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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 |
| Common Modifiers | 78 - Return to OR - related procedure 58 - Staged or related procedure during postoperative period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $170.01 national non-facility rate (2026) · View Medicare rates for 33965 |
| Medicaid Fee Schedule | $131.70 median of the 8 states in the free preview · View Medicaid rates for 33965 |
National average reimbursement for CPT 33965 by major payers:

$280.96

$267.61

$274.30

$307.94
Choose a payer to see a sample of rates for CPT 33965.
Foundation Surgery Affiliate Of Fort Wayne, LLC, Parkview Southwest Surgery Center
Foundation Surgery Affiliates Of Fw Inverness Surgery Center
Methodist Mansfield Ambulatory Surgery Center, LLC
Methodist Mansfield Ambulatory Surgery Center Ll
Huntington Surgery Center Limited Partnership, Cabell Huntington Surgery Center
Cabell Huntington Surgery Center
Surgery Center At Gateway LLC
Arrowhead Endoscopy And Pain Management Center LLC, Arrowhead Endoscopy Center.
Arrowhead Endoscopy And Pain Man
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Rate Benchmarking
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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 33965 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33965 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 33965 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 |
|---|---|---|
| 33957-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 Birth Through 5 Years Of Age Includes Fluoroscopic Guidance When Performed |
| 33959-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 Birth Through 5 Years Of Age Includes Fluoroscopic Guidance When Performed |
| 33963-CPT | Moderate | Ecmo Ecls Repos Perph Cnula, Extracorporeal Membrane Oxygenation Ecmo Extracorporeal Life Support Ecls Provided By Physician Reposition Of Central Cannula E By Sternotomy Or Thoracotomy Birth Through 5 Years Of Age Includes Fluoroscopic Guidance When Performed |
| 33965-CPT | Moderate | Ecmo Ecls Rmvl Perph Cannula, Extracorporeal Membrane Oxygenation Ecmo Extracorporeal Life Support Ecls Provided By Physician Removal Of Peripheral Arterial And Or Venous Cannula E Percutaneous Birth Through 5 Years Of Age |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33965. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33965 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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