CPT code 36500: Venous sampling, selective organ blood samples2026 Medicare rate & RVUs in Washington, DC area

Reports catheterization of selected organ-draining veins to collect blood samples, such as adrenal vein samples used in evaluation of primary aldosteronism.

CMS RVU26DEffective Oct 1, 2026One payment locality3.3K Medicare services in 2024

In Washington, DC area, Medicare pays $173.24 for 36500 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$173.24Hospital or facility

Check a contract rate as a % of Medicare · 36500 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 36500 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 36500 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 36500 covers

A physician advances a catheter through the venous system into veins draining a selected organ and obtains blood samples for diagnostic testing. Interventional radiologists commonly perform this procedure in a hospital or outpatient setting. Adrenal vein sampling is a familiar example: samples from the adrenal veins help evaluate hormone production in a patient being assessed for primary aldosteronism.

Report 36500 for the selective organ-sampling catheterization, not for routine venous access or placement of a catheter for ongoing infusion. Documentation should identify the clinical purpose, target veins, catheterization performed, and samples obtained. Radiological supervision and interpretation may be separately represented by 75893 when supported. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and 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 Washington, DC area compares for 36500

Across 109 of 109 payment localities, the facility rate for 36500 runs from $143.84 in Wisconsin to $208.93 in Alaska. Washington, DC area pays $173.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

36500 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$173.24
  2. Los Angeles, CA · California$161.83−$11.41
  3. Miami, FL · Florida$195.51+$22.27
  4. Chicago, IL · Illinois$190.22+$16.98
  5. Manhattan, NY · New York$184.59+$11.35
  6. Alaska · Alaska$208.93+$35.69
  7. Alabama · Alabama$147.65−$25.59

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

36500 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$146.13
ArizonaArizona—$156.37
Bakersfield, CACalifornia—$156.02
Chico, CACalifornia—$154.16
El Centro, CACalifornia—$154.27
Fresno, CACalifornia—$154.16
Hanford, CACalifornia—$154.16
Madera, CACalifornia—$154.16

36500 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
36500 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 36500 in every payment locality

How the 36500 rate is calculated

Each of 36500’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 · 36500

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.42

3.42 RVUs× 1.000 GPCI

Practice expense0.71

0.71 RVUs× 1.000 GPCI

Malpractice0.67

0.67 RVUs× 1.000 GPCI

Adjusted RVUs

4.8000

Conversion factor

$33.4009

Medicare rate

$160.32

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,495

Code
36500
Physician work
3.42
Practice expense
0.71
Malpractice
0.67

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 36500 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work3.42× 1.0543.6047
Practice expense0.71× 1.1780.8364
Malpractice0.67× 1.1130.7457
Total RVUs5.1868
Conversion factor× 33.4009

Facility rate, Washington, DC area$173.24

Facility: (3.42 × 1.054 + 0.71 × 1.178 + 0.67 × 1.113) × $33.4009 = $173.24

Open 36500 in the RVU calculator

Payment rules and modifiers for 36500

The CMS indicators that decide how 36500 is paid alongside other services.

CMS payment indicators · 36500

Venous sampling, selective organ blood samples

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)0The 150% bilateral adjustment doesn’t apply.
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 51 · payment effect

With and without the modifier

36500 without 51 · national facility

$160.32

Venous sampling, selective organ blood samples

36500-51 · Second procedure: 50%

$80.16

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 36500 has changed in Washington, DC area

36500 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$173.24RVU26D
2026-07-01Not available in this setting$173.24RVU26C
2026-04-01Not available in this setting$173.24RVU26B
2026-01-01Not available in this setting$173.24RVU26A
2025-10-01Not available in this setting$191.60RVU25D
2025-07-01Not available in this setting$191.60RVU25C
2025-04-01Not available in this setting$191.60RVU25B
2025-01-01Not available in this setting$191.60RVU25A
2024-10-01Not available in this setting$195.18RVU24D
2024-07-01Not available in this setting$195.18RVU24C
2024-04-01Not available in this setting$195.18RVU24B
2024-03-09Not available in this setting$195.18RVU24AR
2024-01-01Not available in this setting$191.99RVU24A
2023-10-01Not available in this setting$200.03RVU23D
2023-07-01Not available in this setting$200.03RVU23C
2023-04-01Not available in this setting$200.03RVU23B
2023-01-01Not available in this setting$200.03RVU23A
2022-10-01Not available in this setting$206.30RVU22D
2022-07-01Not available in this setting$206.30RVU22C
2022-04-01Not available in this setting$206.30RVU22B
2022-01-01Not available in this setting$206.30RVU22A
2021-10-01Not available in this setting$207.97RVU21D
2021-07-01Not available in this setting$207.97RVU21C
2021-04-01Not available in this setting$207.97RVU21B
2021-01-01Not available in this setting$207.97RVU21A
2020-10-01Not available in this setting$212.53RVU20D
2020-07-01Not available in this setting$212.53RVU20C
2020-04-01Not available in this setting$212.53RVU20B
2020-01-01Not available in this setting$212.53RVU20A
2019-10-01Not available in this setting$211.14RVU19D
2019-07-01Not available in this setting$211.14RVU19C
2019-04-01Not available in this setting$211.14RVU19B
2019-01-01Not available in this setting$211.14RVU19A
2018-10-01Not available in this setting$211.34RVU18D
2018-07-01Not available in this setting$211.34RVU18C
2018-04-01Not available in this setting$211.34RVU18B
2018-01-01Not available in this setting$211.34RVU18AR1
2017-10-01Not available in this setting$210.82RVU17D
2017-07-01Not available in this setting$210.82RVU17C
2017-04-01Not available in this setting$210.82RVU17B
2017-01-01Not available in this setting$210.82RVU17A
2016-10-01Not available in this setting$210.87RVU16D
2016-07-01Not available in this setting$210.87RVU16C
2016-04-01Not available in this setting$210.87RVU16B
2016-01-01Not available in this setting$210.87RVU16A
2015-10-01Not available in this setting$210.33RVU15D
2015-07-01Not available in this setting$210.33RVU15C
2015-04-01Not available in this setting$209.28RVU15B
2015-01-01Not available in this setting$209.28RVU15A
2014-10-01Not available in this setting$206.14RVU14D
2014-07-01Not available in this setting$206.14RVU14C
2014-04-01Not available in this setting$206.14RVU14B
2014-01-01Not available in this setting$206.14RVU14A
2013-10-01Not available in this setting$197.41RVU13D
2013-07-01Not available in this setting$197.41RVU13C
2013-04-01Not available in this setting$197.41RVU13B
2013-01-01Not available in this setting$197.41RVU13AR

Price 36500 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

36500 billing questions

When is 36500 appropriate instead of a central venous catheter insertion code?

Use 36500 when the catheter is selectively advanced to organ-draining veins to collect diagnostic blood samples. A central venous catheter insertion code describes placement of central access, not selective organ sampling.

Can radiological supervision and interpretation be reported separately?

Code 75893 represents radiological supervision and interpretation for venous sampling through a catheter. Report it when the imaging service is performed and documentation supports it.

Should modifier 50 be appended when sampling both adrenal veins?

No. CMS identifies bilateral adjustment as inappropriate for 36500; sampling both sides does not make modifier 50 appropriate.

What documentation supports 36500?

Document the diagnostic purpose, the organ-draining veins selected, the catheterization performed, and the blood samples obtained. For adrenal vein sampling, the record should show the sampled adrenal veins.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. CMS also restricts assistant-at-surgery payment and does not permit co-surgeons or team surgery for this code.

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 36500PPRRVU2026_Oct_nonQPP.csv, line 4,495 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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