CPT code 36660: Arterial catheter, newborn umbilical artery2026 Medicare rate & RVUs in Montana
Reports placement of an arterial catheter through a newborn’s umbilical artery for diagnostic sampling, continuous monitoring, or therapy.
In Montana, Medicare pays $57.44 for 36660 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 36660 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 36660 covers
This service places a catheter into a newborn’s umbilical artery, usually in a neonatal intensive care setting. The access can support continuous arterial pressure monitoring, repeated blood sampling such as blood gas testing, or prescribed therapy. A physician or other qualified practitioner with appropriate training performs and documents the placement. The code is specific to the newborn umbilical artery; it does not describe an umbilical venous catheter or a one-time arterial puncture for a blood sample.
Report the service when the catheter is actually placed in the umbilical artery. The procedure note should identify the newborn, arterial route, placement, and clinical purpose. 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; 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 Montana compares for 36660
Across 109 of 109 payment localities, the facility rate for 36660 runs from $55.00 in Arkansas to $79.89 in Alaska. Montana pays $57.44. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$57.44
- Los Angeles, CA · California$60.25+$2.81
- Washington, DC area · District of Columbia$61.85+$4.41
- Miami, FL · Florida$61.41+$3.97
- Chicago, IL · Illinois$60.84+$3.40
- Manhattan, NY · New York$63.26+$5.82
- Alaska · Alaska$79.89+$22.45
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $55.27 |
| ArkansasArkansas | — | $55.00 |
| ArizonaArizona | — | $56.82 |
| Bakersfield, CACalifornia | — | $58.30 |
| Chico, CACalifornia | — | $58.04 |
| El Centro, CACalifornia | — | $58.05 |
| Fresno, CACalifornia | — | $58.04 |
| Hanford, CACalifornia | — | $58.04 |
| Madera, CACalifornia | — | $58.04 |
| Merced, CACalifornia | — | $58.04 |
| Modesto, CACalifornia | — | $58.04 |
| Napa, CACalifornia | — | $62.16 |
| Oxnard, CACalifornia | — | $59.55 |
| Redding, CACalifornia | — | $58.04 |
| Rest of CaliforniaCalifornia | — | $58.04 |
| Riverside, CACalifornia | — | $58.83 |
| Sacramento, CACalifornia | — | $59.54 |
| Salinas, CACalifornia | — | $59.27 |
| San Diego, CACalifornia | — | $59.58 |
| Marin County, CACalifornia | — | $64.37 |
| San Francisco, CACalifornia | — | $64.29 |
| San Benito County, CACalifornia | — | $65.53 |
| Santa Clara County, CACalifornia | — | $65.21 |
| San Luis Obispo, CACalifornia | — | $58.44 |
| Santa Cruz, CACalifornia | — | $59.34 |
| Santa Maria, CACalifornia | — | $59.20 |
| Santa Rosa, CACalifornia | — | $59.87 |
| Stockton, CACalifornia | — | $58.04 |
| Vallejo, CACalifornia | — | $62.04 |
| Visalia, CACalifornia | — | $58.04 |
| Yuba City, CACalifornia | — | $58.04 |
| ColoradoColorado | — | $58.09 |
| ConnecticutConnecticut | — | $59.58 |
| DelawareDelaware | — | $57.33 |
| Fort Lauderdale, FLFlorida | — | $59.46 |
| Rest of FloridaFlorida | — | $58.21 |
| Atlanta, GAGeorgia | — | $58.21 |
| Rest of GeorgiaGeorgia | — | $56.89 |
| Hawaii, Guam, HIHawaii | — | $57.75 |
| IowaIowa | — | $55.24 |
| IdahoIdaho | — | $55.47 |
| East St. Louis, ILIllinois | — | $59.07 |
