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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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | $112.90 national non-facility rate (2026) · View Medicare rates for 36597 |
| Medicaid Fee Schedule | $90.675 median of the 8 states in the free preview · View Medicaid rates for 36597 |
National average reimbursement for CPT 36597 by major payers:

$151.19

$176.78

$176.11

$106.85
Choose a payer to see a sample of rates for CPT 36597.
Los Robles Surgicenter, LLC, Los Robles Surgicenter
Los Robles Surgicenter LLC
Surgery Center Of Kalamazoo LLC
Pacific Surgery Center LLC
Pacific Surgery Center, LLC
Ophthalmology Consultants Of Fort Wayne PC, Surgery Center Of Ophthalmology Consultants
Ophthalmology Consultants Of Fort Wayne, P.C.
Melissa Eisenhauer
Deaconess Hospital Inc
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 36597 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36597 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 36597 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 |
|---|---|---|
| 36591-CPT | Low | Collect Of Blood Specimen From A Completely Implnt Venous Acce, Collection Of Blood Specimen From A Completely Implantable Venous Acce |
| 36592-CPT | Low | Collection Of Blood Specimen U, Collection Of Blood Specimen Using Established Central Or Peripheral Catheter Venous Not Otherwisespecified |
| 36593-CPT | Low | Declotting By Thrombolytic Agnt Of Implnt Vasculr Access Devic O, Declotting By Thrombolytic Agent Of Implanted Vascular Access Device O |
| 36597-CPT | Low | Rposition Of Previ Placed Cntral Venous Cathet Under Fluor, Repositioning Of Previously Placed Central Venous Catheter Under Fluor |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36597. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36597 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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