CPT code 36223: Carotid angiography, ipsilateral intracranial circulation2026 Medicare rate & RVUs in Atlanta, GA

Reports unilateral catheterization in the common carotid or innominate artery with angiography of the ipsilateral intracranial carotid circulation.

CMS RVU26DEffective Oct 1, 2026One payment locality18.1K Medicare services in 2024

In Atlanta, GA, Medicare pays $1,954.32 for 36223 in the office and $310.15 when it’s performed in a hospital or facility.

$1,954.32Office (non-facility)
$310.15Hospital or facility
+2.0%vs the national office rate ($1,915.54)

Check a contract rate as a % of Medicare · 36223 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 36223 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Atlanta, GA
  2. What 36223 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 36223 covers

A physician selectively places a catheter in a common carotid artery or the innominate artery and images the ipsilateral intracranial carotid circulation. The service includes angiography of the extracranial carotid or cervical circulation when performed, along with the associated radiological supervision and interpretation. Interventional radiologists, neurointerventionalists, and other physicians performing diagnostic cervicocerebral angiography commonly report it in a hospital angiography suite or catheterization lab, such as during evaluation of carotid disease or a suspected intracranial vascular lesion.

Report the code for each unilateral service when the catheter position and imaged territory meet these criteria. The report should identify the catheterized vessel, side, angiographic territory, and physician interpretation. Catheter placement and the associated imaging supervision and interpretation are included. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral reporting with modifier 50 is paid 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 Atlanta, GA compares for 36223

Across 109 of 109 payment localities, the office rate for 36223 runs from $1,652.22 in Arkansas to $2,648.25 in San Benito County, CA. Atlanta, GA pays $1,954.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

36223 in Atlanta, GA vs other payment areas
  1. Atlanta, GA · this page$1,954.32
  2. Rest of Georgia · Georgia$1,746.03−$208.29
  3. Los Angeles, CA · California$2,209.83+$255.51
  4. Washington, DC area · District of Columbia$2,229.56+$275.24
  5. Miami, FL · Florida$2,071.38+$117.06
  6. Chicago, IL · Illinois$1,999.17+$44.85
  7. Manhattan, NY · New York$2,231.71+$277.39

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

Every other payment area

36223 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$2,092.20$368.74
AlabamaAlabama$1,681.87$265.88
ArkansasArkansas$1,652.22$262.13
ArizonaArizona$1,855.51$287.41
Bakersfield, CACalifornia$2,057.19$283.56
Chico, CACalifornia$2,052.65$279.02
El Centro, CACalifornia$2,052.93$279.30
Fresno, CACalifornia$2,052.65$279.02

36223 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.

$1,652.22

$2,350.45

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

View every state and territory as a table
36223 office rate range by state
State / territoryOffice rate rangeLocalities
AK$2,092.201
AL$1,681.871
AR$1,652.221
AZ$1,855.511
CA$2,052.65–$2,648.2529
CO$2,012.231
CT$2,059.951
DC$2,229.561
DE$1,890.661
FL$1,870.74–$2,071.383
GA$1,746.03–$1,954.322
GU$2,120.431
HI$2,120.431
IA$1,739.061
ID$1,751.761
IL$1,802.32–$2,006.064
IN$1,764.201
KS$1,726.791
KY$1,725.201
LA$1,720.97–$1,824.722
MA$1,995.51–$2,241.122
MD$1,932.78–$2,229.563
ME$1,760.27–$1,879.432
MI$1,777.53–$1,896.242
MN$1,923.791
MO$1,683.45–$1,835.453
MS$1,668.361
MT$1,915.431
NC$1,782.961
ND$1,881.611
NE$1,751.351
NH$1,976.921
NJ$2,082.31–$2,198.602
NM$1,788.321
NV$1,907.671
NY$1,815.03–$2,292.315
OH$1,770.621
OK$1,724.001
OR$1,891.89–$2,089.402
PA$1,775.37–$1,998.452
PR$1,933.071
RI$1,968.081
SC$1,779.971
SD$1,877.621
TN$1,737.031
TX$1,761.09–$2,006.338
UT$1,809.451
VA$1,870.34–$2,229.562
VI$1,933.071
VT$1,870.621
WA$1,992.89–$2,293.792
WI$1,805.831
WV$1,721.251
WY$1,900.691

See 36223 in every payment locality

How the 36223 rate is calculated

Each of 36223’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 · 36223

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.61

5.61 RVUs× 1.000 GPCI

Practice expense50.03

50.03 RVUs× 1.000 GPCI

Malpractice1.71

1.71 RVUs× 1.000 GPCI

Adjusted RVUs

57.3500

Conversion factor

$33.4009

Medicare rate

$1,915.54

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

The exact Atlanta, GA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,449

Code
36223
Physician work
5.61
Practice expense
50.03
Malpractice
1.71

GPCI2026.csv

44

Locality
Atlanta, GA
Physician work
1.003
Practice expense
1.016
Malpractice
1.201
Office calculation for 36223 in Atlanta, GA
ComponentRVULocality factorAdjusted
Physician work5.61× 1.0035.6268
Practice expense50.03× 1.01650.8305
Malpractice1.71× 1.2012.0537
Total RVUs58.5110
Conversion factor× 33.4009

Office rate, Atlanta, GA$1954.32

Office: (5.61 × 1.003 + 50.03 × 1.016 + 1.71 × 1.201) × $33.4009 = $1954.32

Facility: (5.61 × 1.003 + 1.58 × 1.016 + 1.71 × 1.201) × $33.4009 = $310.15

Open 36223 in the RVU calculator

Payment rules and modifiers for 36223

The CMS indicators that decide how 36223 is paid alongside other services.

