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See a sample rate comparisonCPT 36522 Fee Schedule
Last Verified: October 2026
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.
Blood Treatment, Therapy That Removes An Amount Of Blood From The Body Filters It Through A Machine That Uses Light Waves To Treat It And Then Returns The Blood Into The Body.
| 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 | UA AG - Primary physician |
| Complexity Level | High |
| Medicare Fee Schedule | $1,362.42 national non-facility rate (2026) · View Medicare rates for 36522 |
| Medicaid Fee Schedule | $1,080.625 median of the 8 states in the free preview · View Medicaid rates for 36522 |
National average reimbursement for CPT 36522 by major payers:
$1,544.91
$2,192.77
$2,202.65
$266.12
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CPT 36522
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Southwest Ohio, LLC, The Surgery Center Of Southwest Ohio
The Surgery Center Of Southwest
$11,102.00Published rateSurgical Specialty Center Of Westchester LLC, Plastic Surgery Center Of Westchester LLC
Surgical Specialty Center Of Westchester, LLC
$4,450.00Published ratePavilion Surgicenter, LLC, Physicians Pavilion Surgery Center
$2,978.00Published ratePinnacle Orthopaedics Surgery Center Woodstock, LLC, Pinnacle Orthopaedics Surgery Center Woodstock, LLC
Pinnacle Orthopaedics Surgery Center Woodstock LLC
$2,121.00Published rateEndoscopy Center Of Dayton Ltd
$874.00Published rate
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See a sample payer proposalCPT 36522 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36522 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 36522 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 |
|---|---|---|
| 36516-CPT | High | 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. |
| 36522-CPT | High | Blood Treatment, Therapy That Removes An Amount Of Blood From The Body Filters It Through A Machine That Uses Light Waves To Treat It And Then Returns The Blood Into The Body. |
| 36555-CPT | Moderate | Catheter Insertion Into Vein, Surgical Placement Of A Thin Tube (Catheter) Into A Large Vein Near The Heart. This Is For Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood. |
| 36556-CPT | Moderate | Catheter Insertion Into Vein, Surgical Placement Of A Thin Tube (Catheter) Into A Large Vein Near The Heart. This Is For Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36522. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36522 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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