FeeBase
Log inGet started
Menu

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

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 Puerto Rico, Medicare pays $1,270.37 for 36222 in the office and $252.26 when it’s performed in a hospital or facility.

$1,270.37Office (non-facility)
$252.26Hospital or facility
+0.9%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $1,270.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

36222 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$1,270.37
  2. Los Angeles, CA · California$1,442.91+$172.54
  3. Washington, DC area · District of Columbia$1,459.57+$189.20
  4. Miami, FL · Florida$1,369.24+$98.87
  5. Chicago, IL · Illinois$1,322.63+$52.26
  6. Manhattan, NY · New York$1,465.29+$194.92
  7. Alaska · Alaska$1,393.75+$123.38

Other areas in Puerto Rico 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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 36222 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work5.15× 1.0005.1500
Practice expense31.25× 1.01131.5937
Malpractice1.31× 0.9851.2904
Total RVUs38.0341
Conversion factor× 33.4009

Office rate, Puerto Rico$1270.37

Office: (5.15 × 1 + 31.25 × 1.011 + 1.31 × 0.985) × $33.4009 = $1270.37

Facility: (5.15 × 1 + 1.1 × 1.011 + 1.31 × 0.985) × $33.4009 = $252.26

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, Puerto Rico
Used instead
36221Aortic arch angiography, nonselective thoracic aortaUse for nonselective thoracic aortic catheter placement with arch and great-vessel-origin angiography.$961.22
36224Carotid angiography, internal carotid, both circulationsFor selective internal carotid catheter placement with intracranial angiography.$2,372.34
Same family
36223Carotid angiography, ipsilateral intracranial circulationAdds angiography of the ipsilateral intracranial circulation to the extracranial carotid study.$1,933.07

How 36222 has changed in Puerto Rico

36222 · Office / nonfacility

$1270.37

Effective 2026-10-01

The base rate is $110.41 higher than on 2025-10-01, moving from $1159.96 to $1270.37 (9.5%).

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

    $1159.96changed to$1270.37

    • 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 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1221.52changed to$1159.96

    • 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

    $1201.58changed to$1221.52

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1247.05changed to$1201.58

    • 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
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $1239.59changed to$1247.05

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

  6. January 1, 2023

    RVU23A

    $1290.34changed to$1239.59

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 30.52 changed to 30.04
    • 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

    $1335.90changed to$1290.34

    • 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.

  8. January 1, 2021

    RVU21A

    $1290.89changed to$1335.90

    • 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
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $1258.33changed to$1290.89

    • 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
    • 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

    $1240.65changed to$1258.33

    • 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.

  11. January 1, 2018

    RVU18AR1

    $1067.41changed to$1240.65

    • 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
    • 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

    $987.83changed to$1067.41

    • 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
    • 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

    $954.18changed to$987.83

    • 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.

  14. July 1, 2015

    RVU15C

    $949.43changed to$954.18

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $1038.17changed to$949.43

    • 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
    • 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

    $1025.27changed to$1038.17

    • 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
    • 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: $1025.27

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,270.37$252.26RVU26D
2026-07-01$1,270.37$252.26RVU26C
2026-04-01$1,270.37$252.26RVU26B
2026-01-01$1,270.37$252.26RVU26A
2025-10-01$1,159.96$272.99RVU25D
2025-07-01$1,159.96$272.99RVU25C
2025-04-01$1,159.96$272.99RVU25B
2025-01-01$1,159.96$272.99RVU25A
2024-10-01$1,221.52$279.93RVU24D
2024-07-01$1,221.52$279.93RVU24C
2024-04-01$1,221.52$279.93RVU24B
2024-03-09$1,221.52$279.93RVU24AR
2024-01-01$1,201.58$275.36RVU24A
2023-10-01$1,247.05$282.77RVU23D
2023-07-01$1,239.59$282.96RVU23C
2023-04-01$1,239.59$282.96RVU23B
2023-01-01$1,239.59$282.96RVU23A
2022-10-01$1,290.34$288.15RVU22D
2022-07-01$1,290.34$288.15RVU22C
2022-04-01$1,290.34$288.15RVU22B
2022-01-01$1,290.34$288.15RVU22A
2021-10-01$1,335.90$288.12RVU21D
2021-07-01$1,335.90$288.12RVU21C
2021-04-01$1,335.90$288.12RVU21B
2021-01-01$1,335.90$288.12RVU21A
2020-10-01$1,290.89$295.58RVU20D
2020-07-01$1,290.89$295.58RVU20C
2020-04-01$1,290.89$295.58RVU20B
2020-01-01$1,290.89$295.58RVU20A
2019-10-01$1,258.33$296.25RVU19D
2019-07-01$1,258.33$296.25RVU19C
2019-04-01$1,258.33$296.25RVU19B
2019-01-01$1,258.33$296.25RVU19A
2018-10-01$1,240.65$295.57RVU18D
2018-07-01$1,240.65$295.57RVU18C
2018-04-01$1,240.65$295.57RVU18B
2018-01-01$1,240.65$295.57RVU18AR1
2017-10-01$1,067.41$270.83RVU17D
2017-07-01$1,067.41$270.83RVU17C
2017-04-01$1,067.41$270.83RVU17B
2017-01-01$1,067.41$270.83RVU17A
2016-10-01$987.83$258.59RVU16D
2016-07-01$987.83$258.59RVU16C
2016-04-01$987.83$258.59RVU16B
2016-01-01$987.83$258.59RVU16A
2015-10-01$954.18$259.04RVU15D
2015-07-01$954.18$259.04RVU15C
2015-04-01$949.43$257.75RVU15B
2015-01-01$949.43$257.75RVU15A
2014-10-01$1,038.17$256.80RVU14D
2014-07-01$1,038.17$256.80RVU14C
2014-04-01$1,038.17$256.80RVU14B
2014-01-01$1,038.17$256.80RVU14A
2013-10-01$1,025.27$245.58RVU13D
2013-07-01$1,025.27$245.58RVU13C
2013-04-01$1,025.27$245.58RVU13B
2013-01-01$1,025.27$245.58RVU13AR

Price 36222 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

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 36222 pays in Puerto Rico?

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