CMS payment indicators · 36223

Carotid angiography, ipsilateral intracranial circulation

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

36223 without 50 · national office

$1,915.54

Carotid angiography, ipsilateral intracranial circulation

36223-50 · Bilateral: 150%

$2,873.31

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

How 36223 has changed in Atlanta, GA

36223 · Office / nonfacility

$1954.32

Effective 2026-10-01

The base rate is $350.10 higher than on 2025-10-01, moving from $1604.22 to $1954.32 (21.8%).

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

    $1604.22changed to$1954.32

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.75 changed to 5.61
    • Practice expense RVU 42.11 changed to 50.03
    • Malpractice RVU 1.65 changed to 1.71
    • Work GPCI 1.000 changed to 1.003
    • Practice expense GPCI 0.997 changed to 1.016
    • Malpractice GPCI 1.128 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1654.83changed to$1604.22

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 42.24 changed to 42.11
    • Malpractice RVU 1.64 changed to 1.65

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1627.82changed to$1654.83

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1669.99changed to$1627.82

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 42.03 changed to 42.24
    • Malpractice RVU 1.56 changed to 1.64
    • Practice expense GPCI 0.998 changed to 0.997
    • Malpractice GPCI 1.016 changed to 1.128
  5. January 1, 2023

    RVU23A

    $1689.75changed to$1669.99

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 41.86 changed to 42.03
    • Malpractice RVU 1.44 changed to 1.56
    • Malpractice GPCI 0.904 changed to 1.016

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1734.22changed to$1689.75

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 42.78 changed to 41.86
    • Malpractice RVU 1.39 changed to 1.44

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1643.80changed to$1734.22

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 38.58 changed to 42.78
    • Malpractice RVU 1.30 changed to 1.39
    • Malpractice GPCI 0.996 changed to 0.904

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1584.18changed to$1643.80

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 36.86 changed to 38.58
    • Malpractice RVU 1.34 changed to 1.30
    • Practice expense GPCI 0.997 changed to 0.998
    • Malpractice GPCI 1.088 changed to 0.996

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1546.46changed to$1584.18

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 35.89 changed to 36.86
    • Malpractice RVU 1.31 changed to 1.34

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$1546.46

    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$1,954.32$310.15RVU26D
2026-07-01$1,954.32$310.15RVU26C
2026-04-01$1,954.32$310.15RVU26B
2026-01-01$1,954.32$310.15RVU26A
2025-10-01$1,604.22$324.56RVU25D
2025-07-01$1,604.22$324.56RVU25C
2025-04-01$1,604.22$324.56RVU25B
2025-01-01$1,604.22$324.56RVU25A
2024-10-01$1,654.83$330.64RVU24D
2024-07-01$1,654.83$330.64RVU24C
2024-04-01$1,654.83$330.64RVU24B
2024-03-09$1,654.83$330.64RVU24AR
2024-01-01$1,627.82$325.24RVU24A
2023-10-01$1,669.99$326.68RVU23D
2023-07-01$1,669.99$326.68RVU23C
2023-04-01$1,669.99$326.68RVU23B
2023-01-01$1,669.99$326.68RVU23A
2022-10-01$1,689.75$321.74RVU22D
2022-07-01$1,689.75$321.74RVU22C
2022-04-01$1,689.75$321.74RVU22B
2022-01-01$1,689.75$321.74RVU22A
2021-10-01$1,734.22$321.09RVU21D
2021-07-01$1,734.22$321.09RVU21C
2021-04-01$1,734.22$321.09RVU21B
2021-01-01$1,734.22$321.09RVU21A
2020-10-01$1,643.80$330.96RVU20D
2020-07-01$1,643.80$330.96RVU20C
2020-04-01$1,643.80$330.96RVU20B
2020-01-01$1,643.80$330.96RVU20A
2019-10-01$1,584.18$334.86RVU19D
2019-07-01$1,584.18$334.86RVU19C
2019-04-01$1,584.18$334.86RVU19B
2019-01-01$1,584.18$334.86RVU19A
2018-10-01$1,546.46$332.96RVU18D
2018-07-01$1,546.46$332.96RVU18C
2018-04-01$1,546.46$332.96RVU18B
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 36223 for an earlier date of service

Where the Atlanta, GA rate applies

Atlanta, GA is a Medicare payment area, not a city. Our Census mapping connects it to 114 cities and communities in Georgia. Some span more than one payment area; confirm with the service ZIP.

  • Atlanta
  • Acworth
  • Alpharetta
  • 36223 in Auburn · multiple payment areas
  • Austell
  • Avondale Estates
  • Ball Ground
  • Belvedere Park

Browse all communities in Georgia

36223 billing questions

How is 36223 different from 36222?

36223 includes imaging of the ipsilateral intracranial carotid circulation. Use 36222 when the angiography is limited to the ipsilateral extracranial carotid circulation.

How is 36223 different from 36224?

36223 describes catheter placement in the common carotid or innominate artery. 36224 describes selective catheter placement in the internal carotid artery.

Can catheter placement or imaging interpretation be billed separately?

The catheter placement and associated radiological supervision and interpretation are included in 36223 for the described service.

How should bilateral services be reported?

Report bilateral performance with modifier 50; CMS pays the bilateral procedure at 150%.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction. Same-day preoperative and postoperative care is included in this code's 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 36223PPRRVU2026_Oct_nonQPP.csv, line 4,449 (RVU26D)
Geographic factors for Atlanta, GAGPCI2026.csv, line 44 (RVU26D)

Open CMS sourceHow we calculate rates

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