| Rest of IllinoisIllinois | — | $57.95 |
| Suburban Chicago, ILIllinois | — | $59.83 |
| IndianaIndiana | — | $55.57 |
| KansasKansas | — | $55.39 |
| KentuckyKentucky | — | $56.21 |
| New Orleans, LALouisiana | — | $57.22 |
| Rest of LouisianaLouisiana | — | $56.28 |
| Metropolitan Boston, MAMassachusetts | — | $60.88 |
| Rest of MassachusettsMassachusetts | — | $58.20 |
| Baltimore area, MDMaryland | — | $59.42 |
| Rest of MarylandMaryland | — | $57.83 |
| Rest of MaineMaine | — | $55.82 |
| Southern Maine, MEMaine | — | $56.50 |
| Detroit, MIMichigan | — | $58.73 |
| Rest of MichiganMichigan | — | $56.94 |
| MinnesotaMinnesota | — | $56.07 |
| Metropolitan Kansas City, MOMissouri | — | $56.83 |
| Metropolitan St. Louis, MOMissouri | — | $57.01 |
| Rest of MissouriMissouri | — | $56.10 |
| MississippiMississippi | — | $55.54 |
| North CarolinaNorth Carolina | — | $55.98 |
| North DakotaNorth Dakota | — | $56.06 |
| NebraskaNebraska | — | $55.28 |
| New HampshireNew Hampshire | — | $57.54 |
| Northern New JerseyNew Jersey | — | $61.99 |
| Rest of New JerseyNew Jersey | — | $60.37 |
| New MexicoNew Mexico | — | $57.14 |
| NevadaNevada | — | $57.07 |
| NYC suburbs and Long Island, NYNew York | — | $64.15 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $60.89 |
| Queens, NYNew York | — | $63.11 |
| Rest of New YorkNew York | — | $56.29 |
| OhioOhio | — | $56.65 |
| OklahomaOklahoma | — | $55.93 |
| Portland, OROregon | — | $58.62 |
| Rest of OregonOregon | — | $56.72 |
| Metropolitan Philadelphia, PAPennsylvania | — | $59.11 |
| Rest of PennsylvaniaPennsylvania | — | $56.55 |
| Puerto RicoPuerto Rico | — | $57.52 |
| Rhode IslandRhode Island | — | $58.38 |
| South CarolinaSouth Carolina | — | $56.39 |
| South DakotaSouth Dakota | — | $55.90 |
| TennesseeTennessee | — | $55.52 |
| Austin, TXTexas | — | $57.82 |
| Beaumont, TXTexas | — | $56.44 |
| Brazoria, TXTexas | — | $57.22 |
| Dallas, TXTexas | — | $57.49 |
| Fort Worth, TXTexas | — | $57.43 |
| Galveston, TXTexas | — | $57.35 |
| Houston, TXTexas | — | $58.63 |
| Rest of TexasTexas | — | $56.75 |
| UtahUtah | — | $56.65 |
| VirginiaVirginia | — | $56.60 |
| Virgin Islands, VIUnited States Virgin Islands | — | $57.52 |
| VermontVermont | — | $56.20 |
| Rest of WashingtonWashington | — | $57.98 |
| King County, WAWashington | — | $61.43 |
| WisconsinWisconsin | — | $55.44 |
| West VirginiaWest Virginia | — | $57.23 |
| WyomingWyoming | — | $56.84 |
36660 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 36660 rate is calculated
Each of 36660’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 · 36660
RVUs × geographic indexes × conversion factor
Work1.37
1.37 RVUs× 1.000 GPCI
Practice expense0.28
0.28 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
1.7200
Conversion factor
$33.4009
Medicare rate
$57.45
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,541
- Code
- 36660
- Physician work
- 1.37
- Practice expense
- 0.28
- Malpractice
- 0.07
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.37 | × 1.000 | 1.3700 |
| Practice expense | 0.28 | × 1.000 | 0.2800 |
| Malpractice | 0.07 | × 0.998 | 0.0699 |
| Total RVUs | 1.7199 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$57.44
Facility: (1.37 × 1 + 0.28 × 1 + 0.07 × 0.998) × $33.4009 = $57.44
Payment rules and modifiers for 36660
The CMS indicators that decide how 36660 is paid alongside other services.
