CPT code 36640: Arterial cannulation, extracorporeal circulation or standby2026 Medicare rate & RVUs in New Mexico

Reports arterial catheter placement or cannulation for extracorporeal circulation or standby access, such as arterial access established for cardiopulmonary bypass.

CMS RVU26DEffective Oct 1, 2026One payment locality139 Medicare services in 2024

In New Mexico, Medicare pays $99.51 for 36640 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$99.51Hospital or facility

Check a contract rate as a % of Medicare · 36640 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 36640 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 36640 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 36640 covers

This code covers arterial catheter placement or cannulation when the access is for extracorporeal circulation or standby use. A surgeon or other physician may establish the arterial access in an operating room for a procedure such as cardiopulmonary bypass. It is distinct from placing a routine arterial line solely for blood sampling or hemodynamic monitoring.

Report the code when the documented purpose of the arterial access supports extracorporeal circulation or standby use; record the indication and catheterization performed. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, 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 New Mexico compares for 36640

Across 109 of 109 payment localities, the facility rate for 36640 runs from $94.69 in Arkansas to $134.81 in Alaska. New Mexico pays $99.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

36640 in New Mexico vs other payment areas
  1. New Mexico · this page$99.51
  2. Los Angeles, CA · California$107.18+$7.67
  3. Washington, DC area · District of Columbia$110.03+$10.52
  4. Miami, FL · Florida$109.16+$9.65
  5. Chicago, IL · Illinois$107.54+$8.03
  6. Manhattan, NY · New York$112.48+$12.97
  7. Alaska · Alaska$134.81+$35.30

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

Every other payment area

36640 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$95.38
ArkansasArkansas—$94.69
ArizonaArizona—$99.34
Bakersfield, CACalifornia—$103.00
Chico, CACalifornia—$102.53
El Centro, CACalifornia—$102.55
Fresno, CACalifornia—$102.53
Hanford, CACalifornia—$102.53

36640 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
36640 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 36640 in every payment locality

How the 36640 rate is calculated

Each of 36640’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 · 36640

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.05

2.05 RVUs× 1.000 GPCI

Practice expense0.83

0.83 RVUs× 1.000 GPCI

Malpractice0.14

0.14 RVUs× 1.000 GPCI

Adjusted RVUs

3.0200

Conversion factor

$33.4009

Medicare rate

$100.87

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,540

Code
36640
Physician work
2.05
Practice expense
0.83
Malpractice
0.14

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 36640 in New Mexico
ComponentRVULocality factorAdjusted
Physician work2.05× 1.0002.0500
Practice expense0.83× 0.9170.7611
Malpractice0.14× 1.2010.1681
Total RVUs2.9792
Conversion factor× 33.4009

Facility rate, New Mexico$99.51

Facility: (2.05 × 1 + 0.83 × 0.917 + 0.14 × 1.201) × $33.4009 = $99.51

Open 36640 in the RVU calculator

Payment rules and modifiers for 36640

The CMS indicators that decide how 36640 is paid alongside other services.

CMS payment indicators · 36640

Arterial cannulation, extracorporeal circulation or standby

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

36640 without 51 · national facility

$100.87

Arterial cannulation, extracorporeal circulation or standby

36640-51 · Second procedure: 50%

$50.44

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 36640 has changed in New Mexico

36640 · 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$99.51RVU26D
2026-07-01Not available in this setting$99.51RVU26C
2026-04-01Not available in this setting$99.51RVU26B
2026-01-01Not available in this setting$99.51RVU26A
2025-10-01Not available in this setting$110.12RVU25D
2025-07-01Not available in this setting$110.12RVU25C
2025-04-01Not available in this setting$110.12RVU25B
2025-01-01Not available in this setting$110.12RVU25A
2024-10-01Not available in this setting$113.62RVU24D
2024-07-01Not available in this setting$113.62RVU24C
2024-04-01Not available in this setting$113.62RVU24B
2024-03-09Not available in this setting$113.62RVU24AR
2024-01-01Not available in this setting$111.77RVU24A
2023-10-01Not available in this setting$113.66RVU23D
2023-07-01Not available in this setting$113.66RVU23C
2023-04-01Not available in this setting$113.66RVU23B
2023-01-01Not available in this setting$113.66RVU23A
2022-10-01Not available in this setting$113.67RVU22D
2022-07-01Not available in this setting$113.67RVU22C
2022-04-01Not available in this setting$113.67RVU22B
2022-01-01Not available in this setting$113.67RVU22A
2021-10-01Not available in this setting$115.21RVU21D
2021-07-01Not available in this setting$115.21RVU21C
2021-04-01Not available in this setting$115.21RVU21B
2021-01-01Not available in this setting$115.21RVU21A
2020-10-01Not available in this setting$117.06RVU20D
2020-07-01Not available in this setting$117.06RVU20C
2020-04-01Not available in this setting$117.06RVU20B
2020-01-01Not available in this setting$117.06RVU20A
2019-10-01Not available in this setting$117.27RVU19D
2019-07-01Not available in this setting$117.27RVU19C
2019-04-01Not available in this setting$117.27RVU19B
2019-01-01Not available in this setting$117.27RVU19A
2018-10-01Not available in this setting$117.03RVU18D
2018-07-01Not available in this setting$117.03RVU18C
2018-04-01Not available in this setting$117.03RVU18B
2018-01-01Not available in this setting$117.03RVU18AR1
2017-10-01Not available in this setting$116.95RVU17D
2017-07-01Not available in this setting$116.95RVU17C
2017-04-01Not available in this setting$116.95RVU17B
2017-01-01Not available in this setting$116.95RVU17A
2016-10-01Not available in this setting$120.01RVU16D
2016-07-01Not available in this setting$120.01RVU16C
2016-04-01Not available in this setting$120.01RVU16B
2016-01-01Not available in this setting$120.01RVU16A
2015-10-01Not available in this setting$121.02RVU15D
2015-07-01Not available in this setting$121.02RVU15C
2015-04-01Not available in this setting$120.41RVU15B
2015-01-01Not available in this setting$120.41RVU15A
2014-10-01Not available in this setting$131.80RVU14D
2014-07-01Not available in this setting$131.80RVU14C
2014-04-01Not available in this setting$131.80RVU14B
2014-01-01Not available in this setting$131.80RVU14A
2013-10-01Not available in this setting$129.01RVU13D
2013-07-01Not available in this setting$129.01RVU13C
2013-04-01Not available in this setting$129.01RVU13B
2013-01-01Not available in this setting$129.01RVU13AR

Price 36640 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

36640 billing questions

How is this different from 36620?

Use 36640 for arterial access intended for extracorporeal circulation or standby use. Code 36620 describes percutaneous arterial catheterization for sampling, monitoring, or transfusion.

Can a one-time arterial blood draw be reported with this code?

No. A single arterial puncture to withdraw blood is represented by 36600; 36640 concerns arterial catheter placement or cannulation for extracorporeal circulation or standby.

What documentation supports reporting 36640?

Document the reason for arterial access and the catheterization or cannulation performed. The record should show its role in extracorporeal circulation or standby use, rather than routine arterial-line monitoring alone.

Can modifier 50 be used if access is placed on both sides?

No. CMS identifies bilateral adjustment as inapplicable for this code; the descriptor or anatomy makes modifier 50 inappropriate.

How does Medicare handle this code with other procedures in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. The code has a 0-day global period, which includes same-day preoperative and postoperative care.

Can an assistant, co-surgeon, or surgical team also be paid for this service?

Medicare does not pay an assistant at surgery 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
RVUs for 36640PPRRVU2026_Oct_nonQPP.csv, line 4,540 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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