What is CPT code 36410?

CPT code 36410 describes venipuncture for patients aged 3 years or older, requiring the skill of a physician or qualified healthcare professional for diagnostic or therapeutic purposes, excluding routine venipuncture.

What factors affect CPT 36410 fee schedules?

Factors affecting fee schedules for codes like CPT 36410 include Medicare & Medicaid rates (government-set), private insurance rates (negotiated), geographic location (urban vs. rural), and provider type (hospital vs. private practice).

How does CPT 36410 compare to other cardiovascular system codes?

CPT 36410 is part of Surgery services for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter involving more provider time and moderate medical decision-making, differentiating it from lower-level codes like 36400, 36405, and 36406 which require less time and simpler assessments.

A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare providers to report medical, surgical, and diagnostic services to entities such as physicians, health insurance companies, and accreditation organizations. These codes ensure uniformity in reporting across the healthcare industry.

How can I find the cost of a medical procedure?

To find the specific cost of a medical procedure, you would typically need to consider factors like your location, the specific provider, and your insurance plan. For a personalized estimate based on CPT codes and your specific location, you can utilize tools like Payerprice's fee schedule lookup tool. This can help you understand potential costs before receiving a service.

What factors influence the cost of healthcare services?

Several factors influence the cost of healthcare services, including the complexity of the procedure, the type of facility (e.g., hospital vs. outpatient clinic), geographic location, the healthcare provider's fees, your insurance coverage (deductibles, co-pays, co-insurance), and whether the provider is in-network or out-of-network.

Is there a way to compare prices for different providers?

Yes, comparing prices for different providers is possible and often recommended. Websites and tools like Payerprice's fee schedule lookup tool can help you research the cost of specific procedures (using CPT codes) in your area across various providers. This allows you to make more informed decisions about your healthcare. It's also advisable to contact providers directly and your insurance company for the most accurate out-of-pocket estimates.

What should I do if I have questions about my medical bill?

If you have questions about your medical bill, the first step is to contact the healthcare provider's billing department directly. They can explain the charges and make corrections if necessary. You should also review your Explanation of Benefits (EOB) from your insurance company to ensure it matches the bill. If discrepancies persist, you can contact your insurance company for clarification. For future services, using tools like Payerprice can help you understand potential costs beforehand.

CPT 36410 Fee Schedule

Q: What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, like CPT 36410. These prices vary based on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Last Verified: July 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.

Non Routine Bl Draw 3 Yrs, Venipuncture Age 3 Years Or Older Necessitating The Skill Of A Physician Or Other Qualified Health Care Professional Separate Procedure For Diagnostic Or Therapeutic Purposes Not To Be Used For Routine Venipuncture

Key Fact	Detail
Service Type	Venipuncture and Transfusion Procedures Venous Procedures
Common Place of Service	11 - Office 21 - Inpatient Hospital
Common Modifiers	None 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 36410

National average reimbursement for CPT 36410 by major payers:

$22.40

$24.07

$25.97

$28.26

Preview provider-level rates for...

For billing codeCPT 36410

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	36410	$38.50	1750680310 - ERICA STOCKWELL	593214635 - FLORIDA HOSPITAL MEDICAL GROUP INC	FL	Obstetrics & Gynecology Physician (207V00000X)
United	36410	$37.81	1346471042 - JESSICA WHITE VIDEA	542129332 - (FL) VITALMD GROUP HOLDING, LLC	FL	Obstetrics & Gynecology Physician (207V00000X)
United	36410	$6.13	1841354669 - NIKKI ROWAN	141942527	FL	Obstetrics & Gynecology Physician (207V00000X)
United	36410	$17.86	1811907900 - CHRISTIAAN WEBB	261507703 - (TX) CAWMD OBGYN PLLC	FL	Obstetrics & Gynecology Physician (207V00000X)
United	36410	$21.78	1306822887 - MARILYN FUDGE	852733660	FL	Obstetrics & Gynecology Physician (207V00000X)
United	36410	$40.54	1164817185 - PREEYANKA NAGAR	593214635 - FLORIDA HOSPITAL MEDICAL GROUP INC	FL	Obstetrics & Gynecology Physician (207V00000X)
United	36410	$22.05	1295968824 - MARIA MORALES	160743966 - (NY) CLIFTON SPRINGS SANITARIUM CO	FL	Obstetrics & Gynecology Physician (207V00000X)
United	36410	$34.83	1013178169 - JOSE NODARSE	260609255 - FLORIDA WOMAN CARE, LLC	FL	Obstetrics & Gynecology Physician (207V00000X)
United	36410	$20.40	1518162437 - ERIKA SCHNEIDER	264800380	FL	Obstetrics & Gynecology Physician (207V00000X)
United	36410	$8.36	1144252438 - CELEBRATION OBSTETRICS AND GYNECOLOGY ASSOCIATES PA	593743985 - (FL) CELEBRATION OBSTETRICS & GYNECOL	FL	Obstetrics & Gynecology Physician (207V00000X)
United	36410	$25.22	1679505630 - ADRIENNE GEORGE	331189561	FL	Obstetrics & Gynecology Physician (207V00000X)
United	36410	$15.59	1568788198 - MATTHEW KING	274174339	FL	Obstetrics & Gynecology Physician (207V00000X)
United	36410	$29.34	1336238682 - DANA TEAGARDEN	593214635 - FLORIDA HOSPITAL MEDICAL GROUP INC	FL	Obstetrics & Gynecology Physician (207V00000X)
United	36410	$21.89	1184070823 - JASON GRONERT	841687907 - (FL) WEST FLORIDA INTERNAL MEDICINE LLC	FL	Obstetrics & Gynecology Physician (207V00000X)
United	36410	$28.17	1598861502 - MARGARET MCGRATH	590634434 - SACRED HEART HEALTH SYSTEM INC	FL	Obstetrics & Gynecology Physician (207V00000X)
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 36410 vs. Other Venous Procedures Codes

The CPT 36410 code is part of the Venipuncture and Transfusion Procedures services used for Venous Procedures. 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 36410 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
36400-CPT	Low	Bl Draw 3 Yrs Fem Jugular, Venipuncture Younger Than Age 3 Years Necessitating The Skill Of A Physician Or Other Qualified Health Care Professional Not To Be Used For Routine Venipuncture Femoral Or Jugular Vein
36405-CPT	Low	Vnpnxr<3yrs Phy/Qhp Scalp Vn, Venipuncture Younger Than Age 3 Years Necessitating The Skill Of A Physician Or Other Qualified Health Care Professional Not To Be Used For Routine Venipuncture; Scalp Vein
36406-CPT	Low	Vnpnxr<3yrs Phy/Qhp Other Vn, Venipuncture Younger Than Age 3 Years Necessitating The Skill Of A Physician Or Other Qualified Health Care Professional Not To Be Used For Routine Venipuncture; Other Vein
36410-CPT	Low	Non Routine Bl Draw 3 Yrs, Venipuncture Age 3 Years Or Older Necessitating The Skill Of A Physician Or Other Qualified Health Care Professional Separate Procedure For Diagnostic Or Therapeutic Purposes Not To Be Used For Routine Venipuncture

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36410. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 36410 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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