CPT code 36217: Arterial catheterization, third order or higher2026 Medicare rate & RVUs in North Dakota
Reports selective arterial catheter placement when the catheter is advanced into a third-order or more distal branch within a vascular family.
In North Dakota, Medicare pays $1,945.64 for 36217 in the office and $271.25 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36217 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 36217 covers
A physician, commonly an interventional radiologist, vascular surgeon, or cardiologist, advances a catheter through an arterial access site into a selected branch at the third order or beyond. The code describes the catheter’s selective position, not the angiographic images or treatment performed there. It may accompany diagnostic angiography or an endovascular procedure when the catheter placement is separately reportable. The relevant selection is the branch order reached along the route through the vascular family, rather than distance traveled or the number of vessels imaged.
Documentation should identify the access route, vascular family, catheterized branch, and order reached, along with any separately reportable imaging or intervention. Use the lower-order code when the highest branch reached is first or second order; 36218 may apply to an additional qualifying branch. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and 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 North Dakota compares for 36217
Across 109 of 109 payment localities, the office rate for 36217 runs from $1,708.67 in Arkansas to $2,735.11 in San Benito County, CA. North Dakota pays $1,945.64. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$1,945.64
- Los Angeles, CA · California$2,282.01+$336.37
- Washington, DC area · District of Columbia$2,299.01+$353.37
- Miami, FL · Florida$2,124.66+$179.02
- Chicago, IL · Illinois$2,052.21+$106.57
- Manhattan, NY · New York$2,297.71+$352.07
- Alaska · Alaska$2,167.24+$221.60
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,738.80 | $273.71 |
| ArkansasArkansas | $1,708.67 | $270.37 |
| ArizonaArizona | $1,915.31 | $292.83 |
| Bakersfield, CACalifornia | $2,125.04 | $289.91 |
| Chico, CACalifornia | $2,120.90 | $285.77 |
| El Centro, CACalifornia | $2,121.16 | $286.03 |
| Fresno, CACalifornia | $2,120.90 | $285.77 |
| Hanford, CACalifornia | $2,120.90 | $285.77 |
| Madera, CACalifornia | $2,120.90 | $285.77 |
| Merced, CACalifornia | $2,120.90 | $285.77 |
| Modesto, CACalifornia | $2,120.90 | $285.77 |
| Napa, CACalifornia | $2,510.76 | $303.92 |
| Oxnard, CACalifornia | $2,275.53 | $296.41 |
| Redding, CACalifornia | $2,120.90 | $285.77 |
| Rest of CaliforniaCalifornia | $2,120.90 | $285.77 |
| Riverside, CACalifornia | $2,137.30 | $302.18 |
| Sacramento, CACalifornia | $2,240.04 | $292.73 |
| Salinas, CACalifornia | $2,232.14 | $291.52 |
| San Diego, CACalifornia | $2,295.88 | $293.32 |
| Marin County, CACalifornia | $2,673.06 | $312.18 |
| San Francisco, CACalifornia | $2,671.32 | $310.44 |
| San Benito County, CACalifornia | $2,735.11 | $320.65 |
| Santa Clara County, CACalifornia | $2,728.01 | $313.54 |
| San Luis Obispo, CACalifornia | $2,194.87 | $287.74 |
| Santa Cruz, CACalifornia | $2,326.42 | $292.04 |
| Santa Maria, CACalifornia | $2,243.56 | $291.23 |
| Santa Rosa, CACalifornia | $2,350.62 | $294.47 |
| Stockton, CACalifornia | $2,120.90 | $285.77 |
| Vallejo, CACalifornia | $2,508.26 | $301.41 |
| Visalia, CACalifornia | $2,120.90 | $285.77 |
| Yuba City, CACalifornia | $2,120.90 | $285.77 |
