CPT 36012 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 • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • LT - Left side of body • RT - Right side of body |
| Complexity Level | Moderate |
National average reimbursement for CPT 36012 by major payers:
$953.70
$1,142.76
$1,280.84
$1,312.01
| 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 36012 | ||||||
United | 36012 | $75.00 | 1194987222 - ADVANCED SURGERY CENTER OF PALM BEACH COUNTY, LLC, ADVANCED SURGERY CENTER | 262830080 - (FL) ADVANCED SURGERY CENTER OF PALM BEACH COUNTY LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36012 | $689.65 | 1508855651 - TERRY SWEATT | 350593390 - DEACONESS HOSPITAL INC | KY | Certified Registered Nurse Anesthetist (367500000X) |
United | 36012 | $92.00 | 1417987595 - ENDOSCOPY CENTER OF NORTH BALTIMORE | 412081861 | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36012 | $608.00 | 1942265780 - SURGICARE OF WICHITA, LLC | 752198375 - (KS) SURGICARE OF WICHITA LLC | KS | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36012 | $121.00 | 1497751747 - MID-ATLANTIC ENDOSCOPY CENTER, LLC, MID-ATLANTIC GASTROINTESTINAL CENTER II | 233096335 - (DE) MIDATLANTIC ENDOSCOPY CENTER LLC | DE | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36012 | $200.00 | 1881845907 - NORTH PACIFIC DERMATOLOGY PS | 204269950 - (WA) NORTH PACIFIC DERMATOLOGY PS | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36012 | $748.00 | 1891750980 - AMBULATORY SURGICAL FACILITY OF S FLORIDA LLLP, MEMORIAL SAME DAY SURGERY CENTERS | 592753716 - (FL) AMBULATORY SURGICAL FACILITY OF | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36012 | $258.00 | 1689843963 - PAIN-MDS AMBULATORY SURGICAL CENTER, LLC | 261980849 - (AZ) PAINMDS AMBULATORY SURGICAL CENTER LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36012 | $308.00 | 1073682159 - CENTRAL MASSACHUSETTS AMBULATORY ENDOSCOPY CENTER LLC | 830375714 | MA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36012 | $1501.03 | 1730612599 - MOLLY FLOTTMAN | 350593390 - DEACONESS HOSPITAL INC | IN | Pediatric Critical Care Medicine Physician (2080P0203X) |
United | 36012 | $679.00 | 1437574191 - OIL CENTER SURGICAL PLAZA | 464090110 - (LA) OIL CENTER SURGICAL PLAZA | LA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36012 | $627.00 | 1619218096 - SAN MARCOS ASC LLC | 800899088 | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36012 | $180.00 | 1306589809 - CCRM FLORIDA LLC, CCRM FLORIDA | 873211160 - (FL) CCRM FLORIDA LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36012 | $98.00 | 1427003904 - PHILADELPHIA WOMEN'S CENTER, INC. | 232476628 - (PA) PHILADELPHIA WOMENS CENTER INC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36012 | $75.00 | 1841304797 - SOUTH GEORGIA ENDOSCOPY CENTER, INC | 593737668 - (GA) SOUTH GEORGIA ENDOSCOPY CENTER INC | GA | 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 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 |
|---|---|---|
| 36010-CPT | Moderate | Introduction Of Catheter; In Superior Or Inferior Vena Cava, Right Heart Or Pulmonary Artery |
| 36011-CPT | Moderate | Select Cath Plcmt Venous; First Order Br |
| 36012-CPT | Moderate | Selective Catheter Placement, Venous System; Second Order, Or More Selective, Branch (Eg, Left Adrenal Vein, Petrosal Sinus) |
| 36013-CPT | Moderate | Intro Cath Rt Heartor Main Pulmonary Ar |
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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