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See a sample rate comparisonCPT 36513 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $88.18 national non-facility rate (2026) · View Medicare rates for 36513 |
| Medicaid Fee Schedule | $72.48 median of the 8 states in the free preview · View Medicaid rates for 36513 |
National average reimbursement for CPT 36513 by major payers:
$139.34
$142.41
$154.89
$171.24
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CPT 36513
5 of 25 sample ratesHigher to lower in this preview
Wasatch Front Surgery Center LLC
$970.00Published rateWaukegan Illinois Hospital Company LLC, Vista Surgery Center
$304.00Published rateDecatur Urology Surgery Center
$150.00Published rateLegacy Center For Spinal Surgery, LLC
Legacy Center For Spinal Surgery LLC
$120.00Published rateWhitewater Surgery Center LLC, Whitewater Surgery Center
Whitewater Surgery Center LLC
$68.00Published rate
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See a sample payer proposalCPT 36513 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36513 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 36513 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 |
|---|---|---|
| 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. |
| 36512-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. |
| 36513-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. |
| 36514-CPT | Moderate | 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 36513. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36513 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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