| ColoradoColorado | $2,077.35 | $295.80 |
| ConnecticutConnecticut | $2,123.28 | $319.96 |
| DelawareDelaware | $1,951.22 | $296.92 |
| Fort Lauderdale, FLFlorida | $2,039.65 | $343.50 |
| Rest of FloridaFlorida | $1,926.02 | $325.30 |
| Atlanta, GAGeorgia | $2,014.41 | $313.23 |
| Rest of GeorgiaGeorgia | $1,800.03 | $306.48 |
| Hawaii, Guam, HIHawaii | $2,190.14 | $286.36 |
| IowaIowa | $1,798.97 | $266.91 |
| IdahoIdaho | $1,811.45 | $271.02 |
| East St. Louis, ILIllinois | $1,890.20 | $349.77 |
| Rest of IllinoisIllinois | $1,855.12 | $326.40 |
| Suburban Chicago, ILIllinois | $2,063.33 | $343.73 |
| IndianaIndiana | $1,824.16 | $272.00 |
| KansasKansas | $1,785.52 | $271.87 |
| KentuckyKentucky | $1,780.72 | $292.19 |
| New Orleans, LALouisiana | $1,881.46 | $305.86 |
| Rest of LouisianaLouisiana | $1,776.03 | $294.20 |
| Metropolitan Boston, MAMassachusetts | $2,312.48 | $313.26 |
| Rest of MassachusettsMassachusetts | $2,060.07 | $296.94 |
| Baltimore area, MDMaryland | $2,116.96 | $320.34 |
| Rest of MarylandMaryland | $1,994.50 | $300.02 |
| Rest of MaineMaine | $1,819.07 | $278.63 |
| Southern Maine, MEMaine | $1,941.66 | $282.34 |
| Detroit, MIMichigan | $1,950.85 | $335.07 |
| Rest of MichiganMichigan | $1,832.94 | $304.22 |
| MinnesotaMinnesota | $1,989.90 | $266.96 |
| Metropolitan Kansas City, MOMissouri | $1,869.89 | $297.64 |
| Metropolitan St. Louis, MOMissouri | $1,893.53 | $299.52 |
| Rest of MissouriMissouri | $1,737.29 | $293.97 |
| MississippiMississippi | $1,723.56 | $281.91 |
| MontanaMontana | $1,975.90 | $301.51 |
| North CarolinaNorth Carolina | $1,842.30 | $280.10 |
| NebraskaNebraska | $1,811.76 | $266.30 |
| New HampshireNew Hampshire | $2,040.14 | $297.10 |
| Northern New JerseyNew Jersey | $2,267.59 | $325.31 |
| Rest of New JerseyNew Jersey | $2,147.40 | $318.97 |
| New MexicoNew Mexico | $1,843.50 | $308.08 |
| NevadaNevada | $1,969.18 | $293.12 |
| NYC suburbs and Long Island, NYNew York | $2,358.00 | $367.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $2,159.36 | $325.90 |
| Queens, NYNew York | $2,324.76 | $345.63 |
| Rest of New YorkNew York | $1,874.81 | $284.14 |
| OhioOhio | $1,826.75 | $298.04 |
| OklahomaOklahoma | $1,780.55 | $285.32 |
| Portland, OROregon | $2,157.13 | $296.88 |
| Rest of OregonOregon | $1,953.94 | $286.25 |
| Metropolitan Philadelphia, PAPennsylvania | $2,060.07 | $317.03 |
| Rest of PennsylvaniaPennsylvania | $1,832.13 | $295.05 |
| Puerto RicoPuerto Rico | $1,994.15 | $301.35 |
| Rhode IslandRhode Island | $2,031.13 | $301.49 |
| South CarolinaSouth Carolina | $1,837.60 | $290.47 |
| South DakotaSouth Dakota | $1,942.06 | $267.68 |
| TennesseeTennessee | $1,795.80 | $273.79 |
| Austin, TXTexas | $2,070.35 | $298.85 |
| Beaumont, TXTexas | $1,817.56 | $293.86 |
| Brazoria, TXTexas | $1,950.91 | $291.59 |
| Dallas, TXTexas | $1,963.70 | $296.01 |
| Fort Worth, TXTexas | $1,947.17 | $296.22 |
| Galveston, TXTexas | $1,956.80 | $294.14 |
| Houston, TXTexas | $1,984.81 | $322.14 |
| Rest of TexasTexas | $1,883.31 | $294.32 |
| UtahUtah | $1,867.58 | $293.65 |
| VirginiaVirginia | $1,931.73 | $285.81 |
| Virgin Islands, VIUnited States Virgin Islands | $1,994.15 | $301.35 |
| VermontVermont | $1,933.55 | $275.91 |
| Rest of WashingtonWashington | $2,057.61 | $294.48 |
| King County, WAWashington | $2,367.36 | $312.88 |
| WisconsinWisconsin | $1,868.39 | $264.32 |
| West VirginiaWest Virginia | $1,772.68 | $317.64 |
| WyomingWyoming | $1,962.71 | $288.32 |
36217 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.
