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See a sample rate comparisonCPT 10036 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.
Plmt Sft Tiss Loclzj Dev Ea, Placement Of Soft Tissue Localization Device S Eg Clip Metallic Pellet Wire Needle Radioactive Seeds Percutaneous Including Imaging Guidance Each Additional Lesion List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 10036 |
| Medicaid Fee Schedule | View Medicaid rates for 10036 |
National average reimbursement for CPT 10036 by major payers:
$430.02
$543.28
$452.06
$112.74
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CPT 10036
5 of 25 sample ratesHigher to lower in this preview
Temple University Hospital, Inc
Temple University Hospital Inc
$6,189.00Published rateSummit Ambulatory Surgical Center LLC
$555.00Published rateNorth Scottsdale Ambulatory Surgery Center, LLC
North Scottsdale Ambulatory Surgery Center LLC
$230.00Published ratePremier Surgery Center Of Santa Maria LLC
Premier Surgery Center Of Santa Maria, Inc.
$164.00Published rateDigestive Care Endoscopy
$70.00Published rate
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See a sample payer proposalCPT 10036 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 10036 code is part of the Surgery services used for Surgical Procedures on the Integumentary 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 10036 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 |
|---|---|---|
| 10030-CPT | Moderate | Surgery To Drain Fluid, Ultrasound Or Ct Scan Is Used To Locate A Fluid Collection (Abscess Cyst Etc) And To Provide Guidance For The Insertion Of A Needle Into The Affected Area. A Thin Tube (Catheter) Is Then Inserted And Used To Drain The Fluid. |
| 10035-CPT | Moderate | Plmt Sft Tiss Loclzj Dev 1st, Placement Of Soft Tissue Localization Device S Eg Clip Metallic Pellet Wire Needle Radioactive Seeds Percutaneous Including Imaging Guidance First Lesion |
| 10036-CPT | Moderate | Plmt Sft Tiss Loclzj Dev Ea, Placement Of Soft Tissue Localization Device S Eg Clip Metallic Pellet Wire Needle Radioactive Seeds Percutaneous Including Imaging Guidance Each Additional Lesion List Separately In Addition To Code For Primary Procedure |
| 10040-CPT | Low | Acne Surgery, A Surgical Procedure For Acne That Opens And Removes A Cyst Milia Or Pustule From The Skin To Help Prevent It From Coming Back. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 10036. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 10036 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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