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 |
National average reimbursement for CPT 36905 by major payers:
$2,679.41
$3,177.08
$3,324.78
$3,642.90
| 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 36905 | ||||||
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 | 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; |
| 36902-CPT | High | 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; With Transluminal Balloon Angi- |
| 36903-CPT | High | 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; With Transcatheter Placement Of |
| 36905-CPT | High | Percutaneous Transluminal Mechanical Thrombectomy And/Or Infusion For Thrombolysis Dialysis Circuitany Method Including All Imaging And Radiologicalsupervision And Interpretation Diagnostic Angi- Ography Fluoroscopic Guidance Catheter Place- Ment(S) And Intraprocedural Pharmacological Throm-Bolytic Injection(S); With Transluminal Balloon Angioplasty Peripheral Dialysis Segment Includ- Ing All Imaging And Radiological Supervision And Interpretation Necessary To Perform The Angioplast |
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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