CPT code 36425: Venous cutdown, age 1 year or older2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $35.69 for 36425 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 36425 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 36425 covers

This service involves making an incision to expose a vein and obtain venous access in a patient age one year or older. It may be used when access is needed but a vein cannot be reached by ordinary percutaneous venipuncture. Physicians or other qualified clinicians perform it in settings equipped for procedural vascular access, including hospitals and offices.

Report 36425 when the documented method is a cutdown, not simply a difficult needle puncture. The record should support the patient’s age and describe the incision, vein exposure, and access performed. A routine blood draw or specimen collection alone does not describe this service. Under the CMS multiple-procedure rule, when this and other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to a 50% reduction.

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 Washington, DC area compares for 36425

Across 109 of 109 payment localities, the facility rate for 36425 runs from $30.76 in Wisconsin to $44.42 in Alaska. Washington, DC area pays $35.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

36425 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 36425 in every payment locality

How the 36425 rate is calculated

Each of 36425’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.

Payment rules and modifiers for 36425

The CMS indicators that decide how 36425 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 36425

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

How 36425 has changed in Washington, DC area

Price 36425 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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

Open CMS sourceHow we calculate rates