Billing code 36216: Arterial catheterizationMedicare rate & RVUs
Reports selective catheter placement into a second-order thoracic or brachiocephalic arterial branch during a diagnostic or interventional vascular procedure.
Medicare pays $1,080.52 for 36216 nationally in the office and $243.49 in a hospital or facility. Local office rates run $939.39–$1,466.92.
Medicare rate · 36216
Arterial catheterization
Swap in your local Medicare rate.
- Work RVUs
- 5.14
- Total RVUs
- 32.35
- Global days
- 000
National rate · 2026
$1,080.52
Office setting, before claim adjustments.
See every locality for 36216 → · Billed by an NP, PA or therapist? →
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 10 sections
What 36216 covers
A physician advances a catheter through an arterial route into a second-order branch in the thoracic or brachiocephalic arterial distribution. This selective positioning may support angiography or an endovascular procedure, commonly in a hospital catheterization or angiography suite. Interventional radiologists, vascular surgeons, and other physicians performing catheter-based vascular services may report the placement when the documented catheter path reaches this branch level.
Choose the code from the vessel hierarchy and the catheter tip’s destination, not from the number of imaging runs or the clinical diagnosis. The record should identify the access route, vessels traversed, target branch, and related imaging or intervention. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, CMS pays the highest-valued procedure in full and reduces others under its standard multiple procedure rule. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing 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.
Where 36216 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$939.39 to $1466.92
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $955.25 | $222.85 |
| Alaska* | $1,206.03 | $314.60 |
| Arizona | $1,048.08 | $237.00 |
| Arkansas | $939.39 | $220.38 |
| Atlanta | $1,102.56 | $252.14 |
| Austin | $1,127.08 | $241.51 |
| Bakersfield | $1,152.65 | $235.27 |
| Baltimore/Surr. Cntys | $1,155.80 | $257.67 |
| Beaumont | $999.44 | $237.75 |
| Brazoria | $1,065.75 | $236.26 |
| Chicago | $1,134.95 | $293.74 |
| Chico | $1,149.55 | $232.17 |
| Colorado | $1,130.06 | $239.47 |
| Connecticut | $1,158.95 | $257.48 |
| Dallas | $1,073.22 | $239.54 |
| Dc + Md/Va Suburbs | $1,249.11 | $263.09 |
| Delaware | $1,067.11 | $240.13 |
| Detroit | $1,075.92 | $268.19 |
| East St. Louis | $1,049.10 | $279.04 |
| El Centro | $1,149.74 | $232.36 |
| Fort Lauderdale | $1,122.34 | $274.43 |
| Fort Worth | $1,065.00 | $239.69 |
| Fresno | $1,149.55 | $232.17 |
| Galveston | $1,069.30 | $238.14 |
| Hanford-Corcoran | $1,149.55 | $232.17 |
| Hawaii, Guam | $1,183.97 | $232.27 |
| Houston | $1,089.99 | $258.82 |
| Idaho | $990.94 | $220.88 |
| Indiana | $997.53 | $221.61 |
| Iowa | $983.72 | $217.84 |
| Kansas | $978.17 | $221.50 |
| Kentucky | $980.62 | $236.50 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $1,234.29 | $244.08 |
| Madera | $1,149.55 | $232.17 |
| Manhattan | $1,254.74 | $282.12 |
| Merced | $1,149.55 | $232.17 |
