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See a sample rate comparisonCPT 36013 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 Heart, Insertion Of Needle Or Thin Tube (Catheter) Into The Right Side Of The Heart Or Its Primary Blood Vessel (Pulmonary Artery).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $775.24 national non-facility rate (2026) · View Medicare rates for 36013 |
| Medicaid Fee Schedule | $622.945 median of the 8 states in the free preview · View Medicaid rates for 36013 |
National average reimbursement for CPT 36013 by major payers:
$870.15
$1,055.75
$1,138.04
$280.36
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CPT 36013
5 of 25 sample ratesHigher to lower in this preview
Affiliated Endoscopy Services Of Clifton LLC, Affiliated Endoscopy Services Of Clifton
Affiliated Endoscopy Services Of Clifton LLC
$1,306.00Published rateCountryside Surgery Center, Ltd
Countryside Surgery Center Ltd
$541.00Published rateRf Eye PC, Cochise Eye & Laser Asc
R.F. Eye, PC
$317.00Published rateHouston Surgery Center
Houston Surgery Center Lp
$187.00Published rateVirginia Eye Institute Inc, Virginia Eye Institute Surgery Pavilion
Virginia Eye Institute Inc
$83.00Published rate
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See a sample payer proposalCPT 36013 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36013 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 36013 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 | 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. |
| 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 36013. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36013 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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