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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 11 - Office |
| Common Modifiers | 58 - Staged or related procedure during postoperative period 78 - Return to OR - related procedure |
| Complexity Level | Low |
| Medicare Fee Schedule | $29.73 national non-facility rate (2026) · View Medicare rates for 33968 |
| Medicaid Fee Schedule | $25.63 median of the 8 states in the free preview · View Medicaid rates for 33968 |
National average reimbursement for CPT 33968 by major payers:

$48.50

$47.25

$50.37

$55.82
Choose a payer to see a sample of rates for CPT 33968.
Mays & Schnapp Pain Clinic & Rehabilitation Center
Mays Schnapp Pain Clinic Rehabilitation Center
Coliseum Same Day Surgery Center Lp
Orthopedic Surgery Center Of The Fox Valley LLC
Orthopedic Surgery Center Of The Fox Valley
Denton Surgery Center LLC, Texas Health Surgery Center Denton
Denton Surgery Center, LLC Dba Texas Health Surgery Center Denton
Advanced Laser & Surgicenter Of Arizona, PC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 33968 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33968 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 33968 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 |
|---|---|---|
| 33967-CPT | Moderate | Insert Blood Flow Assistant, Placement Of A Blood Flow Assist Device (Balloon-Pump) Through A Thin Tube (Catheter) Into The Aorta (Largest Artery). This Provides Temporary Mechanical Support Of The Heart Pumping Function. |
| 33968-CPT | Low | Remove Heart Support Device, Removal Of A Blood Flow Assist Device (Balloon Pump) That Has Been Placed In The Major Artery (Aorta). The Device Provides Temporary Mechanical Support For The Heart Pumping Function. |
| 33970-CPT | Moderate | Insert Blood Flow Assistant, Placement Of A Blood Flow Assist Device (Balloon-Pump) Through A Thin Tube (Catheter) Into The Aorta (Largest Artery). This Provides Temporary Mechanical Support Of The Heart Pumping Function. |
| 33971-CPT | Moderate | Remove Heart Support Device, Removal Of A Blood Flow Assist Device (Balloon Pump) That Has Been Placed In The Major Artery (Aorta). The Device Provides Temporary Mechanical Support For The Heart Pumping Function. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33968. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33968 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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