| Metropolitan Boston | $1,252.40 | $252.99 |
| Metropolitan Kansas City | $1,026.51 | $240.55 |
| Metropolitan Philadelphia | $1,126.61 | $255.26 |
| Metropolitan St. Louis | $1,038.78 | $241.93 |
| Miami | $1,173.94 | $302.60 |
| Minnesota | $1,079.21 | $217.91 |
| Mississippi | $949.59 | $228.91 |
| Modesto | $1,149.55 | $232.17 |
| Montana** | $1,080.44 | $243.42 |
| Napa | $1,349.77 | $246.57 |
| Nebraska | $989.97 | $217.39 |
| Nevada** | $1,075.09 | $237.22 |
| New Hampshire | $1,111.52 | $240.17 |
| New Mexico | $1,015.80 | $248.25 |
| New Orleans | $1,034.26 | $246.62 |
| North Carolina | $1,008.53 | $227.58 |
| North Dakota** | $1,058.10 | $221.07 |
| Northern Nj | $1,233.28 | $262.33 |
| Nyc Suburbs/Long Island | $1,288.49 | $293.26 |
| Ohio | $1,005.04 | $240.83 |
| Oklahoma | $978.90 | $231.43 |
| Oxnard-Thousand Oaks-Ventura | $1,229.64 | $240.27 |
| Portland | $1,170.30 | $240.36 |
| Poughkpsie/N Nyc Suburbs | $1,178.92 | $262.38 |
| Puerto Rico | $1,089.54 | $243.30 |
| Queens | $1,266.73 | $277.36 |
| Redding | $1,149.55 | $232.17 |
| Rest Of California | $1,149.55 | $232.17 |
| Rest Of Florida | $1,061.18 | $260.98 |
| Rest Of Georgia | $993.69 | $247.06 |
| Rest Of Illinois | $1,025.98 | $261.78 |
| Rest Of Louisiana | $978.76 | $237.99 |
| Rest Of Maine | $996.56 | $226.50 |
| Rest Of Maryland | $1,089.59 | $242.52 |
| Rest Of Massachusetts | $1,121.77 | $240.38 |
| Rest Of Michigan | $1,009.60 | $245.40 |
| Rest Of Missouri | $959.33 | $237.81 |
| Rest Of New Jersey | $1,171.19 | $257.16 |
| Rest Of New York | $1,025.75 | $230.58 |
| Rest Of Oregon | $1,065.83 | $232.15 |
| Rest Of Pennsylvania | $1,007.01 | $238.62 |
| Rest Of Texas | $1,032.43 | $238.09 |
| Rest Of Washington | $1,119.90 | $238.51 |
| Rhode Island | $1,108.45 | $243.80 |
| Riverside-San Bernardino-Ontario | $1,161.69 | $244.31 |
| Sacramento-Roseville-Folsom | $1,211.18 | $237.71 |
| Salinas | $1,206.83 | $236.72 |
| San Diego-Chula Vista-Carlsbad | $1,239.12 | $238.03 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $1,433.56 | $253.35 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $1,432.28 | $252.07 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $1,466.92 | $259.92 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $1,461.67 | $254.68 |
| San Luis Obispo-Paso Robles | $1,187.01 | $233.63 |
| Santa Cruz-Watsonville | $1,253.90 | $236.91 |
| Santa Maria-Santa Barbara | $1,212.42 | $236.44 |
| Santa Rosa-Petaluma | $1,266.77 | $238.90 |
| Seattle (King Cnty) | $1,279.93 | $252.90 |
| South Carolina | $1,008.65 | $235.24 |
| South Dakota** | $1,055.46 | $218.43 |
| Southern Maine | $1,058.75 | $229.26 |
| Stockton | $1,149.55 | $232.17 |
| Suburban Chicago | $1,134.38 | $274.75 |
| Tennessee | $983.77 | $222.92 |
| Utah | $1,024.40 | $237.60 |
| Vallejo | $1,347.92 | $244.72 |
| Vermont | $1,053.16 | $224.51 |
| Virgin Islands | $1,089.54 | $243.30 |
| Virginia | $1,054.61 | $231.82 |
| Visalia | $1,149.55 | $232.17 |
| West Virginia | $982.67 | $255.30 |
| Wisconsin | $1,017.81 | $215.94 |
| Wyoming** | $1,070.71 | $233.68 |
| Yuba City | $1,149.55 | $232.17 |
36216 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.
