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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 | Moderate |
| Medicare Fee Schedule | $250.51 national non-facility rate (2026) · View Medicare rates for 33969 |
| Medicaid Fee Schedule | $193.985 median of the 8 states in the free preview · View Medicaid rates for 33969 |
National average reimbursement for CPT 33969 by major payers:

$383.85

$394.73

$406.14

$448.48
Choose a payer to see a sample of rates for CPT 33969.
Northshore Regional Medical Center Dba The Surgery Suite, The Surgery Suite
Ochsner Clinic Foundation
Surgery Center Of Gilbert LLC, Surgery Center Of Gilbert
Surgery Center Of Gilbert, LLC
Eye Surgery Center Of Middle Tennessee, LLC
Habana Ambulatory Surgery Center LLC
Bryn Mawr Medical Specialists Association
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Rate Benchmarking
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See a sample payer proposalCPT 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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