CPT code 36013: Pulmonary catheter placement, right heart or main pulmonary artery2026 Medicare rate & RVUs

Reports catheter advancement into the right heart or main pulmonary artery for pulmonary vascular procedures when selective branch catheterization is not performed.

CMS RVU26DEffective Oct 1, 2026109 payment localities580 Medicare services in 2024

Medicare pays $775.23 for 36013 nationally in the office and $112.23 in a hospital or facility. Local office rates run $672.92–$1,078.51.

Medicare rate · 36013

Pulmonary catheter placement, right heart or main pulmonary artery

Office or facility?

Work RVUs
2.46
Total RVUs
23.21
Global days
XXX

National rate · 2026

$775.23

Office setting, before claim adjustments.

See every locality for 36013 →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 36013 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 36013 covers

Code 36013 represents catheter advancement through venous access into the right heart or main pulmonary artery, without selective placement in a more distal pulmonary artery branch. It is commonly used when catheter positioning is part of pulmonary angiography or another pulmonary vascular procedure. Cardiologists, interventional radiologists, and other physicians performing catheter-based procedures typically report it in a hospital or other facility setting.

Choose the code from the documented catheter destination and degree of selection, not just the access site. The procedure note should identify the route and final catheter position; for pulmonary angiography, the imaging documentation should support the associated study. When other procedures are performed in the same session, CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full and the others at 50%. When catheter placement is part of a more comprehensive service, follow the applicable CPT reporting instructions rather than reporting the same placement separately.

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 36013 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

$672.92 to $1078.51

$672.92$875.71$1078.51
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

36013 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$684.47$104.34
Alaska$854.50$148.40
Arizona$752.24$109.79
Arkansas$672.92$103.39
Atlanta, GA$789.04$115.43
Austin, TX$813.30$111.84
Bakersfield, CA$836.82$110.17
Baltimore area, MD$829.33$117.93
Beaumont, TX$713.11$109.78
Brazoria, TX$766.84$109.79

36013 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.

$672.92

$957.10

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

View every state and territory as a table
36013 office rate range by state
State / territoryOffice rate rangeLocalities
AK$854.501
AL$684.471
AR$672.921
AZ$752.241
CA$835.68–$1,078.5129
CO$816.801
CT$832.021
DC$902.171
DE$766.141
FL$752.05–$823.533
GA$704.39–$789.042
GU$862.731
HI$862.731
IA$709.401
ID$713.821
IL$723.62–$804.484
IN$718.751
KS$703.361
KY$698.651
LA$696.51–$736.952
MA$809.86–$909.002
MD$783.12–$902.173
ME$715.81–$764.192
MI$717.82–$760.612
MN$785.541
MO$681.09–$742.643
MS$677.271
MT$775.211
NC$724.871
ND$767.301
NE$714.591
NH$801.431
NJ$842.35–$890.072
NM$721.501
NV$773.681
NY$737.28–$920.415
OH$716.211
OK$699.531
OR$768.55–$848.582
PA$718.76–$807.162
PR$782.511
RI$797.781
SC$721.571
SD$766.361
TN$707.201
TX$713.11–$813.308
UT$733.091
VA$759.75–$902.172
VI$782.511
VT$761.841
WA$809.13–$931.192
WI$737.441
WV$691.951
WY$771.761

How the 36013 rate is calculated

Each of 36013’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 · 36013

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.46

2.46 RVUs× 1.000 GPCI

Practice expense20.35

20.35 RVUs× 1.000 GPCI

Malpractice0.40

0.40 RVUs× 1.000 GPCI

Adjusted RVUs

23.2100

Conversion factor

$33.4009

Medicare rate

$775.23

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

Payment rules and modifiers for 36013

The CMS indicators that decide how 36013 is paid alongside other services.

CMS payment indicators · 36013

Pulmonary catheter placement, right heart or main pulmonary artery

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)0The 150% bilateral adjustment doesn’t apply.
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 51 · payment effect

With and without the modifier

36013 without 51 · national office

$775.23

Pulmonary catheter placement, right heart or main pulmonary artery

36013-51 · Second procedure: 50%

$387.62

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

36013 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 36013

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

    $775.23

  • 36014

    Pulmonary catheterization, selective pulmonary artery2.94 wRVU

    $750.85−$24.38

  • 36015

    Pulmonary catheterization, segmental or subsegmental branch3.42 wRVU

    $794.27+$19.04

  • 93451

    Right heart cath, hemodynamic measurements2.41 wRVU

    $851.39+$76.16

  • 93503

    Heart catheter, monitoring catheter placement1.95 wRVU

    Not priced

How to choose

36014Pulmonary catheterizationSelective pulmonary artery
Use 36013 for placement in the right heart or main pulmonary artery. Use 36014 when the catheter is selectively advanced into a pulmonary artery.
36015Pulmonary catheterizationSegmental or subsegmental branch
Code 36015 is for selective catheter placement in segmental or subsegmental pulmonary artery branches, farther along the arterial tree than the placement described by 36013.
93451Right heart cathHemodynamic measurements
Code 93451 reports a diagnostic right-heart catheterization, including its catheter placement and hemodynamic assessment. Code 36013 describes catheter placement for a separately reportable vascular procedure, not an extra charge for the same placement.
93503Heart catheterMonitoring catheter placement
Code 93503 describes placement of a flow-directed catheter for monitoring. Code 36013 describes positioning in the right heart or main pulmonary artery for a catheter-based vascular procedure.

36013 billing questions

How is 36013 different from 36014 or 36015?

Code 36013 describes placement in the right heart or main pulmonary artery. Codes 36014 and 36015 describe selective placement farther into the pulmonary arterial tree, with 36015 reaching segmental or subsegmental branches.

Can 36013 be reported with a diagnostic right-heart catheterization?

A diagnostic right-heart catheterization reported with 93451 includes the catheter placement for that service. Do not report 36013 as an additional line for the same catheter introduction.

Is 36013 the same service as Swan-Ganz catheter placement?

No. Code 93503 describes placement of a flow-directed catheter for monitoring. Code 36013 identifies catheter placement into the right heart or main pulmonary artery for a catheter-based vascular procedure.

What documentation supports reporting 36013?

Document the venous route, the catheter’s final location in the right heart or main pulmonary artery, and the procedure performed. The documented tip location helps distinguish 36013 from selective pulmonary artery placement.

How does the multiple procedure reduction affect 36013?

When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the 50% reduction to the other procedures.

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 36013PPRRVU2026_Oct_nonQPP.csv, line 4,436 (RVU26D)

Open CMS sourceHow we calculate rates

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