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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 | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | RT - Right side of body 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $757.87 national non-facility rate (2026) · View Medicare rates for 36581 |
| Medicaid Fee Schedule | $609.31 median of the 8 states in the free preview · View Medicaid rates for 36581 |
National average reimbursement for CPT 36581 by major payers:

$879.88

$1,053.78

$1,169.28

$1,175.21
Choose a payer to see a sample of rates for CPT 36581.
Christopher Raio
Samaritan Emergency Medical Services PC
James Mccloskey
Regional Cancer Care Associates LLC
Lori Leslie
Regional Cancer Care Associates LLC
Justin Hemmer
Town Center Orthopaedic Associates, P.C.
Natalia Castro
Town Center Orthopaedic Associates, P.C.
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
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 36581 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36581 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 36581 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 |
| 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. |
| 36581-CPT | Moderate | Place Catheter In Large Vein, Surgery To Embed A Thin Tube (Catheter) Into A Major Vein Next To The Heart. The Catheter May Have A Port Or Pump Attached To It For Fluids Or Medications. |
| 36582-CPT | High | Place Catheter In Large Vein, Surgery To Embed A Thin Tube (Catheter) Into A Major Vein Next To The Heart. The Catheter May Have A Port Or Pump Attached To It For 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 36581. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36581 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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