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See a sample rate comparisonCPT 33990 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.
Nsj Perq Vad L Hrt Arterial, Insertion Of Left Lower Heart Chamber Blood Flow Assist Device Via Artery Accessed Through Skin Including Radiological Supervision And Interpretation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $312.97 national non-facility rate (2026) · View Medicare rates for 33990 |
| Medicaid Fee Schedule | $277.28 median of the 8 states in the free preview · View Medicaid rates for 33990 |
National average reimbursement for CPT 33990 by major payers:
$483.50
$603.38
$570.37
$636.24
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CPT 33990
5 of 25 sample ratesHigher to lower in this preview
Las Cruces Surgery Center Lp, Mountainview Surgery Center
$13,865.00Published ratePhysicians Surgery Services Lp, Advanced Surgery Center
Physician Surgery Services L.P.
$1,377.00Published rateAdventhealth Surgery Center Wellswood LLC, Adventhealth Surgery Center Wellswood
Adventhealth Surgery Center Wellswood LLC
$983.00Published rateMillennium Surgery Centers Of Florida, LLC
Millennium Surgery Centers Of Florida LLC
$565.00Published rateBethesda Endoscopy Center, LLC
Bethesda Endoscopy Center LLC
$341.00Published rate
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See a sample payer proposalCPT 33990 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33990 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 33990 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 |
|---|---|---|
| 33987-CPT | Moderate | Arterial Exposure With Creatio, Arterial Exposure With Creation Of Graft Conduit (Eg Chimney Graft) To Facilitate Arterial Perfusion For Ecmoecls (List Separately In Addition To Code For Primary Procedure) |
| 33988-CPT | High | Insrt Of Lft Heart Vnt By Thoracic Ncision (Eg Strnotomy, Insertion Of Left Heart Vent By Thoracic Incision (Eg Sternotomy Tho |
| 33989-CPT | Moderate | Remval Of Lft Heart Vnt By Thoracic Ncision (Eg Strnotomy Thora, Removal Of Left Heart Vent By Thoracic Incision (Eg Sternotomy Thora |
| 33990-CPT | Moderate | Nsj Perq Vad L Hrt Arterial, Insertion Of Left Lower Heart Chamber Blood Flow Assist Device Via Artery Accessed Through Skin Including Radiological Supervision And Interpretation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33990. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33990 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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