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See a sample rate comparisonCPT 36838 Fee Schedule
Last Verified: October 2026
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.
Distal Revascularization And I, Distal Revascularization And Interval Ligation (Dril) Upper Extremity Hemodialysis Access (Steal Syndrome)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 36838 |
| Medicaid Fee Schedule | View Medicaid rates for 36838 |
National average reimbursement for CPT 36838 by major payers:
$1,508.77
$1,610.64
$1,657.63
$1,833.28
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CPT 36838
5 of 25 sample ratesHigher to lower in this preview
Decatur Urology Surgery Center
$7,415.00Published rateAdvanced Surgical Care Of Boerne, LLC
Advanced Surgical Care Of Boerne LLC
$6,365.00Published rateBaptist Desoto Surgery Center, Lp
Baptist Desoto Surgery Center Lp
$3,800.00Published rateThe Physicians Rome Surgery Center
$2,824.00Published rateSouthern Ohio Eye Surgery Center, LLC
Southern Ohio Eye Surgery Center LLC
$905.00Published rate
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See a sample payer proposalCPT 36838 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36838 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 36838 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 | Prq Av Fstl Crtj Uxtr 1 Acs, 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 | Prq Av Fstl Crt Uxtr Sep Acs, 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 I, Distal Revascularization And Interval Ligation (Dril) Upper Extremity Hemodialysis Access (Steal Syndrome) |
| 36901-CPT | Moderate | Intro Cath Dialysis Circuit, Introduction Of Needle S And Or Catheter S Dialysis Circuit With Diagnostic Angiography Of The Dialysis Circuit Including All Direct Puncture S And Catheter Placement S Injection S Of Contrast 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 Documentation 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 36838. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36838 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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