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CPT code 36600: Arterial blood draw, percutaneous puncture2026 Medicare rate & RVUs in Nevada

Reports a percutaneous arterial puncture to collect blood, commonly for blood-gas testing when an arterial specimen is clinically needed.

CMS RVU26DEffective Oct 1, 2026One payment locality9K Medicare services in 2024

In Nevada, Medicare pays $27.29 for 36600 in the office and $12.92 when it’s performed in a hospital or facility.

$27.29Office (non-facility)
$12.92Hospital or facility
−0.4%vs the national office rate ($27.39)

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.

We’ll open 36600 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 36600 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 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 Nevada 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. Nevada pays $27.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

36600 in Nevada vs other payment areas
  1. Nevada · this page$27.29
  2. Los Angeles, CA · California$30.58+$3.29
  3. Washington, DC area · District of Columbia$30.94+$3.65
  4. Miami, FL · Florida$29.08+$1.79
  5. Chicago, IL · Illinois$28.41+$1.12
  6. Manhattan, NY · New York$31.09+$3.80
  7. Alaska · Alaska$33.33+$6.04

Other areas in Nevada first, then benchmark localities. Bars start at $0.

Every other payment area

36600 in every other Medicare payment locality
Payment localityOfficeFacility
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

36600 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
36600 office rate range by state
State / territoryOffice rate rangeLocalities
AK$33.331
AL$25.051
AR$24.761
AZ$26.791
CA$28.83–$35.4529
CO$28.411
CT$29.001
DC$30.941
DE$27.181
FL$27.00–$29.083
GA$25.75–$27.822
GU$29.351
HI$29.351
IA$25.591
ID$25.731
IL$26.34–$28.424
IN$25.851
KS$25.491
KY$25.521
LA$25.48–$26.512
MA$28.29–$30.912
MD$27.63–$30.943
ME$25.83–$26.992
MI$26.05–$27.272
MN$27.391
MO$25.11–$26.603
MS$24.941
MT$27.391
NC$26.051
ND$26.991
NE$25.711
NH$27.981
NJ$29.37–$30.712
NM$26.161
NV$27.291
NY$26.37–$31.725
OH$25.971
OK$25.491
OR$27.12–$29.202
PA$26.01–$28.382
PR$27.561
RI$28.051
SC$26.041
SD$26.951
TN$25.591
TX$25.87–$28.288
UT$26.341
VA$26.91–$30.942
VI$27.561
VT$26.901
WA$28.23–$31.502
WI$26.241
WV$25.531
WY$27.221

See 36600 in every payment locality

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

Office or facility?

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 Nevada 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

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 36600 in Nevada
ComponentRVULocality factorAdjusted
Physician work0.31× 1.0000.3100
Practice expense0.49× 1.0010.4905
Malpractice0.02× 0.8330.0167
Total RVUs0.8171
Conversion factor× 33.4009

Office rate, Nevada$27.29

Office: (0.31 × 1 + 0.49 × 1.001 + 0.02 × 0.833) × $33.4009 = $27.29

Facility: (0.31 × 1 + 0.06 × 1.001 + 0.02 × 0.833) × $33.4009 = $12.92

Open 36600 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
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

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%).

When to use modifier 51

Codes related to 36600

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

Codes related to 36600
CodeHow it relatesOffice range, Nevada
Used instead
36620Arterial catheter, percutaneous placementArterial catheter placement supports ongoing access or monitoring rather than a puncture for specimen collection.No office rate
36410Skilled venipuncture, age three or olderVenipuncture is used when the diagnostic specimen is collected from a vein rather than an artery.$18.94
Often billed with
82803Blood gases, calculated oxygen saturationBlood-gas analysis may be reported for the arterial specimen when performed and separately reportable.$26.07

How 36600 has changed in Nevada

36600 · Office / nonfacility

$27.29

Effective 2026-10-01

The base rate is $0.87 higher than on 2025-10-01, moving from $26.42 to $27.29 (3.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $26.42changed to$27.29

    • 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 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $27.19changed to$26.42

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $26.75changed to$27.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $27.85changed to$26.75

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $29.96changed to$27.85

    • 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
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $30.90changed to$29.96

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.51 changed to 0.49

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $31.22changed to$30.90

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.03 changed to 0.04
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $31.60changed to$31.22

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.52 changed to 0.51
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $33.76changed to$31.60

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.58 changed to 0.52

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $32.62changed to$33.76

    • 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
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $33.27changed to$32.62

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice RVU 0.03 changed to 0.02
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $33.41changed to$33.27

    • 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.

  13. July 1, 2015

    RVU15C

    $33.24changed to$33.41

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $32.69changed to$33.24

    • 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
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $33.38changed to$32.69

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.59 changed to 0.53
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$33.38

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$27.29$12.92RVU26D
2026-07-01$27.29$12.92RVU26C
2026-04-01$27.29$12.92RVU26B
2026-01-01$27.29$12.92RVU26A
2025-10-01$26.42$14.13RVU25D
2025-07-01$26.42$14.13RVU25C
2025-04-01$26.42$14.13RVU25B
2025-01-01$26.42$14.13RVU25A
2024-10-01$27.19$14.54RVU24D
2024-07-01$27.19$14.54RVU24C
2024-04-01$27.19$14.54RVU24B
2024-03-09$27.19$14.54RVU24AR
2024-01-01$26.75$14.31RVU24A
2023-10-01$27.85$14.98RVU23D
2023-07-01$27.85$14.98RVU23C
2023-04-01$27.85$14.98RVU23B
2023-01-01$27.85$14.98RVU23A
2022-10-01$29.96$16.46RVU22D
2022-07-01$29.96$16.46RVU22C
2022-04-01$29.96$16.46RVU22B
2022-01-01$29.96$16.46RVU22A
2021-10-01$30.90$16.60RVU21D
2021-07-01$30.90$16.60RVU21C
2021-04-01$30.90$16.60RVU21B
2021-01-01$30.90$16.60RVU21A
2020-10-01$31.22$16.43RVU20D
2020-07-01$31.22$16.43RVU20C
2020-04-01$31.22$16.43RVU20B
2020-01-01$31.22$16.43RVU20A
2019-10-01$31.60$16.20RVU19D
2019-07-01$31.60$16.20RVU19C
2019-04-01$31.60$16.20RVU19B
2019-01-01$31.60$16.20RVU19A
2018-10-01$33.76$16.19RVU18D
2018-07-01$33.76$16.19RVU18C
2018-04-01$33.76$16.19RVU18B
2018-01-01$33.76$16.19RVU18AR1
2017-10-01$32.62$15.92RVU17D
2017-07-01$32.62$15.92RVU17C
2017-04-01$32.62$15.92RVU17B
2017-01-01$32.62$15.92RVU17A
2016-10-01$33.27$16.33RVU16D
2016-07-01$33.27$16.33RVU16C
2016-04-01$33.27$16.33RVU16B
2016-01-01$33.27$16.33RVU16A
2015-10-01$33.41$16.04RVU15D
2015-07-01$33.41$16.04RVU15C
2015-04-01$33.24$15.96RVU15B
2015-01-01$33.24$15.96RVU15A
2014-10-01$32.69$16.44RVU14D
2014-07-01$32.69$16.44RVU14C
2014-04-01$32.69$16.44RVU14B
2014-01-01$32.69$16.44RVU14A
2013-10-01$33.38$16.10RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 36600 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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
RVUs for 36600PPRRVU2026_Oct_nonQPP.csv, line 4,537 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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