CPT code 36011: Venous catheterization, first-order branch2026 Medicare rate & RVUs

Reports selective placement of a catheter into a first-order venous branch, such as a renal vein, for a diagnostic or therapeutic procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities8.2K Medicare services in 2024

Medicare pays $781.92 for 36011 nationally in the office and $136.61 in a hospital or facility. Local office rates run $679.87–$1,077.25.

Medicare rate · 36011

Venous catheterization, first-order branch

Office or facility?

Work RVUs
3.06
Total RVUs
23.41
Global days
XXX

National rate · 2026

$781.92

Office setting, before claim adjustments.

See every locality for 36011 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 36011 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 36011 covers

This code describes advancing a catheter from a larger vein into its first-order branch. For example, a catheter advanced from the inferior vena cava into a renal vein is selectively positioned in a branch; the approach route does not determine the branch order. Interventional radiologists, vascular specialists, and other physicians may perform this work in an angiography suite or another procedural setting for venography, venous sampling, or a catheter-based treatment.

Choose the code based on the catheter’s final selective position in the venous tree: a first-order branch supports 36011, while further selection into a second-order or more distal branch points to 36012. Documentation should identify the accessed venous pathway and catheter tip location. CMS applies the standard multiple-procedure reduction when multiple procedures are performed in one session: the highest-valued procedure is paid in full and the others at 50%. For a bilateral procedure reported with modifier 50, CMS pays at 150%.

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 36011 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$679.87 to $1077.25

$679.87$878.56$1077.25
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

36011 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$691.38$126.74
Alaska$867.93$180.68
Arizona$758.81$133.51
Arkansas$679.87$125.55
Atlanta, GA$796.43$140.80
Austin, TX$818.44$135.71
Bakersfield, CA$840.33$133.07
Baltimore area, MD$836.13$143.71
Beaumont, TX$721.08$133.86
Brazoria, TX$772.81$133.31

36011 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.

$679.87

$958.03

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

View every state and territory as a table
36011 office rate range by state
State / territoryOffice rate rangeLocalities
AK$867.931
AL$691.381
AR$679.871
AZ$758.811
CA$838.80–$1,077.2529
CO$821.541
CT$838.701
DC$907.251
DE$772.661
FL$761.87–$836.623
GA$713.92–$796.432
GU$864.971
HI$864.971
IA$714.801
ID$719.481
IL$734.50–$814.424
IN$724.341
KS$709.451
KY$706.941
LA$705.07–$745.332
MA$814.96–$912.492
MD$789.40–$907.253
ME$722.16–$769.302
MI$726.68–$771.132
MN$788.411
MO$690.14–$750.193
MS$685.241
MT$781.881
NC$731.071
ND$771.201
NE$719.751
NH$806.791
NJ$848.63–$895.452
NM$730.621
NV$779.561
NY$743.47–$928.975
OH$724.491
OK$707.091
OR$773.91–$852.382
PA$726.67–$814.362
PR$788.921
RI$803.741
SC$728.921
SD$769.941
TN$713.351
TX$721.08–$818.448
UT$740.381
VA$765.36–$907.252
VI$788.921
VT$766.391
WA$814.00–$933.922
WI$741.641
WV$703.011
WY$777.231

How the 36011 rate is calculated

Each of 36011’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 · 36011

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.06

3.06 RVUs× 1.000 GPCI

Practice expense19.81

19.81 RVUs× 1.000 GPCI

Malpractice0.54

0.54 RVUs× 1.000 GPCI

Adjusted RVUs

23.4100

Conversion factor

$33.4009

Medicare rate

$781.92

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 36011

The CMS indicators that decide how 36011 is paid alongside other services.

CMS payment indicators · 36011

Venous catheterization, first-order branch

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
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

36011 without 50 · national office

$781.92

Venous catheterization, first-order branch

36011-50 · Bilateral: 150%

$1,172.88

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

36011 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 36011

    Venous catheterization, first-order branch3.06 wRVU

    $781.92

  • 36010

    Venous catheter, SVC or IVC placement2.13 wRVU

    $512.37−$269.55

  • 36012

    Venous catheterization, second-order or deeper branch3.42 wRVU

    $808.30+$26.38

  • 36013

    Pulmonary catheter placement, right heart or main pulmonary artery2.46 wRVU

    $775.23−$6.69

  • 36000

    Venous access, needle or intracatheter0.18 wRVU

    Not priced

How to choose

36010Venous catheterSVC or IVC placement
36010 represents placement in a central vein. Choose 36011 when the catheter is advanced selectively into a first-order venous branch.
36012Venous catheterizationSecond-order or deeper branch
36012 applies when selective placement reaches a second-order or more distal venous branch; 36011 is for the first-order branch.
36013Pulmonary catheter placementRight heart or main pulmonary artery
36013 is for selective catheter placement in a pulmonary artery, not the venous system described by 36011.
36000Venous accessNeedle or intracatheter
36000 describes introducing a needle or intracatheter into a vein, rather than selective catheter advancement into a first-order branch.

36011 billing questions

How does 36011 differ from 36010?

36011 describes selective catheter placement in a first-order venous branch. Use 36010 when the catheter is placed in a central vein without the selective branch placement represented by 36011.

When should 36012 be used instead?

Use 36012 when the catheter is selectively advanced into a second-order or more distal venous branch. The documented catheter position, not the access site, determines the selection level.

Does 36011 include venography or image interpretation?

The code represents selective catheter placement. A venographic study or its interpretation is a distinct service; report it only when performed, documented, and separately reportable for the applicable code combination.

How is bilateral placement reported?

When the procedure is bilateral and modifier 50 is reported, CMS pays 36011 at 150%.

What happens when several procedures are performed in the same session?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

What documentation supports 36011?

Document the venous route and the catheter tip’s final position, making clear that it entered a first-order branch. For example, identify the branch entered from the parent vein rather than documenting only the access vein.

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 36011PPRRVU2026_Oct_nonQPP.csv, line 4,434 (RVU26D)

Open CMS sourceHow we calculate rates

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