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See a sample rate comparisonCPT 33986 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 6 Years And Older
| 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 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $477.30 national non-facility rate (2026) · View Medicare rates for 33986 |
| Medicaid Fee Schedule | $368.69 median of the 8 states in the free preview · View Medicaid rates for 33986 |
National average reimbursement for CPT 33986 by major payers:
$696.45
$737.68
$772.68
$841.64
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CPT 33986
5 of 25 sample ratesHigher to lower in this preview
Venture Ambulatory Surgery Center
$2,732.00Published rateTreasure Coast Asc, LLC, Treasure Coast Center For Surgery
$983.00Published rateBayside Endoscopy Center LLC, East Greenwich Endoscopy Center
Bayside Endoscopy Center LLC
$594.00Published rateAgmg Endoscopy Center A General Partnership
$314.00Published rateGastroenterology Consultants Of Tuscaloosa Inc, Tuscaloosa Endoscopy Center
$100.00Published rate
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See a sample payer proposalCPT 33986 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33986 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 33986 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 |
| 33986-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 6 Years And Older |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33986. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33986 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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