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

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, 2026One payment locality580 Medicare services in 2024

In Iowa, Medicare pays $709.40 for 36013 in the office and $102.75 when it’s performed in a hospital or facility.

$709.40Office (non-facility)
$102.75Hospital or facility
−8.5%vs the national office rate ($775.23)

Check a contract rate as a % of Medicare · 36013 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 36013 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 36013 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 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.

How Iowa compares for 36013

Across 109 of 109 payment localities, the office rate for 36013 runs from $672.92 in Arkansas to $1,078.51 in San Benito County, CA. Iowa pays $709.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

36013 in Iowa vs other payment areas
  1. Iowa · this page$709.40
  2. Los Angeles, CA · California$898.50+$189.10
  3. Washington, DC area · District of Columbia$902.17+$192.77
  4. Miami, FL · Florida$823.53+$114.13
  5. Chicago, IL · Illinois$796.51+$87.11
  6. Manhattan, NY · New York$898.44+$189.04
  7. Alaska · Alaska$854.50+$145.10

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

Every other payment area

36013 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$684.47$104.34
ArkansasArkansas$672.92$103.39
ArizonaArizona$752.24$109.79
Bakersfield, CACalifornia$836.82$110.17
Chico, CACalifornia$835.68$109.03
El Centro, CACalifornia$835.75$109.09
Fresno, CACalifornia$835.68$109.03
Hanford, CACalifornia$835.68$109.03

36013 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.

$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

See 36013 in every payment locality

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.

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,436

Code
36013
Physician work
2.46
Practice expense
20.35
Malpractice
0.40

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 36013 in Iowa
ComponentRVULocality factorAdjusted
Physician work2.46× 1.0002.4600
Practice expense20.35× 0.91518.6203
Malpractice0.40× 0.3970.1588
Total RVUs21.2391
Conversion factor× 33.4009

Office rate, Iowa$709.40

Office: (2.46 × 1 + 20.35 × 0.915 + 0.4 × 0.397) × $33.4009 = $709.40

Facility: (2.46 × 1 + 0.5 × 0.915 + 0.4 × 0.397) × $33.4009 = $102.75

Open 36013 in the RVU calculator

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

Codes related to 36013

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

Codes related to 36013
CodeHow it relatesOffice range, Iowa
Same family
36014Pulmonary catheterization, selective pulmonary arterySelective catheter placement in a pulmonary artery beyond the right heart or main pulmonary artery.$687.07
36015Pulmonary catheterization, segmental or subsegmental branchSelective placement in segmental or subsegmental pulmonary artery branches.$727.99
Often billed with
75746Pulmonary angiography, nonselective injectionPulmonary angiography may be performed using the catheter positioned under 36013.$124.45
Used instead
93451Right heart cath, hemodynamic measurementsComprehensive diagnostic right-heart catheterization includes its catheter placement.$778.60
93503Heart catheter, monitoring catheter placementFlow-directed catheter placement for monitoring rather than pulmonary vascular catheterization.No office rate

How 36013 has changed in Iowa

36013 · Office / nonfacility

$709.40

Effective 2026-10-01

The base rate is $54.22 higher than on 2025-10-01, moving from $655.18 to $709.40 (8.3%).

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

    $655.18changed to$709.40

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.52 changed to 2.46
    • Practice expense RVU 19.25 changed to 20.35
    • Malpractice RVU 0.35 changed to 0.40
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $700.69changed to$655.18

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 20.12 changed to 19.25

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $689.25changed to$700.69

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $732.82changed to$689.25

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 20.83 changed to 20.12
    • Malpractice RVU 0.34 changed to 0.35
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $761.25changed to$732.82

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 21.32 changed to 20.83
    • Malpractice RVU 0.33 changed to 0.34
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $784.35changed to$761.25

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 21.86 changed to 21.32
    • Malpractice RVU 0.31 changed to 0.33

