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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $354.38 national non-facility rate (2026) · View Medicare rates for 36576 |
| Medicaid Fee Schedule | $282.53 median of the 8 states in the free preview · View Medicaid rates for 36576 |
National average reimbursement for CPT 36576 by major payers:

$418.04

$479.64

$505.04

$321.41
Choose a payer to see a sample of rates for CPT 36576.
Surgery Center Of Southwest Ohio, LLC, The Surgery Center Of Southwest Ohio
The Surgery Center Of Southwest
Surgery Center Of Scottsdale, LLC, Mountain View Surgery Center Of Scottsdale
Surgery Center Of Scottsdale LLC
Atlantic Sc LLC
Garden State Ambulatory Surgery Center PC
Lakeforest Ambulatory Surgery Center, District Heights Ambulatory Surgery Center
Lakeforest Ambulatory Surgery Center
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 36576 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36576 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 36576 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 |
|---|---|---|
| 36575-CPT | Low | Repair Of Tunneled Or Non-Tunn, Repair Of Tunneled Or Non-Tunneled Central Venous Access Catheter Without Subcutaneous Port Or Pump Central Or Peripheral Insertion Site |
| 36576-CPT | Moderate | Catheter Repair, Surgical Repair Of A Thin Tube (Catheter) In A Major Vein. The Catheter May Have A Port Or Pump Attached To It For Delivering Fluids Or Medications. |
| 36578-CPT | Moderate | Replace Catheter In Large Vein, Surgical Replacement Of A Thin Tube (Catheter) In A Major Vein. The Catheter May Have A Port Or Pump Attached To It For Delivering Fluids Or Medications. |
| 36580-CPT | Moderate | Replace Catheter In Large Vein, Surgical Replacement Of A Thin Tube (Catheter) In A Major Vein. The Catheter May Have A Port Or Pump Attached To It For Delivering Fluids Or Medications. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36576. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36576 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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