CPT 33991 Fee Schedule
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.
| 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 | • None • 59 - Distinct Procedural Service • 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 33991 |
National average reimbursement for CPT 33991 by major payers:
$680.85
$875.91
$751.83
$879.44
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 33991 | ||||||
United | 33991 | $2172.00 | 1093383655 - SHERMAN ENDOSCOPY CENTER, LLC | 861402910 - (TX) SHERMAN ENDOSCOPY CENTER LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33991 | $867.00 | 1912600826 - SURGICAL CENTER OF TVH | 882585662 - (ID) SURGICAL CENTER OF TVH | ID | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33991 | $2932.00 | 1669415451 - BOUNTIFUL SURGERY CENTER LLC | 364581088 | UT | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33991 | $983.00 | 1790344182 - BRISTOL AMBULATORY SURGERY CENTER, LLC | 834345983 | TN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33991 | $875.00 | 1730296997 - DAY SURGERY LIMITED LIABILITY | 550737750 - (WV) DAY SURGERY LLC | WV | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33991 | $1274.00 | 1215548524 - SUMMIT AMBULATORY SURGICAL CENTER, LLC | 522148280 | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33991 | $737.00 | 1538101373 - DANVILLE POLYCLINIC, LTD, DANVILLE POLYCLINIC LTD ASTC | 370967248 - (IL) DANVILLE POLYCLINIC, LTD. | IL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33991 | $6068.00 | 1235752643 - TEXAS HEALTH SURGERY CENTER SOUTHWEST FORT WORTH, LLC | 843814490 - (TX) TEXAS HEALTH SURGERY CENTER SOUTHWEST FORT WORTH LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33991 | $457.00 | 1508209743 - CRESCENT VIEW SURGERY CENTER, LLC | 462070269 | LA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33991 | $1418.00 | 1497752745 - ORTHOPEDIC SOUTH SURGICAL PARTNERS, LLC, ORTHOPAEDIC SOUTH SURGICAL CENTER | 260008898 - (GA) ORTHOPEDIC SOUTH SURGICAL PARTNERS LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33991 | $400.00 | 1417949280 - CLEARWATER AMBULATORY SURGICAL CENTERS INC, CLEARWATER ENDOSCOPY CENTER | 593044282 - (FL) CLEARWATER AMBULATORY SURGICAL CENTERS INC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33991 | $404.00 | 1942202221 - NORTHLAKE ENDOSCOPY, LLC | 721515370 - (LA) NORTHLAKE ENDOSCOPY LLC | LA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33991 | $4300.00 | 1215134564 - EMMAUS SURGICAL CENTER, LLC | 208939316 - (NJ) EMMAUS SURGICAL CENTER, LLC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33991 | $350.00 | 1629409578 - PAIN CENTER OF WYOMING VALLEY, LLC | 462023592 - (PA) PAIN CENTER OF WYOMING VALLEY LLC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 33991 | $624.00 | 1245471788 - PACIFIC CATARACT AND LASER INSTITUTE, INC., P.C. | 911394965 - PACIFIC CATARACT AND LASER INSTITUTE, INC., PC | OR | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 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 | Insertion Of Left Heart Vent Through Chest For Ecmo External Blood Circulation In Heart And Lungs Using A Pump |
| 33989-CPT | Moderate | Removal Of Left Heart Vent Through Chest For Ecmo External Blood Circulation In Heart And Lungs Using A Pump |
| 33991-CPT | Moderate | Insertion Of Ventricular Assist Device Percu- Taneous Including Radiological Supervision And Interpretation; Left Heart Both Arterial And Venous Access With Transseptal Puncture (Desc Rvsd 1/1/21) |
| 33992-CPT | Moderate | Removal Of Percutaneous Left Heart Ventricular Assist Device Arterial Or Arterial And Venous Cannula(S) At Separate And Distinct Session From Insertion (Desc Rvsd 1/1/21) |
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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