CMS payment indicators · 36660
Arterial catheter, newborn umbilical artery
| 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 | 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) | 0 | Not paid without supporting documentation. |
| 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
36660 without 51 · national facility
$57.45
Arterial catheter, newborn umbilical artery
36660-51 · Second procedure: 50%
$28.73
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 36660 has changed in Montana
36660 · 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 | $57.44 | RVU26D |
| 2026-07-01 | Not available in this setting | $57.44 | RVU26C |
| 2026-04-01 | Not available in this setting | $57.44 | RVU26B |
| 2026-01-01 | Not available in this setting | $57.44 | RVU26A |
| 2025-10-01 | Not available in this setting | $64.95 | RVU25D |
| 2025-07-01 | Not available in this setting | $64.95 | RVU25C |
| 2025-04-01 | Not available in this setting | $64.95 | RVU25B |
| 2025-01-01 | Not available in this setting | $64.95 | RVU25A |
| 2024-10-01 | Not available in this setting | $66.83 | RVU24D |
| 2024-07-01 | Not available in this setting | $66.83 | RVU24C |
| 2024-04-01 | Not available in this setting | $66.83 | RVU24B |
| 2024-03-09 | Not available in this setting | $66.83 | RVU24AR |
| 2024-01-01 | Not available in this setting | $65.74 | RVU24A |
| 2023-10-01 | Not available in this setting | $68.04 | RVU23D |
| 2023-07-01 | Not available in this setting | $68.04 | RVU23C |
| 2023-04-01 | Not available in this setting | $68.04 | RVU23B |
| 2023-01-01 | Not available in this setting | $68.04 | RVU23A |
| 2022-10-01 | Not available in this setting | $69.49 | RVU22D |
| 2022-07-01 | Not available in this setting | $69.49 | RVU22C |
| 2022-04-01 | Not available in this setting | $69.49 | RVU22B |
| 2022-01-01 | Not available in this setting | $69.49 | RVU22A |
| 2021-10-01 | Not available in this setting | $69.37 | RVU21D |
| 2021-07-01 | Not available in this setting | $69.37 | RVU21C |
| 2021-04-01 | Not available in this setting | $69.37 | RVU21B |
| 2021-01-01 | Not available in this setting | $69.37 | RVU21A |
| 2020-10-01 | Not available in this setting | $72.08 | RVU20D |
| 2020-07-01 | Not available in this setting | $72.08 | RVU20C |
| 2020-04-01 | Not available in this setting | $72.08 | RVU20B |
| 2020-01-01 | Not available in this setting | $72.08 | RVU20A |
| 2019-10-01 | Not available in this setting | $73.40 | RVU19D |
| 2019-07-01 | Not available in this setting | $73.40 | RVU19C |
| 2019-04-01 | Not available in this setting | $73.40 | RVU19B |
| 2019-01-01 | Not available in this setting | $73.40 | RVU19A |
| 2018-10-01 | Not available in this setting | $73.32 | RVU18D |
| 2018-07-01 | Not available in this setting | $73.32 | RVU18C |
| 2018-04-01 | Not available in this setting | $73.32 | RVU18B |
| 2018-01-01 | Not available in this setting | $73.32 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $79.37 | RVU17D |
| 2017-07-01 | Not available in this setting | $79.37 | RVU17C |
| 2017-04-01 | Not available in this setting | $79.37 | RVU17B |
| 2017-01-01 | Not available in this setting | $79.37 | RVU17A |
| 2016-10-01 | Not available in this setting | $67.13 | RVU16D |
| 2016-07-01 | Not available in this setting | $67.13 | RVU16C |
| 2016-04-01 | Not available in this setting | $67.13 | RVU16B |
| 2016-01-01 | Not available in this setting | $67.13 | RVU16A |
| 2015-10-01 | Not available in this setting | $63.78 | RVU15D |
| 2015-07-01 | Not available in this setting | $63.78 | RVU15C |
| 2015-04-01 | Not available in this setting | $63.46 | RVU15B |
| 2015-01-01 | Not available in this setting | $63.46 | RVU15A |
| 2014-10-01 | Not available in this setting | $72.52 | RVU14D |
| 2014-07-01 | Not available in this setting | $72.52 | RVU14C |
| 2014-04-01 | Not available in this setting | $72.52 | RVU14B |
| 2014-01-01 | Not available in this setting | $72.52 | RVU14A |
| 2013-10-01 | Not available in this setting | $75.36 | RVU13D |
| 2013-07-01 | Not available in this setting | $75.36 | RVU13C |
| 2013-04-01 | Not available in this setting | $75.36 | RVU13B |
| 2013-01-01 | Not available in this setting | $75.36 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
36660 billing questions
How is this different from 36620?
36660 is for catheter placement through a newborn’s umbilical artery. Code 36620 describes percutaneous arterial catheterization by a route other than the umbilical artery.
Can a separate umbilical venous catheter be reported?
An umbilical venous catheter is a different service and uses a venous access code. Document the separate vessel and catheter placement rather than treating venous access as part of 36660.
Does modifier 50 apply when both sides are involved?
No. CMS specifies that bilateral adjustment does not apply and modifier 50 is inappropriate for this code.
Is same-day evaluation and postoperative care separately included?
The 0-day global period includes same-day preoperative and postoperative care. The code reports the catheter placement itself.
How does the multiple-procedure reduction work?
For procedures performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
What documentation supports an assistant-at-surgery claim?
The record must document the medical necessity of the assistant. CMS does not permit co-surgeon or team-surgery payment 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
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