CPT code 36620: Arterial catheter, percutaneous placement2026 Medicare rate & RVUs in Puerto Rico
Report percutaneous arterial catheter placement for invasive pressure monitoring or arterial sampling, such as an arterial line placed during critical care or surgery.
In Puerto Rico, Medicare pays $40.77 for 36620 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 36620 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 36620 covers
This service covers placing an arterial catheter through the skin for ongoing pressure monitoring or repeated arterial sampling. Anesthesia professionals, intensivists, and other clinicians commonly place an arterial line in an operating room or intensive care setting when continuous blood-pressure data or ready access for blood-gas sampling is needed. The percutaneous method distinguishes this service from placement using an open cutdown.
Select the code when the clinician places the catheter percutaneously, rather than for a one-time arterial blood draw alone. The record should support the reason for access, the arterial site, and catheter placement. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. Medicare does not pay assistant-at-surgery services for this code; 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 Puerto Rico compares for 36620
Across 109 of 109 payment localities, the facility rate for 36620 runs from $38.68 in Iowa to $56.26 in Alaska. Puerto Rico pays $40.77. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$40.77
- Los Angeles, CA · California$42.17+$1.40
- Washington, DC area · District of Columbia$43.77+$3.00
- Miami, FL · Florida$45.05+$4.28
- Chicago, IL · Illinois$44.47+$3.70
- Manhattan, NY · New York$45.28+$4.51
- Alaska · Alaska$56.26+$15.49
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $38.92 |
| ArkansasArkansas | — | $38.70 |
| ArizonaArizona | — | $40.20 |
| Bakersfield, CACalifornia | — | $40.84 |
| Chico, CACalifornia | — | $40.58 |
| El Centro, CACalifornia | — | $40.59 |
| Fresno, CACalifornia | — | $40.58 |
| Hanford, CACalifornia | — | $40.58 |
| Madera, CACalifornia | — | $40.58 |
| Merced, CACalifornia | — | $40.58 |
| Modesto, CACalifornia | — | $40.58 |
| Napa, CACalifornia | — | $43.20 |
| Oxnard, CACalifornia | — | $41.63 |
| Redding, CACalifornia | — | $40.58 |
| Rest of CaliforniaCalifornia | — | $40.58 |
| Riverside, CACalifornia | — | $41.46 |
| Sacramento, CACalifornia | — | $41.56 |
| Salinas, CACalifornia | — | $41.37 |
| San Diego, CACalifornia | — | $41.55 |
| Marin County, CACalifornia | — | $44.60 |
| San Francisco, CACalifornia | — | $44.51 |
| San Benito County, CACalifornia | — | $45.47 |
| Santa Clara County, CACalifornia | — | $45.10 |
| San Luis Obispo, CACalifornia | — | $40.81 |
| Santa Cruz, CACalifornia | — | $41.35 |
| Santa Maria, CACalifornia | — | $41.31 |
| Santa Rosa, CACalifornia | — | $41.71 |
| Stockton, CACalifornia | — | $40.58 |
| Vallejo, CACalifornia | — | $43.07 |
| Visalia, CACalifornia | — | $40.58 |
| Yuba City, CACalifornia | — | $40.58 |
| ColoradoColorado | — | $40.90 |
| ConnecticutConnecticut | — | $42.38 |
| DelawareDelaware | — | $40.58 |
| Fort Lauderdale, FLFlorida | — | $42.98 |
| Rest of FloridaFlorida | — | $41.86 |
| Atlanta, GAGeorgia | — | $41.47 |
| Rest of GeorgiaGeorgia | — | $40.68 |
| Hawaii, Guam, HIHawaii | — | $40.36 |
| IowaIowa | — | $38.68 |
| IdahoIdaho | — | $38.91 |
| East St. Louis, ILIllinois | — | $43.03 |
