CPT 36833 Fee Schedule
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.
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 36833 |
| Medicaid Fee Schedule | View Medicaid rates for 36833 |
National average reimbursement for CPT 36833 by major payers:
$1,057.18
$1,057.03
$1,128.82
$1,241.27
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 36833 | $6365.00 | 1376779561 - SURGICARE OF MIRAMAR LLC | 208552194 - (FL) SURGICARE OF MIRAMAR LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36833 | $1742.00 | 1265770572 - PHILADELPHIA SURGERY CENTER, INC. | 454790325 - (PA) PHILADELPHIA SURGERY CENTER INC | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36833 | $675.00 | 1417118241 - DIGESTIVE HEALTH COMPLEX,INC | 262808532 | OH | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36833 | $5754.00 | 1255353389 - SOMERSET AMBULATORY SURGICAL CENTER, LLC | 371743209 | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36833 | $6365.00 | 1851950281 - YUMA ADVANCED SURGICAL SUITES LLC | 833076801 - (AZ) YUMA ADVANCED SURGICAL SUITES, LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36833 | $3232.00 | 1578914891 - DH PHYSICIANS AMBULATORY SERVICES | 812885619 | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36833 | $967.00 | 1518969773 - ARIZONA SKIN CANCER SURGERY CENTER, P.C. | 562365590 - (AZ) ARIZONA SKIN CANCER SURGERY CENTER PC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36833 | $6492.00 | 1699777540 - PHYSICIANS SURGERY CENTER OF TEMPE, LLC, PHYSICIANS SURGERY CENTER OF TEMPE | 731538769 - (AZ) PHYSICIANS SURGERY CENTER OF TEMPE LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36833 | $3365.00 | 1386196764 - ADVANCED SURGICAL & RESEARCH SOLUTIONS LLC | 811367583 - (OK) ADVANCED SURGICAL RESEARCH SOLUTIONS LLC | OK | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36833 | $2163.00 | 1528680865 - MERIDIAN SURGERY CENTER LLC | 845179604 - (MD) MERIDIAN SURGERY CENTER LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36833 | $5797.00 | 1356704027 - GLEN ECHO SURGERY CENTER, LLC | 474049838 - (MD) GLEN ECHO SURGERY CENTER LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36833 | $8362.00 | 1447799580 - GENEVA SURGICAL SUITES, LLC | 811514537 - (WI) GENEVA SURGICAL SUITES, LLC | WI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36833 | $410.00 | 1255311635 - MELBOURNE ASC LP, THE SURGERY CENTER OF MELBOURNE | 621625311 - (FL) MELBOURNE ASC LP | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36833 | $4900.00 | 1861804585 - DENVILLE SURGERY CENTER, LLC, SURGICAL CENTER OF NORTHWEST JERSEY | 352507803 - (NJ) DENVILLE SURGERY CENTER LLC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36833 | $1500.00 | 1598372963 - ALLIANCE SURGERY CENTER AT PEACHTREE CITY LLC | 853147678 - (GA) ALLIANCE SURGERY CENTER AT PEACHTREE CITY LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 36833 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36833 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 36833 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. |
| 36833-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36833. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36833 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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