CPT code 36216: Arterial catheterization, second-order branch2026 Medicare rate & RVUs in North Dakota
Reports selective catheter placement into a second-order thoracic or brachiocephalic arterial branch during a diagnostic or interventional vascular procedure.
In North Dakota, Medicare pays $1,058.10 for 36216 in the office and $221.07 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36216 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 36216 covers
A physician advances a catheter through an arterial route into a second-order branch in the thoracic or brachiocephalic arterial distribution. This selective positioning may support angiography or an endovascular procedure, commonly in a hospital catheterization or angiography suite. Interventional radiologists, vascular surgeons, and other physicians performing catheter-based vascular services may report the placement when the documented catheter path reaches this branch level.
Choose the code from the vessel hierarchy and the catheter tip’s destination, not from the number of imaging runs or the clinical diagnosis. The record should identify the access route, vessels traversed, target branch, and related imaging or intervention. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, CMS pays the highest-valued procedure in full and reduces others under its standard multiple procedure rule. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing 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 North Dakota compares for 36216
Across 109 of 109 payment localities, the office rate for 36216 runs from $939.39 in Arkansas to $1,466.92 in San Benito County, CA. North Dakota pays $1,058.10. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$1,058.10
- Los Angeles, CA · California$1,234.29+$176.19
- Washington, DC area · District of Columbia$1,249.11+$191.01
- Miami, FL · Florida$1,173.94+$115.84
- Chicago, IL · Illinois$1,134.95+$76.85
- Manhattan, NY · New York$1,254.74+$196.64
- Alaska · Alaska$1,206.03+$147.93
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $955.25 | $222.85 |
| ArkansasArkansas | $939.39 | $220.38 |
| ArizonaArizona | $1,048.08 | $237.00 |
| Bakersfield, CACalifornia | $1,152.65 | $235.27 |
| Chico, CACalifornia | $1,149.55 | $232.17 |
| El Centro, CACalifornia | $1,149.74 | $232.36 |
| Fresno, CACalifornia | $1,149.55 | $232.17 |
| Hanford, CACalifornia | $1,149.55 | $232.17 |
| Madera, CACalifornia | $1,149.55 | $232.17 |
| Merced, CACalifornia | $1,149.55 | $232.17 |
| Modesto, CACalifornia | $1,149.55 | $232.17 |
| Napa, CACalifornia | $1,349.77 | $246.57 |
| Oxnard, CACalifornia | $1,229.64 | $240.27 |
| Redding, CACalifornia | $1,149.55 | $232.17 |
| Rest of CaliforniaCalifornia | $1,149.55 | $232.17 |
| Riverside, CACalifornia | $1,161.69 | $244.31 |
| Sacramento, CACalifornia | $1,211.18 | $237.71 |
| Salinas, CACalifornia | $1,206.83 | $236.72 |
| San Diego, CACalifornia | $1,239.12 | $238.03 |
| Marin County, CACalifornia | $1,433.56 | $253.35 |
| San Francisco, CACalifornia | $1,432.28 | $252.07 |
| San Benito County, CACalifornia | $1,466.92 | $259.92 |
| Santa Clara County, CACalifornia | $1,461.67 | $254.68 |
| San Luis Obispo, CACalifornia | $1,187.01 | $233.63 |
| Santa Cruz, CACalifornia | $1,253.90 | $236.91 |
| Santa Maria, CACalifornia | $1,212.42 | $236.44 |
| Santa Rosa, CACalifornia | $1,266.77 | $238.90 |
| Stockton, CACalifornia | $1,149.55 | $232.17 |
| Vallejo, CACalifornia | $1,347.92 | $244.72 |
| Visalia, CACalifornia | $1,149.55 | $232.17 |