| Rest of IllinoisIllinois | — | $41.79 |
| Suburban Chicago, ILIllinois | — | $43.19 |
| IndianaIndiana | — | $38.99 |
| KansasKansas | — | $38.91 |
| KentuckyKentucky | — | $39.93 |
| New Orleans, LALouisiana | — | $40.80 |
| Rest of LouisianaLouisiana | — | $40.02 |
| Metropolitan Boston, MAMassachusetts | — | $42.83 |
| Rest of MassachusettsMassachusetts | — | $41.01 |
| Baltimore area, MDMaryland | — | $42.30 |
| Rest of MarylandMaryland | — | $40.92 |
| Rest of MaineMaine | — | $39.31 |
| Southern Maine, MEMaine | — | $39.72 |
| Detroit, MIMichigan | — | $42.40 |
| Rest of MichiganMichigan | — | $40.63 |
| MinnesotaMinnesota | — | $39.02 |
| Metropolitan Kansas City, MOMissouri | — | $40.36 |
| Metropolitan St. Louis, MOMissouri | — | $40.50 |
| Rest of MissouriMissouri | — | $39.94 |
| MississippiMississippi | — | $39.31 |
| MontanaMontana | — | $40.74 |
| North CarolinaNorth Carolina | — | $39.43 |
| North DakotaNorth Dakota | — | $39.16 |
| NebraskaNebraska | — | $38.68 |
| New HampshireNew Hampshire | — | $40.63 |
| Northern New JerseyNew Jersey | — | $43.85 |
| Rest of New JerseyNew Jersey | — | $42.81 |
| New MexicoNew Mexico | — | $40.84 |
| NevadaNevada | — | $40.31 |
| NYC suburbs and Long Island, NYNew York | — | $46.14 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $43.29 |
| Queens, NYNew York | — | $45.00 |
| Rest of New YorkNew York | — | $39.69 |
| OhioOhio | — | $40.31 |
| OklahomaOklahoma | — | $39.58 |
| Portland, OROregon | — | $41.18 |
| Rest of OregonOregon | — | $39.93 |
| Metropolitan Philadelphia, PAPennsylvania | — | $42.07 |
| Rest of PennsylvaniaPennsylvania | — | $40.16 |
| Rhode IslandRhode Island | — | $41.26 |
| South CarolinaSouth Carolina | — | $39.94 |
| South DakotaSouth Dakota | — | $38.97 |
| TennesseeTennessee | — | $39.03 |
| Austin, TXTexas | — | $40.82 |
| Beaumont, TXTexas | — | $40.08 |
| Brazoria, TXTexas | — | $40.38 |
| Dallas, TXTexas | — | $40.64 |
| Fort Worth, TXTexas | — | $40.62 |
| Galveston, TXTexas | — | $40.51 |
| Houston, TXTexas | — | $41.98 |
| Rest of TexasTexas | — | $40.22 |
| UtahUtah | — | $40.16 |
| VirginiaVirginia | — | $39.87 |
| Virgin Islands, VIUnited States Virgin Islands | — | $40.77 |
| VermontVermont | — | $39.38 |
| Rest of WashingtonWashington | — | $40.82 |
| King County, WAWashington | — | $43.11 |
| WisconsinWisconsin | — | $38.68 |
| West VirginiaWest Virginia | — | $41.20 |
| WyomingWyoming | — | $40.05 |
36620 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 36620 rate is calculated
Each of 36620’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 · 36620
RVUs × geographic indexes × conversion factor
Work0.98
0.98 RVUs× 1.000 GPCI
Practice expense0.16
0.16 RVUs× 1.000 GPCI
Malpractice0.08
0.08 RVUs× 1.000 GPCI
Adjusted RVUs
1.2200
Conversion factor
$33.4009
Medicare rate
$40.75
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,538
- Code
- 36620
- Physician work
- 0.98
- Practice expense
- 0.16
- Malpractice
- 0.08
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.98 | × 1.000 | 0.9800 |
| Practice expense | 0.16 | × 1.011 | 0.1618 |
| Malpractice | 0.08 | × 0.985 | 0.0788 |
| Total RVUs | 1.2206 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Puerto Rico$40.77
Facility: (0.98 × 1 + 0.16 × 1.011 + 0.08 × 0.985) × $33.4009 = $40.77
Payment rules and modifiers for 36620
The CMS indicators that decide how 36620 is paid alongside other services.
