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See a sample rate comparisonHealthcare 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 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 50 - Bilateral Procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $512.37 national non-facility rate (2026) · View Medicare rates for 36010 |
| Medicaid Fee Schedule | $410.73 median of the 8 states in the free preview · View Medicaid rates for 36010 |
National average reimbursement for CPT 36010 by major payers:

$598.49

$728.86

$809.77

$230.34
Choose a payer to see a sample of rates for CPT 36010.
Crozer-Chester Medical Center
Summer Street Asc LLC
Clarksville Surgicenter, LLC
Nura Surgical Center LLC, Minneapolis Pain Centers LLC
Specialty Asc LLC, Surgical Arts Center
Specialty Asc LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 36010 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36010 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 36010 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 |
|---|---|---|
| 36002-CPT | Moderate | Treat Weakened Blood Vessel, An Injection To Treat A Dilated Or Weakened Segment Of A Blood Vessel (Pseudoaneurysm) In The Arm Or Leg. The Treatment Introduces A Clotting Material To Help The Area Heal. |
| 36010-CPT | Moderate | Insert Catheter Largest Vein, Insertion Of A Thin Tube (Catheter) Into The Vena Cava (Largest Vein). The Catheter May Be Guided Through A Blood Vessel To The Treatment Site. |
| 36013-CPT | Moderate | Insert Catheter Into Heart, Insertion Of Needle Or Thin Tube (Catheter) Into The Right Side Of The Heart Or Its Primary Blood Vessel (Pulmonary Artery). |
| 36014-CPT | Moderate | Select Cath Plcmt Lt/Rt Pulmny Art |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36010. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36010 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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