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See a sample rate comparisonCPT 36216 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | $1,080.52 national non-facility rate (2026) · View Medicare rates for 36216 |
| Medicaid Fee Schedule | $863.995 median of the 8 states in the free preview · View Medicaid rates for 36216 |
National average reimbursement for CPT 36216 by major payers:
$1,336.92
$1,551.65
$1,693.95
$536.48
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CPT 36216
5 of 25 sample ratesHigher to lower in this preview
Landmark Surgical Suites, LLC
Landmark Surgical Suites LLC
$1,125.00Published rateOrthoarizona Scottsdale Asc, LLC
Orthoarizona Scottsdale Asc LLC
$477.00Published rateJourney Lite Of Cincinnati, LLC
Journeylite Of Cincinnati, LLC
$153.00Published rateEye Surgery Center Of Middle Tennessee, LLC
$117.00Published rateThe Eye Surgical Center Of Fort Wayne, LLC
The Eye Surgical Center Of Fort Wayne LLC
$68.00Published rate
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See a sample payer proposalCPT 36216 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36216 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 36216 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 |
|---|---|---|
| 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. |
| 36216-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. |
| 36217-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. |
| 36218-CPT | Moderate | Place Catheter In Artery, Selective Catheter Placement Arterial System Additional Second Order Third Order And Beyond Thoracic Or Brachiocephalic Branch Within A Vascular Family List In Addition To Code For Initial Second Or Third Order Vessel As Appropriate |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36216. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36216 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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