Billing code 36223: Carotid angiographyMedicare rate & RVUs
Reports unilateral catheterization in the common carotid or innominate artery with angiography of the ipsilateral intracranial carotid circulation.
Medicare pays $1,915.54 for 36223 nationally in the office and $297.27 in a hospital or facility. Local office rates run $1,652.22–$2,648.25.
Medicare rate · 36223
Carotid angiography
Swap in your local Medicare rate.
- Work RVUs
- 5.61
- Total RVUs
- 57.35
- Global days
- 000
National rate · 2026
$1,915.54
Office setting, before claim adjustments.
See every locality for 36223 → · 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 36223 covers
A physician selectively places a catheter in a common carotid artery or the innominate artery and images the ipsilateral intracranial carotid circulation. The service includes angiography of the extracranial carotid or cervical circulation when performed, along with the associated radiological supervision and interpretation. Interventional radiologists, neurointerventionalists, and other physicians performing diagnostic cervicocerebral angiography commonly report it in a hospital angiography suite or catheterization lab, such as during evaluation of carotid disease or a suspected intracranial vascular lesion.
Report the code for each unilateral service when the catheter position and imaged territory meet these criteria. The report should identify the catheterized vessel, side, angiographic territory, and physician interpretation. Catheter placement and the associated imaging supervision and interpretation are included. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; 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.
Where 36223 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
$1652.22 to $2648.25
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $1,681.87 | $265.88 |
| Alaska* | $2,092.20 | $368.74 |
| Arizona | $1,855.51 | $287.41 |
| Arkansas | $1,652.22 | $262.13 |
| Atlanta | $1,954.32 | $310.15 |
| Austin | $2,006.33 | $294.19 |
| Bakersfield | $2,057.19 | $283.56 |
| Baltimore/Surr. Cntys | $2,054.06 | $317.65 |
| Beaumont | $1,761.09 | $288.46 |
| Brazoria | $1,889.44 | $285.73 |
| Chicago | $1,999.17 | $372.81 |
| Chico | $2,052.65 | $279.02 |
| Colorado | $2,012.23 | $290.39 |
| Connecticut | $2,059.95 | $317.07 |
| Dallas | $1,902.43 | $290.63 |
| Dc + Md/Va Suburbs | $2,229.56 | $323.23 |
| Delaware | $1,890.66 | $291.80 |
| Detroit | $1,896.24 | $334.60 |
| East St. Louis | $1,839.77 | $350.96 |
| El Centro | $2,052.93 | $279.30 |
| Fort Lauderdale | $1,983.41 | $344.10 |
| Fort Worth | $1,886.47 | $290.85 |
| Fresno | $2,052.65 | $279.02 |
| Galveston | $1,895.52 | $288.57 |
| Hanford-Corcoran | $2,052.65 | $279.02 |
| Hawaii, Guam | $2,120.43 | $280.45 |
| Houston | $1,926.82 | $319.87 |
| Idaho | $1,751.76 | $262.95 |
| Indiana | $1,764.20 | $264.06 |
| Iowa | $1,739.06 | $258.34 |
| Kansas | $1,726.79 | $263.87 |
| Kentucky | $1,725.20 | $286.56 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $2,209.83 | $295.42 |
| Madera | $2,052.65 | $279.02 |
| Manhattan | $2,231.71 | $351.28 |
| Merced | $2,052.65 | $279.02 |
| Metropolitan Boston | $2,241.12 | $308.91 |
