CPT 36905 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 36905 |
| Medicaid Fee Schedule | View Medicaid rates for 36905 |
National average reimbursement for CPT 36905 by major payers:
$2,679.41
$3,177.08
$3,324.78
$3,495.16
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 36905 | $369.20 | 1265601595 - CENTER FOR FAMILY HEALTH WELLNESS AND PREVENTION P A | 820540569 - (FL) CENTER FOR FAMILY HEALTH WELLNESS AND PREVENTION P A | FL | Single Specialty Group (193400000X) |
United | 36905 | $3336.75 | 1548260821 - VIKKI MCKINNIE | 592825211 - NORTH FLORIDA WOMEN'S CARE, P.A. | FL | Obstetrics & Gynecology Physician (207V00000X) |
United | 36905 | $1832.84 | 1881661692 - MAGRUDER EYE INSTITUTE, PLLC, ADVANCED EYE CARE | 593347759 - G BROCK MAGRUDER MD PA DBA MAGRUDER EYE INSTITUTE | FL | Single Specialty Group (193400000X) |
United | 36905 | $3636.83 | 1811569627 - JENESSY GONZALEZ | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | Single Specialty Group (193400000X) |
United | 36905 | $2227.28 | 1770587735 - DAVID ALLYN | 593546980 - (FL) AESTHETIC DERMATOLOGY PA | FL | Dermatology Physician (207N00000X) |
United | 36905 | $4812.50 | 1881679546 - HANS BERNDES | 204727467 | FL | Single Specialty Group (193400000X) |
United | 36905 | $3602.41 | 1609983113 - ORLANDO NEUROSURGERY, P.A. | 474412267 - (FL) FAIRBANKS PARTNERS, LLC | FL | Single Specialty Group (193400000X) |
United | 36905 | $2254.42 | 1255544888 - PULMONARY DISEASE ASSOCIATES | 591801116 - (FL) PULMONARY DISEASE ASSOCIATES, P.A. | FL | Specialist (174400000X) |
United | 36905 | $2025.88 | 1942284849 - ARTHRITIS & RHEUMATISM ASSOCIATES PL | 593337044 - (FL) ARTHRITIS & RHEUMATISM ASSOCIATES, PL | FL | Single Specialty Group (193400000X) |
United | 36905 | $1897.60 | 1790086429 - HARBOUR ISLAND PEDIATRICS | 273153744 - (FL) HARBOUR ISLAND PEDIATRICS | FL | Single Specialty Group (193400000X) |
United | 36905 | $1516.93 | 1205898970 - ROY KROCHMAL | 591461319 - (FL) RJ KROCHMAL MD PA | FL | Specialist (174400000X) |
United | 36905 | $3858.39 | 1811960206 - DEBRA COHEN | 590634434 - SACRED HEART HEALTH SYSTEM INC | FL | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | 36905 | $5025.37 | 1174751051 - ROBERT ABRAHAMS | 580705892 - AU MEDICAL ASSOCIATES INC | FL | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 36905 | $2432.71 | 1427436187 - SOUTHEASTERN RETINA SPECIALISTS, PA | 473616351 - (FL) SOUTHEASTERN RETINA SPECIALISTS, P.C. | FL | Single Specialty Group (193400000X) |
United | 36905 | $1638.60 | 1609051150 - SPINE AND PAIN MEDICINE CENTER PA | 593280882 - (FL) SPINE AND PAIN MEDICINE CENTER PA | FL | Specialist (174400000X) |
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 36905 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36905 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 36905 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 |
| 36905-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 With Transluminal Balloon Angioplasty Peripheral Dialysis Segment Including All Imaging And Radiological Supervision And Interpretation Necessary To Perform The Angioplasty |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36905. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36905 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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