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See a sample rate comparisonCPT 36831 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.
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.
| 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 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 36831 |
| Medicaid Fee Schedule | View Medicaid rates for 36831 |
National average reimbursement for CPT 36831 by major payers:
$832.53
$781.46
$856.95
$930.57
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CPT 36831
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Fort Worth
Texas Health Harris Methodist Hospital Southwest Fort Worth
$16,164.00Published rateAndrews Institute Asc LLC
Andrews Institute Asc, LLC
$5,595.00Published rateJefferson Ambulatory Surgery Center LLC
Jefferson Ambulatory Surgery C
$3,850.00Published rateSurgical Specialists At Princeton LLC
Surgical Specialists At Prince
$2,373.00Published rateKenosha Digestive Health Center LLC
$950.00Published rate
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See a sample payer proposalCPT 36831 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36831 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 36831 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 36831. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36831 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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