| Metropolitan Kansas City | $1,812.29 | $292.74 |
| Metropolitan Philadelphia | $1,998.45 | $313.83 |
| Metropolitan St. Louis | $1,835.45 | $294.85 |
| Miami | $2,071.38 | $386.76 |
| Minnesota | $1,923.79 | $258.59 |
| Mississippi | $1,668.36 | $275.03 |
| Modesto | $2,052.65 | $279.02 |
| Montana** | $1,915.43 | $297.15 |
| Napa | $2,430.64 | $297.75 |
| Nebraska | $1,751.35 | $257.68 |
| Nevada** | $1,907.67 | $287.78 |
| New Hampshire | $1,976.92 | $292.29 |
| New Mexico | $1,788.32 | $304.37 |
| New Orleans | $1,824.72 | $301.92 |
| North Carolina | $1,782.96 | $273.11 |
| North Dakota** | $1,881.61 | $263.34 |
| Northern Nj | $2,198.60 | $321.40 |
| Nyc Suburbs/Long Island | $2,292.31 | $368.18 |
| Ohio | $1,770.62 | $293.13 |
| Oklahoma | $1,724.00 | $278.88 |
| Oxnard-Thousand Oaks-Ventura | $2,203.39 | $290.59 |
| Portland | $2,089.40 | $291.50 |
| Poughkpsie/N Nyc Suburbs | $2,094.72 | $322.71 |
| Puerto Rico | $1,933.07 | $296.99 |
| Queens | $2,256.91 | $344.11 |
| Redding | $2,052.65 | $279.02 |
| Rest Of California | $2,052.65 | $279.02 |
| Rest Of Florida | $1,870.74 | $323.68 |
| Rest Of Georgia | $1,746.03 | $302.53 |
| Rest Of Illinois | $1,802.32 | $324.83 |
| Rest Of Louisiana | $1,720.97 | $288.80 |
| Rest Of Maine | $1,760.27 | $271.46 |
| Rest Of Maryland | $1,932.78 | $295.09 |
| Rest Of Massachusetts | $1,995.51 | $291.47 |
| Rest Of Michigan | $1,777.53 | $300.04 |
| Rest Of Missouri | $1,683.45 | $288.50 |
| Rest Of New Jersey | $2,082.31 | $315.16 |
| Rest Of New York | $1,815.03 | $277.67 |
| Rest Of Oregon | $1,891.89 | $280.09 |
| Rest Of Pennsylvania | $1,775.37 | $289.80 |
| Rest Of Texas | $1,824.78 | $289.04 |
| Rest Of Washington | $1,992.89 | $288.85 |
| Rhode Island | $1,968.08 | $296.40 |
| Riverside-San Bernardino-Ontario | $2,070.94 | $297.31 |
| Sacramento-Roseville-Folsom | $2,168.17 | $286.11 |
| Salinas | $2,160.55 | $284.97 |
| San Diego-Chula Vista-Carlsbad | $2,222.53 | $287.07 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $2,587.57 | $305.81 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $2,585.63 | $303.86 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $2,648.25 | $314.70 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $2,640.32 | $306.76 |
| San Luis Obispo-Paso Robles | $2,124.50 | $281.29 |
| Santa Cruz-Watsonville | $2,252.25 | $286.05 |
| Santa Maria-Santa Barbara | $2,171.68 | $284.77 |
| Santa Rosa-Petaluma | $2,275.66 | $288.42 |
| Seattle (King Cnty) | $2,293.79 | $308.16 |
| South Carolina | $1,779.97 | $284.69 |
| South Dakota** | $1,877.62 | $259.34 |
| Southern Maine | $1,879.43 | $275.72 |
| Stockton | $2,052.65 | $279.02 |
| Suburban Chicago | $2,006.06 | $344.10 |
| Tennessee | $1,737.03 | $266.02 |
| Utah | $1,809.45 | $288.28 |
| Vallejo | $2,427.84 | $294.96 |
| Vermont | $1,870.62 | $268.53 |
| Virgin Islands | $1,933.07 | $296.99 |
| Virginia | $1,870.34 | $279.58 |
| Visalia | $2,052.65 | $279.02 |
| West Virginia | $1,721.25 | $314.97 |
| Wisconsin | $1,805.83 | $255.53 |
| Wyoming** | $1,900.69 | $282.42 |
| Yuba City | $2,052.65 | $279.02 |
36223 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.
