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CPT code 36200: Aortic catheterization, nonselective placement2026 Medicare rate & RVUs in Puerto Rico

Reports advancing a catheter into the aorta without selecting a branch artery, such as for a separately reportable aortographic study.

CMS RVU26DEffective Oct 1, 2026One payment locality9.8K Medicare services in 2024

In Puerto Rico, Medicare pays $571.18 for 36200 in the office and $122.74 when it’s performed in a hospital or facility.

$571.18Office (non-facility)
$122.74Hospital or facility
+0.8%vs the national office rate ($566.48)

Check a contract rate as a % of Medicare · 36200 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 36200 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 36200 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 36200 covers

This service covers advancing a catheter through arterial access until its tip is in the aorta, without selectively entering an aortic branch. It may be performed by an interventional radiologist, vascular surgeon, or other physician performing an aortic study. A typical use is positioning a catheter in the aorta for aortography; the documented tip location distinguishes this service from catheterization of a carotid, renal, or other branch artery.

Report the aortic placement when it is separately identifiable and not included in a more comprehensive service. Documentation should show the access route, final catheter position, and the study or procedure performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 invokes the bilateral payment rule of 150%. Assistant-at-surgery payment is restricted; 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 Puerto Rico compares for 36200

Across 109 of 109 payment localities, the office rate for 36200 runs from $492.20 in Arkansas to $768.16 in San Benito County, CA. Puerto Rico pays $571.18. The RVUs are the same everywhere; the geographic indexes change the dollars.

36200 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$571.18
  2. Los Angeles, CA · California$646.59+$75.41
  3. Washington, DC area · District of Columbia$654.78+$83.60
  4. Miami, FL · Florida$616.82+$45.64
  5. Chicago, IL · Illinois$596.21+$25.03
  6. Manhattan, NY · New York$658.19+$87.01
  7. Alaska · Alaska$631.89+$60.71

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

Every other payment area

36200 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$500.54$112.42
ArkansasArkansas$492.20$111.18
ArizonaArizona$549.37$119.56
Bakersfield, CACalifornia$603.83$117.69
Chico, CACalifornia$602.14$115.99
El Centro, CACalifornia$602.24$116.10
Fresno, CACalifornia$602.14$115.99
Hanford, CACalifornia$602.14$115.99

36200 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.

$492.20

$685.15

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

View every state and territory as a table
36200 office rate range by state
State / territoryOffice rate rangeLocalities
AK$631.891
AL$500.541
AR$492.201
AZ$549.371
CA$602.14–$768.1629
CO$592.181
CT$607.711
DC$654.781
DE$559.371
FL$556.85–$616.823
GA$521.25–$578.202
GU$620.181
HI$620.181
IA$515.271
ID$519.121
IL$538.50–$596.214
IN$522.581
KS$512.471
KY$514.151
LA$513.22–$542.422
MA$587.86–$656.282
MD$571.15–$654.783
ME$522.20–$554.742
MI$529.51–$564.742
MN$565.111
MO$503.07–$544.653
MS$497.751
MT$566.441
NC$528.481
ND$554.181
NE$518.521
NH$582.571
NJ$614.01–$646.462
NM$532.831
NV$563.481
NY$537.55–$676.105
OH$527.011
OK$513.111
OR$558.51–$613.192
PA$527.98–$590.782
PR$571.181
RI$580.991
SC$528.751
SD$552.731
TN$515.431
TX$524.01–$590.728
UT$537.031
VA$552.65–$654.782
VI$571.181
VT$551.691
WA$586.85–$670.622
WI$533.011
WV$515.721
WY$561.101