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $749.24changed to$784.35

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 19.98 changed to 21.86
    • Malpractice RVU 0.28 changed to 0.31
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $717.11changed to$749.24

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 19.02 changed to 19.98
    • Malpractice RVU 0.30 changed to 0.28
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $713.86changed to$717.11

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 18.94 changed to 19.02
    • Malpractice RVU 0.31 changed to 0.30

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $710.11changed to$713.86

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 18.98 changed to 18.94
    • Malpractice RVU 0.32 changed to 0.31
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $722.27changed to$710.11

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 19.52 changed to 18.98
    • Malpractice RVU 0.33 changed to 0.32
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $719.87changed to$722.27

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 19.37 changed to 19.52
    • Malpractice RVU 0.32 changed to 0.33

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $716.28changed to$719.87

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $715.90changed to$716.28

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 19.35 changed to 19.37
    • Malpractice RVU 0.43 changed to 0.32
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $757.85changed to$715.90

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 22.04 changed to 19.35
    • Malpractice RVU 0.45 changed to 0.43
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $757.85

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$709.40$102.75RVU26D
2026-07-01$709.40$102.75RVU26C
2026-04-01$709.40$102.75RVU26B
2026-01-01$709.40$102.75RVU26A
2025-10-01$655.18$111.20RVU25D
2025-07-01$655.18$111.20RVU25C
2025-04-01$655.18$111.20RVU25B
2025-01-01$655.18$111.20RVU25A
2024-10-01$700.69$113.52RVU24D
2024-07-01$700.69$113.52RVU24C
2024-04-01$700.69$113.52RVU24B
2024-03-09$700.69$113.52RVU24AR
2024-01-01$689.25$111.67RVU24A
2023-10-01$732.82$114.84RVU23D
2023-07-01$732.82$114.84RVU23C
2023-04-01$732.82$114.84RVU23B
2023-01-01$732.82$114.84RVU23A
2022-10-01$761.25$116.23RVU22D
2022-07-01$761.25$116.23RVU22C
2022-04-01$761.25$116.23RVU22B
2022-01-01$761.25$116.23RVU22A
2021-10-01$784.35$116.26RVU21D
2021-07-01$784.35$116.26RVU21C
2021-04-01$784.35$116.26RVU21B
2021-01-01$784.35$116.26RVU21A
2020-10-01$749.24$119.13RVU20D
2020-07-01$749.24$119.13RVU20C
2020-04-01$749.24$119.13RVU20B
2020-01-01$749.24$119.13RVU20A
2019-10-01$717.11$118.27RVU19D
2019-07-01$717.11$118.27RVU19C
2019-04-01$717.11$118.27RVU19B
2019-01-01$717.11$118.27RVU19A
2018-10-01$713.86$118.62RVU18D
2018-07-01$713.86$118.62RVU18C
2018-04-01$713.86$118.62RVU18B
2018-01-01$713.86$118.62RVU18AR1
2017-10-01$710.11$119.65RVU17D
2017-07-01$710.11$119.65RVU17C
2017-04-01$710.11$119.65RVU17B
2017-01-01$710.11$119.65RVU17A
2016-10-01$722.27$121.72RVU16D
2016-07-01$722.27$121.72RVU16C
2016-04-01$722.27$121.72RVU16B
2016-01-01$722.27$121.72RVU16A
2015-10-01$719.87$121.98RVU15D
2015-07-01$719.87$121.98RVU15C
2015-04-01$716.28$121.37RVU15B
2015-01-01$716.28$121.37RVU15A
2014-10-01$715.90$124.43RVU14D
2014-07-01$715.90$124.43RVU14C
2014-04-01$715.90$124.43RVU14B
2014-01-01$715.90$124.43RVU14A
2013-10-01$757.85$121.09RVU13D
2013-07-01$757.85$121.09RVU13C
2013-04-01$757.85$121.09RVU13B
2013-01-01$757.85$121.09RVU13AR

Price 36013 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

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)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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