CPT code 36225: Subclavian angiography, unilateral selective placement2026 Medicare rate & RVUs in South Dakota
Reports selective catheter positioning in a subclavian artery for angiographic assessment of the same-side vertebral and/or cervical carotid vessels.
In South Dakota, Medicare pays $1,754.81 for 36225 in the office and $256.78 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36225 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 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.
How South Dakota compares for 36225
Across 109 of 109 payment localities, the office rate for 36225 runs from $1,546.58 in Arkansas to $2,471.13 in San Benito County, CA. South Dakota pays $1,754.81. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$1,754.81
- Los Angeles, CA · California$2,064.38+$309.57
- Washington, DC area · District of Columbia$2,084.42+$329.61
- Miami, FL · Florida$1,942.09+$187.28
- Chicago, IL · Illinois$1,874.45+$119.64
- Manhattan, NY · New York$2,088.21+$333.40
- Alaska · Alaska$1,961.29+$206.48
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,574.24 | $263.46 |
| ArkansasArkansas | $1,546.58 | $259.77 |
| ArizonaArizona | $1,736.16 | $284.57 |
| Bakersfield, CACalifornia | $1,922.43 | $280.59 |
| Chico, CACalifornia | $1,917.94 | $276.10 |
| El Centro, CACalifornia | $1,918.22 | $276.38 |
| Fresno, CACalifornia | $1,917.94 | $276.10 |
| Hanford, CACalifornia | $1,917.94 | $276.10 |
| Madera, CACalifornia | $1,917.94 | $276.10 |
| Merced, CACalifornia | $1,917.94 | $276.10 |
| Modesto, CACalifornia | $1,917.94 | $276.10 |
| Napa, CACalifornia | $2,268.74 | $294.33 |
| Oxnard, CACalifornia | $2,058.08 | $287.41 |
| Redding, CACalifornia | $1,917.94 | $276.10 |
| Rest of CaliforniaCalifornia | $1,917.94 | $276.10 |
| Riverside, CACalifornia | $1,936.02 | $294.18 |
| Sacramento, CACalifornia | $2,025.25 | $283.04 |
| Salinas, CACalifornia | $2,018.12 | $281.90 |
| San Diego, CACalifornia | $2,075.56 | $283.92 |
| Marin County, CACalifornia | $2,414.43 | $302.20 |
| San Francisco, CACalifornia | $2,412.51 | $300.28 |
| San Benito County, CACalifornia | $2,471.13 | $310.97 |
| Santa Clara County, CACalifornia | $2,463.29 | $303.13 |
| San Luis Obispo, CACalifornia | $1,984.52 | $278.27 |
| Santa Cruz, CACalifornia | $2,102.96 | $282.85 |
| Santa Maria, CACalifornia | $2,028.39 | $281.69 |
| Santa Rosa, CACalifornia | $2,124.77 | $285.19 |
| Stockton, CACalifornia | $1,917.94 | $276.10 |
| Vallejo, CACalifornia | $2,265.97 | $291.57 |
| Visalia, CACalifornia | $1,917.94 | $276.10 |
| Yuba City, CACalifornia | $1,917.94 | $276.10 |
| ColoradoColorado | $1,881.28 | $287.38 |
| ConnecticutConnecticut | $1,927.13 | $313.75 |
| DelawareDelaware | $1,768.95 | $288.89 |
| Fort Lauderdale, FLFlorida | $1,858.03 | $340.53 |
| Rest of FloridaFlorida | $1,752.55 | $320.44 |
| Atlanta, GAGeorgia | $1,828.98 | $306.98 |
| Rest of GeorgiaGeorgia | $1,635.90 | $299.65 |
| Hawaii, Guam, HIHawaii | $1,980.67 | $277.41 |
| IowaIowa | $1,626.63 | $255.94 |
| IdahoIdaho | $1,638.67 | $260.48 |
| East St. Louis, ILIllinois | $1,725.65 | $347.46 |
| Rest of IllinoisIllinois | $1,689.36 | $321.65 |
| Suburban Chicago, ILIllinois | $1,878.99 | $340.51 |
| IndianaIndiana | $1,650.24 | $261.57 |
| KansasKansas | $1,615.64 | $261.42 |
| KentuckyKentucky | $1,615.61 | $283.87 |
| New Orleans, LALouisiana | $1,708.61 | $298.96 |