See 36200 in every payment locality

How the 36200 rate is calculated

Each of 36200’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 · 36200

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.70

2.70 RVUs× 1.000 GPCI

Practice expense13.64

13.64 RVUs× 1.000 GPCI

Malpractice0.62

0.62 RVUs× 1.000 GPCI

Adjusted RVUs

16.9600

Conversion factor

$33.4009

Medicare rate

$566.48

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,442

Code
36200
Physician work
2.70
Practice expense
13.64
Malpractice
0.62

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 36200 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work2.70× 1.0002.7000
Practice expense13.64× 1.01113.7900
Malpractice0.62× 0.9850.6107
Total RVUs17.1007
Conversion factor× 33.4009

Office rate, Puerto Rico$571.18

Office: (2.7 × 1 + 13.64 × 1.011 + 0.62 × 0.985) × $33.4009 = $571.18

Facility: (2.7 × 1 + 0.36 × 1.011 + 0.62 × 0.985) × $33.4009 = $122.74

Open 36200 in the RVU calculator

Payment rules and modifiers for 36200

The CMS indicators that decide how 36200 is paid alongside other services.

CMS payment indicators · 36200

Aortic catheterization, nonselective placement

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)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

36200 without 50 · national office

$566.48

Aortic catheterization, nonselective placement

36200-50 · Bilateral: 150%

$849.72

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

Codes related to 36200

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

Codes related to 36200
CodeHow it relatesOffice range, Puerto Rico
Used instead
36215Arterial catheterization, first-order thoracic branchUse when the catheter is selectively advanced into a first-order branch artery.$1,073.82
36245Selective catheterization, first-order abdominal or leg branchDescribes selective catheterization in the abdominal, pelvic, or lower-extremity arterial system.$1,209.53
36221Aortic arch angiography, nonselective thoracic aortaIncludes thoracic aortic catheterization with angiographic imaging.$961.22
Often billed with
75625Abdominal aortography, abdominal aorta onlyAbdominal aortography may be reported with separately reportable aortic catheter placement.$125.93
75600Thoracic aortography, without serialographyThoracic aortography may accompany separately reportable aortic catheter placement.$179.06

How 36200 has changed in Puerto Rico

36200 · Office / nonfacility

$571.18

Effective 2026-10-01

The base rate is $23.46 higher than on 2025-10-01, moving from $547.72 to $571.18 (4.3%).

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

    $547.72changed to$571.18

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.77 changed to 2.70
    • Practice expense RVU 13.45 changed to 13.64
    • Malpractice RVU 0.63 changed to 0.62
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $584.45changed to$547.72

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 14.09 changed to 13.45
    • Malpractice RVU 0.61 changed to 0.63

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $574.91changed to$584.45

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $607.47changed to$574.91

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 14.46 changed to 14.09
    • Malpractice RVU 0.59 changed to 0.61
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $603.87changed to$607.47

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $641.67changed to$603.87

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 15.06 changed to 14.46
    • Malpractice RVU 0.60 changed to 0.59
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $647.00changed to$641.67

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 15.07 changed to 15.06
    • Malpractice RVU 0.59 changed to 0.60

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $611.74changed to$647.00

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 13.48 changed to 15.07
    • Malpractice RVU 0.60 changed to 0.59
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $587.95changed to$611.74

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 12.87 changed to 13.48
    • Malpractice RVU 0.59 changed to 0.60
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $575.34changed to$587.95

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 12.54 changed to 12.87

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $499.17changed to$575.34

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 12.57 changed to 12.54
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $471.26changed to$499.17

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 3.02 changed to 2.77
    • Practice expense RVU 14.12 changed to 12.57
    • Malpractice RVU 0.64 changed to 0.59
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $473.17changed to$471.26

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.66 changed to 0.64

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $470.82changed to$473.17

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $463.99changed to$470.82

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 14.13 changed to 14.12
    • Malpractice RVU 0.57 changed to 0.66
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $474.38changed to$463.99

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 15.89 changed to 14.13
    • Malpractice RVU 0.60 changed to 0.57
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $474.38

