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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 23 - Emergency Room |
| Common Modifiers | None 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 36620 |
| Medicaid Fee Schedule | View Medicaid rates for 36620 |
National average reimbursement for CPT 36620 by major payers:

$63.67

$66.00

$77.25

$76.24
Choose a payer to see a sample of rates for CPT 36620.
Mankato Surgical Center, LLC
Boise Endoscopy Center LLC
First Street Surgery Center Inc
Sacred Heart Asc LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 36620 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36620 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 36620 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 |
|---|---|---|
| 36620-CPT | Low | Catheter Insertion Into Artery, Insertion Of A Thin Tube (Catheter) Into An Artery. The Catheter May Be Used To Obtain Blood Samples Monitor Vital Signs Or Deliver Blood Products Or An Infusion Such As For Chemotherapy. |
| 36625-CPT | Low | Catheter Insertion Into Artery, Insertion Of A Thin Tube (Catheter) Into An Artery. The Catheter May Be Used To Obtain Blood Samples Monitor Vital Signs Or Deliver Blood Products Or An Infusion Such As For Chemotherapy. |
| 36640-CPT | Low | Catheter Insertion Into Artery, Insertion Of A Thin Tube (Catheter) Into An Artery. The Catheter May Be Used To Obtain Blood Samples Monitor Vital Signs Or Deliver Blood Products Or An Infusion Such As For Chemotherapy. |
| 36660-CPT | Low | Umbilical Cord Catheter, Insertion Of A Thin Tube (Catheter) Into The Umbilical Artery Of A Newborn To Deliver A Therapy Or Conduct An Examination. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36620. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36620 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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