| Rest of LouisianaLouisiana | $1,611.85 | $286.09 |
| Metropolitan Boston, MAMassachusetts | $2,094.17 | $305.52 |
| Rest of MassachusettsMassachusetts | $1,865.90 | $288.47 |
| Baltimore area, MDMaryland | $1,921.71 | $314.32 |
| Rest of MarylandMaryland | $1,808.12 | $292.11 |
| Rest of MaineMaine | $1,647.08 | $268.89 |
| Southern Maine, MEMaine | $1,757.53 | $272.98 |
| Detroit, MIMichigan | $1,776.82 | $331.22 |
| Rest of MichiganMichigan | $1,664.86 | $297.16 |
| MinnesotaMinnesota | $1,797.46 | $255.99 |
| Metropolitan Kansas City, MOMissouri | $1,696.54 | $289.89 |
| Metropolitan St. Louis, MOMissouri | $1,718.08 | $291.95 |
| Rest of MissouriMissouri | $1,577.14 | $285.83 |
| MississippiMississippi | $1,562.32 | $272.52 |
| MontanaMontana | $1,792.18 | $294.15 |
| North CarolinaNorth Carolina | $1,668.17 | $270.51 |
| North DakotaNorth Dakota | $1,758.76 | $260.73 |
| NebraskaNebraska | $1,637.95 | $255.27 |
| New HampshireNew Hampshire | $1,848.72 | $289.27 |
| Northern New JerseyNew Jersey | $2,055.69 | $317.97 |
| Rest of New JerseyNew Jersey | $1,947.72 | $311.87 |
| New MexicoNew Mexico | $1,675.12 | $301.42 |
| NevadaNevada | $1,784.41 | $284.89 |
| NYC suburbs and Long Island, NYNew York | $2,145.32 | $364.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,959.68 | $319.34 |
| Queens, NYNew York | $2,111.06 | $340.38 |
| Rest of New YorkNew York | $1,698.10 | $274.98 |
| OhioOhio | $1,658.03 | $290.33 |
| OklahomaOklahoma | $1,614.02 | $276.28 |
| Portland, OROregon | $1,952.72 | $288.41 |
| Rest of OregonOregon | $1,769.33 | $277.30 |
| Metropolitan Philadelphia, PAPennsylvania | $1,870.05 | $310.60 |
| Rest of PennsylvaniaPennsylvania | $1,662.21 | $287.02 |
| Puerto RicoPuerto Rico | $1,808.48 | $293.97 |
| Rhode IslandRhode Island | $1,840.86 | $293.39 |
| South CarolinaSouth Carolina | $1,666.14 | $281.96 |
| TennesseeTennessee | $1,625.25 | $263.54 |
| Austin, TXTexas | $1,876.04 | $291.13 |
| Beaumont, TXTexas | $1,648.92 | $285.71 |
| Brazoria, TXTexas | $1,767.44 | $282.89 |
| Dallas, TXTexas | $1,779.77 | $287.73 |
| Fort Worth, TXTexas | $1,765.02 | $287.96 |
| Galveston, TXTexas | $1,773.24 | $285.70 |
| Houston, TXTexas | $1,804.18 | $316.63 |
| Rest of TexasTexas | $1,707.85 | $286.21 |
| UtahUtah | $1,693.63 | $285.48 |
| VirginiaVirginia | $1,749.37 | $276.81 |
| Virgin Islands, VIUnited States Virgin Islands | $1,808.48 | $293.97 |
| VermontVermont | $1,748.92 | $265.87 |
| Rest of WashingtonWashington | $1,863.31 | $285.88 |
| King County, WAWashington | $2,142.83 | $304.75 |
| WisconsinWisconsin | $1,688.20 | $253.08 |
| West VirginiaWest Virginia | $1,613.77 | $311.98 |
| WyomingWyoming | $1,777.62 | $279.59 |
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.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,451
- Code
- 36225
- Physician work
- 5.61
- Practice expense
- 46.36
- Malpractice
- 1.69
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.61 | × 1.000 | 5.6100 |
| Practice expense | 46.36 | × 1.000 | 46.3600 |
| Malpractice | 1.69 | × 0.336 | 0.5678 |
| Total RVUs | 52.5378 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$1754.81
Office: (5.61 × 1 + 46.36 × 1 + 1.69 × 0.336) × $33.4009 = $1754.81
Facility: (5.61 × 1 + 1.51 × 1 + 1.69 × 0.336) × $33.4009 = $256.78
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).
