FeeBase
Log inGet started
Menu

CPT code 36222: Carotid angiography, common carotid, extracranial2026 Medicare rate & RVUs in Nevada

Reports selective catheterization of one common carotid or innominate artery with angiography of the same-side extracranial carotid circulation.

CMS RVU26DEffective Oct 1, 2026One payment locality3.4K Medicare services in 2024

In Nevada, Medicare pays $1,253.28 for 36222 in the office and $245.24 when it’s performed in a hospital or facility.

$1,253.28Office (non-facility)
$245.24Hospital or facility
−0.5%vs the national office rate ($1,259.55)

Check a contract rate as a % of Medicare · 36222 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 36222 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 36222 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 36222 covers

An interventional radiologist, vascular surgeon, or neurointerventional specialist selectively places a catheter in one common carotid artery or the innominate artery and images the ipsilateral extracranial carotid circulation. The service is typically performed in an angiography suite to assess cervical carotid anatomy, such as suspected stenosis. Aortic arch imaging is included when performed; this code’s imaging territory is extracranial rather than intracranial.

Report one unit for the unilateral service and document the catheterized artery, side, clinical indication, and angiographic territory. The code includes the selective catheter placement and the associated angiography; do not separately report those same elements as though they were distinct services. It has a 0-day global period, so same-day preoperative and postoperative care is included. With other procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. Modifier 50 identifies bilateral performance and CMS pays the bilateral procedure at 150%. Assistant-at-surgery services are not paid; 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 Nevada compares for 36222

Across 109 of 109 payment localities, the office rate for 36222 runs from $1,091.15 in Arkansas to $1,719.52 in San Benito County, CA. Nevada pays $1,253.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

36222 in Nevada vs other payment areas
  1. Nevada · this page$1,253.28
  2. Los Angeles, CA · California$1,442.91+$189.63
  3. Washington, DC area · District of Columbia$1,459.57+$206.29
  4. Miami, FL · Florida$1,369.24+$115.96
  5. Chicago, IL · Illinois$1,322.63+$69.35
  6. Manhattan, NY · New York$1,465.29+$212.01
  7. Alaska · Alaska$1,393.75+$140.47

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

Every other payment area

36222 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,110.09$228.93
ArkansasArkansas$1,091.15$226.11
ArizonaArizona$1,220.89$245.07
Bakersfield, CACalifornia$1,345.91$242.20
Chico, CACalifornia$1,342.37$238.66
El Centro, CACalifornia$1,342.59$238.88
Fresno, CACalifornia$1,342.37$238.66
Hanford, CACalifornia$1,342.37$238.66

36222 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.

$1,091.15

$1,530.95

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

View every state and territory as a table
36222 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,393.751
AL$1,110.091
AR$1,091.151
AZ$1,220.891
CA$1,342.37–$1,719.5229
CO$1,318.831
CT$1,352.551
DC$1,459.571
DE$1,243.461
FL$1,235.63–$1,369.243
GA$1,155.22–$1,285.562
GU$1,384.121
HI$1,384.121
IA$1,144.441
ID$1,152.991
IL$1,193.37–$1,322.714
IN$1,160.861
KS$1,137.641
KY$1,139.971
LA$1,137.68–$1,203.922
MA$1,308.74–$1,464.282
MD$1,270.21–$1,459.573
ME$1,159.51–$1,234.012
MI$1,174.38–$1,253.032
MN$1,259.011
MO$1,114.37–$1,209.533
MS$1,103.041
MT$1,259.461
NC$1,173.821
ND$1,233.561
NE$1,151.961
NH$1,296.871
NJ$1,366.70–$1,440.362
NM$1,181.711
NV$1,253.281
NY$1,194.36–$1,505.335
OH$1,169.091
OK$1,138.111
OR$1,242.38–$1,366.962
PA$1,171.55–$1,313.882
PR$1,270.371
RI$1,292.541
SC$1,173.661
SD$1,230.491
TN$1,144.311
TX$1,162.50–$1,315.448
UT$1,192.461
VA$1,228.94–$1,459.572
VI$1,270.371
VT$1,227.501
WA$1,306.65–$1,497.082
WI$1,185.431
WV$1,141.671
WY$1,248.171

