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See a sample rate comparisonCPT 36819 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery Connect Blood Vessels, Surgery To Connect Two Blood Vessels Usually An Artery And Vein. The Resulting Enlarged Vessel Is Called A Fistula. The Procedure Often Is Done To Prepare For Years Of Expected Dialysis Treatments.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 36819 |
| Medicaid Fee Schedule | View Medicaid rates for 36819 |
National average reimbursement for CPT 36819 by major payers:
$1,041.97
$1,045.87
$1,091.66
$1,188.70
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CPT 36819
5 of 25 sample ratesHigher to lower in this preview
Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC, Iu Health Surgery Center Fort Wayne
Iu Health Southwest Fort Wayne Ambulatory Surgery Center LLC
$10,360.00Published rateAscension Saint Thomas Lebanon Surgery Center LLC, Lebanon Surgery Center
$5,797.00Published rateOrthopaedic Development Partners LLC, Orthopaedic Medical Group Surgery Center
Orthopaedic Development Partners LLC
$3,300.00Published rateSouthern Idaho Surgery Center PLLC
$1,300.00Published rateSarah Freeman
Deaconess Hospital Inc
$578.72Published rate
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See a sample payer proposalCPT 36819 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36819 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 36819 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 |
|---|---|---|
| 36800-CPT | Low | Insertion Of Cannula For Hemod, Insertion Of Cannula For Hemodialysis Other Purpose(Separate Procedure) Vein To Vein Insertion Ofcannula For Hemodialysis Other Purpose |
| 36810-CPT | Moderate | Insertion Of Cannula For Hemod, Insertion Of Cannula For Hemodialysis Other Purpose(Separate Procedure) Arteriovenous External (Scribner Type) |
| 36815-CPT | Low | Insertion Of Cannula For Hemod, Insertion Of Cannula For Hemodialysis Other Purpose(Separate Procedure) Arteriovenous External Revision Or Closure |
| 36819-CPT | High | Surgery Connect Blood Vessels, Surgery To Connect Two Blood Vessels Usually An Artery And Vein. The Resulting Enlarged Vessel Is Called A Fistula. The Procedure Often Is Done To Prepare For Years Of Expected Dialysis Treatments. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36819. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36819 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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