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See a sample rate comparisonCPT 36223 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.
Place Cath Carotid Inom Art, Selective Catheter Placement Common Carotid Or Innominate Artery Unilateral Any Approach With Angiography Of The Ipsilateral Intracranial Carotid Circulation And All Associated Radiological Supervision And Interpretation Includes Angiography Of The Extracranial Carotid And Cervicocerebral Arch When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 50 - Bilateral Procedure 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | $1,915.54 national non-facility rate (2026) · View Medicare rates for 36223 |
| Medicaid Fee Schedule | $1,474.765 median of the 8 states in the free preview · View Medicaid rates for 36223 |
National average reimbursement for CPT 36223 by major payers:
$1,765.04
$2,182.09
$2,356.36
$675.60
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CPT 36223
5 of 25 sample ratesHigher to lower in this preview
Summit Orthopedics Ltd, Dba Landmark Surgery Center
Summit Orthopedics, Ltd.
$8,201.00Published rateNorthwest Ambulatory Surgery Services, LLC, Bellingham Ambulatory Surgery Center
Northwest Ambulatory Surgery Services, LLC
$4,031.00Published rateSpring Valley Surgery Center, LLC
Spring Valley Surgery Center LLC
$2,566.00Published rateMercer County Surgery Center LLC, Mercer County Surgery Center
Mercer County Surgery Center, LLC
$1,704.00Published rateAds Healthcare LLC, Ads Ambulatory Surgery Center
Ads Healthcare LLC
$991.00Published rate
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See a sample payer proposalCPT 36223 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36223 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 36223 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 |
|---|---|---|
| 36221-CPT | High | Place Cath Thoracic Aorta, Non Selective Catheter Placement Thoracic Aorta With Angiography Of The Extracranial Carotid Vertebral And Or Intracranial Vessels Unilateral Or Bilateral And All Associated Radiological Supervision And Interpretation Includes Angiography Of The Cervicocerebral Arch When Performed |
| 36222-CPT | High | Place Cath Carotid Inom Art, Selective Catheter Placement Common Carotid Or Innominate Artery Unilateral Any Approach With Angiography Of The Ipsilateral Extracranial Carotid Circulation And All Associated Radiological Supervision And Interpretation Includes Angiography Of The Cervicocerebral Arch When Performed |
| 36223-CPT | High | Place Cath Carotid Inom Art, Selective Catheter Placement Common Carotid Or Innominate Artery Unilateral Any Approach With Angiography Of The Ipsilateral Intracranial Carotid Circulation And All Associated Radiological Supervision And Interpretation Includes Angiography Of The Extracranial Carotid And Cervicocerebral Arch When Performed |
| 36224-CPT | High | Place Cath Carotd Art, Selective Catheter Placement Internal Carotid Artery Unilateral With Angiography Of The Ipsilateral Intracranial Carotid Circulation And All Associated Radiological Supervision And Interpretation Includes Angiography Of The Extracranial Carotid And Cervicocerebral Arch When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36223. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36223 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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