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See a sample rate comparisonCPT 36415 Fee Schedule
Last Verified: September 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.
Routine Venipuncture Or Finge, Routine Venipuncture Or Fingerheelear Stick Forcollection Of Specimen(S) Routine Venipuncture Or Fingerheelear Stick For
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | None PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 36415 |
| Medicaid Fee Schedule | View Medicaid rates for 36415 |
National average reimbursement for CPT 36415 by major payers:
$5.77
$2.91
$5.78
$4.11
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CPT 36415
5 of 25 sample ratesHigher to lower in this preview
Bernard Park
$11.43Published rateKieu Tonnu
City Of Hope Medical Foundation
$10.14Published rateNeil Shah
$9.42Published rateJill Jepson
City Of Hope Medical Foundation
$8.71Published rateIrene Salek-Raham
State Of Ny Unified Court System
$1.25Published rate
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See a sample payer proposalCPT 36415 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36415 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 36415 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 |
| 36415-CPT | Low | Routine Venipuncture Or Finge, Routine Venipuncture Or Fingerheelear Stick Forcollection Of Specimen(S) Routine Venipuncture Or Fingerheelear Stick For |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36415. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36415 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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