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CPT code 36002: Pseudoaneurysm injection, direct sac treatment2026 Medicare rate & RVUs in Puerto Rico

Reports percutaneous injection treatment of a pseudoaneurysm, commonly a femoral access-site lesion treated with thrombin under imaging guidance.

CMS RVU26DEffective Oct 1, 2026One payment locality3.5K Medicare services in 2024

In Puerto Rico, Medicare pays $152.01 for 36002 in the office and $91.90 when it’s performed in a hospital or facility.

$152.01Office (non-facility)
$91.90Hospital or facility
+0.5%vs the national office rate ($151.31)

Check a contract rate as a % of Medicare · 36002 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 36002 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 36002 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Puerto Rico compares for 36002

Across 109 of 109 payment localities, the office rate for 36002 runs from $135.52 in Arkansas to $187.92 in San Benito County, CA. Puerto Rico pays $152.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

36002 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$152.01
  2. Los Angeles, CA · California$164.74+$12.73
  3. Washington, DC area · District of Columbia$169.68+$17.67
  4. Miami, FL · Florida$169.80+$17.79
  5. Chicago, IL · Illinois$165.12+$13.11
  6. Manhattan, NY · New York$173.81+$21.80
  7. Alaska · Alaska$183.74+$31.73

Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.

Every other payment area

36002 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$137.27$85.25
ArkansasArkansas$135.52$84.45
ArizonaArizona$147.46$89.85
Bakersfield, CACalifornia$156.04$90.88
Chico, CACalifornia$155.18$90.02
El Centro, CACalifornia$155.23$90.07
Fresno, CACalifornia$155.18$90.02
Hanford, CACalifornia$155.18$90.02

36002 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$135.52

$183.74

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
36002 office rate range by state
State / territoryOffice rate rangeLocalities
AK$183.741
AL$137.271
AR$135.521
AZ$147.461
CA$155.18–$187.9229
CO$154.841
CT$160.651
DC$169.681
DE$149.681
FL$152.94–$169.803
GA$144.86–$154.752
GU$157.701
HI$157.701
IA$138.681
ID$139.831
IL$150.21–$165.124
IN$140.501
KS$138.901
KY$141.851
LA$141.97–$148.102
MA$154.40–$167.852
MD$152.05–$169.683
ME$141.32–$146.912
MI$145.86–$155.472
MN$146.501
MO$140.35–$147.613
MS$137.921
MT$151.291
NC$142.501
ND$145.351
NE$139.111
NH$153.231
NJ$161.96–$168.402
NM$146.891
NV$149.711
NY$144.46–$178.625
OH$144.641
OK$140.781
OR$148.02–$158.362
PA$144.40–$157.572
PR$152.011
RI$153.991
SC$143.911
SD$144.651
TN$139.621
TX$143.62–$155.048
UT$145.631
VA$147.04–$169.682
VI$152.011
VT$145.581
WA$153.85–$170.252
WI$141.121
WV$145.471
WY$148.701

See 36002 in every payment locality

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

Office or facility?

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.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,431

Code
36002
Physician work
1.91
Practice expense
2.32
Malpractice
0.30

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 36002 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.91× 1.0001.9100
Practice expense2.32× 1.0112.3455
Malpractice0.30× 0.9850.2955
Total RVUs4.5510
Conversion factor× 33.4009

Office rate, Puerto Rico$152.01

Office: (1.91 × 1 + 2.32 × 1.011 + 0.3 × 0.985) × $33.4009 = $152.01

Facility: (1.91 × 1 + 0.54 × 1.011 + 0.3 × 0.985) × $33.4009 = $91.90

Open 36002 in the RVU calculator

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

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician 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).

When to use modifier 50

Codes related to 36002

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 36002
CodeHow it relatesOffice range, Puerto Rico
Often billed with
76942Ultrasound needle guidance, biopsy, aspiration, injection, or localizationMay report ultrasound guidance for needle placement when performed and separately reportable.$64.56
93926Arterial duplex, unilateral or limitedA limited or unilateral lower-extremity arterial duplex may evaluate a femoral pseudoaneurysm.No office rate
93925Arterial duplex, complete bilateral studyA complete bilateral lower-extremity arterial duplex may assess arterial flow when separately performed.$239.71

How 36002 has changed in Puerto Rico

36002 · Office / nonfacility

$152.01

Effective 2026-10-01

The base rate is $2.53 higher than on 2025-10-01, moving from $149.48 to $152.01 (1.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $149.48changed to$152.01

