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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service SA |
| Complexity Level | Low |
| Medicare Fee Schedule | $86.17 national non-facility rate (2026) · View Medicare rates for 36510 |
| Medicaid Fee Schedule | $69.73 median of the 8 states in the free preview · View Medicaid rates for 36510 |
National average reimbursement for CPT 36510 by major payers:

$120.15

$132.93

$137.96

$93.63
Choose a payer to see a sample of rates for CPT 36510.
Thr/Stt Southlake Asc, LLC
Thrstt Southlake Asc LLC
Maple Lawn Surgery Center
Maple Lawn Surgery Center, LLC
Brentwood Surgery Center, LLC, Brentwood Surgery Center
Ruxton Surgicenter LLC
Baltimore Ambulatory Center For Endoscopy
Baltimore Ambulatory Center Fo
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 36510 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36510 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 36510 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. |
| 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. |
| 36510-CPT | Low | 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. |
| 36511-CPT | Low | Blood Component Removal, An Amount Of Blood Is Removed From The Body. It Is Filtered To Remove A Particular Component Such As White Or Red Cells Platelets Plasma Or Lipids. The Filtered Blood Is Then Returned To The Body. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36510. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36510 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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