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See a sample rate comparisonHealthcare 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 | RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,226.15 national non-facility rate (2026) · View Medicare rates for 36251 |
| Medicaid Fee Schedule | $962.03 median of the 8 states in the free preview · View Medicaid rates for 36251 |
National average reimbursement for CPT 36251 by major payers:

$1,618.87

$1,951.07

$1,992.78

$558.95
Choose a payer to see a sample of rates for CPT 36251.
Portsmouth Surgicenter, LLC
Portsmouth Surgicenter LLC
Endoscopy Center Of Inland Empire Inc
Belmont/Harlem Surgery Center, LLC
Belmont/Harlem Surgery Center
Surgery Center Of Middle Tennessee LLC, The Surgery Center Of Middle Tennessee
Surgery Center Of Middle Tennessee LLC
Vision Institute Of Michigan Surgery Center PC, Surgery Center Of Michigan
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 36251 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36251 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 36251 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 |
|---|---|---|
| 36245-CPT | High | Catheter Placement Artery, Surgical Insertion Of A Thin Tube (Catheter) Into An Artery. The Catheter Is Guided To Branch Arteries In The Abdomen Pelvis Or Legs. Dye May Be Injected For X-Ray Examination. |
| 36246-CPT | High | Catheter Placement Artery, Surgical Insertion Of A Thin Tube (Catheter) Into An Artery. The Catheter Is Guided To Branch Arteries In The Abdomen Pelvis Or Legs. Dye May Be Injected For X-Ray Examination. |
| 36251-CPT | High | Ins Cath Ren Art 1st Unilat, Selective Catheter Placement First Order Main Renal Artery And Any Accessory Renal Artery S For Renal Angiography Including Arterial Puncture And Catheter Placement S Fluoroscopy Contrast Injection S Image Postprocessing Permanent Recording Of Images And Radiological Supervision And Interpretation Including Pressure Gradient Measurements When Performed And Flush Aortogram When Performed Unilateral |
| 36252-CPT | High | Ins Cath Ren Art 1st Bilat, Selective Catheter Placement First Order Main Renal Artery And Any Accessory Renal Artery S For Renal Angiography Including Arterial Puncture And Catheter Placement S Fluoroscopy Contrast Injection S Image Postprocessing Permanent Recording Of Images And Radiological Supervision And Interpretation Including Pressure Gradient Measurements When Performed And Flush Aortogram When Performed Bilateral |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36251. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36251 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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