CPT 33969 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 11 - Office |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 33969 |
| Medicaid Fee Schedule | View Medicaid rates for 33969 |
National average reimbursement for CPT 33969 by major payers:
$383.85
$394.73
$406.14
$448.48
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 33969 | $672.00 | 1659679074 - EYE SURGERY CENTER OF MIDDLE TENNESSEE, LLC | 275124581 | TN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33969 | $2373.00 | 1396784252 - FRONTENAC AMBULATORY SURGERY & SPINE CARE CENTER LP, FRONTENAC SURGERY & SPINE CARE CENTER | 205953268 - (MO) FRONTENAC AMBULATORY SURGERY SPINE CARE CENTER LP | MO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33969 | $512.00 | 1578917035 - HABANA AMBULATORY SURGERY CENTER LLC | 475162374 - (FL) HABANA AMBULATORY SURGERY CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33969 | $670.00 | 1497949705 - IDAHO PHYSICAL MEDICINE AND REHABILITATION PA | 820435241 - (ID) IDAHO PHYSICAL MEDICINE & REHABILITATION, PA | ID | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33969 | $254.00 | 1205853041 - EUCLID ENDOSCOPY CENTER, LP | 203197449 - (CA) EUCLID ENDOSCOPY CENTER LP | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33969 | $429.00 | 1154301240 - ENDOSCOPY CENTER OF WASHINGTON DC LP, THE ENDOSCOPY CENTER OF WASHINGTON, D.C. | 621543524 - (DC) ENDOSCOPY CENTER OF WASHINGTON DC LP | DC | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33969 | $840.00 | 1497791040 - CANYON PINOLE SURGERY CENTER, LP | 201582302 - (CA) CANYON PINOLE SURGERY CENTER | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33969 | $1049.00 | 1093772840 - THE SURGERY CENTER AT JENSEN BEACH, LLC | 651198731 - (FL) THE SURGERY CENTER AT JENSEN B | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33969 | $798.00 | 1477047199 - PAIN & SPINE PHYSICIANS SURGERY CENTER LLC | 821654725 - (GA) PAIN SPINE PHYSICIANS SURGERY CENTER LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33969 | $583.00 | 1962580266 - NOVAMED SURGERY CENTER OF WARRENSBURG LLC, EYE SURGERY CENTER OF WARRENSBURG | 205698307 - (MO) NOVAMED SURGERY CENTER OF WARRENSBURG LLC | MO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33969 | $934.00 | 1093771073 - ARTEL LLC | 263513966 - (CA) ARTEL, LLC | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33969 | $200.00 | 1447267554 - CEDAR SURGICAL ASSOCIATES LC | 870657848 - (UT) CEDAR SURGICAL ASSOCIATES LC | UT | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33969 | $700.00 | 1407829773 - LA JOLLA ENDOSCOPY CENTER LP, LA JOLLA ENDOSCOPY CENTER | 621806062 - (CA) LA JOLLA ENDOSCOPY CENTER LP | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33969 | $524.00 | 1881250652 - TEREDESAI MCCANN & ASSOCIATES PC, TMA VASCULAR ACCESS CENTER | 251403041 - (PA) TEREDESAI MCCANN & ASSOCIATES, P.C. | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33969 | $654.00 | 1144370594 - THIRD STREET SURGERY CENTER LLC, THIRD STREET SURGERY CENTER LP | 841663840 - (CA) THIRD STREET SURGERY CENTER LLC | CA | 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 33969 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33969 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 33969 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 |
|---|---|---|
| 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 |
| 33964-CPT | Moderate | Ecmo Ecls Repos Perph Cnula, Extracorporeal Membrane Oxygenation Ecmo Extracorporeal Life Support Ecls Provided By Physician Reposition Central Cannula E By Sternotomy Or Thoracotomy 6 Years And Older Includes Fluoroscopic Guidance When Performed |
| 33969-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 Open 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 33969. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33969 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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