See 36222 in every payment locality

How the 36222 rate is calculated

Each of 36222’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 · 36222

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.15

5.15 RVUs× 1.000 GPCI

Practice expense31.25

31.25 RVUs× 1.000 GPCI

Malpractice1.31

1.31 RVUs× 1.000 GPCI

Adjusted RVUs

37.7100

Conversion factor

$33.4009

Medicare rate

$1,259.55

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

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,448

Code
36222
Physician work
5.15
Practice expense
31.25
Malpractice
1.31

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 36222 in Nevada
ComponentRVULocality factorAdjusted
Physician work5.15× 1.0005.1500
Practice expense31.25× 1.00131.2812
Malpractice1.31× 0.8331.0912
Total RVUs37.5225
Conversion factor× 33.4009

Office rate, Nevada$1253.28

Office: (5.15 × 1 + 31.25 × 1.001 + 1.31 × 0.833) × $33.4009 = $1253.28

Facility: (5.15 × 1 + 1.1 × 1.001 + 1.31 × 0.833) × $33.4009 = $245.24

Open 36222 in the RVU calculator

Payment rules and modifiers for 36222

The CMS indicators that decide how 36222 is paid alongside other services.

CMS payment indicators · 36222

Carotid angiography, common carotid, extracranial

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

36222 without 50 · national office

$1,259.55

Carotid angiography, common carotid, extracranial

36222-50 · Bilateral: 150%

$1,889.33

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 36222

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

Codes related to 36222
CodeHow it relatesOffice range, Nevada
Used instead
36221Aortic arch angiography, nonselective thoracic aortaUse for nonselective thoracic aortic catheter placement with arch and great-vessel-origin angiography.$948.70
36224Carotid angiography, internal carotid, both circulationsFor selective internal carotid catheter placement with intracranial angiography.$2,341.57
Same family
36223Carotid angiography, ipsilateral intracranial circulationAdds angiography of the ipsilateral intracranial circulation to the extracranial carotid study.$1,907.67

How 36222 has changed in Nevada

36222 · Office / nonfacility

$1253.28

Effective 2026-10-01

The base rate is $105.72 higher than on 2025-10-01, moving from $1147.56 to $1253.28 (9.2%).

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

    $1147.56changed to$1253.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.28 changed to 5.15
    • Practice expense RVU 29.10 changed to 31.25
    • Malpractice RVU 1.30 changed to 1.31
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1208.58changed to$1147.56

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 29.93 changed to 29.10

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1188.85changed to$1208.58

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1243.78changed to$1188.85

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 30.04 changed to 29.93
    • Malpractice RVU 1.26 changed to 1.30
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $1298.72changed to$1243.78

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 30.52 changed to 30.04
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1343.42changed to$1298.72

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 31.56 changed to 30.52
    • Malpractice RVU 1.21 changed to 1.26

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1289.19changed to$1343.42

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 29.11 changed to 31.56
    • Malpractice RVU 1.16 changed to 1.21
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1265.39changed to$1289.19

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 28.25 changed to 29.11
    • Malpractice RVU 1.20 changed to 1.16
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1247.61changed to$1265.39

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 27.82 changed to 28.25
    • Malpractice RVU 1.18 changed to 1.20

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1257.89changed to$1247.61

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 27.70 changed to 27.82
    • Malpractice RVU 1.17 changed to 1.18
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1399.49changed to$1257.89

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 5.53 changed to 5.28
    • Practice expense RVU 30.80 changed to 27.70
    • Malpractice RVU 1.18 changed to 1.17
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1350.03changed to$1399.49

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 29.31 changed to 30.80
    • Malpractice RVU 1.23 changed to 1.18

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1343.32changed to$1350.03

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1502.40changed to$1343.32

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 33.52 changed to 29.31
    • Malpractice RVU 0.94 changed to 1.23
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1522.57changed to$1502.40

