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See a sample rate comparisonCPT 36830 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Blood Vessel Surgery, Surgery Using A Graft To Revise Or Reconstruct The Connection Between Two Blood Vessels (An Artery And Adjacent Vein). A Blood Clot May Be Removed At This Time As The Increased Blood Flow At The Connection Site (A-V Fistula) Is Ideal For Delivering Therapy.
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 36830 |
| Medicaid Fee Schedule | View Medicaid rates for 36830 |
National average reimbursement for CPT 36830 by major payers:
$947.53
$931.19
$973.52
$1,072.08
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CPT 36830
5 of 25 sample ratesHigher to lower in this preview
Medical City Surgery Center Of Alliance, LLC
Medical City Surgery Center Of Alliance LLC
$7,968.00Published rateSouth Broward Endoscopy L L C
$5,465.00Published rateAthens Orthopedic Clinic Ambulatory Surgery Center, LLC
Athens Orthopedic Clinic Ambulatory Surgery Center LLC
$3,757.00Published rateArizona Surgical Specialists Center, LLC, Arizona Surgical Specialists Center, LLC - Scottsdale
Arizona Surgical Specialists Center LLC
$2,467.00Published rateThe Surgical Institute Of Monroe Ambulatory Surgery Center LLC, Surgical Institute Of Monroe
Surgical Institute Of Monroe
$1,035.00Published rate
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See a sample payer proposalCPT 36830 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36830 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 36830 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 |
|---|---|---|
| 36825-CPT | High | Blood Vessel Surgery, Surgery Using A Graft To Revise Or Reconstruct The Connection Between Two Blood Vessels (An Artery And Adjacent Vein). A Blood Clot May Be Removed At This Time As The Increased Blood Flow At The Connection Site (A-V Fistula) Is Ideal For Delivering Therapy. |
| 36830-CPT | Moderate | Blood Vessel Surgery, Surgery Using A Graft To Revise Or Reconstruct The Connection Between Two Blood Vessels (An Artery And Adjacent Vein). A Blood Clot May Be Removed At This Time As The Increased Blood Flow At The Connection Site (A-V Fistula) Is Ideal For Delivering Therapy. |
| 36831-CPT | Moderate | Removal Of Blood Clot, Removal Of A Blood Clot Through A Thin Tube (Catheter) Inserted Into An A-V Fistula (Connected Artery And Vein). The Clot Is Manually Removed Or A Clot-Busting Drug Is Delivered Through The Catheter. The Increased Blood Flow Makes It An Ideal Treatment Site. |
| 36832-CPT | Moderate | Blood Vessel Surgery, Surgery Using A Graft To Revise Or Reconstruct The Connection Between Two Blood Vessels (An Artery And Adjacent Vein). A Blood Clot May Be Removed At This Time As The Increased Blood Flow At The Connection Site (A-V Fistula) Is Ideal For Delivering Therapy. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36830. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36830 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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