CPT 36224 Fee Schedule
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.
| 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 | • None • 50 - Bilateral Procedure • RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 36224 |
National average reimbursement for CPT 36224 by major payers:
$2,078.80
$2,636.21
$2,903.32
$3,158.25
| 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 36224 | ||||||
United | 36224 | $3958.94 | 1831695568 - ARRON COLE | 462333282 - KINGS PHYSICIAN SERVICES PC | NY | Otolaryngology Physician (207Y00000X) |
United | 36224 | $3958.94 | 1508157876 - YUWEI GU | 462333282 - KINGS PHYSICIAN SERVICES PC | NY | Endocrinology, Diabetes & Metabolism Physician (207RE0101X) |
United | 36224 | $3458.16 | 1023577848 - KHANG LAM | 350593390 - DEACONESS HOSPITAL INC | IN | Hospitalist Physician (208M00000X) |
United | 36224 | $6038.01 | 1255478004 - CHRISTOPHER RAIO | 208243412 - SAMARITAN EMERGENCY MEDICAL SERVICES PC | NY | Emergency Medicine Physician (207P00000X) |
United | 36224 | $3458.16 | 1568818128 - USAMA BUKHARI | 350593390 - DEACONESS HOSPITAL INC | IL | Hospitalist Physician (208M00000X) |
United | 36224 | $8407.00 | 1922036805 - DEACONESS HOSPITAL, INC, <UNAVAIL> | 350593390 - DEACONESS HOSPITAL INC | IN | Emergency Medicine Physician (207P00000X) |
United | 36224 | $3958.94 | 1831695568 - ARRON COLE | 462333282 - KINGS PHYSICIAN SERVICES PC | NY | Otolaryngology Physician (207Y00000X) |
United | 36224 | $4106.39 | 1376639088 - CARL KIRCHHOFF | 133843560 - CRYSTAL RUN HEALTHCARE PHYSICIANS, LLP | NY | Surgery of the Hand (Surgery) Physician (2086S0105X) |
United | 36224 | $3136.84 | 1386759066 - RAJESH SWAMINATHAN | 453275682 | NY | Cardiovascular Disease Physician (207RC0000X) |
United | 36224 | $3963.96 | 1811000177 - CHARLESTON RADIOLOGISTS PA | 570634747 - CHARLESTON RADIOLOGISTS, P.A. | SC | Diagnostic Radiology Physician (2085R0202X) |
United | 36224 | $3958.94 | 1285601963 - ALFRED LEONG | 462333282 - KINGS PHYSICIAN SERVICES PC | NY | Internal Medicine Physician (207R00000X) |
United | 36224 | $3958.94 | 1982809497 - KAEDREA JACKSON | 462333282 - KINGS PHYSICIAN SERVICES PC | NY | Emergency Medicine Physician (207P00000X) |
United | 36224 | $6146.75 | 1437563525 - CHAITANYA CHALLA | 530196580 - CHILDRENS HOSPITAL | NY | Anesthesiology Physician (207L00000X) |
United | 36224 | $2337.75 | 1427031061 - ANNE WOLD | 460696713 - (RI) PROVIDENCE FERTILITY INSTITUTE INC | NY | Reproductive Endocrinology Physician (207VE0102X) |
United | 36224 | $3022.16 | 1518264902 - JENNIFER FULK | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Occupational Therapist (225X00000X) |
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 36224 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36224 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 36224 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 | Non-Selective Catheter Placement Thoracic Aorta With Angiography Of The Extracranial Carotid Vertebral And/Or Intracranial Vessels Unilateralor Bilateral And All Associated Radiological Supervision And Interpretation Includes Angio- Graphy Of The Cervicocerebral Arch When Performed |
| 36222-CPT | High | Selective Catheter Placement Common Carotid Or Innominate Artery Unilateral Any Approach With Angiography Of The Ipsilateral Extracranial Ca- Rotid Circulation And All Associated Radiological Supervision And Interpretation Includes Angiogra-Phy Of The Cervicocerebral Arch When Performed |
| 36223-CPT | High | Selective Catheter Placement Common Carotid Or Innominate Artery Unilateral Any Approach With Angiography Of The Ipsilateral Intracranial Ca- Rotid Circulation And All Associated Radiological Supervision And Interpretation Includes Angiogra-Phy Of The Extracranial Carotid And Cervicocere- Bral Arch When Performed |
| 36224-CPT | High | 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 36224. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36224 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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