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See a sample rate comparisonCPT 36563 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.
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 | RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $1,164.69 national non-facility rate (2026) · View Medicare rates for 36563 |
| Medicaid Fee Schedule | $924.225 median of the 8 states in the free preview · View Medicaid rates for 36563 |
National average reimbursement for CPT 36563 by major payers:
$1,404.82
$1,651.34
$1,673.27
$753.82
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CPT 36563
5 of 25 sample ratesHigher to lower in this preview
Powder River Surgery Center
$8,221.00Published ratePotomac View Surgery Center, LLC
Potomac View Surgery Center LLC
$4,134.00Published rateSaint Barnabas Outpatient Centers, Ambulatory Surgery Center
Saint Barnabas Outpatient Centers
$3,061.00Published rateEar Nose And Throat Surgery Center LLC
$1,900.00Published rateGastrointestinal Diagnostic Endoscopy Woodstock, LLC, Town Lake Endoscopy Center
Gastrointestinal Diagnostic Endoscopy Woodstock LLC
$515.00Published rate
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See a sample payer proposalCPT 36563 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36563 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 36563 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. |
| 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 |
| 36566-CPT | High | Insert Catheters With Ports, Surgery To Embed Two Catheters (Thin Tubes) Into Two Major Veins Next To The Heart. One Or Both Catheters Has A Port Under The Skin For Direct Repeated Access To Deliver 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 36563. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36563 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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