$1,652.22
$2,350.45
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 | $2,092.20 | 1 |
| AL | $1,681.87 | 1 |
| AR | $1,652.22 | 1 |
| AZ | $1,855.51 | 1 |
| CA | $2,052.65–$2,648.25 | 29 |
| CO | $2,012.23 | 1 |
| CT | $2,059.95 | 1 |
| DC | $2,229.56 | 1 |
| DE | $1,890.66 | 1 |
| FL | $1,870.74–$2,071.38 | 3 |
| GA | $1,746.03–$1,954.32 | 2 |
| GU | $2,120.43 | 1 |
| HI | $2,120.43 | 1 |
| IA | $1,739.06 | 1 |
| ID | $1,751.76 | 1 |
| IL | $1,802.32–$2,006.06 | 4 |
| IN | $1,764.20 | 1 |
| KS | $1,726.79 | 1 |
| KY | $1,725.20 | 1 |
| LA | $1,720.97–$1,824.72 | 2 |
| MA | $1,995.51–$2,241.12 | 2 |
| MD | $1,932.78–$2,229.56 | 3 |
| ME | $1,760.27–$1,879.43 | 2 |
| MI | $1,777.53–$1,896.24 | 2 |
| MN | $1,923.79 | 1 |
| MO | $1,683.45–$1,835.45 | 3 |
| MS | $1,668.36 | 1 |
| MT | $1,915.43 | 1 |
| NC | $1,782.96 | 1 |
| ND | $1,881.61 | 1 |
| NE | $1,751.35 | 1 |
| NH | $1,976.92 | 1 |
| NJ | $2,082.31–$2,198.60 | 2 |
| NM | $1,788.32 | 1 |
| NV | $1,907.67 | 1 |
| NY | $1,815.03–$2,292.31 | 5 |
| OH | $1,770.62 | 1 |
| OK | $1,724.00 | 1 |
| OR | $1,891.89–$2,089.40 | 2 |
| PA | $1,775.37–$1,998.45 | 2 |
| PR | $1,933.07 | 1 |
| RI | $1,968.08 | 1 |
| SC | $1,779.97 | 1 |
| SD | $1,877.62 | 1 |
| TN | $1,737.03 | 1 |
| TX | $1,761.09–$2,006.33 | 8 |
| UT | $1,809.45 | 1 |
| VA | $1,870.34–$2,229.56 | 2 |
| VI | $1,933.07 | 1 |
| VT | $1,870.62 | 1 |
| WA | $1,992.89–$2,293.79 | 2 |
| WI | $1,805.83 | 1 |
| WV | $1,721.25 | 1 |
| WY | $1,900.69 | 1 |
How the 36223 rate is calculated
Each of 36223’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 · 36223
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.61Practice expense 50.03Malpractice 1.71
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 36223
The CMS indicators that decide how 36223 is paid alongside other services.
CMS payment indicators · 36223
Carotid angiography
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 50 · payment effect
With and without the modifier
36223 without 50 · national office
$1,915.54
Carotid angiography
36223-50 · Bilateral: 150%
$2,873.31
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
36223 compared with similar codes
Compare codes
36223 vs 36222 vs 36224 vs 36221: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 36222Carotid angiography
- Choose 36222 for ipsilateral extracranial carotid angiography without imaging the intracranial carotid circulation. 36223 includes that intracranial territory.
- 36224Carotid angiography
- 36224 requires selective catheter placement in the internal carotid artery; 36223 describes placement in the common carotid or innominate artery.
- 36221Aortic arch angiography
- 36221 covers nonselective thoracic aorta catheterization and angiography of the aortic arch and great-vessel origins, rather than selective carotid or innominate catheterization with intracranial imaging.
36223 billing questions
How is 36223 different from 36222?
36223 includes imaging of the ipsilateral intracranial carotid circulation. Use 36222 when the angiography is limited to the ipsilateral extracranial carotid circulation.
How is 36223 different from 36224?
36223 describes catheter placement in the common carotid or innominate artery. 36224 describes selective catheter placement in the internal carotid artery.
Can catheter placement or imaging interpretation be billed separately?
The catheter placement and associated radiological supervision and interpretation are included in 36223 for the described service.
How should bilateral services be reported?
Report bilateral performance with modifier 50; CMS pays the bilateral procedure at 150%.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction. Same-day preoperative and postoperative care is included in this code's 0-day global period.
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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