CMS payment indicators · 36620
Arterial catheter, percutaneous 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 | 0 | No multiple-procedure reduction. |
| 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. |
How 36620 has changed in Puerto Rico
36620 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $40.77 | RVU26D |
| 2026-07-01 | Not available in this setting | $40.77 | RVU26C |
| 2026-04-01 | Not available in this setting | $40.77 | RVU26B |
| 2026-01-01 | Not available in this setting | $40.77 | RVU26A |
| 2025-10-01 | Not available in this setting | $41.73 | RVU25D |
| 2025-07-01 | Not available in this setting | $41.73 | RVU25C |
| 2025-04-01 | Not available in this setting | $41.73 | RVU25B |
| 2025-01-01 | Not available in this setting | $41.73 | RVU25A |
| 2024-10-01 | Not available in this setting | $43.27 | RVU24D |
| 2024-07-01 | Not available in this setting | $43.27 | RVU24C |
| 2024-04-01 | Not available in this setting | $43.27 | RVU24B |
| 2024-03-09 | Not available in this setting | $43.27 | RVU24AR |
| 2024-01-01 | Not available in this setting | $42.56 | RVU24A |
| 2023-10-01 | Not available in this setting | $44.39 | RVU23D |
| 2023-07-01 | Not available in this setting | $44.39 | RVU23C |
| 2023-04-01 | Not available in this setting | $44.39 | RVU23B |
| 2023-01-01 | Not available in this setting | $44.39 | RVU23A |
| 2022-10-01 | Not available in this setting | $44.65 | RVU22D |
| 2022-07-01 | Not available in this setting | $44.65 | RVU22C |
| 2022-04-01 | Not available in this setting | $44.65 | RVU22B |
| 2022-01-01 | Not available in this setting | $44.65 | RVU22A |
| 2021-10-01 | Not available in this setting | $45.02 | RVU21D |
| 2021-07-01 | Not available in this setting | $45.02 | RVU21C |
| 2021-04-01 | Not available in this setting | $45.02 | RVU21B |
| 2021-01-01 | Not available in this setting | $45.02 | RVU21A |
| 2020-10-01 | Not available in this setting | $46.21 | RVU20D |
| 2020-07-01 | Not available in this setting | $46.21 | RVU20C |
| 2020-04-01 | Not available in this setting | $46.21 | RVU20B |
| 2020-01-01 | Not available in this setting | $46.21 | RVU20A |
| 2019-10-01 | Not available in this setting | $46.15 | RVU19D |
| 2019-07-01 | Not available in this setting | $46.15 | RVU19C |
| 2019-04-01 | Not available in this setting | $46.15 | RVU19B |
| 2019-01-01 | Not available in this setting | $46.15 | RVU19A |
| 2018-10-01 | Not available in this setting | $45.74 | RVU18D |
| 2018-07-01 | Not available in this setting | $45.74 | RVU18C |
| 2018-04-01 | Not available in this setting | $45.74 | RVU18B |
| 2018-01-01 | Not available in this setting | $45.74 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $50.33 | RVU17D |
| 2017-07-01 | Not available in this setting | $50.33 | RVU17C |
| 2017-04-01 | Not available in this setting | $50.33 | RVU17B |
| 2017-01-01 | Not available in this setting | $50.33 | RVU17A |
| 2016-10-01 | Not available in this setting | $47.78 | RVU16D |
| 2016-07-01 | Not available in this setting | $47.78 | RVU16C |
| 2016-04-01 | Not available in this setting | $47.78 | RVU16B |
| 2016-01-01 | Not available in this setting | $47.78 | RVU16A |
| 2015-10-01 | Not available in this setting | $47.95 | RVU15D |
| 2015-07-01 | Not available in this setting | $47.95 | RVU15C |
| 2015-04-01 | Not available in this setting | $47.71 | RVU15B |
| 2015-01-01 | Not available in this setting | $47.71 | RVU15A |
| 2014-10-01 | Not available in this setting | $47.62 | RVU14D |
| 2014-07-01 | Not available in this setting | $47.62 | RVU14C |
| 2014-04-01 | Not available in this setting | $47.62 | RVU14B |
| 2014-01-01 | Not available in this setting | $47.62 | RVU14A |
| 2013-10-01 | Not available in this setting | $45.51 | RVU13D |
| 2013-07-01 | Not available in this setting | $45.51 | RVU13C |
| 2013-04-01 | Not available in this setting | $45.51 | RVU13B |
| 2013-01-01 | Not available in this setting | $45.51 | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
36620 billing questions
How does this differ from 36625?
36620 is for percutaneous arterial catheter placement. Use 36625 when placement requires a cutdown.
Can 36620 be reported for a single arterial blood draw?
A one-time arterial puncture for blood withdrawal is represented by 36600. This code describes placement of a catheter, not just the puncture and sample.
Can modifier 50 be appended when both arms are catheterized?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the 0-day global period.
Can an assistant-at-surgery or co-surgeon be paid for this service?
Medicare does not pay assistant-at-surgery services 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
Show the CMS file lines behind this rate
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