$1,708.67
$2,428.01
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 | $2,167.24 | 1 |
| AL | $1,738.80 | 1 |
| AR | $1,708.67 | 1 |
| AZ | $1,915.31 | 1 |
| CA | $2,120.90–$2,735.11 | 29 |
| CO | $2,077.35 | 1 |
| CT | $2,123.28 | 1 |
| DC | $2,299.01 | 1 |
| DE | $1,951.22 | 1 |
| FL | $1,926.02–$2,124.66 | 3 |
| GA | $1,800.03–$2,014.41 | 2 |
| GU | $2,190.14 | 1 |
| HI | $2,190.14 | 1 |
| IA | $1,798.97 | 1 |
| ID | $1,811.45 | 1 |
| IL | $1,855.12–$2,063.33 | 4 |
| IN | $1,824.16 | 1 |
| KS | $1,785.52 | 1 |
| KY | $1,780.72 | 1 |
| LA | $1,776.03–$1,881.46 | 2 |
| MA | $2,060.07–$2,312.48 | 2 |
| MD | $1,994.50–$2,299.01 | 3 |
| ME | $1,819.07–$1,941.66 | 2 |
| MI | $1,832.94–$1,950.85 | 2 |
| MN | $1,989.90 | 1 |
| MO | $1,737.29–$1,893.53 | 3 |
| MS | $1,723.56 | 1 |
| MT | $1,975.90 | 1 |
| NC | $1,842.30 | 1 |
| ND | $1,945.64 | 1 |
| NE | $1,811.76 | 1 |
| NH | $2,040.14 | 1 |
| NJ | $2,147.40–$2,267.59 | 2 |
| NM | $1,843.50 | 1 |
| NV | $1,969.18 | 1 |
| NY | $1,874.81–$2,358.00 | 5 |
| OH | $1,826.75 | 1 |
| OK | $1,780.55 | 1 |
| OR | $1,953.94–$2,157.13 | 2 |
| PA | $1,832.13–$2,060.07 | 2 |
| PR | $1,994.15 | 1 |
| RI | $2,031.13 | 1 |
| SC | $1,837.60 | 1 |
| SD | $1,942.06 | 1 |
| TN | $1,795.80 | 1 |
| TX | $1,817.56–$2,070.35 | 8 |
| UT | $1,867.58 | 1 |
| VA | $1,931.73–$2,299.01 | 2 |
| VI | $1,994.15 | 1 |
| VT | $1,933.55 | 1 |
| WA | $2,057.61–$2,367.36 | 2 |
| WI | $1,868.39 | 1 |
| WV | $1,772.68 | 1 |
| WY | $1,962.71 | 1 |
How the 36217 rate is calculated
Each of 36217’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 · 36217
RVUs × geographic indexes × conversion factor
Work6.13
6.13 RVUs× 1.000 GPCI
Practice expense51.50
51.50 RVUs× 1.000 GPCI
Malpractice1.53
1.53 RVUs× 1.000 GPCI
Adjusted RVUs
59.1600
Conversion factor
$33.4009
Medicare rate
$1,976.00
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
4,445
- Code
- 36217
- Physician work
- 6.13
- Practice expense
- 51.50
- Malpractice
- 1.53
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.13 | × 1.000 | 6.1300 |
| Practice expense | 51.50 | × 1.000 | 51.5000 |
| Malpractice | 1.53 | × 0.406 | 0.6212 |
| Total RVUs | 58.2512 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$1945.64
Office: (6.13 × 1 + 51.5 × 1 + 1.53 × 0.406) × $33.4009 = $1945.64
Facility: (6.13 × 1 + 1.37 × 1 + 1.53 × 0.406) × $33.4009 = $271.25
Payment rules and modifiers for 36217
The CMS indicators that decide how 36217 is paid alongside other services.
