CPT code 36005: Venography injection, extremity veins2026 Medicare rate & RVUs in Tennessee

Reports contrast injection into an extremity vein for venography, including the needle or catheter introduction used to deliver the contrast.

CMS RVU26DEffective Oct 1, 2026One payment locality13.8K Medicare services in 2024

In Tennessee, Medicare pays $223.08 for 36005 in the office and $38.79 when it’s performed in a hospital or facility.

$223.08Office (non-facility)
$38.79Hospital or facility
−8.8%vs the national office rate ($244.49)

Check a contract rate as a % of Medicare · 36005 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 36005 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Tennessee
  2. What 36005 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 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.

How Tennessee compares for 36005

Across 109 of 109 payment localities, the office rate for 36005 runs from $212.56 in Arkansas to $337.41 in San Benito County, CA. Tennessee pays $223.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

36005 in Tennessee vs other payment areas
  1. Tennessee · this page$223.08
  2. Los Angeles, CA · California$282.05+$58.97
  3. Washington, DC area · District of Columbia$283.82+$60.74
  4. Miami, FL · Florida$261.20+$38.12
  5. Chicago, IL · Illinois$252.67+$29.59
  6. Manhattan, NY · New York$283.32+$60.24
  7. Alaska · Alaska$271.15+$48.07

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

Every other payment area

36005 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$216.16$38.76
ArkansasArkansas$212.56$38.41
ArizonaArizona$237.27$40.82
Bakersfield, CACalifornia$262.97$40.76
Chico, CACalifornia$262.52$40.31
El Centro, CACalifornia$262.55$40.34
Fresno, CACalifornia$262.52$40.31
Hanford, CACalifornia$262.52$40.31

36005 rates by state

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

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.

$212.56

$299.97

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

View every state and territory as a table
36005 office rate range by state
State / territoryOffice rate rangeLocalities
AK$271.151
AL$216.161
AR$212.561
AZ$237.271
CA$262.52–$337.4129
CO$257.011
CT$262.261
DC$283.821
DE$241.611
FL$238.03–$261.203
GA$223.05–$248.992
GU$270.751
HI$270.751
IA$223.581
ID$225.031
IL$229.40–$254.464
IN$226.561
KS$221.871
KY$220.941
LA$220.34–$232.942
MA$254.94–$285.552
MD$246.86–$283.823
ME$225.83–$240.652
MI$227.08–$240.882
MN$246.771
MO$215.64–$234.523
MS$214.181
MT$244.481
NC$228.621
ND$241.321
NE$225.151
NH$252.361
NJ$265.40–$280.112
NM$228.301
NV$243.811
NY$232.50–$290.395
OH$226.431
OK$221.041
OR$242.08–$266.722
PA$227.14–$254.622
PR$246.701
RI$251.371
SC$227.881
SD$240.951
TN$223.081
TX$225.39–$256.028
UT$231.461
VA$239.39–$283.822
VI$246.701
VT$239.771
WA$254.65–$292.312
WI$232.061
WV$219.541
WY$243.111

See 36005 in every payment locality

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

Office or facility?

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.

The exact Tennessee inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,432

Code
36005
Physician work
0.93
Practice expense
6.23
Malpractice
0.16

GPCI2026.csv

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Office calculation for 36005 in Tennessee
ComponentRVULocality factorAdjusted
Physician work0.93× 1.0000.9300
Practice expense6.23× 0.9095.6631
Malpractice0.16× 0.5370.0859
Total RVUs6.6790
Conversion factor× 33.4009

Office rate, Tennessee$223.08

Office: (0.93 × 1 + 6.23 × 0.909 + 0.16 × 0.537) × $33.4009 = $223.08

Facility: (0.93 × 1 + 0.16 × 0.909 + 0.16 × 0.537) × $33.4009 = $38.79

Open 36005 in the RVU calculator

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

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)0Not paid without supporting documentation.
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

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).