How 36225 has changed in South Dakota
36225 · Office / nonfacility
$1754.81
Effective 2026-10-01
The base rate is $267.91 higher than on 2025-10-01, moving from $1486.90 to $1754.81 (18.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$1486.90changed to$1754.81
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 5.75 changed to 5.61
- Practice expense RVU 39.58 changed to 46.36
- Malpractice RVU 1.67 changed to 1.69
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1535.64changed to$1486.90
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 39.76 changed to 39.58
- Malpractice RVU 1.63 changed to 1.67
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1510.58changed to$1535.64
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1545.40changed to$1510.58
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 39.29 changed to 39.76
- Malpractice RVU 1.55 changed to 1.63
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$1578.05changed to$1545.40
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 39.34 changed to 39.29
- Malpractice RVU 1.47 changed to 1.55
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1619.36changed to$1578.05
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 40.17 changed to 39.34
- Malpractice RVU 1.41 changed to 1.47
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1548.58changed to$1619.36
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 36.67 changed to 40.17
- Malpractice RVU 1.33 changed to 1.41
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1495.73changed to$1548.58
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 35.22 changed to 36.67
- Malpractice RVU 1.37 changed to 1.33
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1458.17changed to$1495.73
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 34.23 changed to 35.22
- Malpractice RVU 1.35 changed to 1.37
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1418.01changed to$1458.17
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 33.24 changed to 34.23
- Malpractice RVU 1.32 changed to 1.35
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1509.08changed to$1418.01
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 6.00 changed to 5.75
- Practice expense RVU 35.66 changed to 33.24
- Malpractice RVU 1.22 changed to 1.32
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1471.76changed to$1509.08
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 34.41 changed to 35.66
- Malpractice RVU 1.37 changed to 1.22
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1464.44changed to$1471.76
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1523.76changed to$1464.44
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 36.12 changed to 34.41
- Malpractice RVU 1.00 changed to 1.37
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$1547.83changed to$1523.76
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 39.04 changed to 36.12
- Malpractice RVU 1.05 changed to 1.00
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1547.83
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,754.81 | $256.78 | RVU26D |
| 2026-07-01 | $1,754.81 | $256.78 | RVU26C |
| 2026-04-01 | $1,754.81 | $256.78 | RVU26B |
| 2026-01-01 | $1,754.81 | $256.78 | RVU26A |
| 2025-10-01 | $1,486.90 | $282.64 | RVU25D |
| 2025-07-01 | $1,486.90 | $282.64 | RVU25C |
| 2025-04-01 | $1,486.90 | $282.64 | RVU25B |
| 2025-01-01 | $1,486.90 | $282.64 | RVU25A |
| 2024-10-01 | $1,535.64 | $287.69 | RVU24D |
| 2024-07-01 | $1,535.64 | $287.69 | RVU24C |
| 2024-04-01 | $1,535.64 | $287.69 | RVU24B |
| 2024-03-09 | $1,535.64 | $287.69 | RVU24AR |
| 2024-01-01 | $1,510.58 | $283.00 | RVU24A |
| 2023-10-01 | $1,545.40 | $289.54 | RVU23D |
| 2023-07-01 | $1,545.40 | $289.54 | RVU23C |
| 2023-04-01 | $1,545.40 | $289.54 | RVU23B |
| 2023-01-01 | $1,545.40 | $289.54 | RVU23A |
| 2022-10-01 | $1,578.05 | $291.73 | RVU22D |
| 2022-07-01 | $1,578.05 | $291.73 | RVU22C |
| 2022-04-01 | $1,578.05 | $291.73 | RVU22B |
| 2022-01-01 | $1,578.05 | $291.73 | RVU22A |
| 2021-10-01 | $1,619.36 | $292.03 | RVU21D |
| 2021-07-01 | $1,619.36 | $292.03 | RVU21C |
| 2021-04-01 | $1,619.36 | $292.03 | RVU21B |
| 2021-01-01 | $1,619.36 | $292.03 | RVU21A |
| 2020-10-01 | $1,548.58 | $299.88 | RVU20D |
| 2020-07-01 | $1,548.58 | $299.88 | RVU20C |
| 2020-04-01 | $1,548.58 | $299.88 | RVU20B |
| 2020-01-01 | $1,548.58 | $299.88 | RVU20A |
| 2019-10-01 | $1,495.73 | $299.95 | RVU19D |
| 2019-07-01 | $1,495.73 | $299.95 | RVU19C |
| 2019-04-01 | $1,495.73 | $299.95 | RVU19B |
| 2019-01-01 | $1,495.73 | $299.95 | RVU19A |
| 2018-10-01 | $1,458.17 | $298.26 | RVU18D |
| 2018-07-01 | $1,458.17 | $298.26 | RVU18C |
| 2018-04-01 | $1,458.17 | $298.26 | RVU18B |
| 2018-01-01 | $1,458.17 | $298.26 | RVU18AR1 |
| 2017-10-01 | $1,418.01 | $295.77 | RVU17D |
| 2017-07-01 | $1,418.01 | $295.77 | RVU17C |
| 2017-04-01 | $1,418.01 | $295.77 | RVU17B |
| 2017-01-01 | $1,418.01 | $295.77 | RVU17A |
| 2016-10-01 | $1,509.08 | $306.06 | RVU16D |
| 2016-07-01 | $1,509.08 | $306.06 | RVU16C |
| 2016-04-01 | $1,509.08 | $306.06 | RVU16B |
| 2016-01-01 | $1,509.08 | $306.06 | RVU16A |
| 2015-10-01 | $1,471.76 | $308.96 | RVU15D |
| 2015-07-01 | $1,471.76 | $308.96 | RVU15C |
| 2015-04-01 | $1,464.44 | $307.42 | RVU15B |
| 2015-01-01 | $1,464.44 | $307.42 | RVU15A |
| 2014-10-01 | $1,523.76 | $305.07 | RVU14D |
| 2014-07-01 | $1,523.76 | $305.07 | RVU14C |
| 2014-04-01 | $1,523.76 | $305.07 | RVU14B |
| 2014-01-01 | $1,523.76 | $305.07 | RVU14A |
| 2013-10-01 | $1,547.83 | $296.12 | RVU13D |
| 2013-07-01 | $1,547.83 | $296.12 | RVU13C |
| 2013-04-01 | $1,547.83 | $296.12 | RVU13B |
| 2013-01-01 | $1,547.83 | $296.12 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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
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