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See a sample rate comparisonCPT 36012 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.
Insert Catheter Into Vein, Insertion Of A Thin Tube (Catheter) Into A Small Branch Vein. The Catheter May Be Guided Through A Blood Vessel To The Treatment Site.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $808.30 national non-facility rate (2026) · View Medicare rates for 36012 |
| Medicaid Fee Schedule | $648.21 median of the 8 states in the free preview · View Medicaid rates for 36012 |
National average reimbursement for CPT 36012 by major payers:
$953.70
$1,142.76
$1,280.84
$359.77
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CPT 36012
5 of 25 sample ratesHigher to lower in this preview
Northern Litho Inc
Northern Litho, Inc.
$2,100.00Published rateMarlon Jordan
Deaconess Hospital Inc
$1,501.03Published rateCrown Point Surgery Center, LLC, Crown Point Surgery Center
Crown Point Surgery Center, LLC
$574.00Published rateCcrm Florida LLC, Ccrm Florida
Ccrm Florida LLC
$180.00Published rateSouth Georgia Endoscopy Center, Inc
South Georgia Endoscopy Center Inc
$75.00Published rate
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See a sample payer proposalCPT 36012 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36012 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 36012 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 |
|---|---|---|
| 36011-CPT | Moderate | Catheter Insertion Large Vein, Insertion Of A Thin Tube (Catheter) Into A Major Branch Vein. The Catheter May Be Guided Through A Blood Vessel To The Treatment Site. |
| 36012-CPT | Moderate | Insert Catheter Into Vein, Insertion Of A Thin Tube (Catheter) Into A Small Branch 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 36012. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36012 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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