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See a sample rate comparisonCPT 36160 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.
Introduce Needleor Intracath,Aortic,Tra
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $545.44 national non-facility rate (2026) · View Medicare rates for 36160 |
| Medicaid Fee Schedule | $438.215 median of the 8 states in the free preview · View Medicaid rates for 36160 |
National average reimbursement for CPT 36160 by major payers:
$619.17
$711.67
$763.55
$271.61
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CPT 36160
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc, Emory Endoscopy Center At Decatur
Emory University
$1,394.00Published rateMonocacy Surgery Center LLC
Monocacy Surgery Center
$506.00Published rateEndoscopy Center Of The Rockies LLC, Endoscopy Center Of The Rockies Lafayette
Endoscopy Center Of The Rockies LLC
$351.00Published rateCenter For Spine Interventions Asc 3, LLC
$140.00Published rateLockwood Ambulatory Surgery Center, Groman & Rubin Ambulatory Surgery Center
Lockwood Ambulatory Surgery Center
$54.00Published rate
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See a sample payer proposalCPT 36160 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36160 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 36160 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 |
|---|---|---|
| 36140-CPT | Moderate | Intro Of Needle Or Intracatheter; Xtremit Arter, Introduction Of Needle Or Intracatheter; Extremity Artery |
| 36160-CPT | Moderate | Introduce Needleor Intracath,Aortic,Tra |
| 36200-CPT | Moderate | Introduction Of Catheter, Aorta (Arch, Abdominal, Midstream Renal, Aortoiliac Run-Off) Or Selective; Initial Placement |
| 36215-CPT | High | Catheter Placement Artery, Surgical Insertion Of A Thin Tube (Catheter) Into An Artery. The Catheter Is Guided To A Large Chest Artery And Then To Its Branches. Dye May Be Injected For X-Ray Examination. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36160. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36160 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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