CPT code 36002: Pseudoaneurysm injection, direct sac treatment2026 Medicare rate & RVUs in Missouri
Reports percutaneous injection treatment of a pseudoaneurysm, commonly a femoral access-site lesion treated with thrombin under imaging guidance.
Medicare pays $140.35–$147.61 for 36002 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 36002 covers
A physician treats a pseudoaneurysm by placing a needle into the sac and injecting a substance such as thrombin to promote closure while preserving flow in the parent vessel. A common situation is a femoral artery pseudoaneurysm after catheterization. Interventional radiologists and vascular surgeons commonly perform the procedure, often in a hospital or office setting with imaging used to guide needle placement and assess the result.
Report 36002 for the injection treatment, not for diagnostic imaging alone or routine needle placement into a vein. The record should identify the pseudoaneurysm site, the injection performed, and the clinical and imaging findings supporting treatment. This is a 0-day global procedure, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 36002 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$140.35 to $147.61
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $146.35 | $90.52 |
| Metropolitan St. Louis, MO | $147.61 | $91.01 |
| Rest of Missouri | $140.35 | $89.10 |
How the 36002 rate is calculated
Each of 36002’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 36002
RVUs × geographic indexes × conversion factor
Work1.91
1.91 RVUs× 1.000 GPCI
Practice expense2.32
2.32 RVUs× 1.000 GPCI
Malpractice0.30
0.30 RVUs× 1.000 GPCI
Adjusted RVUs
4.5300
Conversion factor
$33.4009
Medicare rate
$151.31
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36002
The CMS indicators that decide how 36002 is paid alongside other services.
CMS payment indicators · 36002
Pseudoaneurysm injection, direct sac treatment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
36002 without 50 · national office
$151.31
Pseudoaneurysm injection, direct sac treatment
36002-50 · Bilateral: 150%
$226.97
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
36002 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 76942Ultrasound needle guidanceBiopsy, aspiration, injection, or localization
- 76942 represents ultrasound guidance for needle placement; 36002 represents the therapeutic injection into the pseudoaneurysm. Guidance alone is not the injection treatment.
- 36005Venography injectionExtremity veins
- 36005 describes injection for extremity venography, while 36002 treats a pseudoaneurysm by injecting its sac.
- 93926Arterial duplexUnilateral or limited
- 93926 is a limited or unilateral lower-extremity arterial duplex examination. It evaluates blood flow; it does not represent therapeutic injection of a pseudoaneurysm.
36002 billing questions
When should 36002 be chosen instead of a vascular imaging code?
Use 36002 when the physician injects the pseudoaneurysm as treatment. An ultrasound or duplex examination that evaluates the lesion without therapeutic injection is an imaging service, not 36002.
Can ultrasound guidance be reported separately?
Code 76942 may be relevant when ultrasound guidance for needle placement is performed and separately reportable. Document the guidance and imaging supervision and interpretation rather than assuming it is supported by the injection documentation alone.
Does the code cover same-day care after the injection?
Yes. The 0-day global period includes same-day preoperative and postoperative care associated with the procedure.
How are two procedures paid when performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
How is bilateral pseudoaneurysm treatment reported?
For bilateral treatment, modifier 50 is paid at 150%. The documentation should identify treatment on both sides.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted for 36002. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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