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See a sample rate comparisonCPT 36460 Fee Schedule
Last Verified: October 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.
Fetal Blood Transfusion, A Fetal Blood Transfusion Delivers Needed Blood Or Blood Products Through The Umbilical Cord. The Procedure Is Monitored Or Guided With Ultrasound.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | AG - Primary physician 82 - Assistant surgeon - no qualified resident |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $297.60 national non-facility rate (2026) · View Medicare rates for 36460 |
| Medicaid Fee Schedule | $236.535 median of the 8 states in the free preview · View Medicaid rates for 36460 |
National average reimbursement for CPT 36460 by major payers:
$431.59
$481.66
$513.00
$563.40
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CPT 36460
5 of 25 sample ratesHigher to lower in this preview
Hackensack Musculoskeletal Surgery Center, LLC
Hackensack Musculoskeletal Surgery Center LLC
$1,603.00Published rateThe Polyclinic, The Polyclinic Plastic Surgery Center
The Polyclinic, PLLC
$396.00Published rateRichfield Surgery Center, LLC
$200.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$126.00Published rateMississippi Urology Outpatient Surgery Center, LLC
Mississippi Urology Outpatient Surgery Center LLC
$54.00Published rate
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See a sample payer proposalCPT 36460 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36460 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 36460 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 |
|---|---|---|
| 36456-CPT | Low | Blood Transfusion, A Blood Transfusion Delivers Additional Or Needed Blood Or Blood Products. It May Be Manually Injected (Push Transfusion) Or As An Exchange Simultaneously While Blood Is Removed From The Body. |
| 36460-CPT | Moderate | Fetal Blood Transfusion, A Fetal Blood Transfusion Delivers Needed Blood Or Blood Products Through The Umbilical Cord. The Procedure Is Monitored Or Guided With Ultrasound. |
| 36465-CPT | High | Injection Of Non-Compounded Foam Sclerosant With Ultrasound, Injection Of Non-Compounded Foam Sclerosant With Ultrasound Compression Maneuvers To Guide Dispersion Of The Injectate Inclusive Of All Imaging Guidance And Monitoring; Single Incompetent Extremity Truncal Vein (Eg Great Saphenous Vein Accessory Sapheno |
| 36500-CPT | Moderate | Insert Catheter For Blood Draw, Surgical Insertion Of A Thin Tube (Catheter) Into A Vein For Sampling Blood From An Organ Or A Blood Vessel In The Umbilical Cord. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36460. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36460 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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