CPT 36466 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 • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • RT - Right side of body • LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 36466 |
National average reimbursement for CPT 36466 by major payers:
$1,741.74
$2,242.82
$2,193.77
$2,367.56
| 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 36466 | ||||||
United | 36466 | $4665.62 | 1700383015 - KRISTEN ISLAND | 383906267 | NY | Family Medicine Physician (207Q00000X) |
United | 36466 | $1639.92 | 1033643002 - JULIE SCHOONOVER | 133273402 - (NY) THE INSTITUTE FOR FAMILY HEALTH | NY | Family Medicine Physician (207Q00000X) |
United | 36466 | $1718.83 | 1962819813 - ROBERT HAAS | 200013066 - (NY) SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK | NY | Family Medicine Physician (207Q00000X) |
United | 36466 | $1800.68 | 1295755478 - JAMES HOLLER | 161135059 - (NY) ENDWELL FAMILY PHYSICIANS, L.L.P. | NY | Family Medicine Physician (207Q00000X) |
United | 36466 | $2340.89 | 1659322154 - JEFFREY WIKE | 161468762 - FAMILYCARE MEDICAL GROUP, P.C. | NY | Family Medicine Physician (207Q00000X) |
United | 36466 | $1120.22 | 1003897414 - SUSHAMA THANDLA | 830382654 | NY | Family Medicine Physician (207Q00000X) |
United | 36466 | $1759.17 | 1952808164 - CONNOR CARMICHAEL | 133083068 - (NY) COMMUNITY HEALTHCARE NETWORK INC | NY | Family Medicine Physician (207Q00000X) |
United | 36466 | $3112.89 | 1730766221 - TENZING SHERPA | 453023019 - (NY) NORTH SHORE-LIJ MEDICAL PC | NY | Family Medicine Physician (207Q00000X) |
United | 36466 | $1718.83 | 1851528368 - ERIN THOMPSON | 261147857 - (NY) ONEIDA MEDICAL PRACTICE P C | NY | Family Medicine Physician (207Q00000X) |
United | 36466 | $2430.65 | 1881622793 - JOSEPH MATHEY | 160743905 - ARNOT OGDEN MEDICAL CENTER | NY | Family Medicine Physician (207Q00000X) |
United | 36466 | $3439.96 | 1538115415 - MICHAEL MCCORMICK | 274416017 - PHELPS MEDICAL SERVICES PC | NY | Family Medicine Physician (207Q00000X) |
United | 36466 | $2865.76 | 1851355531 - YELENA MAZURSKAYA | 461425115 - (NY) SORIN MEDICAL, P.C. | NY | Family Medicine Physician (207Q00000X) |
United | 36466 | $2516.05 | 1154825248 - BENJAMIN FORBES | 150532221 - OUR LADY OF LOURDES MEMORIAL HOSPITAL INC | NY | Family Medicine Physician (207Q00000X) |
United | 36466 | $1043.58 | 1619973518 - PERRY AVE FAMILY MEDICAL CENTER INC | 550804356 - (NY) PERRY AVENUE FAMILY MEDICAL CENTER | NY | Family Medicine Physician (207Q00000X) |
United | 36466 | $2648.09 | 1063894012 - EDWARD PIROLLI | 205745047 - (NJ) INSPIRA HEALTH NETWORK MEDICAL GROUP PC | NY | Family Medicine Physician (207Q00000X) |
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 36466 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36466 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 36466 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) |
| 36470-CPT | Low | Injection Of Sclerosant; Single Incompotent Vein (Other Than Telangiectasia) (Desc Revised 1/1/2018) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36466. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36466 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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