CPT code 36225: Subclavian angiography, unilateral selective placement2026 Medicare rate & RVUs
Reports selective catheter positioning in a subclavian artery for angiographic assessment of the same-side vertebral and/or cervical carotid vessels.
Medicare pays $1,792.29 for 36225 nationally in the office and $294.26 in a hospital or facility. Local office rates run $1,546.58–$2,471.13.
Medicare rate · 36225
Subclavian angiography, unilateral selective placement
- Work RVUs
- 5.61
- Total RVUs
- 53.66
- Global days
- 000
National rate · 2026
$1,792.29
Office setting, before claim adjustments.
See every locality for 36225 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 36225 covers
An interventional radiologist, neurointerventionalist, or other qualified physician selectively positions a catheter in one subclavian artery to perform angiographic assessment of the ipsilateral vertebral and/or cervical carotid vessels. This approach may be used when evaluating vertebral-origin disease or suspected subclavian steal. The service is generally performed in a hospital angiography suite or another setting equipped for catheter-based vascular imaging.
Report the code for the documented unilateral subclavian catheter position and the associated angiographic study; document the side, catheter location, vessels imaged, and findings. The specified angiographic work is represented with the catheter service. The CMS global period is 0 days, so same-day preoperative and postoperative care is included. For bilateral performance, modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment is restricted; 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.
Where 36225 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$1546.58 to $2471.13
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $1,574.24 | $263.46 |
| Alaska | $1,961.29 | $365.88 |
| Arizona | $1,736.16 | $284.57 |
| Arkansas | $1,546.58 | $259.77 |
| Atlanta, GA | $1,828.98 | $306.98 |
| Austin, TX | $1,876.04 | $291.13 |
| Bakersfield, CA | $1,922.43 | $280.59 |
| Baltimore area, MD | $1,921.71 | $314.32 |
| Beaumont, TX | $1,648.92 | $285.71 |
| Brazoria, TX | $1,767.44 | $282.89 |
| Chicago, IL | $1,874.45 | $368.93 |
| Chico, CA | $1,917.94 | $276.10 |
| Colorado | $1,881.28 | $287.38 |
| Connecticut | $1,927.13 | $313.75 |
| Dallas, TX | $1,779.77 | $287.73 |
| Delaware | $1,768.95 | $288.89 |
| Detroit, MI | $1,776.82 | $331.22 |
| East St. Louis, IL | $1,725.65 | $347.46 |
| El Centro, CA | $1,918.22 | $276.38 |
| Fort Lauderdale, FL | $1,858.03 | $340.53 |
| Fort Worth, TX | $1,765.02 | $287.96 |
| Fresno, CA | $1,917.94 | $276.10 |
| Galveston, TX | $1,773.24 | $285.70 |
| Hanford, CA | $1,917.94 | $276.10 |
| Hawaii, Guam, HI | $1,980.67 | $277.41 |
| Houston, TX | $1,804.18 | $316.63 |
| Idaho | $1,638.67 | $260.48 |
| Indiana | $1,650.24 | $261.57 |
| Iowa | $1,626.63 | $255.94 |
| Kansas | $1,615.64 | $261.42 |
| Kentucky | $1,615.61 | $283.87 |
| King County, WA | $2,142.83 | $304.75 |
| Los Angeles, CA | $2,064.38 | $292.21 |
| Madera, CA | $1,917.94 | $276.10 |
| Manhattan, NY | $2,088.21 | $347.50 |
