory Surgical Centers
Center For Ambulatory Surgery, LLC, The Center For Ambulatory Surgery
The Center For Ambulatory Surgery LLC
Surgery Center Of Scottsdale LLC
South County Outpatient Surgery Center, LLC
South County Outpatient Surgery Center LLC
Affiliated Physicians & Surgeons, Ltd
Affiliated Physicians Surgeons Ltd
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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 33956 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33956 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 33956 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 Oxygen, Extracorporeal Membrane Oxygenation (Ecmo)Extracorporeal Life Support (Ecls) Provided By Physicianinsertion Of Central Cannula(E) By Sternotomy Or Thoracotomy Birth Through 5 Years Of Age |
| 33956-CPT | High | Extracorporeal Membrane Oxygen, Extracorporeal Membrane Oxygenation (Ecmo)Extracorporeal Life Support (Ecls) Provided By Physicianinsertion Of Central Cannula(E) By Sternotomy Or Thoracotomy 6 Years And Older |
| 33958-CPT | Moderate | Ecmo Ecls Repos Perph Cnula, Extracorporeal Membrane Oxygenation Ecmo Extracorporeal Life Support Ecls Provided By Physician Reposition Peripheral Arterial And Or Venous Cannula E Percutaneous 6 Years And Older Includes Fluoroscopic Guidance When Performed |
| 33962-CPT | Moderate | Ecmo Ecls Repos Perph Cnula, Extracorporeal Membrane Oxygenation Ecmo Extracorporeal Life Support Ecls Provided By Physician Reposition Peripheral Arterial And Or Venous Cannula E Open 6 Years And Older 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 33956. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33956 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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