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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 | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $57.78 national non-facility rate (2026) · View Medicare rates for 36680 |
| Medicaid Fee Schedule | $45.70 median of the 8 states in the free preview · View Medicaid rates for 36680 |
National average reimbursement for CPT 36680 by major payers:

$81.58

$83.92

$90.45

$99.50
Choose a payer to see a sample of rates for CPT 36680.
Summit Medical Group PA
Summit Medical Group, P.A.
Natick Surgery Center, LLC
Natick Surgery Center LLC
Professional Recreation Organization, Inc.
Pro Surgery Center LLC
New Britain Surgery Center LLC
New Britain Surgery Center, LLC
Medical Eye Associates, Inc.
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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 36680 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36680 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 36680 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. |
| 36680-CPT | Low | Needle Insertion For Therapy, Surgery To Place A Needle Into A Bone For Infusion Therapy. Infusion Delivers Medication Over A Period Of Several Hours. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36680. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36680 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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