| Yuba City, CACalifornia | $1,149.55 | $232.17 |
| ColoradoColorado | $1,130.06 | $239.47 |
| ConnecticutConnecticut | $1,158.95 | $257.48 |
| DelawareDelaware | $1,067.11 | $240.13 |
| Fort Lauderdale, FLFlorida | $1,122.34 | $274.43 |
| Rest of FloridaFlorida | $1,061.18 | $260.98 |
| Atlanta, GAGeorgia | $1,102.56 | $252.14 |
| Rest of GeorgiaGeorgia | $993.69 | $247.06 |
| Hawaii, Guam, HIHawaii | $1,183.97 | $232.27 |
| IowaIowa | $983.72 | $217.84 |
| IdahoIdaho | $990.94 | $220.88 |
| East St. Louis, ILIllinois | $1,049.10 | $279.04 |
| Rest of IllinoisIllinois | $1,025.98 | $261.78 |
| Suburban Chicago, ILIllinois | $1,134.38 | $274.75 |
| IndianaIndiana | $997.53 | $221.61 |
| KansasKansas | $978.17 | $221.50 |
| KentuckyKentucky | $980.62 | $236.50 |
| New Orleans, LALouisiana | $1,034.26 | $246.62 |
| Rest of LouisianaLouisiana | $978.76 | $237.99 |
| Metropolitan Boston, MAMassachusetts | $1,252.40 | $252.99 |
| Rest of MassachusettsMassachusetts | $1,121.77 | $240.38 |
| Baltimore area, MDMaryland | $1,155.80 | $257.67 |
| Rest of MarylandMaryland | $1,089.59 | $242.52 |
| Rest of MaineMaine | $996.56 | $226.50 |
| Southern Maine, MEMaine | $1,058.75 | $229.26 |
| Detroit, MIMichigan | $1,075.92 | $268.19 |
| Rest of MichiganMichigan | $1,009.60 | $245.40 |
| MinnesotaMinnesota | $1,079.21 | $217.91 |
| Metropolitan Kansas City, MOMissouri | $1,026.51 | $240.55 |
| Metropolitan St. Louis, MOMissouri | $1,038.78 | $241.93 |
| Rest of MissouriMissouri | $959.33 | $237.81 |
| MississippiMississippi | $949.59 | $228.91 |
| MontanaMontana | $1,080.44 | $243.42 |
| North CarolinaNorth Carolina | $1,008.53 | $227.58 |
| NebraskaNebraska | $989.97 | $217.39 |
| New HampshireNew Hampshire | $1,111.52 | $240.17 |
| Northern New JerseyNew Jersey | $1,233.28 | $262.33 |
| Rest of New JerseyNew Jersey | $1,171.19 | $257.16 |
| New MexicoNew Mexico | $1,015.80 | $248.25 |
| NevadaNevada | $1,075.09 | $237.22 |
| NYC suburbs and Long Island, NYNew York | $1,288.49 | $293.26 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,178.92 | $262.38 |
| Queens, NYNew York | $1,266.73 | $277.36 |
| Rest of New YorkNew York | $1,025.75 | $230.58 |
| OhioOhio | $1,005.04 | $240.83 |
| OklahomaOklahoma | $978.90 | $231.43 |
| Portland, OROregon | $1,170.30 | $240.36 |
| Rest of OregonOregon | $1,065.83 | $232.15 |
| Metropolitan Philadelphia, PAPennsylvania | $1,126.61 | $255.26 |
| Rest of PennsylvaniaPennsylvania | $1,007.01 | $238.62 |
| Puerto RicoPuerto Rico | $1,089.54 | $243.30 |
| Rhode IslandRhode Island | $1,108.45 | $243.80 |
| South CarolinaSouth Carolina | $1,008.65 | $235.24 |
| South DakotaSouth Dakota | $1,055.46 | $218.43 |
| TennesseeTennessee | $983.77 | $222.92 |
| Austin, TXTexas | $1,127.08 | $241.51 |
| Beaumont, TXTexas | $999.44 | $237.75 |
| Brazoria, TXTexas | $1,065.75 | $236.26 |
| Dallas, TXTexas | $1,073.22 | $239.54 |
| Fort Worth, TXTexas | $1,065.00 | $239.69 |
| Galveston, TXTexas | $1,069.30 | $238.14 |
| Houston, TXTexas | $1,089.99 | $258.82 |
| Rest of TexasTexas | $1,032.43 | $238.09 |
| UtahUtah | $1,024.40 | $237.60 |
| VirginiaVirginia | $1,054.61 | $231.82 |
| Virgin Islands, VIUnited States Virgin Islands | $1,089.54 | $243.30 |
| VermontVermont | $1,053.16 | $224.51 |
| Rest of WashingtonWashington | $1,119.90 | $238.51 |
| King County, WAWashington | $1,279.93 | $252.90 |
| WisconsinWisconsin | $1,017.81 | $215.94 |
| West VirginiaWest Virginia | $982.67 | $255.30 |
| WyomingWyoming | $1,070.71 | $233.68 |
36216 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.
