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See a sample rate comparisonCPT 33991 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 Artl&Ven, Insertion Of Left Lower Heart Chamber Blood Flow Assist Device Via Artery And Vein Accessed Through Skin With Puncture Of Partition Between Heart Chambers 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 23 - Emergency Room |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $415.84 national non-facility rate (2026) · View Medicare rates for 33991 |
| Medicaid Fee Schedule | $356.845 median of the 8 states in the free preview · View Medicaid rates for 33991 |
National average reimbursement for CPT 33991 by major payers:
$680.85
$875.91
$751.83
$860.26
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CPT 33991
5 of 25 sample ratesHigher to lower in this preview
Indiana Endoscopy Centers LLC, Indiana Endoscopy Center West
$7,400.00Published rateShawnee Mission Prairie Star Surgery Center LLC, Adventhealth Surgery Center Lenexa
Shawnee Mission Prairie Star Surgery Center LLC
$1,801.00Published rateBristol Ambulatory Surgery Center, LLC
$983.00Published ratePlateau Surgery Center
$518.00Published ratePain Center Of Wyoming Valley, LLC
Pain Center Of Wyoming Valley LLC
$350.00Published rate
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See a sample payer proposalCPT 33991 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33991 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 33991 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 |
|---|---|---|
| 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 |
| 33991-CPT | Moderate | Nsj Perq Vad L Hrt Artl&Ven, Insertion Of Left Lower Heart Chamber Blood Flow Assist Device Via Artery And Vein Accessed Through Skin With Puncture Of Partition Between Heart Chambers Including Radiological Supervision And Interpretation |
| 33992-CPT | Moderate | Removal Of Percutaneous Left H, Removal Of Percutaneous Left Heart Ventricular Assist Device Arterial Or Arterial And Venous Cannula(S) At Separate And Distinct Session From Insertion |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33991. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33991 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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