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 35.93 changed to 33.52
    • Malpractice RVU 0.98 changed to 0.94
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$1522.57

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,253.28$245.24RVU26D
2026-07-01$1,253.28$245.24RVU26C
2026-04-01$1,253.28$245.24RVU26B
2026-01-01$1,253.28$245.24RVU26A
2025-10-01$1,147.56$266.77RVU25D
2025-07-01$1,147.56$266.77RVU25C
2025-04-01$1,147.56$266.77RVU25B
2025-01-01$1,147.56$266.77RVU25A
2024-10-01$1,208.58$273.53RVU24D
2024-07-01$1,208.58$273.53RVU24C
2024-04-01$1,208.58$273.53RVU24B
2024-03-09$1,208.58$273.53RVU24AR
2024-01-01$1,188.85$269.07RVU24A
2023-10-01$1,243.78$287.14RVU23D
2023-07-01$1,243.78$287.14RVU23C
2023-04-01$1,243.78$287.14RVU23B
2023-01-01$1,243.78$287.14RVU23A
2022-10-01$1,298.72$304.49RVU22D
2022-07-01$1,298.72$304.49RVU22C
2022-04-01$1,298.72$304.49RVU22B
2022-01-01$1,298.72$304.49RVU22A
2021-10-01$1,343.42$303.96RVU21D
2021-07-01$1,343.42$303.96RVU21C
2021-04-01$1,343.42$303.96RVU21B
2021-01-01$1,343.42$303.96RVU21A
2020-10-01$1,289.19$301.78RVU20D
2020-07-01$1,289.19$301.78RVU20C
2020-04-01$1,289.19$301.78RVU20B
2020-01-01$1,289.19$301.78RVU20A
2019-10-01$1,265.39$293.75RVU19D
2019-07-01$1,265.39$293.75RVU19C
2019-04-01$1,265.39$293.75RVU19B
2019-01-01$1,265.39$293.75RVU19A
2018-10-01$1,247.61$293.14RVU18D
2018-07-01$1,247.61$293.14RVU18C
2018-04-01$1,247.61$293.14RVU18B
2018-01-01$1,247.61$293.14RVU18AR1
2017-10-01$1,257.89$295.66RVU17D
2017-07-01$1,257.89$295.66RVU17C
2017-04-01$1,257.89$295.66RVU17B
2017-01-01$1,257.89$295.66RVU17A
2016-10-01$1,399.49$312.35RVU16D
2016-07-01$1,399.49$312.35RVU16C
2016-04-01$1,399.49$312.35RVU16B
2016-01-01$1,399.49$312.35RVU16A
2015-10-01$1,350.03$313.73RVU15D
2015-07-01$1,350.03$313.73RVU15C
2015-04-01$1,343.32$312.17RVU15B
2015-01-01$1,343.32$312.17RVU15A
2014-10-01$1,502.40$311.16RVU14D
2014-07-01$1,502.40$311.16RVU14C
2014-04-01$1,502.40$311.16RVU14B
2014-01-01$1,502.40$311.16RVU14A
2013-10-01$1,522.57$305.90RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 36222 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

36222 billing questions

How is 36222 different from 36223?

36222 covers angiography of the ipsilateral extracranial carotid circulation. 36223 includes imaging of both the extracranial carotid and intracranial circulation.

Does 36222 include aortic arch imaging?

Yes, when arch imaging is performed, it is included in the service. Do not report it separately for the same study.

Can 36222 be reported bilaterally?

For bilateral performance, report modifier 50. CMS payment for the bilateral procedure is at 150%.

What documentation supports 36222?

Document the selectively catheterized common carotid or innominate artery, laterality, indication, and the extracranial carotid territory imaged.

How does the multiple procedure reduction affect 36222?

When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction.

Is same-day care included in the payment?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

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 36222PPRRVU2026_Oct_nonQPP.csv, line 4,448 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 36222 pays in Nevada?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 36222 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist