CPT code 36600: Arterial blood draw, percutaneous puncture2026 Medicare rate & RVUs in Kansas
Reports a percutaneous arterial puncture to collect blood, commonly for blood-gas testing when an arterial specimen is clinically needed.
In Kansas, Medicare pays $25.49 for 36600 in the office and $12.50 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36600 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 36600 covers
This service covers obtaining an arterial specimen by puncturing an artery, commonly the radial artery, with a needle. It is often performed at the bedside in an emergency department, hospital, or outpatient setting when arterial blood is needed for blood-gas or other diagnostic testing. A physician or other qualified clinician may perform the collection; the laboratory analysis is a separate service.
Report the puncture when arterial blood is actually collected, not for venous sampling or simply because an arterial catheter is present. Documentation should identify the reason for arterial sampling and support that an arterial specimen was obtained. Report the applicable laboratory analysis separately when performed and separately reportable. Under the CMS multiple-procedure reduction rule, when this service is performed in the same session as other procedures subject to that reduction, the highest-valued procedure is paid in full and the others are paid at 50%.
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 Kansas compares for 36600
Across 109 of 109 payment localities, the office rate for 36600 runs from $24.76 in Arkansas to $35.45 in San Benito County, CA. Kansas pays $25.49. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Kansas · this page$25.49
- Los Angeles, CA · California$30.58+$5.09
- Washington, DC area · District of Columbia$30.94+$5.45
- Miami, FL · Florida$29.08+$3.59
- Chicago, IL · Illinois$28.41+$2.92
- Manhattan, NY · New York$31.09+$5.60
- Alaska · Alaska$33.33+$7.84
Other areas in Kansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $25.05 | $12.49 |
| ArkansasArkansas | $24.76 | $12.42 |
| ArizonaArizona | $26.79 | $12.87 |
| Bakersfield, CACalifornia | $28.90 | $13.15 |
| Chico, CACalifornia | $28.83 | $13.08 |
| El Centro, CACalifornia | $28.83 | $13.09 |
| Fresno, CACalifornia | $28.83 | $13.08 |
| Hanford, CACalifornia | $28.83 | $13.08 |
| Madera, CACalifornia | $28.83 | $13.08 |
| Merced, CACalifornia | $28.83 | $13.08 |
| Modesto, CACalifornia | $28.83 | $13.08 |
| Napa, CACalifornia | $32.92 | $13.99 |
| Oxnard, CACalifornia | $30.41 | $13.43 |
| Redding, CACalifornia | $28.83 | $13.08 |
| Rest of CaliforniaCalifornia | $28.83 | $13.08 |
| Riverside, CACalifornia | $29.05 | $13.31 |
| Sacramento, CACalifornia | $30.12 | $13.42 |
| Salinas, CACalifornia | $30.00 | $13.36 |
| San Diego, CACalifornia | $30.60 | $13.42 |
| Marin County, CACalifornia | $34.72 | $14.47 |
| San Francisco, CACalifornia | $34.70 | $14.45 |
| San Benito County, CACalifornia | $35.45 | $14.74 |
| Santa Clara County, CACalifornia | $35.36 | $14.65 |
| San Luis Obispo, CACalifornia | $29.53 | $13.17 |
| Santa Cruz, CACalifornia | $30.82 | $13.36 |
| Santa Maria, CACalifornia | $30.09 | $13.34 |
| Santa Rosa, CACalifornia | $31.12 | $13.48 |
| Stockton, CACalifornia | $28.83 | $13.08 |
| Vallejo, CACalifornia | $32.88 | $13.95 |
| Visalia, CACalifornia | $28.83 | $13.08 |
| Yuba City, CACalifornia | $28.83 | $13.08 |
| ColoradoColorado | $28.41 | $13.13 |
| ConnecticutConnecticut | $29.00 | $13.53 |
| DelawareDelaware | $27.18 | $12.99 |
| Fort Lauderdale, FLFlorida | $28.14 | $13.59 |
| Rest of FloridaFlorida | $27.00 | $13.27 |
| Atlanta, GAGeorgia | $27.82 | $13.22 |
| Rest of GeorgiaGeorgia | $25.75 | $12.94 |
| Hawaii, Guam, HIHawaii | $29.35 | $13.02 |
| IowaIowa | $25.59 | $12.45 |
| IdahoIdaho | $25.73 | $12.51 |
| East St. Louis, ILIllinois | $26.76 | $13.54 |
| Rest of IllinoisIllinois | $26.34 | $13.23 |
| Suburban Chicago, ILIllinois | $28.42 | $13.67 |
| IndianaIndiana | $25.85 | $12.54 |
| KentuckyKentucky | $25.52 | $12.75 |
| New Orleans, LALouisiana | $26.51 | $13.00 |
| Rest of LouisianaLouisiana | $25.48 | $12.77 |
| Metropolitan Boston, MAMassachusetts | $30.91 | $13.77 |
| Rest of MassachusettsMassachusetts | $28.29 | $13.16 |
| Baltimore area, MDMaryland | $28.91 | $13.50 |
| Rest of MarylandMaryland | $27.63 | $13.10 |
| Rest of MaineMaine | $25.83 | $12.61 |
| Southern Maine, MEMaine | $26.99 | $12.76 |
| Detroit, MIMichigan | $27.27 | $13.41 |
| Rest of MichiganMichigan | $26.05 | $12.94 |
| MinnesotaMinnesota | $27.39 | $12.61 |
| Metropolitan Kansas City, MOMissouri | $26.38 | $12.89 |
| Metropolitan St. Louis, MOMissouri | $26.60 | $12.93 |
| Rest of MissouriMissouri | $25.11 | $12.73 |
| MississippiMississippi | $24.94 | $12.57 |
| MontanaMontana | $27.39 | $13.03 |
| North CarolinaNorth Carolina | $26.05 | $12.65 |
| North DakotaNorth Dakota | $26.99 | $12.63 |
| NebraskaNebraska | $25.71 | $12.46 |
| New HampshireNew Hampshire | $27.98 | $13.03 |
| Northern New JerseyNew Jersey | $30.71 | $14.04 |
| Rest of New JerseyNew Jersey | $29.37 | $13.69 |
| New MexicoNew Mexico | $26.16 | $12.99 |
| NevadaNevada | $27.29 | $12.92 |
| NYC suburbs and Long Island, NYNew York | $31.72 | $14.64 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $29.55 | $13.82 |
| Queens, NYNew York | $31.33 | $14.35 |
| Rest of New YorkNew York | $26.37 | $12.73 |
| OhioOhio | $25.97 | $12.86 |
| OklahomaOklahoma | $25.49 | $12.66 |
| Portland, OROregon | $29.20 | $13.24 |
| Rest of OregonOregon | $27.12 | $12.82 |
| Metropolitan Philadelphia, PAPennsylvania | $28.38 | $13.42 |
| Rest of PennsylvaniaPennsylvania | $26.01 | $12.83 |
| Puerto RicoPuerto Rico | $27.56 | $13.04 |
| Rhode IslandRhode Island | $28.05 | $13.22 |
| South CarolinaSouth Carolina | $26.04 | $12.77 |
| South DakotaSouth Dakota | $26.95 | $12.58 |
| TennesseeTennessee | $25.59 | $12.53 |
| Austin, TXTexas | $28.28 | $13.09 |
| Beaumont, TXTexas | $25.87 | $12.80 |
| Brazoria, TXTexas | $27.18 | $12.94 |
| Dallas, TXTexas | $27.32 | $13.02 |
| Fort Worth, TXTexas | $27.17 | $13.01 |
| Galveston, TXTexas | $27.24 | $12.98 |
| Houston, TXTexas | $27.61 | $13.35 |
| Rest of TexasTexas | $26.49 | $12.86 |
| UtahUtah | $26.34 | $12.84 |
| VirginiaVirginia | $26.91 | $12.80 |
| Virgin Islands, VIUnited States Virgin Islands | $27.56 | $13.04 |
| VermontVermont | $26.90 | $12.68 |
| Rest of WashingtonWashington | $28.23 | $13.11 |
| King County, WAWashington | $31.50 | $13.88 |
| WisconsinWisconsin | $26.24 | $12.48 |
| West VirginiaWest Virginia | $25.53 | $13.05 |
| WyomingWyoming | $27.22 | $12.85 |
36600 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.
$24.76
$33.33
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 | $33.33 | 1 |
| AL | $25.05 | 1 |
| AR | $24.76 | 1 |
| AZ | $26.79 | 1 |
| CA | $28.83–$35.45 | 29 |
| CO | $28.41 | 1 |
| CT | $29.00 | 1 |
| DC | $30.94 | 1 |
| DE | $27.18 | 1 |
| FL | $27.00–$29.08 | 3 |
| GA | $25.75–$27.82 | 2 |
| GU | $29.35 | 1 |
| HI | $29.35 | 1 |
| IA | $25.59 | 1 |
| ID | $25.73 | 1 |
| IL | $26.34–$28.42 | 4 |
| IN | $25.85 | 1 |
| KS | $25.49 | 1 |
| KY | $25.52 | 1 |
| LA | $25.48–$26.51 | 2 |
| MA | $28.29–$30.91 | 2 |
| MD | $27.63–$30.94 | 3 |
| ME | $25.83–$26.99 | 2 |
| MI | $26.05–$27.27 | 2 |
| MN | $27.39 | 1 |
| MO | $25.11–$26.60 | 3 |
| MS | $24.94 | 1 |
| MT | $27.39 | 1 |
| NC | $26.05 | 1 |
| ND | $26.99 | 1 |
| NE | $25.71 | 1 |
| NH | $27.98 | 1 |
| NJ | $29.37–$30.71 | 2 |
| NM | $26.16 | 1 |
| NV | $27.29 | 1 |
| NY | $26.37–$31.72 | 5 |
| OH | $25.97 | 1 |
| OK | $25.49 | 1 |
| OR | $27.12–$29.20 | 2 |
| PA | $26.01–$28.38 | 2 |
| PR | $27.56 | 1 |
| RI | $28.05 | 1 |
| SC | $26.04 | 1 |
| SD | $26.95 | 1 |
| TN | $25.59 | 1 |
| TX | $25.87–$28.28 | 8 |
| UT | $26.34 | 1 |
| VA | $26.91–$30.94 | 2 |
| VI | $27.56 | 1 |
| VT | $26.90 | 1 |
| WA | $28.23–$31.50 | 2 |
| WI | $26.24 | 1 |
| WV | $25.53 | 1 |
| WY | $27.22 | 1 |
How the 36600 rate is calculated
Each of 36600’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 · 36600
RVUs × geographic indexes × conversion factor
Work0.31
0.31 RVUs× 1.000 GPCI
Practice expense0.49
0.49 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.8200
Conversion factor
$33.4009
Medicare rate
$27.39
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Kansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,537
- Code
- 36600
- Physician work
- 0.31
- Practice expense
- 0.49
- Malpractice
- 0.02
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.31 | × 1.000 | 0.3100 |
| Practice expense | 0.49 | × 0.904 | 0.4430 |
| Malpractice | 0.02 | × 0.504 | 0.0101 |
| Total RVUs | 0.7630 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Kansas$25.49
Office: (0.31 × 1 + 0.49 × 0.904 + 0.02 × 0.504) × $33.4009 = $25.49
Facility: (0.31 × 1 + 0.06 × 0.904 + 0.02 × 0.504) × $33.4009 = $12.50
Payment rules and modifiers for 36600
The CMS indicators that decide how 36600 is paid alongside other services.
CMS payment indicators · 36600
Arterial blood draw, percutaneous puncture
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 51 · payment effect
With and without the modifier
36600 without 51 · national office
$27.39
Arterial blood draw, percutaneous puncture
36600-51 · Second procedure: 50%
$13.70
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%).
How 36600 has changed in Kansas
36600 · Office / nonfacility
$25.49
Effective 2026-10-01
The base rate is $0.72 higher than on 2025-10-01, moving from $24.77 to $25.49 (2.9%).
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
$24.77changed to$25.49
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.32 changed to 0.31
- Practice expense RVU 0.48 changed to 0.49
- Practice expense GPCI 0.906 changed to 0.904
- Malpractice GPCI 0.540 changed to 0.504
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$25.49changed to$24.77
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$25.07changed to$25.49
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$25.94changed to$25.07
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.907 changed to 0.906
- Malpractice GPCI 0.499 changed to 0.540
January 1, 2023
RVU23A
$27.10changed to$25.94
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.49 changed to 0.48
- Malpractice RVU 0.04 changed to 0.02
- Practice expense GPCI 0.908 changed to 0.907
- Malpractice GPCI 0.458 changed to 0.499
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$27.96changed to$27.10
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.51 changed to 0.49
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$28.88changed to$27.96
- Conversion factor 36.0896 changed to 34.8931
- Malpractice RVU 0.03 changed to 0.04
- Practice expense GPCI 0.910 changed to 0.908
- Malpractice GPCI 0.536 changed to 0.458
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$29.27changed to$28.88
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.52 changed to 0.51
- Practice expense GPCI 0.911 changed to 0.910
- Malpractice GPCI 0.615 changed to 0.536
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$31.21changed to$29.27
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.58 changed to 0.52
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$29.85changed to$31.21
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.55 changed to 0.58
- Malpractice RVU 0.02 changed to 0.03
- Practice expense GPCI 0.907 changed to 0.911
- Malpractice GPCI 0.639 changed to 0.615
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$29.95changed to$29.85
- Conversion factor 35.8043 changed to 35.8887
- Malpractice RVU 0.03 changed to 0.02
- Practice expense GPCI 0.903 changed to 0.907
- Malpractice GPCI 0.662 changed to 0.639
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$30.15changed to$29.95
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.56 changed to 0.55
- Malpractice RVU 0.02 changed to 0.03
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$30.00changed to$30.15
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$29.40changed to$30.00
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.53 changed to 0.56
- Malpractice RVU 0.03 changed to 0.02
- Practice expense GPCI 0.899 changed to 0.903
- Malpractice GPCI 0.810 changed to 0.662
Held through RVU15B.
January 1, 2014
RVU14A
$29.81changed to$29.40
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.59 changed to 0.53
- Practice expense GPCI 0.894 changed to 0.899
- Malpractice GPCI 0.957 changed to 0.810
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $29.81
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $25.49 | $12.50 | RVU26D |
| 2026-07-01 | $25.49 | $12.50 | RVU26C |
| 2026-04-01 | $25.49 | $12.50 | RVU26B |
| 2026-01-01 | $25.49 | $12.50 | RVU26A |
| 2025-10-01 | $24.77 | $13.63 | RVU25D |
| 2025-07-01 | $24.77 | $13.63 | RVU25C |
