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See a sample rate comparisonCPT 36904 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.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 36904 |
| Medicaid Fee Schedule | View Medicaid rates for 36904 |
National average reimbursement for CPT 36904 by major payers:
$2,074.01
$2,509.41
$2,606.66
$2,882.60
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CPT 36904
5 of 25 sample ratesHigher to lower in this preview
Susitna Surgery Center LLC
$11,291.00Published rateHouston Surgery Center
Houston Surgery Center Lp
$4,368.00Published rateEast Oregon Surgery Center, LLC
East Oregon Suregery Center LLC
$3,500.00Published rateChippenham Ambulatory Surgery Center, LLC
Chippenham Ambulatory Surgery Center LLC
$2,549.00Published rateMid-Michigan Endoscopy Center, PLLC, Charter Endoscopy Center
Mid Michigan Endoscopy Center
$900.00Published rate
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See a sample payer proposalCPT 36904 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36904 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 36904 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 36904. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36904 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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