CPT 36581 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Cardiovascular System |
| Common Place of Service | • 24 - Ambulatory Surgical Center • 11 - Office |
| Common Modifiers | • None • RT - Right side of body • 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 36581 |
National average reimbursement for CPT 36581 by major payers:
$879.88
$1,053.78
$1,169.28
$1,220.57
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 36581 | ||||||
United | 36581 | $2120.54 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 36581 | $1251.11 | 1992951149 - JAMES MCCLOSKEY | 223141761 - REGIONAL CANCER CARE ASSOCIATES LLC | NJ | Medical Oncology Physician (207RX0202X) |
United | 36581 | $1369.69 | 1104838366 - FOUAD SURUR | 132794495 - FOUAD SURUR, MD | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 36581 | $1163.08 | 1063515104 - NATALIE DRUMMOND | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 36581 | $1200.41 | 1972746394 - LORI LESLIE | 223141761 - REGIONAL CANCER CARE ASSOCIATES LLC | NJ | Medical Oncology Physician (207RX0202X) |
United | 36581 | $2275.23 | 1255478004 - CHRISTOPHER RAIO | 208243412 - SAMARITAN EMERGENCY MEDICAL SERVICES PC | NY | Emergency Medicine Physician (207P00000X) |
United | 36581 | $1200.41 | 1013034800 - DOUGLAS MILLER | 223141761 - REGIONAL CANCER CARE ASSOCIATES LLC | NJ | Radiation Oncology Physician (2085R0001X) |
United | 36581 | $1168.53 | 1275965964 - JUSTIN HEMMER | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 36581 | $1251.11 | 1912342361 - RAJENDRA PERSAD | 223141761 - REGIONAL CANCER CARE ASSOCIATES LLC | NJ | Hematology (Pathology) Physician (207ZH0000X) |
United | 36581 | $1163.08 | 1033587365 - GABRIELLE PHAM-CHE | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Orthopedic Physical Therapist (2251X0800X) |
United | 36581 | $1109.96 | 1386054997 - MOHAMMAD ZAIDI | 200566194 - (MI) M SOHAIL JILANI MD PLLC | NY | Physical Medicine & Rehabilitation Physician (208100000X) |
United | 36581 | $1251.11 | 1447236617 - SAID SALEH | 223141761 - REGIONAL CANCER CARE ASSOCIATES LLC | NJ | Hematology & Oncology Physician (207RH0003X) |
United | 36581 | $1251.11 | 1972746394 - LORI LESLIE | 223141761 - REGIONAL CANCER CARE ASSOCIATES LLC | NJ | Medical Oncology Physician (207RX0202X) |
United | 36581 | $1467.51 | 1861484800 - HARCHARAN SINGH | 203687536 - UVPC SPECIALISTS INC | NY | Allergy & Immunology Physician (207K00000X) |
United | 36581 | $1200.41 | 1225418866 - HARSH PARMAR | 223141761 - REGIONAL CANCER CARE ASSOCIATES LLC | NJ | Medical Oncology Physician (207RX0202X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 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-Tunneled Central Venous Access Catheter, Without Subcutaneous Port Or Pump, Central Or Peripheral Insertion Site |
| 36576-CPT | Moderate | Repair Of Central Venous Access Device, With Subcutaneous Port Or Pump, Central Or Peripheral Insertion Site |
| 36578-CPT | Moderate | Replacement, Catheter Only, Of Central Venous Access Device, With Subcutaneous Port Or Pump, Central Or Peripheral Insertion Site |
| 36581-CPT | Moderate | Replacement, Complete, Of A Tunneled Centrally Inserted Central Venous Catheter, Without Subcutaneous Port Or Pump, Through Same Venous Access |
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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