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See a sample rate comparisonCPT 36561 Fee Schedule
Last Verified: September 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.
Tunneled Catheter With Port, Surgically Embedding (Tunneling) A Thin Tube (Catheter) Into A Major Vein Next To The Heart. The Catheter Has A Port Or A Pump Under The Skin For Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood.
| 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 | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 36561 |
| Medicaid Fee Schedule | View Medicaid rates for 36561 |
National average reimbursement for CPT 36561 by major payers:
$1,244.66
$1,518.28
$1,642.94
$643.56
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CPT 36561
5 of 25 sample ratesHigher to lower in this preview
Jessica Schnell
University Physicians Incorporated
$4,574.77Published rateStephen Ruffenach
University Physicians Incorporated
$3,590.28Published ratePallabi Sanyal-Dey
University Physicians Incorporated
$3,159.43Published ratePamela Dryden
Poudre Valley Medical Group LLC
$1,767.52Published rateAndrew Bontemps
University Physicians Incorporated
$513.71Published rate
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See a sample payer proposalCPT 36561 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36561 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 36561 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 |
|---|---|---|
| 36560-CPT | High | Tunneled Catheter With Port, Surgically Embedding (Tunneling) A Thin Tube (Catheter) Into A Major Vein Next To The Heart. The Catheter Has A Port Or A Pump Under The Skin For Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood. |
| 36561-CPT | High | Tunneled Catheter With Port, Surgically Embedding (Tunneling) A Thin Tube (Catheter) Into A Major Vein Next To The Heart. The Catheter Has A Port Or A Pump Under The Skin For Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood. |
| 36563-CPT | High | Tunneled Catheter With Port, Surgically Embedding (Tunneling) A Thin Tube (Catheter) Into A Major Vein Next To The Heart. The Catheter Has A Port Or A Pump Under The Skin For Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood. |
| 36565-CPT | High | Insertion Of Tunneled Centrall, Insertion Of Tunneled Centrally Inserted Central Venous Access Device Requiring Two Catheters Via Two Separate Venous Access Sites Without Subcutaneous Port Or Pump (Eg Tesio Type Catheter) Requir |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36561. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36561 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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