CPT code 36217: Arterial catheterization, third order or higher2026 Medicare rate & RVUs in Tennessee

Reports selective arterial catheter placement when the catheter is advanced into a third-order or more distal branch within a vascular family.

CMS RVU26DEffective Oct 1, 2026One payment locality3.9K Medicare services in 2024

In Tennessee, Medicare pays $1,795.80 for 36217 in the office and $273.79 when it’s performed in a hospital or facility.

$1,795.80Office (non-facility)
$273.79Hospital or facility
−9.1%vs the national office rate ($1,976.00)

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.

We’ll open 36217 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Tennessee
  2. What 36217 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 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 Tennessee 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. Tennessee pays $1,795.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

36217 in Tennessee vs other payment areas
  1. Tennessee · this page$1,795.80
  2. Los Angeles, CA · California$2,282.01+$486.21
  3. Washington, DC area · District of Columbia$2,299.01+$503.21
  4. Miami, FL · Florida$2,124.66+$328.86
  5. Chicago, IL · Illinois$2,052.21+$256.41
  6. Manhattan, NY · New York$2,297.71+$501.91
  7. Alaska · Alaska$2,167.24+$371.44

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

Every other payment area

36217 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
36217 office rate range by state
State / territoryOffice rate rangeLocalities
AK$2,167.241
AL$1,738.801
AR$1,708.671
AZ$1,915.311
CA$2,120.90–$2,735.1129
CO$2,077.351
CT$2,123.281
DC$2,299.011
DE$1,951.221
FL$1,926.02–$2,124.663
GA$1,800.03–$2,014.412
GU$2,190.141
HI$2,190.141
IA$1,798.971
ID$1,811.451
IL$1,855.12–$2,063.334
IN$1,824.161
KS$1,785.521
KY$1,780.721
LA$1,776.03–$1,881.462
MA$2,060.07–$2,312.482
MD$1,994.50–$2,299.013
ME$1,819.07–$1,941.662
MI$1,832.94–$1,950.852
MN$1,989.901
MO$1,737.29–$1,893.533
MS$1,723.561
MT$1,975.901
NC$1,842.301
ND$1,945.641
NE$1,811.761
NH$2,040.141
NJ$2,147.40–$2,267.592
NM$1,843.501
NV$1,969.181
NY$1,874.81–$2,358.005
OH$1,826.751
OK$1,780.551
OR$1,953.94–$2,157.132
PA$1,832.13–$2,060.072
PR$1,994.151
RI$2,031.131
SC$1,837.601
SD$1,942.061
TN$1,795.801
TX$1,817.56–$2,070.358
UT$1,867.581
VA$1,931.73–$2,299.012
VI$1,994.151
VT$1,933.551
WA$2,057.61–$2,367.362
WI$1,868.391
WV$1,772.681
WY$1,962.711

See 36217 in every payment locality

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

Office or facility?

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 Tennessee 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

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Office calculation for 36217 in Tennessee
ComponentRVULocality factorAdjusted
Physician work6.13× 1.0006.1300
Practice expense51.50× 0.90946.8135
Malpractice1.53× 0.5370.8216
Total RVUs53.7651
Conversion factor× 33.4009

Office rate, Tennessee$1795.80

Office: (6.13 × 1 + 51.5 × 0.909 + 1.53 × 0.537) × $33.4009 = $1795.80

Facility: (6.13 × 1 + 1.37 × 0.909 + 1.53 × 0.537) × $33.4009 = $273.79

Open 36217 in the RVU calculator

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

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)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

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%).

When to use modifier 51

How 36217 has changed in Tennessee

36217 · Office / nonfacility

$1795.80

Effective 2026-10-01

The base rate is $234.20 higher than on 2025-10-01, moving from $1561.60 to $1795.80 (15.0%).

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

    $1561.60changed to$1795.80

    • 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
    • Practice expense GPCI 0.896 changed to 0.909
    • Malpractice GPCI 0.544 changed to 0.537

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1599.44changed to$1561.60

    • 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.

  3. March 9, 2024

    RVU24AR

    $1573.34changed to$1599.44

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1627.75changed to$1573.34

    • 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
    • Practice expense GPCI 0.894 changed to 0.896
    • Malpractice GPCI 0.518 changed to 0.544
  5. January 1, 2023

    RVU23A

    $1685.02changed to$1627.75

    • 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
    • Practice expense GPCI 0.892 changed to 0.894
    • Malpractice GPCI 0.492 changed to 0.518

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1771.34changed to$1685.02

    • 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.

  7. January 1, 2021

    RVU21A

    $1752.60changed to$1771.34

    • 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
    • Practice expense GPCI 0.897 changed to 0.892
    • Malpractice GPCI 0.509 changed to 0.492

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1730.96changed to$1752.60

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 45.62 changed to 46.44
    • Practice expense GPCI 0.901 changed to 0.897
    • Malpractice GPCI 0.526 changed to 0.509

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1717.47changed to$1730.96

    • 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.

  10. April 1, 2018

    RVU18B

    No ratechanged to$1717.47

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,795.80$273.79RVU26D
2026-07-01$1,795.80$273.79RVU26C
2026-04-01$1,795.80$273.79RVU26B
2026-01-01$1,795.80$273.79RVU26A
2025-10-01$1,561.60$293.04RVU25D
2025-07-01$1,561.60$293.04RVU25C
2025-04-01$1,561.60$293.04RVU25B
2025-01-01$1,561.60$293.04RVU25A
2024-10-01$1,599.44$296.36RVU24D
2024-07-01$1,599.44$296.36RVU24C
2024-04-01$1,599.44$296.36RVU24B
2024-03-09$1,599.44$296.36RVU24AR
2024-01-01$1,573.34$291.53RVU24A
2023-10-01$1,627.75$297.79RVU23D
2023-07-01$1,627.75$297.79RVU23C
2023-04-01$1,627.75$297.79RVU23B
2023-01-01$1,627.75$297.79RVU23A
2022-10-01$1,685.02$300.55RVU22D
2022-07-01$1,685.02$300.55RVU22C
2022-04-01$1,685.02$300.55RVU22B
2022-01-01$1,685.02$300.55RVU22A
2021-10-01$1,771.34$302.56RVU21D
2021-07-01$1,771.34$302.56RVU21C
2021-04-01$1,771.34$302.56RVU21B
2021-01-01$1,771.34$302.56RVU21A
2020-10-01$1,752.60$314.62RVU20D
2020-07-01$1,752.60$314.62RVU20C
2020-04-01$1,752.60$314.62RVU20B
2020-01-01$1,752.60$314.62RVU20A
2019-10-01$1,730.96$314.89RVU19D
2019-07-01$1,730.96$314.89RVU19C
2019-04-01$1,730.96$314.89RVU19B
2019-01-01$1,730.96$314.89RVU19A
2018-10-01$1,717.47$314.30RVU18D
2018-07-01$1,717.47$314.30RVU18C
2018-04-01$1,717.47$314.30RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 36217 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

  • Adams
  • Adamsville
  • Alamo
  • Alcoa
  • Alexandria
  • Algood
  • Allardt
  • Altamont

Browse all communities in Tennessee

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

Show the CMS file lines behind this rate
RVUs for 36217PPRRVU2026_Oct_nonQPP.csv, line 4,445 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)

Open CMS sourceHow we calculate rates

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