$939.39
$1,308.24
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 | $1,206.03 | 1 |
| AL | $955.25 | 1 |
| AR | $939.39 | 1 |
| AZ | $1,048.08 | 1 |
| CA | $1,149.55–$1,466.92 | 29 |
| CO | $1,130.06 | 1 |
| CT | $1,158.95 | 1 |
| DC | $1,249.11 | 1 |
| DE | $1,067.11 | 1 |
| FL | $1,061.18–$1,173.94 | 3 |
| GA | $993.69–$1,102.56 | 2 |
| GU | $1,183.97 | 1 |
| HI | $1,183.97 | 1 |
| IA | $983.72 | 1 |
| ID | $990.94 | 1 |
| IL | $1,025.98–$1,134.95 | 4 |
| IN | $997.53 | 1 |
| KS | $978.17 | 1 |
| KY | $980.62 | 1 |
| LA | $978.76–$1,034.26 | 2 |
| MA | $1,121.77–$1,252.40 | 2 |
| MD | $1,089.59–$1,249.11 | 3 |
| ME | $996.56–$1,058.75 | 2 |
| MI | $1,009.60–$1,075.92 | 2 |
| MN | $1,079.21 | 1 |
| MO | $959.33–$1,038.78 | 3 |
| MS | $949.59 | 1 |
| MT | $1,080.44 | 1 |
| NC | $1,008.53 | 1 |
| ND | $1,058.10 | 1 |
| NE | $989.97 | 1 |
| NH | $1,111.52 | 1 |
| NJ | $1,171.19–$1,233.28 | 2 |
| NM | $1,015.80 | 1 |
| NV | $1,075.09 | 1 |
| NY | $1,025.75–$1,288.49 | 5 |
| OH | $1,005.04 | 1 |
| OK | $978.90 | 1 |
| OR | $1,065.83–$1,170.30 | 2 |
| PA | $1,007.01–$1,126.61 | 2 |
| PR | $1,089.54 | 1 |
| RI | $1,108.45 | 1 |
| SC | $1,008.65 | 1 |
| SD | $1,055.46 | 1 |
| TN | $983.77 | 1 |
| TX | $999.44–$1,127.08 | 8 |
| UT | $1,024.40 | 1 |
| VA | $1,054.61–$1,249.11 | 2 |
| VI | $1,089.54 | 1 |
| VT | $1,053.16 | 1 |
| WA | $1,119.90–$1,279.93 | 2 |
| WI | $1,017.81 | 1 |
| WV | $982.67 | 1 |
| WY | $1,070.71 | 1 |
How the 36216 rate is calculated
Each of 36216’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 · 36216
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.14Practice expense 26.08Malpractice 1.13
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 36216
The CMS indicators that decide how 36216 is paid alongside other services.
CMS payment indicators · 36216
Arterial catheterization
| 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) | 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
36216 without 51 · national office
$1,080.52
Arterial catheterization
36216-51 · Second procedure: 50%
$540.26
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%).
36216 compared with similar codes
Compare codes
36216 vs 36215 vs 36217 vs 36218 vs 36222: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 36215Arterial catheterization
- Use 36215 when the catheter reaches a first-order branch; use 36216 when it is advanced into a second-order branch.
- 36217Arterial catheterization
- Use 36217 when the catheter reaches a third-order or more selective branch, rather than stopping at the second-order level represented by 36216.
- 36218Arterial catheterization
- 36218 reports an additional qualifying branch after the initial selective placement; 36216 identifies the second-order placement itself.
- 36222Carotid angiography
- 36222 is for a defined cervicocerebral angiography service that includes catheter placement. Do not use 36216 to separately represent placement already included in that service.
36216 billing questions
How does 36216 differ from 36215 and 36217?
Select by catheter destination within the arterial tree: 36215 represents a first-order branch, 36216 a second-order branch, and 36217 a third-order or more selective branch.
Can 36216 be reported for each additional branch selected?
Use 36216 for the qualifying second-order placement. For each additional second-order or more selective branch in the same vascular family, consider add-on code 36218 when its reporting criteria are met.
What documentation supports 36216?
Document the access route, the vessels traversed, the target branch and its order, and the diagnostic or therapeutic service associated with the catheter placement.
Should 36216 be reported with cervicocerebral angiography codes?
Codes such as 36222 describe cervicocerebral angiography services that include catheter placement. Do not separately add 36216 for catheter work already represented by that service.
Can modifier 50 or an assistant-at-surgery modifier be used?
Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
How does CMS reduce payment when other procedures are performed in the session?
The highest-valued procedure is paid in full, and other procedures subject to the standard multiple procedure rule 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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