CPT 36000 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 | • 11 - Office • 20 - Urgent Care Facility |
| Common Modifiers | • None • 59 - Distinct Procedural Service • XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
National average reimbursement for CPT 36000 by major payers:

$35.06

$37.01

$41.58

$49.33
| 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 36000 | ||||||
United | 36000 | $26.96 | 1568576858 - GERARD MOAWAD | 134364280 | VA | Internal Medicine Physician (207R00000X) |
United | 36000 | $7.76 | 1538477674 - AMY SCHEER | 845088481 - (VA) SNF LTC PARTNERS OF VIRGINIA | VA | Internal Medicine Physician (207R00000X) |
United | 36000 | $50.36 | 1679543623 - TIMOTHY SCHWOB | 270898372 - WELLMONT MEDICAL ASSOCIATES INC | VA | Family Medicine Physician (207Q00000X) |
United | 36000 | $38.25 | 1255304697 - KENNETH PENDERGRAST | 800164702 | VA | Internal Medicine Physician (207R00000X) |
United | 36000 | $17.19 | 1578183141 - PAULIUS MUI | 541677022 | TX | Family Medicine Physician (207Q00000X) |
United | 36000 | $38.15 | 1639608367 - RYAN MARTINIUK | 540568001 - CARILION ROCKBRIDGE COMMUNITY HOSPITAL | IL | Family Medicine Physician (207Q00000X) |
United | 36000 | $41.36 | 1821435876 - NISHI PATEL | 541217184 - SENTARA MEDICAL GROUP | VA | Internal Medicine Physician (207R00000X) |
United | 36000 | $54.02 | 1346252020 - BRENT MILLER | 541677022 | VA | Family Medicine Physician (207Q00000X) |
United | 36000 | $44.22 | 1730384298 - DAVID FLACK | 540505979 - VALLEY HEALTH SYSTEM | VA | Family Medicine Physician (207Q00000X) |
United | 36000 | $51.04 | 1609300664 - KARANDEEP SINGH | 541519724 - RIVERSIDE HEALTHCARE ASSOCIATION INC | DC | Internal Medicine Physician (207R00000X) |
United | 36000 | $36.22 | 1639149925 - GLENN ANDERSON | 202265068 - INTERNAL MEDICINE ASSOCIATES OF RESTON | VA | Family Medicine Physician (207Q00000X) |
United | 36000 | $38.15 | 1497245351 - ELAINE RENICK | 541586601 - CARILION HEALTHCARE CORPORATION | VA | Family Medicine Physician (207Q00000X) |
United | 36000 | $23.72 | 1871596320 - VALENCIA WILLIAMS | 541103176 - (VA) HORIZON HEALTH SERVICES INC | VA | Family Medicine Physician (207Q00000X) |
United | 36000 | $39.56 | 1558867093 - GREGORY BENTZ | 541595397 - BAYVIEW PHYSICIAN SERVICES , P.C. | VA | Family Medicine Physician (207Q00000X) |
United | 36000 | $16.84 | 1710020623 - RIVERSIDE PHYSICIAN SERVICES, INC. | 541519724 - RIVERSIDE HEALTHCARE ASSOCIATION INC | VA | Family Medicine Physician (207Q00000X) |
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 36000 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36000 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 36000 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 |
|---|---|---|
| 36000-CPT | Low | Intro Needle/Cath Vein Unilat |
| 36002-CPT | Moderate | Injection Procedures (Eg, Thrombin) For Percutaneous Treatment Of Extremity Pseudoaneurysm |
| 36005-CPT | Moderate | Inj Proc Contrast Venography |
| 36215-CPT | High | Selective Catheter Placement, Arterial System; Each First Order Thoracic Or Brachiocephalic Branch, Within A Vascular Family |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36000 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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