CMS payment indicators · 36217
Arterial catheterization, third order or higher
| 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
36217 without 51 · national office
$1,976.00
Arterial catheterization, third order or higher
36217-51 · Second procedure: 50%
$988.00
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 36217 has changed in North Dakota
36217 · Office / nonfacility
$1945.64
Effective 2026-10-01
The base rate is $230.77 higher than on 2025-10-01, moving from $1714.87 to $1945.64 (13.5%).
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
$1714.87changed to$1945.64
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 6.29 changed to 6.13
- Practice expense RVU 45.95 changed to 51.50
- Malpractice RVU 1.50 changed to 1.53
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1756.41changed to$1714.87
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 45.72 changed to 45.95
- Malpractice RVU 1.46 changed to 1.50
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1727.74changed to$1756.41
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1790.58changed to$1727.74
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 45.90 changed to 45.72
- Malpractice RVU 1.37 changed to 1.46
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$1857.42changed to$1790.58
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 46.84 changed to 45.90
- Malpractice RVU 1.26 changed to 1.37
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1953.97changed to$1857.42
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 49.17 changed to 46.84
- Malpractice RVU 1.25 changed to 1.26
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1924.18changed to$1953.97
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 46.44 changed to 49.17
- Malpractice RVU 1.21 changed to 1.25
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1894.34changed to$1924.18
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 45.62 changed to 46.44
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1879.44changed to$1894.34
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 45.28 changed to 45.62
- Malpractice RVU 1.18 changed to 1.21
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1914.50changed to$1879.44
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 46.41 changed to 45.28
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1983.57changed to$1914.50
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 48.44 changed to 46.41
- Malpractice RVU 1.21 changed to 1.18
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1916.78changed to$1983.57
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 46.36 changed to 48.44
- Malpractice RVU 1.25 changed to 1.21
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1907.25changed to$1916.78
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$2155.51changed to$1907.25
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 53.34 changed to 46.36
- Malpractice RVU 1.01 changed to 1.25
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
$2197.82changed to$2155.51
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 57.76 changed to 53.34
- Malpractice RVU 1.06 changed to 1.01
- Malpractice GPCI 0.517 changed to 0.536
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $2197.82
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,945.64 | $271.25 | RVU26D |
| 2026-07-01 | $1,945.64 | $271.25 | RVU26C |
| 2026-04-01 | $1,945.64 | $271.25 | RVU26B |
| 2026-01-01 | $1,945.64 | $271.25 | RVU26A |
| 2025-10-01 | $1,714.87 | $299.06 | RVU25D |
| 2025-07-01 | $1,714.87 | $299.06 | RVU25C |
| 2025-04-01 | $1,714.87 | $299.06 | RVU25B |
| 2025-01-01 | $1,714.87 | $299.06 | RVU25A |