$939.39
$1,308.24
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,206.03 | 1 |
| AL | $955.25 | 1 |
| AR | $939.39 | 1 |
| AZ | $1,048.08 | 1 |
| CA | $1,149.55–$1,466.92 | 29 |
| CO | $1,130.06 | 1 |
| CT | $1,158.95 | 1 |
| DC | $1,249.11 | 1 |
| DE | $1,067.11 | 1 |
| FL | $1,061.18–$1,173.94 | 3 |
| GA | $993.69–$1,102.56 | 2 |
| GU | $1,183.97 | 1 |
| HI | $1,183.97 | 1 |
| IA | $983.72 | 1 |
| ID | $990.94 | 1 |
| IL | $1,025.98–$1,134.95 | 4 |
| IN | $997.53 | 1 |
| KS | $978.17 | 1 |
| KY | $980.62 | 1 |
| LA | $978.76–$1,034.26 | 2 |
| MA | $1,121.77–$1,252.40 | 2 |
| MD | $1,089.59–$1,249.11 | 3 |
| ME | $996.56–$1,058.75 | 2 |
| MI | $1,009.60–$1,075.92 | 2 |
| MN | $1,079.21 | 1 |
| MO | $959.33–$1,038.78 | 3 |
| MS | $949.59 | 1 |
| MT | $1,080.44 | 1 |
| NC | $1,008.53 | 1 |
| ND | $1,058.10 | 1 |
| NE | $989.97 | 1 |
| NH | $1,111.52 | 1 |
| NJ | $1,171.19–$1,233.28 | 2 |
| NM | $1,015.80 | 1 |
| NV | $1,075.09 | 1 |
| NY | $1,025.75–$1,288.49 | 5 |
| OH | $1,005.04 | 1 |
| OK | $978.90 | 1 |
| OR | $1,065.83–$1,170.30 | 2 |
| PA | $1,007.01–$1,126.61 | 2 |
| PR | $1,089.54 | 1 |
| RI | $1,108.45 | 1 |
| SC | $1,008.65 | 1 |
| SD | $1,055.46 | 1 |
| TN | $983.77 | 1 |
| TX | $999.44–$1,127.08 | 8 |
| UT | $1,024.40 | 1 |
| VA | $1,054.61–$1,249.11 | 2 |
| VI | $1,089.54 | 1 |
| VT | $1,053.16 | 1 |
| WA | $1,119.90–$1,279.93 | 2 |
| WI | $1,017.81 | 1 |
| WV | $982.67 | 1 |
| WY | $1,070.71 | 1 |
How the 36216 rate is calculated
Each of 36216’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 · 36216
RVUs × geographic indexes × conversion factor
Work5.14
5.14 RVUs× 1.000 GPCI
Practice expense26.08
26.08 RVUs× 1.000 GPCI
Malpractice1.13
1.13 RVUs× 1.000 GPCI
Adjusted RVUs
32.3500
Conversion factor
$33.4009
Medicare rate
$1,080.52
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,444
- Code
- 36216
- Physician work
- 5.14
- Practice expense
- 26.08
- Malpractice
- 1.13
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.14 | × 1.000 | 5.1400 |
| Practice expense | 26.08 | × 1.000 | 26.0800 |
| Malpractice | 1.13 | × 0.406 | 0.4588 |
| Total RVUs | 31.6788 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$1058.10
Office: (5.14 × 1 + 26.08 × 1 + 1.13 × 0.406) × $33.4009 = $1058.10
Facility: (5.14 × 1 + 1.02 × 1 + 1.13 × 0.406) × $33.4009 = $221.07
Payment rules and modifiers for 36216
The CMS indicators that decide how 36216 is paid alongside other services.
