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See a sample rate comparisonCPT 36572 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.
Insj Picc Rs I 5 Yr, Insertion Of Peripherally Inserted Central Venous Catheter Picc Without Subcutaneous Port Or Pump Including All Imaging Guidance Image Documentation And All Associated Radiological Supervision And Interpretation Required To Perform The Insertion Younger Than 5 Years Of Age
| 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 | RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $364.74 national non-facility rate (2026) · View Medicare rates for 36572 |
| Medicaid Fee Schedule | $287.355 median of the 8 states in the free preview · View Medicaid rates for 36572 |
National average reimbursement for CPT 36572 by major payers:
$444.89
$576.08
$592.88
$179.76
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CPT 36572
5 of 25 sample ratesHigher to lower in this preview
Princess Anne Ambulatory Surgery Management LLC, Princess Anne Ambulatory Surgery Center
Princess Anne Ambulatory Surgery Management, LLC
$1,345.00Published rateEastern Orange Ambulatory Surgery Center, LLC
Eastern Orange Asc LLC
$797.00Published rateLowery A. Woodall Outpatient Surgery Facility, LLC
$557.00Published rateBerkshire Cosmetic & Reconstructive Surgery Center Inc.
Berkshire Cosmetic Reconstructive Surgery Center Inc
$364.00Published rateEye Center Of North Florida, P.A., The Laser & Surgery Center
Eye Center Of North Florida, P.A.
$128.00Published rate
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See a sample payer proposalCPT 36572 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36572 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 36572 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 |
|---|---|---|
| 36568-CPT | Moderate | Insert Catheter In Large Vein, Insertion Through The Skin 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. |
| 36569-CPT | Moderate | Insert Catheter In Large Vein, Insertion Through The Skin 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. |
| 36572-CPT | Moderate | Insj Picc Rs I 5 Yr, Insertion Of Peripherally Inserted Central Venous Catheter Picc Without Subcutaneous Port Or Pump Including All Imaging Guidance Image Documentation And All Associated Radiological Supervision And Interpretation Required To Perform The Insertion Younger Than 5 Years Of Age |
| 36573-CPT | Moderate | Insj Picc Rs I 5 Yr, Insertion Of Peripherally Inserted Central Venous Catheter Picc Without Subcutaneous Port Or Pump Including All Imaging Guidance Image Documentation And All Associated Radiological Supervision And Interpretation Required To Perform The Insertion Age 5 Years Or Older |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36572. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36572 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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