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$571.18$122.74RVU26D
2026-07-01$571.18$122.74RVU26C
2026-04-01$571.18$122.74RVU26B
2026-01-01$571.18$122.74RVU26A
2025-10-01$547.72$132.41RVU25D
2025-07-01$547.72$132.41RVU25C
2025-04-01$547.72$132.41RVU25B
2025-01-01$547.72$132.41RVU25A
2024-10-01$584.45$135.28RVU24D
2024-07-01$584.45$135.28RVU24C
2024-04-01$584.45$135.28RVU24B
2024-03-09$584.45$135.28RVU24AR
2024-01-01$574.91$133.07RVU24A
2023-10-01$607.47$137.11RVU23D
2023-07-01$603.87$137.24RVU23C
2023-04-01$603.87$137.24RVU23B
2023-01-01$603.87$137.24RVU23A
2022-10-01$641.67$140.75RVU22D
2022-07-01$641.67$140.75RVU22C
2022-04-01$641.67$140.75RVU22B
2022-01-01$641.67$140.75RVU22A
2021-10-01$647.00$141.22RVU21D
2021-07-01$647.00$141.22RVU21C
2021-04-01$647.00$141.22RVU21B
2021-01-01$647.00$141.22RVU21A
2020-10-01$611.74$146.46RVU20D
2020-07-01$611.74$146.46RVU20C
2020-04-01$611.74$146.46RVU20B
2020-01-01$611.74$146.46RVU20A
2019-10-01$587.95$145.92RVU19D
2019-07-01$587.95$145.92RVU19C
2019-04-01$587.95$145.92RVU19B
2019-01-01$587.95$145.92RVU19A
2018-10-01$575.34$146.12RVU18D
2018-07-01$575.34$146.12RVU18C
2018-04-01$575.34$146.12RVU18B
2018-01-01$575.34$146.12RVU18AR1
2017-10-01$499.17$135.43RVU17D
2017-07-01$499.17$135.43RVU17C
2017-04-01$499.17$135.43RVU17B
2017-01-01$499.17$135.43RVU17A
2016-10-01$471.26$135.54RVU16D
2016-07-01$471.26$135.54RVU16C
2016-04-01$471.26$135.54RVU16B
2016-01-01$471.26$135.54RVU16A
2015-10-01$473.17$136.24RVU15D
2015-07-01$473.17$136.24RVU15C
2015-04-01$470.82$135.56RVU15B
2015-01-01$470.82$135.56RVU15A
2014-10-01$463.99$134.79RVU14D
2014-07-01$463.99$134.79RVU14C
2014-04-01$463.99$134.79RVU14B
2014-01-01$463.99$134.79RVU14A
2013-10-01$474.38$129.29RVU13D
2013-07-01$474.38$129.29RVU13C
2013-04-01$474.38$129.29RVU13B
2013-01-01$474.38$129.29RVU13AR

Price 36200 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

36200 billing questions

When should I choose 36200 instead of a selective catheterization code?

Use 36200 when the catheter remains in the aorta and no branch artery is selectively entered. If the catheter is advanced into a branch, choose the code that reflects the selective catheterization performed.

Can 36200 be reported with an aortography code?

It may be reported with a separately reportable aortographic imaging service when the catheter placement is not included in a more comprehensive code. For example, 75625 describes abdominal aortography, while 36221 includes thoracic aortic catheterization with imaging.

Is catheter placement separately reportable during an endovascular procedure?

Catheter placement that is integral to a more comprehensive intervention is not separately reported as 36200. Check whether the intervention code includes the access and catheter work.

What should the procedure note document?

The note should identify the arterial access route, the catheter's final position in the aorta, and the diagnostic study or procedure performed. It should also make clear whether a branch artery was selectively catheterized.

How does the CMS multiple-procedure rule affect 36200?

When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others. The 0-day global period includes same-day preoperative and postoperative care.

Can I append modifier 50 or bill an assistant surgeon?

CMS applies the bilateral rule when modifier 50 is reported, with payment at 150%. Assistant-at-surgery payment is restricted, and 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 36200PPRRVU2026_Oct_nonQPP.csv, line 4,442 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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