CMS payment indicators · 36216
Arterial catheterization, second-order branch
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
36216 without 51 · national office
$1,080.52
Arterial catheterization, second-order branch
36216-51 · Second procedure: 50%
$540.26
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%).
How 36216 has changed in North Dakota
36216 · Office / nonfacility
$1058.10
Effective 2026-10-01
The base rate is $80.32 higher than on 2025-10-01, moving from $977.78 to $1058.10 (8.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$977.78changed to$1058.10
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 5.27 changed to 5.14
- Practice expense RVU 24.40 changed to 26.08
- Malpractice RVU 1.08 changed to 1.13
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1029.70changed to$977.78
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 25.10 changed to 24.40
- Malpractice RVU 1.09 changed to 1.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1012.89changed to$1029.70
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1065.37changed to$1012.89
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 25.69 changed to 25.10
- Malpractice RVU 1.01 changed to 1.09
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$1117.17changed to$1065.37
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 26.59 changed to 25.69
- Malpractice RVU 0.98 changed to 1.01
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1174.13changed to$1117.17
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 27.97 changed to 26.59
- Malpractice RVU 0.95 changed to 0.98
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1157.78changed to$1174.13
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 26.35 changed to 27.97
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1125.47changed to$1157.78
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 25.43 changed to 26.35
- Malpractice RVU 0.98 changed to 0.95
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1102.08changed to$1125.47
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 24.82 changed to 25.43
- Malpractice RVU 0.97 changed to 0.98
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1165.52changed to$1102.08
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 26.67 changed to 24.82
- Malpractice RVU 0.98 changed to 0.97
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1200.54changed to$1165.52
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 27.69 changed to 26.67
- Malpractice RVU 1.03 changed to 0.98
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1181.71changed to$1200.54
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 27.04 changed to 27.69
- Malpractice RVU 1.04 changed to 1.03
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1175.83changed to$1181.71
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1249.04changed to$1175.83
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 29.12 changed to 27.04
- Malpractice RVU 0.89 changed to 1.04
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
$1272.15changed to$1249.04
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 31.64 changed to 29.12
- Malpractice RVU 0.93 changed to 0.89
- Malpractice GPCI 0.517 changed to 0.536
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1272.15
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,058.10 | $221.07 | RVU26D |
| 2026-07-01 | $1,058.10 | $221.07 | RVU26C |
| 2026-04-01 | $1,058.10 | $221.07 | RVU26B |
| 2026-01-01 | $1,058.10 | $221.07 | RVU26A |
| 2025-10-01 | $977.78 | $242.55 | RVU25D |
| 2025-07-01 | $977.78 | $242.55 | RVU25C |
| 2025-04-01 | $977.78 | $242.55 | RVU25B |
| 2025-01-01 | $977.78 | $242.55 | RVU25A |
| 2024-10-01 | $1,029.70 | $247.78 | RVU24D |
| 2024-07-01 | $1,029.70 | $247.78 | RVU24C |