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.96 changed to 1.91
    • Practice expense RVU 2.36 changed to 2.32
    • Malpractice RVU 0.29 changed to 0.30
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $153.14changed to$149.48

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.32 changed to 2.36
    • Malpractice RVU 0.31 changed to 0.29

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $150.64changed to$153.14

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $153.96changed to$150.64

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.27 changed to 2.32
    • Malpractice RVU 0.30 changed to 0.31
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $153.51changed to$153.96

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $154.81changed to$153.51

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.21 changed to 2.27
    • Malpractice RVU 0.29 changed to 0.30
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $155.75changed to$154.81

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.28 changed to 0.29

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $160.39changed to$155.75

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.19 changed to 2.21
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $162.28changed to$160.39

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.25 changed to 2.19
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $165.72changed to$162.28

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.34 changed to 2.25
    • Malpractice RVU 0.29 changed to 0.28

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $149.29changed to$165.72

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.36 changed to 2.34
    • Malpractice RVU 0.28 changed to 0.29
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $133.69changed to$149.29

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.40 changed to 2.36
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $134.64changed to$133.69

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.41 changed to 2.40
    • Malpractice RVU 0.30 changed to 0.28

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $133.97changed to$134.64

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $132.27changed to$133.97

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.39 changed to 2.41
    • Malpractice RVU 0.29 changed to 0.30
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $129.43changed to$132.27

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.61 changed to 2.39
    • Malpractice RVU 0.30 changed to 0.29
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $129.43

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$152.01$91.90RVU26D
2026-07-01$152.01$91.90RVU26C
2026-04-01$152.01$91.90RVU26B
2026-01-01$152.01$91.90RVU26A
2025-10-01$149.48$99.32RVU25D
2025-07-01$149.48$99.32RVU25C
2025-04-01$149.48$99.32RVU25B
2025-01-01$149.48$99.32RVU25A
2024-10-01$153.14$101.86RVU24D
2024-07-01$153.14$101.86RVU24C
2024-04-01$153.14$101.86RVU24B
2024-03-09$153.14$101.86RVU24AR
2024-01-01$150.64$100.20RVU24A
2023-10-01$153.96$103.75RVU23D
2023-07-01$153.51$103.69RVU23C
2023-04-01$153.51$103.69RVU23B
2023-01-01$153.51$103.69RVU23A
2022-10-01$154.81$104.93RVU22D
2022-07-01$154.81$104.93RVU22C
2022-04-01$154.81$104.93RVU22B
2022-01-01$154.81$104.93RVU22A
2021-10-01$155.75$105.46RVU21D
2021-07-01$155.75$105.46RVU21C
2021-04-01$155.75$105.46RVU21B
2021-01-01$155.75$105.46RVU21A
2020-10-01$160.39$109.82RVU20D
2020-07-01$160.39$109.82RVU20C
2020-04-01$160.39$109.82RVU20B
2020-01-01$160.39$109.82RVU20A
2019-10-01$162.28$109.66RVU19D
2019-07-01$162.28$109.66RVU19C
2019-04-01$162.28$109.66RVU19B
2019-01-01$162.28$109.66RVU19A
2018-10-01$165.72$110.62RVU18D
2018-07-01$165.72$110.62RVU18C
2018-04-01$165.72$110.62RVU18B
2018-01-01$165.72$110.62RVU18AR1
2017-10-01$149.29$102.91RVU17D
2017-07-01$149.29$102.91RVU17C
2017-04-01$149.29$102.91RVU17B
2017-01-01$149.29$102.91RVU17A
2016-10-01$133.69$94.82RVU16D
2016-07-01$133.69$94.82RVU16C
2016-04-01$133.69$94.82RVU16B
2016-01-01$133.69$94.82RVU16A
2015-10-01$134.64$95.37RVU15D
2015-07-01$134.64$95.37RVU15C
2015-04-01$133.97$94.90RVU15B
2015-01-01$133.97$94.90RVU15A
2014-10-01$132.27$94.59RVU14D
2014-07-01$132.27$94.59RVU14C
2014-04-01$132.27$94.59RVU14B
2014-01-01$132.27$94.59RVU14A
2013-10-01$129.43$90.45RVU13D
2013-07-01$129.43$90.45RVU13C
2013-04-01$129.43$90.45RVU13B
2013-01-01$129.43$90.45RVU13AR

Price 36002 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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

Show the CMS file lines behind this rate
RVUs for 36002PPRRVU2026_Oct_nonQPP.csv, line 4,431 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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