CPT code 36005: Venography injection, extremity veins2026 Medicare rate & RVUs in Florida
Reports contrast injection into an extremity vein for venography, including the needle or catheter introduction used to deliver the contrast.
Medicare pays $238.03–$261.20 for 36005 in the office in Florida, from Rest of Florida to Miami, FL. 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 36005 covers
A clinician injects contrast into a peripheral vein to opacify the veins of an arm or leg for venographic imaging. The service includes introducing the needle or catheter used for the injection. It is typically performed by a radiologist, interventional radiologist, or other clinician conducting the venographic study in an imaging department, hospital, or office-based setting. The imaging and its interpretation are represented by the applicable radiology service rather than by this injection code alone.
Report 36005 for the extremity-vein contrast injection, not for routine venous access or catheter placement alone. Documentation should identify the extremity studied and support the injection for venography. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. With multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. For bilateral performance, modifier 50 is paid at 150%. An assistant at surgery is paid only when medical necessity is documented; 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 36005 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$238.03 to $261.20
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | $251.52 | $46.14 |
| Miami, FL | $261.20 | $50.14 |
| Rest of Florida | $238.03 | $44.20 |
How the 36005 rate is calculated
Each of 36005’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 · 36005
RVUs × geographic indexes × conversion factor
Work0.93
0.93 RVUs× 1.000 GPCI
Practice expense6.23
6.23 RVUs× 1.000 GPCI
Malpractice0.16
0.16 RVUs× 1.000 GPCI
Adjusted RVUs
7.3200
Conversion factor
$33.4009
Medicare rate
$244.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36005
The CMS indicators that decide how 36005 is paid alongside other services.
CMS payment indicators · 36005
Venography injection, extremity veins
| 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) | 0 | Not paid without supporting documentation. |
| 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
36005 without 50 · national office
$244.49
Venography injection, extremity veins
36005-50 · Bilateral: 150%
$366.74
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).
36005 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 36000Venous accessNeedle or intracatheter
- 36000 describes peripheral venous access. Use 36005 when contrast is injected into an extremity vein for venography; its access introduction is included.
- 75820Extremity venographyOne arm or leg
- 75820 represents radiological supervision and interpretation for unilateral extremity venography. 36005 reports the contrast injection and access introduction.
- 75822Extremity venographyBilateral
- 75822 represents radiological supervision and interpretation for bilateral extremity venography; 36005 reports the injection service, with modifier 50 for bilateral performance.
36005 billing questions
Does 36005 include introducing the needle or catheter?
Yes. The injection service includes introducing the needle or catheter used to deliver contrast, so 36000 is not separately reported for that same access.
Is the venographic imaging interpretation included?
36005 reports the contrast injection, not the imaging interpretation. The applicable radiology service, such as 75820 for unilateral extremity venography, represents the imaging and interpretation.
How is bilateral extremity venography reported?
For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150%.
What documentation supports 36005?
Document the extremity vein injected and the contrast injection performed for venographic imaging. The record should distinguish this service from routine venous access or catheter placement alone.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
Can an assistant or co-surgeon be reported?
An assistant at surgery is paid only with documentation of medical necessity. 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
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