| 2024-10-01 | $1,756.41 | $302.08 | RVU24D |
| 2024-07-01 | $1,756.41 | $302.08 | RVU24C |
| 2024-04-01 | $1,756.41 | $302.08 | RVU24B |
| 2024-03-09 | $1,756.41 | $302.08 | RVU24AR |
| 2024-01-01 | $1,727.74 | $297.15 | RVU24A |
| 2023-10-01 | $1,790.58 | $302.93 | RVU23D |
| 2023-07-01 | $1,790.58 | $302.93 | RVU23C |
| 2023-04-01 | $1,790.58 | $302.93 | RVU23B |
| 2023-01-01 | $1,790.58 | $302.93 | RVU23A |
| 2022-10-01 | $1,857.42 | $305.33 | RVU22D |
| 2022-07-01 | $1,857.42 | $305.33 | RVU22C |
| 2022-04-01 | $1,857.42 | $305.33 | RVU22B |
| 2022-01-01 | $1,857.42 | $305.33 | RVU22A |
| 2021-10-01 | $1,953.97 | $307.36 | RVU21D |
| 2021-07-01 | $1,953.97 | $307.36 | RVU21C |
| 2021-04-01 | $1,953.97 | $307.36 | RVU21B |
| 2021-01-01 | $1,953.97 | $307.36 | RVU21A |
| 2020-10-01 | $1,924.18 | $321.08 | RVU20D |
| 2020-07-01 | $1,924.18 | $321.08 | RVU20C |
| 2020-04-01 | $1,924.18 | $321.08 | RVU20B |
| 2020-01-01 | $1,924.18 | $321.08 | RVU20A |
| 2019-10-01 | $1,894.34 | $322.67 | RVU19D |
| 2019-07-01 | $1,894.34 | $322.67 | RVU19C |
| 2019-04-01 | $1,894.34 | $322.67 | RVU19B |
| 2019-01-01 | $1,894.34 | $322.67 | RVU19A |
| 2018-10-01 | $1,879.44 | $322.10 | RVU18D |
| 2018-07-01 | $1,879.44 | $322.10 | RVU18C |
| 2018-04-01 | $1,879.44 | $322.10 | RVU18B |
| 2018-01-01 | $1,879.44 | $322.10 | RVU18AR1 |
| 2017-10-01 | $1,914.50 | $318.17 | RVU17D |
| 2017-07-01 | $1,914.50 | $318.17 | RVU17C |
| 2017-04-01 | $1,914.50 | $318.17 | RVU17B |
| 2017-01-01 | $1,914.50 | $318.17 | RVU17A |
| 2016-10-01 | $1,983.57 | $322.97 | RVU16D |
| 2016-07-01 | $1,983.57 | $322.97 | RVU16C |
| 2016-04-01 | $1,983.57 | $322.97 | RVU16B |
| 2016-01-01 | $1,983.57 | $322.97 | RVU16A |
| 2015-10-01 | $1,916.78 | $320.98 | RVU15D |
| 2015-07-01 | $1,916.78 | $320.98 | RVU15C |
| 2015-04-01 | $1,907.25 | $319.38 | RVU15B |
| 2015-01-01 | $1,907.25 | $319.38 | RVU15A |
| 2014-10-01 | $2,155.51 | $328.54 | RVU14D |
| 2014-07-01 | $2,155.51 | $328.54 | RVU14C |
| 2014-04-01 | $2,155.51 | $328.54 | RVU14B |
| 2014-01-01 | $2,155.51 | $328.54 | RVU14A |
| 2013-10-01 | $2,197.82 | $315.67 | RVU13D |
| 2013-07-01 | $2,197.82 | $315.67 | RVU13C |
| 2013-04-01 | $2,197.82 | $315.67 | RVU13B |
| 2013-01-01 | $2,197.82 | $315.67 | 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
36217 billing questions
How is 36217 distinguished from 36216?
Choose 36217 when the catheter reaches a third-order or more distal branch within the vascular family. Use 36216 when it reaches a second-order branch.
Can 36217 be reported with angiography or an intervention?
It may be reported when the selective catheter placement is separately reportable from the imaging or treatment. Do not separately report catheter-placement work that is included in a more comprehensive service.
When is 36218 reported with 36217?
36218 is for an additional qualifying second-order or more distal branch within the same vascular family. Document the additional catheterized branch; it is not a substitute for the primary placement code.
What documentation supports 36217?
The report should show the catheter route, vascular family, specific branch reached, and branch order. Documentation should distinguish the primary selective placement from any additional branch placement.
Should modifier 50 be appended for bilateral catheterization?
No. The CMS bilateral adjustment does not apply to 36217, and modifier 50 is inappropriate for this code.
How does the multiple-procedure rule affect payment?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard reduction to the others. The code has a 0-day global period.
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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