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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 36823 |
| Medicaid Fee Schedule | View Medicaid rates for 36823 |
National average reimbursement for CPT 36823 by major payers:

$1,733.79

$1,878.77

$1,959.69

$2,223.79
Choose a payer to see a sample of rates for CPT 36823.
The Polyclinic, PLLC
Cataract Surgical Center Of Lubbock LLC
Laser Surgical Services At Center For Sight 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 36823 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36823 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 36823 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 |
|---|---|---|
| 36823-CPT | High | Insertion Of Cannula S, Insertion Of Arterial And Venous Cannula S For Isolated Extracorporeal Circulation Including Regional Chemotherapy Perfusion To An Extremity With Or Without Hyperthermia With Removal Of Cannula S And Repair Of Arteriotomy And Venotomy Sites |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36823. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36823 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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