CPT 36907 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 | • 11 - Office • 24 - Ambulatory Surgical Center • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • LT - Left side of body • 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 36907 |
National average reimbursement for CPT 36907 by major payers:
$733.71
$957.43
$942.53
$1,019.89
| 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 36907 | ||||||
United | 36907 | $396.00 | 1962506618 - THE POLYCLINIC, ASC POLYCLINIC SURGERY CENTER | 910369070 - (WA) THE POLYCLINIC, PLLC | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36907 | $1596.00 | 1588784649 - CHRISTUS HEALTH SOUTHWESTERN LOUISIANA, CHRISTUS ST. PATRICK HOSPITAL | 720411322 - (LA) CHRISTUS HEALTH SOUTHWESTERN LOUISIANA | LA | General Acute Care Hospital (282N00000X) |
United | 36907 | $585.00 | 1427017987 - BAPTIST SURGERY CENTER LP, BAPTIST AMBULATORY SURGERY CENTER | 621672473 - (TN) BAPTIST SURGERY CENTER LP | TN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36907 | $668.60 | 1730166265 - DANIEL CORDAS | 261517214 | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 36907 | $1132.44 | 1548230048 - PETER VIZZI | 200736590 - (LA) PETER D VIZZI MD AMC | LA | Orthopaedic Surgery Physician (207X00000X) |
United | 36907 | $112.00 | 1639282932 - ATLANTA ENDOSCOPY CENTER | 582007241 - (GA) ATLANTA ENDOSCOPY CENTER | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36907 | $527.00 | 1144948167 - MCALLEN SURGICENTER, LLC, MCALLEN SURGERY CENTER | 862290088 - (TX) MCALLEN SURGICENTER LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36907 | $923.35 | 1538167804 - STEPHEN KELMINSON | 610458376 - PIKEVILLE MEDICAL CENTER INC | FL | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 36907 | $110.00 | 1619124401 - CHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC | 562059693 - (NC) CHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC | NC | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 36907 | $1001.15 | 1427410240 - BRANDON OKEEFE RAFAELI | 760459500 - U T PHYSICIANS | TX | General Acute Care Hospital (282N00000X) |
United | 36907 | $1324.97 | 1629369210 - SPINE INSTITUTE OF LOUISIANA LLC, SPINE INSTITUTE OF LOUISIANA | 320353742 - (LA) SPINE INSTITUTE OF LOUISIANA, LLC | LA | Orthopaedic Surgery of the Spine Physician (207XS0117X) |
United | 36907 | $1798.00 | 1477807436 - UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS | 753175630 | TX | General Acute Care Hospital (282N00000X) |
United | 36907 | $967.72 | 1508859612 - GONZALES HEALTHCARE SYSTEMS, MEMORIAL HOSPITAL | 741625013 | TX | General Acute Care Hospital (282N00000X) |
United | 36907 | $102.43 | 1376529503 - DONNA STEPHENS | 650926505 - (FL) E S FAMILY MEDICINE PHYSICIANS | FL | Family Medicine Physician (207Q00000X) |
United | 36907 | $304.00 | 1083384432 - NASHVILLE SURGICENTER, LLC | 474086590 - (TN) NASHVILLE SURGICENTER LLC | TN | 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 36907 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36907 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 36907 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 |
|---|---|---|
| 36904-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); |
| 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 |
| 36906-CPT | High | Percutaneous Transluminal Mechanical Thrombectomy And/Or Infusion For Thrombolysis Dialysis Circui Any Method Including All Imaging And Radiologica Supervision And Interpretation Diagnostic Angi- Ography Fluoroscopic Guidance Catheter Place- Ment(S) And Intraprocedural Pharmacological Throm Bolytic Injection(S); With Transcatheter Placementof Intravascular Stent(S) Peripheral Dialysis Segment Including All Imaging And Radiological Supervision And Interpretation Necessary To Perfor |
| 36907-CPT | Moderate | Transluminal Balloon Angioplasty Central Dialysissegment Performed Through Dialysis Circuit In- Cluding All Imaging And Radiological Supervision And Interpretation Required To Perform The Angio- Plasty (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36907. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36907 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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