| Marin County, CA | $2,414.43 | $302.20 |
| Merced, CA | $1,917.94 | $276.10 |
| Metropolitan Boston, MA | $2,094.17 | $305.52 |
| Metropolitan Kansas City, MO | $1,696.54 | $289.89 |
| Metropolitan Philadelphia, PA | $1,870.05 | $310.60 |
| Metropolitan St. Louis, MO | $1,718.08 | $291.95 |
| Miami, FL | $1,942.09 | $382.64 |
| Minnesota | $1,797.46 | $255.99 |
| Mississippi | $1,562.32 | $272.52 |
| Modesto, CA | $1,917.94 | $276.10 |
| Montana | $1,792.18 | $294.15 |
| Napa, CA | $2,268.74 | $294.33 |
| Nebraska | $1,637.95 | $255.27 |
| Nevada | $1,784.41 | $284.89 |
| New Hampshire | $1,848.72 | $289.27 |
| New Mexico | $1,675.12 | $301.42 |
| New Orleans, LA | $1,708.61 | $298.96 |
| North Carolina | $1,668.17 | $270.51 |
| North Dakota | $1,758.76 | $260.73 |
| Northern New Jersey | $2,055.69 | $317.97 |
| NYC suburbs and Long Island, NY | $2,145.32 | $364.16 |
| Ohio | $1,658.03 | $290.33 |
| Oklahoma | $1,614.02 | $276.28 |
| Oxnard, CA | $2,058.08 | $287.41 |
| Portland, OR | $1,952.72 | $288.41 |
| Poughkeepsie and northern NYC suburbs, NY | $1,959.68 | $319.34 |
| Puerto Rico | $1,808.48 | $293.97 |
| Queens, NY | $2,111.06 | $340.38 |
| Redding, CA | $1,917.94 | $276.10 |
| Rest of California | $1,917.94 | $276.10 |
| Rest of Florida | $1,752.55 | $320.44 |
| Rest of Georgia | $1,635.90 | $299.65 |
| Rest of Illinois | $1,689.36 | $321.65 |
| Rest of Louisiana | $1,611.85 | $286.09 |
| Rest of Maine | $1,647.08 | $268.89 |
| Rest of Maryland | $1,808.12 | $292.11 |
| Rest of Massachusetts | $1,865.90 | $288.47 |
| Rest of Michigan | $1,664.86 | $297.16 |
| Rest of Missouri | $1,577.14 | $285.83 |
| Rest of New Jersey | $1,947.72 | $311.87 |
| Rest of New York | $1,698.10 | $274.98 |
| Rest of Oregon | $1,769.33 | $277.30 |
| Rest of Pennsylvania | $1,662.21 | $287.02 |
| Rest of Texas | $1,707.85 | $286.21 |
| Rest of Washington | $1,863.31 | $285.88 |
| Rhode Island | $1,840.86 | $293.39 |
| Riverside, CA | $1,936.02 | $294.18 |
| Sacramento, CA | $2,025.25 | $283.04 |
| Salinas, CA | $2,018.12 | $281.90 |
| San Benito County, CA | $2,471.13 | $310.97 |
| San Diego, CA | $2,075.56 | $283.92 |
| San Francisco, CA | $2,412.51 | $300.28 |
| San Luis Obispo, CA | $1,984.52 | $278.27 |
| Santa Clara County, CA | $2,463.29 | $303.13 |
| Santa Cruz, CA | $2,102.96 | $282.85 |
| Santa Maria, CA | $2,028.39 | $281.69 |
| Santa Rosa, CA | $2,124.77 | $285.19 |
| South Carolina | $1,666.14 | $281.96 |
| South Dakota | $1,754.81 | $256.78 |
| Southern Maine, ME | $1,757.53 | $272.98 |
| Stockton, CA | $1,917.94 | $276.10 |
| Suburban Chicago, IL | $1,878.99 | $340.51 |
| Tennessee | $1,625.25 | $263.54 |
| Utah | $1,693.63 | $285.48 |
| Vallejo, CA | $2,265.97 | $291.57 |
| Vermont | $1,748.92 | $265.87 |
| Virgin Islands, VI | $1,808.48 | $293.97 |
| Virginia | $1,749.37 | $276.81 |
| Visalia, CA | $1,917.94 | $276.10 |
| Washington, DC area | $2,084.42 | $319.74 |
| West Virginia | $1,613.77 | $311.98 |
| Wisconsin | $1,688.20 | $253.08 |
| Wyoming | $1,777.62 | $279.59 |
| Yuba City, CA | $1,917.94 | $276.10 |
36225 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.
