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See a sample rate comparisonCPT 33985 Fee Schedule
Last Verified: October 2026
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.
Extracorporeal Membrane Oxygen, Extracorporeal Membrane Oxygenation (Ecmo)Extracorporeal Life Support (Ecls) Provided By Physicianremoval Of Central Cannula(E) By Sternotomy Or Th Oracotomy Birth Through 5 Years Of Age
| 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 | $470.62 national non-facility rate (2026) · View Medicare rates for 33985 |
| Medicaid Fee Schedule | $364.145 median of the 8 states in the free preview · View Medicaid rates for 33985 |
National average reimbursement for CPT 33985 by major payers:
$647.93
$743.39
$757.29
$838.90
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CPT 33985
5 of 25 sample ratesHigher to lower in this preview
Boulder Community Musculoskeletal Surgery Center, LLC, Boulder Surgery Center
Boulder Community Musculoskeletal Surgery Center LLC
$3,695.00Published rateGlastonbury Surgery Center, LLC
$1,215.00Published rateRiverbend Ambulatory Surgery Center LLC, Day Surgery At Riverbend
Riverbend Ambulatory Surgery Center LLC
$709.00Published rateJoint Replacement Center Of Louisiana
Joint Replacement Center Of Lous
$451.00Published rateLourdes Ambulatory Surgery Center LLC
$176.00Published rate
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See a sample payer proposalCPT 33985 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33985 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 33985 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 |
|---|---|---|
| 33981-CPT | High | Replace Heart Support Device, Replacement Of One Or More External Pumps For A Device That Pumps Blood From The Heart Lower Chambers (Ventricles) When They Have Weakened Or Failed. This Device Is Usually Replaced By An Artificial Heart Or A Transplant. |
| 33983-CPT | High | Replace Heart Support Device, Replacement Of One Or More External Pumps For A Device That Pumps Blood From The Heart Lower Chambers (Ventricles) When They Have Weakened Or Failed. This Device Is Usually Replaced By An Artificial Heart Or A Transplant. |
| 33984-CPT | Moderate | Ecmo Ecls Rmvl Prph Cannula, Extracorporeal Membrane Oxygenation Ecmo Extracorporeal Life Support Ecls Provided By Physician Removal Of Peripheral Arterial And Or Venous Cannula E Open 6 Years And Older |
| 33985-CPT | Moderate | Extracorporeal Membrane Oxygen, Extracorporeal Membrane Oxygenation (Ecmo)Extracorporeal Life Support (Ecls) Provided By Physicianremoval Of Central Cannula(E) By Sternotomy Or Th Oracotomy 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 33985. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33985 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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