| 2025-04-01 | $24.77 | $13.63 | RVU25B |
| 2025-01-01 | $24.77 | $13.63 | RVU25A |
| 2024-10-01 | $25.49 | $14.03 | RVU24D |
| 2024-07-01 | $25.49 | $14.03 | RVU24C |
| 2024-04-01 | $25.49 | $14.03 | RVU24B |
| 2024-03-09 | $25.49 | $14.03 | RVU24AR |
| 2024-01-01 | $25.07 | $13.80 | RVU24A |
| 2023-10-01 | $25.94 | $14.26 | RVU23D |
| 2023-07-01 | $25.94 | $14.26 | RVU23C |
| 2023-04-01 | $25.94 | $14.26 | RVU23B |
| 2023-01-01 | $25.94 | $14.26 | RVU23A |
| 2022-10-01 | $27.10 | $14.85 | RVU22D |
| 2022-07-01 | $27.10 | $14.85 | RVU22C |
| 2022-04-01 | $27.10 | $14.85 | RVU22B |
| 2022-01-01 | $27.10 | $14.85 | RVU22A |
| 2021-10-01 | $27.96 | $14.97 | RVU21D |
| 2021-07-01 | $27.96 | $14.97 | RVU21C |
| 2021-04-01 | $27.96 | $14.97 | RVU21B |
| 2021-01-01 | $27.96 | $14.97 | RVU21A |
| 2020-10-01 | $28.88 | $15.41 | RVU20D |
| 2020-07-01 | $28.88 | $15.41 | RVU20C |
| 2020-04-01 | $28.88 | $15.41 | RVU20B |
| 2020-01-01 | $28.88 | $15.41 | RVU20A |
| 2019-10-01 | $29.27 | $15.48 | RVU19D |
| 2019-07-01 | $29.27 | $15.48 | RVU19C |
| 2019-04-01 | $29.27 | $15.48 | RVU19B |
| 2019-01-01 | $29.27 | $15.48 | RVU19A |
| 2018-10-01 | $31.21 | $15.46 | RVU18D |
| 2018-07-01 | $31.21 | $15.46 | RVU18C |
| 2018-04-01 | $31.21 | $15.46 | RVU18B |
| 2018-01-01 | $31.21 | $15.46 | RVU18AR1 |
| 2017-10-01 | $29.85 | $15.20 | RVU17D |
| 2017-07-01 | $29.85 | $15.20 | RVU17C |
| 2017-04-01 | $29.85 | $15.20 | RVU17B |
| 2017-01-01 | $29.85 | $15.20 | RVU17A |
| 2016-10-01 | $29.95 | $15.40 | RVU16D |
| 2016-07-01 | $29.95 | $15.40 | RVU16C |
| 2016-04-01 | $29.95 | $15.40 | RVU16B |
| 2016-01-01 | $29.95 | $15.40 | RVU16A |
| 2015-10-01 | $30.15 | $15.22 | RVU15D |
| 2015-07-01 | $30.15 | $15.22 | RVU15C |
| 2015-04-01 | $30.00 | $15.14 | RVU15B |
| 2015-01-01 | $30.00 | $15.14 | RVU15A |
| 2014-10-01 | $29.40 | $15.55 | RVU14D |
| 2014-07-01 | $29.40 | $15.55 | RVU14C |
| 2014-04-01 | $29.40 | $15.55 | RVU14B |
| 2014-01-01 | $29.40 | $15.55 | RVU14A |
| 2013-10-01 | $29.81 | $15.21 | RVU13D |
| 2013-07-01 | $29.81 | $15.21 | RVU13C |
| 2013-04-01 | $29.81 | $15.21 | RVU13B |
| 2013-01-01 | $29.81 | $15.21 | RVU13AR |
Where the Kansas rate applies
Kansas is a Medicare payment area, not a city. Our Census mapping connects it to 740 cities and communities in Kansas. Some span more than one payment area; confirm with the service ZIP.
- Abbyville
- Abilene
- Ada
- Admire
- Agenda
- Agra
- Albert
- Alden
36600 billing questions
When should 36600 be reported instead of 36620?
Use 36600 for a percutaneous arterial puncture to collect a specimen. Code 36620 describes placement of an arterial catheter, generally for ongoing access or monitoring.
Does 36600 include blood-gas analysis?
No. The puncture collects the specimen; report the applicable laboratory analysis separately when performed and separately reportable.
Is 36600 reported for venous blood collection?
No. It represents collection from an artery; venous collection is coded according to the venipuncture service performed.
How many units should be reported for multiple tests from one draw?
The code represents the arterial collection, not each analyte tested. Do not count separate blood-gas results as separate arterial punctures.
How does the multiple-procedure reduction affect 36600?
When the reduction applies to procedures performed in the same session, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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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