CPT 36901 Fee Schedule
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.
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 36901 |
| Medicaid Fee Schedule | View Medicaid rates for 36901 |
National average reimbursement for CPT 36901 by major payers:
$719.13
$865.74
$966.02
$1,028.82
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 36901 | $2701.00 | 1861825986 - VADNAIS HEIGHTS SURGERY CENTER LLC, VADNAIS HEIGHTS SURGERY CENTER | 371866891 | MN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36901 | $928.00 | 1154911592 - BCC WEST VALLEY LLC | 854264663 - (AZ) BCC WEST VALLEY LLC | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36901 | $710.00 | 1295720530 - ELMIRA ASC LLC | 161549510 - (NY) ELMIRA ASC LLC | NY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36901 | $1045.00 | 1316940539 - GRAND ISLAND SURGICAL CENTER LLC | 470811846 - (NE) GRAND ISLAND SURGICAL CENTER, L.L.C. | NE | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36901 | $550.00 | 1083654636 - PLASTIC SURGERY SPECIALISTS, PC, NORTH ARUNDEL PLASTIC SURGERY SPECIALISTS | 521357688 - (MD) PLASTIC SURGERY SPECIALISTS, P.C. | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36901 | $1714.00 | 1992713010 - NORTHFIELD SURGICAL CENTER LLC, NORTHFIELD SURGICAL CENTER | 223509801 - (NJ) NORTHFIELD SURGICAL CENTER LLC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36901 | $2775.00 | 1174969372 - AURORA GI ASC LLC, WISCONSIN DIGESTIVE HEALTH CENTER | 461848055 - (WI) AURORA GI ASC LLC | WI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36901 | $2007.00 | 1679943989 - LIVINGSTON ASC LLC | 474735737 - (NJ) LIVINGSTON ASC LLC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36901 | $523.00 | 1992192488 - WEST PACES SURGERY CENTER LLC | 473360333 - (GA) WEST PACES SURGERY CENTER LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36901 | $1528.00 | 1821342858 - SURGCENTER OF ORANGE PARK, LLC, ORANGE PARK ENDOSCOPY CENTER | 460858710 - (FL) SURGCENTER OF ORANGE PARK LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36901 | $536.00 | 1407004534 - ASC DEVELOPMENT COMPANY, LLC | 203405773 - (MD) ASC DEVELOPMENT COMPANY LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36901 | $831.00 | 1093786501 - SURGERY CENTER OF EASTON LP, HEALTHSOUTH SURGERY CENTER OF EASTON, L.P. | 721349755 - (MD) SURGERY CENTER OF EASTON LP | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36901 | $901.00 | 1346243680 - LAWRENCE SURGERY CENTER LLC | 481212136 - (KS) LAWRENCE SURGERY CENTER, LLC | KS | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36901 | $1400.00 | 1962405803 - MID RIVERS AMBULATORY SURGERY CENTER LP, MID RIVERS SURGERY CENTER | 203833902 - (MO) MID RIVERS AMBULATORY SURGERY CENTER LP | MO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36901 | $890.00 | 1114980166 - NEW PORT RICHEY SURGERY CENTER LTD | 592907068 - (FL) NEW PORT RICHEY SURGERY CENTER LTD | FL | 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 36901 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36901 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 36901 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 |
|---|---|---|
| 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 |
| 36902-CPT | High | 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 With Transluminal Balloon Angioplasty Peripheral Dialysis Segment Including All Imaging And Radiological Supervision And Interpretation Necessary To Perform The Angioplasty |
| 36903-CPT | High | 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 With Transcatheter Placement Of Intravascular Stent S Peripheral Dialysis Segment Including All Imaging And Radiological Supervision And Interpretation Necessary To Perform The Stenting And All Angioplasty Within The Peripheral Dialysis Segment |
| 36904-CPT | High | Thrmbc Nfs Dialysis Circuit, Percutaneous Transluminal Mechanical Thrombectomy And Or Infusion For Thrombolysis Dialysis Circuit Any Method Including All Imaging And Radiological Supervision And Interpretation Diagnostic Angiography Fluoroscopic Guidance Catheter Placement S And Intraprocedural Pharmacological Thrombolytic Injection S |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36901. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36901 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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