| 2024-04-01 | $1,029.70 | $247.78 | RVU24B |
| 2024-03-09 | $1,029.70 | $247.78 | RVU24AR |
| 2024-01-01 | $1,012.89 | $243.73 | RVU24A |
| 2023-10-01 | $1,065.37 | $249.71 | RVU23D |
| 2023-07-01 | $1,065.37 | $249.71 | RVU23C |
| 2023-04-01 | $1,065.37 | $249.71 | RVU23B |
| 2023-01-01 | $1,065.37 | $249.71 | RVU23A |
| 2022-10-01 | $1,117.17 | $253.40 | RVU22D |
| 2022-07-01 | $1,117.17 | $253.40 | RVU22C |
| 2022-04-01 | $1,117.17 | $253.40 | RVU22B |
| 2022-01-01 | $1,117.17 | $253.40 | RVU22A |
| 2021-10-01 | $1,174.13 | $256.10 | RVU21D |
| 2021-07-01 | $1,174.13 | $256.10 | RVU21C |
| 2021-04-01 | $1,174.13 | $256.10 | RVU21B |
| 2021-01-01 | $1,174.13 | $256.10 | RVU21A |
| 2020-10-01 | $1,157.78 | $267.45 | RVU20D |
| 2020-07-01 | $1,157.78 | $267.45 | RVU20C |
| 2020-04-01 | $1,157.78 | $267.45 | RVU20B |
| 2020-01-01 | $1,157.78 | $267.45 | RVU20A |
| 2019-10-01 | $1,125.47 | $269.54 | RVU19D |
| 2019-07-01 | $1,125.47 | $269.54 | RVU19C |
| 2019-04-01 | $1,125.47 | $269.54 | RVU19B |
| 2019-01-01 | $1,125.47 | $269.54 | RVU19A |
| 2018-10-01 | $1,102.08 | $270.13 | RVU18D |
| 2018-07-01 | $1,102.08 | $270.13 | RVU18C |
| 2018-04-01 | $1,102.08 | $270.13 | RVU18B |
| 2018-01-01 | $1,102.08 | $270.13 | RVU18AR1 |
| 2017-10-01 | $1,165.52 | $267.59 | RVU17D |
| 2017-07-01 | $1,165.52 | $267.59 | RVU17C |
| 2017-04-01 | $1,165.52 | $267.59 | RVU17B |
| 2017-01-01 | $1,165.52 | $267.59 | RVU17A |
| 2016-10-01 | $1,200.54 | $271.42 | RVU16D |
| 2016-07-01 | $1,200.54 | $271.42 | RVU16C |
| 2016-04-01 | $1,200.54 | $271.42 | RVU16B |
| 2016-01-01 | $1,200.54 | $271.42 | RVU16A |
| 2015-10-01 | $1,181.71 | $270.80 | RVU15D |
| 2015-07-01 | $1,181.71 | $270.80 | RVU15C |
| 2015-04-01 | $1,175.83 | $269.45 | RVU15B |
| 2015-01-01 | $1,175.83 | $269.45 | RVU15A |
| 2014-10-01 | $1,249.04 | $273.22 | RVU14D |
| 2014-07-01 | $1,249.04 | $273.22 | RVU14C |
| 2014-04-01 | $1,249.04 | $273.22 | RVU14B |
| 2014-01-01 | $1,249.04 | $273.22 | RVU14A |
| 2013-10-01 | $1,272.15 | $263.03 | RVU13D |
| 2013-07-01 | $1,272.15 | $263.03 | RVU13C |
| 2013-04-01 | $1,272.15 | $263.03 | RVU13B |
| 2013-01-01 | $1,272.15 | $263.03 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
36216 billing questions
How does 36216 differ from 36215 and 36217?
Select by catheter destination within the arterial tree: 36215 represents a first-order branch, 36216 a second-order branch, and 36217 a third-order or more selective branch.
Can 36216 be reported for each additional branch selected?
Use 36216 for the qualifying second-order placement. For each additional second-order or more selective branch in the same vascular family, consider add-on code 36218 when its reporting criteria are met.
What documentation supports 36216?
Document the access route, the vessels traversed, the target branch and its order, and the diagnostic or therapeutic service associated with the catheter placement.
Should 36216 be reported with cervicocerebral angiography codes?
Codes such as 36222 describe cervicocerebral angiography services that include catheter placement. Do not separately add 36216 for catheter work already represented by that service.
Can modifier 50 or an assistant-at-surgery modifier be used?
Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
How does CMS reduce payment when other procedures are performed in the session?
The highest-valued procedure is paid in full, and other procedures subject to the standard multiple procedure rule are paid at 50%.
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
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Fee sheets · Coming soon
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Your codes at your locality, with payer contracts beside Medicare.
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