CPT 36465 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 | • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • RT - Right side of body • LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 36465 |
National average reimbursement for CPT 36465 by major payers:
$1,599.24
$2,087.48
$2,047.95
$2,227.86
| 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 36465 | ||||||
United | 36465 | $1782.56 | 1164580882 - DEAN VELIS | 261446665 | IL | Internal Medicine Physician (207R00000X) |
United | 36465 | $2410.41 | 1760416713 - NOURI AL-KHALED | 261283189 | IL | Cardiovascular Disease Physician (207RC0000X) |
United | 36465 | $1143.00 | 1063019586 - GREENWAY SURGICAL SUITES, LLC | 853346468 - (MN) GREENWAY SURGICAL SUITES LLC | MN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36465 | $2410.20 | 1093905184 - HIRAL FONTANILLA | 232571699 - TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP F-K-A LANGHORNE PHYSICIAN SE | NJ | Radiation Oncology Physician (2085R0001X) |
United | 36465 | $2214.68 | 1700134087 - NADIA EL HANGOUCHE | 263070266 | IL | Cardiovascular Disease Physician (207RC0000X) |
United | 36465 | $6434.89 | 1376653675 - GREG ZAHARCHUCK | 260089066 | CA | Diagnostic Radiology Physician (2085R0202X) |
United | 36465 | $528.00 | 1245340603 - MOUNTAIN EMPIRE CATARACT & EYE SURGERY CENTER | 30408358 - (TN) MOUNTAIN EMPIRE CATARACT EYE SURGERY CENTER | TN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36465 | $1979.12 | 1558366138 - TERRI ZACCO | 800164702 | NC | Diagnostic Radiology Physician (2085R0202X) |
United | 36465 | $1792.09 | 1700830957 - ELIGIJUS P. LELIS M.D. & ASSOCIATES, S.C., SPECTRUM EYE INSTITUTE | 363962766 | IL | Multi-Specialty Group (193200000X) |
United | 36465 | $2325.36 | 1659471175 - SANJEEV GUPTA | 362169147 | IL | Internal Medicine Physician (207R00000X) |
United | 36465 | $2681.71 | 1487745527 - JEANNE FARLEY-LI | 363097297 | IL | Internal Medicine Physician (207R00000X) |
United | 36465 | $2015.06 | 1558658773 - WALTER BIGIT MILLA | 752743883 | IL | Internal Medicine Physician (207R00000X) |
United | 36465 | $1541.10 | 1487630513 - MOHAMMAD SIDDIQUI | 462669679 | IL | Internal Medicine Physician (207R00000X) |
United | 36465 | $1502.10 | 1225356934 - YAIR CHAYA | 113237483 - BROOKDALE FAMILY CARE CENTERS INC | MN | Diagnostic Radiology Physician (2085R0202X) |
United | 36465 | $4057.62 | 1659987683 - SYED AHMAD | 43466314 | IL | Internal Medicine Physician (207R00000X) |
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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 36465 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36465 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 36465 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 |
|---|---|---|
| 36465-CPT | High | 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 Saphenous Vein) |
| 36466-CPT | High | Injection Of Non-Compounded Foam Sclerosant With Ultrasound Compression Maneuvers To Guide Dispersion Of The Injectate Inclusive Of All Imaging Guidance And Monitoring; Multiple Incompetent Truncal Veins (Eg Great Saphenous Vein Accessory Saphenous Vein) Same Leg |
| 36468-CPT | Moderate | Injection(S) Of Sclerosant Solutions For Spider Veins (Telangiectasia) Limb Or Trunk (Desc Revised 1/1/2018) |
| 36473-CPT | High | Once Per Dos Endovenous Ablation Therapy Of Incompetent Vein, Extremity, Incl All Imaging Guidance/Monitoring, Percutaneous-Deny Inv/N10>=1/30/2020 & 2/22/17-11/29/19 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36465. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36465 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 36465) and we'll show you how you compare in 15 minutes or less.