When to use modifier 50

How 36005 has changed in Tennessee

36005 · Office / nonfacility

$223.08

Effective 2026-10-01

The base rate is $12.45 higher than on 2025-10-01, moving from $210.63 to $223.08 (5.9%).

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

    $210.63changed to$223.08

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.95 changed to 0.93
    • Practice expense RVU 6.11 changed to 6.23
    • Practice expense GPCI 0.896 changed to 0.909
    • Malpractice GPCI 0.544 changed to 0.537

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $224.51changed to$210.63

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.37 changed to 6.11

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $220.85changed to$224.51

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $234.82changed to$220.85

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.59 changed to 6.37
    • Malpractice RVU 0.17 changed to 0.16
    • Practice expense GPCI 0.894 changed to 0.896
    • Malpractice GPCI 0.518 changed to 0.544
  5. January 1, 2023

    RVU23A

    $246.71changed to$234.82

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.85 changed to 6.59
    • Malpractice RVU 0.14 changed to 0.17
    • Practice expense GPCI 0.892 changed to 0.894
    • Malpractice GPCI 0.492 changed to 0.518

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $268.54changed to$246.71

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.48 changed to 6.85
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $274.93changed to$268.54

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.36 changed to 7.48
    • Malpractice RVU 0.13 changed to 0.15
    • Practice expense GPCI 0.897 changed to 0.892
    • Malpractice GPCI 0.509 changed to 0.492

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $285.81changed to$274.93

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.66 changed to 7.36
    • Malpractice RVU 0.15 changed to 0.13
    • Practice expense GPCI 0.901 changed to 0.897
    • Malpractice GPCI 0.526 changed to 0.509

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $300.42changed to$285.81

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.12 changed to 7.66

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$300.42

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$223.08$38.79RVU26D
2026-07-01$223.08$38.79RVU26C
2026-04-01$223.08$38.79RVU26B
2026-01-01$223.08$38.79RVU26A
2025-10-01$210.63$41.95RVU25D
2025-07-01$210.63$41.95RVU25C
2025-04-01$210.63$41.95RVU25B
2025-01-01$210.63$41.95RVU25A
2024-10-01$224.51$42.87RVU24D
2024-07-01$224.51$42.87RVU24C
2024-04-01$224.51$42.87RVU24B
2024-03-09$224.51$42.87RVU24AR
2024-01-01$220.85$42.17RVU24A
2023-10-01$234.82$43.96RVU23D
2023-07-01$234.82$43.96RVU23C
2023-04-01$234.82$43.96RVU23B
2023-01-01$234.82$43.96RVU23A
2022-10-01$246.71$44.52RVU22D
2022-07-01$246.71$44.52RVU22C
2022-04-01$246.71$44.52RVU22B
2022-01-01$246.71$44.52RVU22A
2021-10-01$268.54$45.06RVU21D
2021-07-01$268.54$45.06RVU21C
2021-04-01$268.54$45.06RVU21B
2021-01-01$268.54$45.06RVU21A
2020-10-01$274.93$46.38RVU20D
2020-07-01$274.93$46.38RVU20C
2020-04-01$274.93$46.38RVU20B
2020-01-01$274.93$46.38RVU20A
2019-10-01$285.81$46.82RVU19D
2019-07-01$285.81$46.82RVU19C
2019-04-01$285.81$46.82RVU19B
2019-01-01$285.81$46.82RVU19A
2018-10-01$300.42$46.77RVU18D
2018-07-01$300.42$46.77RVU18C
2018-04-01$300.42$46.77RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 36005 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

  • Adams
  • Adamsville
  • Alamo
  • Alcoa
  • Alexandria
  • Algood
  • Allardt
  • Altamont

Browse all communities in Tennessee

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
RVUs for 36005PPRRVU2026_Oct_nonQPP.csv, line 4,432 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)

Open CMS sourceHow we calculate rates

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