CPT 36836 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 | • 24 - Ambulatory Surgical Center • 11 - Office |
| Common Modifiers | • None • LT - Left side of body • RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 36836 |
National average reimbursement for CPT 36836 by major payers:
$7,702.72
$10,059.41
$9,334.00
$12,594.16
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 36836 | ||||||
United | 36836 | $7925.29 | 1588660658 - MAUREEN HOLASEK | 203546219 - (FL) SAND LAKE CANCER CENTER, P.A. | FL | Radiation Oncology Physician (2085R0001X) |
United | 36836 | $16518.90 | 1881687796 - HELENA REICHMAN | 811291017 - (FL) WOMENS HEALTH HOSPITALISTS LLC | FL | Obstetrics & Gynecology Physician (207V00000X) |
United | 36836 | $394.16 | 1871589192 - OCALA FAMILY MEDICAL CENTER, INC. | 593158481 - (FL) OCALA FAMILY MEDICAL CENTER INC | FL | Family Medicine Physician (207Q00000X) |
United | 36836 | $12788.38 | 1992026967 - LAUREN JOHNSON | 592292041 - ST VINCENTS AMBULATORY CARE INC | FL | Primary Care Nurse Practitioner (363LP2300X) |
United | 36836 | $14121.50 | 1841421021 - MEMORIAL HEALTH SYSTEMS INC., HCP RADIOLOGY CONSULTANTS | 590973502 - MEMORIAL HEALTH SYSTEMS INC | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 36836 | $11558.00 | 1740371665 - SUMMIT SURGICAL ASSOCIATES LLC, SUMMIT SURGICAL CENTER | 954810282 - (CA) SUMMIT SURGICAL | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36836 | $7205.35 | 1699949909 - WRIST AND HAND CENTER P.A., THE WRIST AND HAND CENTER P.A. | 593038804 - (FL) THE WRIST & HAND CENTER, PA | FL | Single Specialty Group (193400000X) |
United | 36836 | $431.88 | 1356398499 - PALMETTO PATHOLOGY SERVICES, PA, FLORIDA PATHOLOGY SERVICES | 650426759 - (FL) PALMETTO PATHOLOGY SERVICES, PA | FL | Single Specialty Group (193400000X) |
United | 36836 | $14547.32 | 1104558501 - WESTON GOGGINS | 942854057 - IHC HEALTH SERVICES INC | FL | Single Specialty Group (193400000X) |
United | 36836 | $16505.16 | 1437191376 - LOCKE BARBER | 10357684 - (ME) MAINE CENTER FOR CANCER MEDICINE AND BLOOD DISORDERS, PA | FL | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 36836 | $7625.00 | 1306435086 - PHOENIX SPINE AND JOINT GILBERT ASC, LLC | 853605981 | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36836 | $12320.23 | 1871811141 - KRISTI BOGAN | 593425191 - (FL) PEDIATRIC PHYSICIANS SERVICES INC | KY | Diagnostic Radiology Physician (2085R0202X) |
United | 36836 | $28887.81 | 1962834671 - VINAYAK THAKUR | 272042610 - FROEDTERT & THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC | FL | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 36836 | $6987.00 | 1164526786 - ASCENSION SETON, ASCENSION SETON MEDICAL CENTER AUSTIN | 741109643 - ASCENSION SETON | TX | General Acute Care Hospital (282N00000X) |
United | 36836 | $11495.57 | 1316298193 - MSMC INTERVENTIONAL, LLC | 460759101 - (FL) MSMC INTERVENTIONAL LLC | FL | Vascular & Interventional Radiology Physician (2085R0204X) |
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 36836 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36836 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 36836 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 |
|---|---|---|
| 36836-CPT | High | Percutaneous Arteriovenous Fistula Creation, Upper Extremity, Single Access Of Both The Peripheral Artery And Peripheral Vein, Including Fistula Maturation Procedures (Eg, Transluminal Balloon Angioplasty, Coil Embolization) When Performed, Including All Vascular Access, Imaging Guidance And Radiologic Supervision And Interpretation |
| 36837-CPT | High | Percutaneous Arteriovenous Fistula Creation, Upper Extremity, Separate Access Sites Of The Peripheral Artery And Peripheral Vein, Including Fistula Maturation Procedures (Eg, Transluminal Balloon Angioplasty, Coil Embolization) When Performed, Including All Vascular Access, Imaging Guidance And Radiologic Supervision And Interpretation |
| 36838-CPT | High | Distal Revascularization And Interval Ligation (Dril), Upper Extremity Hemodialysis Access (Steal Syndrome) |
| 36901-CPT | Moderate | Introduction Of Needle(S) And/Or Catheter(S) Di- Alysis Circuit With Diagnostic Angiography Of Thedialysis Circuit Including All Direct Puncture(S)And Catheter Placement(S) Injection(S) Of Con- Trast All Necessary Imaging From The Arterial Anastomosis And Adjacent Artery Through Entire Venous Outflow Including The Inferior Or Superior Vena Cava Fluoroscopic Guidance Radiological Supervision And Interpretation And Image Documen- Tation And Report; |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36836. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36836 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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