$1,546.58
$2,194.54
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 | $1,961.29 | 1 |
| AL | $1,574.24 | 1 |
| AR | $1,546.58 | 1 |
| AZ | $1,736.16 | 1 |
| CA | $1,917.94–$2,471.13 | 29 |
| CO | $1,881.28 | 1 |
| CT | $1,927.13 | 1 |
| DC | $2,084.42 | 1 |
| DE | $1,768.95 | 1 |
| FL | $1,752.55–$1,942.09 | 3 |
| GA | $1,635.90–$1,828.98 | 2 |
| GU | $1,980.67 | 1 |
| HI | $1,980.67 | 1 |
| IA | $1,626.63 | 1 |
| ID | $1,638.67 | 1 |
| IL | $1,689.36–$1,878.99 | 4 |
| IN | $1,650.24 | 1 |
| KS | $1,615.64 | 1 |
| KY | $1,615.61 | 1 |
| LA | $1,611.85–$1,708.61 | 2 |
| MA | $1,865.90–$2,094.17 | 2 |
| MD | $1,808.12–$2,084.42 | 3 |
| ME | $1,647.08–$1,757.53 | 2 |
| MI | $1,664.86–$1,776.82 | 2 |
| MN | $1,797.46 | 1 |
| MO | $1,577.14–$1,718.08 | 3 |
| MS | $1,562.32 | 1 |
| MT | $1,792.18 | 1 |
| NC | $1,668.17 | 1 |
| ND | $1,758.76 | 1 |
| NE | $1,637.95 | 1 |
| NH | $1,848.72 | 1 |
| NJ | $1,947.72–$2,055.69 | 2 |
| NM | $1,675.12 | 1 |
| NV | $1,784.41 | 1 |
| NY | $1,698.10–$2,145.32 | 5 |
| OH | $1,658.03 | 1 |
| OK | $1,614.02 | 1 |
| OR | $1,769.33–$1,952.72 | 2 |
| PA | $1,662.21–$1,870.05 | 2 |
| PR | $1,808.48 | 1 |
| RI | $1,840.86 | 1 |
| SC | $1,666.14 | 1 |
| SD | $1,754.81 | 1 |
| TN | $1,625.25 | 1 |
| TX | $1,648.92–$1,876.04 | 8 |
| UT | $1,693.63 | 1 |
| VA | $1,749.37–$2,084.42 | 2 |
| VI | $1,808.48 | 1 |
| VT | $1,748.92 | 1 |
| WA | $1,863.31–$2,142.83 | 2 |
| WI | $1,688.20 | 1 |
| WV | $1,613.77 | 1 |
| WY | $1,777.62 | 1 |
How the 36225 rate is calculated
Each of 36225’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 · 36225
RVUs × geographic indexes × conversion factor
Work5.61
5.61 RVUs× 1.000 GPCI
Practice expense46.36
46.36 RVUs× 1.000 GPCI
Malpractice1.69
1.69 RVUs× 1.000 GPCI
Adjusted RVUs
53.6600
Conversion factor
$33.4009
Medicare rate
$1,792.29
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36225
The CMS indicators that decide how 36225 is paid alongside other services.
CMS payment indicators · 36225
Subclavian angiography, unilateral selective placement
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 50 · payment effect
With and without the modifier
36225 without 50 · national office
$1,792.29
Subclavian angiography, unilateral selective placement
36225-50 · Bilateral: 150%
$2,688.44
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).
36225 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 36226Vertebral angiographyDirect vertebral selection
- Choose 36225 when the catheter is positioned in the subclavian artery; choose 36226 when it is advanced selectively into the vertebral artery.
- 36224Carotid angiographyInternal carotid, both circulations
- 36224 describes selective internal carotid catheterization. 36225 describes selective subclavian positioning for imaging of the ipsilateral vertebral and/or cervical carotid vessels.
- 36221Aortic arch angiographyNonselective thoracic aorta
- 36221 represents nonselective catheter positioning in the thoracic aorta. 36225 requires selective positioning in a subclavian artery.
36225 billing questions
When is 36225 used instead of 36226?
Use 36225 when the selective catheter position is in the subclavian artery. Use 36226 when the catheter is selectively positioned in the vertebral artery.
Is the angiographic study reported separately from 36225?
The code represents the subclavian catheter service with the specified ipsilateral vertebral and/or cervical carotid angiographic assessment. Do not separately report another selective catheter-placement service for the same position.
What documentation supports 36225?
Document the side, selective catheter location in the subclavian artery, vessels imaged, and angiographic findings. The record should distinguish this position from direct catheterization of the vertebral artery.
How is bilateral performance reported under the CMS rule?
For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150%.
How does the multiple-procedure reduction affect 36225?
When it is one of multiple procedures performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%. The reduction depends on the relative values of the procedures performed.
Can an assistant or co-surgeon be paid for this service?
CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
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
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