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CMS RVU26D · Effective 2026-10-01

36223 in Austin

Office / nonfacility

$2006.33

Base rate per service

Facility setting

$294.19

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Diagnostic angiography

About 36223: Common carotid intracranial angiography

Reports unilateral catheterization in the common carotid or innominate artery with angiography of the ipsilateral intracranial carotid circulation.

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.

CMS billing rules for 36223

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU5.61 · 10%
  • Practice expense (office) RVU50.03 · 87%
  • Malpractice RVU1.71 · 3%

18.1K

Medicare services in 2024 · #1188 by national volume

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.

36223 compared with similar codes

Office rates for Austin, from the same CMS release.

36222

Carotid angiography

Common carotid, extracranial

$1,315.44

Choose 36222 for ipsilateral extracranial carotid angiography without imaging the intracranial carotid circulation. 36223 includes that intracranial territory.

36224

Carotid angiography

Internal carotid, both circulations

$2,464.09

36224 requires selective catheter placement in the internal carotid artery; 36223 describes placement in the common carotid or innominate artery.

36221

Aortic arch angiography

Nonselective thoracic aorta

$995.88

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.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 36223 is $1761.09—$245.24 lower than the $2006.33 rate in Austin. Both use the same code, release and participation basis.

36223 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $2006.33

  2. Beaumont

    $1761.09

    $245.24 lower than Austin

  3. Brazoria

    $1889.44

    $116.89 lower than Austin

  4. Dallas

    $1902.43

    $103.90 lower than Austin

  5. Fort Worth

    $1886.47

    $119.86 lower than Austin

  6. Galveston

    $1895.52

    $110.81 lower than Austin

  7. Houston

    $1926.82

    $79.51 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 36223 ranges from $1652.22 in Arkansas to $2648.25 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 36223

    Office

    $1824.78

    Facility

    $289.04

    $181.55 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 36223

    Office

    $2209.83

    Facility

    $295.42

    $203.50 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 36223

    Office

    $2229.56

    Facility

    $323.23

    $223.23 higher than Austin for the office setting.

  • Miami

    Florida · 36223

    Office

    $2071.38

    Facility

    $386.76

    $65.05 higher than Austin for the office setting.

  • Chicago

    Illinois · 36223

    Office

    $1999.17

    Facility

    $372.81

    $7.16 lower than Austin for the office setting.

  • Manhattan

    New York · 36223

    Office

    $2231.71

    Facility

    $351.28

    $225.38 higher than Austin for the office setting.

  • Alaska*

    Alaska · 36223

    Office

    $2092.20

    Facility

    $368.74

    $85.87 higher than Austin for the office setting.

  • Alabama

    Alabama · 36223

    Office

    $1681.87

    Facility

    $265.88

    $324.46 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 36223

    Office

    $1652.22

    Facility

    $262.13

    $354.11 lower than Austin for the office setting.

  • Arizona

    Arizona · 36223

    Office

    $1855.51

    Facility

    $287.41

    $150.82 lower than Austin for the office setting.

  • Bakersfield

    California · 36223

    Office

    $2057.19

    Facility

    $283.56

    $50.86 higher than Austin for the office setting.

  • Chico

    California · 36223

    Office

    $2052.65

    Facility

    $279.02

    $46.32 higher than Austin for the office setting.

  • El Centro

    California · 36223

    Office

    $2052.93

    Facility

    $279.30

    $46.60 higher than Austin for the office setting.

  • Fresno

    California · 36223

    Office

    $2052.65

    Facility

    $279.02

    $46.32 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 36223

    Office

    $2052.65

    Facility

    $279.02

    $46.32 higher than Austin for the office setting.

  • Madera

    California · 36223

    Office

    $2052.65

    Facility

    $279.02

    $46.32 higher than Austin for the office setting.

  • Merced

    California · 36223

    Office

    $2052.65

    Facility

    $279.02

    $46.32 higher than Austin for the office setting.

  • Modesto

    California · 36223

    Office

    $2052.65

    Facility

    $279.02

    $46.32 higher than Austin for the office setting.

  • Napa

    California · 36223

    Office

    $2430.64

    Facility

    $297.75

    $424.31 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36223

    Office

    $2203.39

    Facility

    $290.59

    $197.06 higher than Austin for the office setting.

  • Redding

    California · 36223

    Office

    $2052.65

    Facility

    $279.02

    $46.32 higher than Austin for the office setting.

  • Rest Of California

    California · 36223

    Office

    $2052.65

    Facility

    $279.02

    $46.32 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36223

    Office

    $2070.94

    Facility

    $297.31

    $64.61 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36223

    Office

    $2168.17

    Facility

    $286.11

    $161.84 higher than Austin for the office setting.

  • Salinas

    California · 36223

    Office

    $2160.55

    Facility

    $284.97

    $154.22 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36223

    Office

    $2222.53

    Facility

    $287.07

    $216.20 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36223

    Office

    $2587.57

    Facility

    $305.81

    $581.24 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 36223

    Office

    $2585.63

    Facility

    $303.86

    $579.30 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 36223

    Office

    $2648.25

    Facility

    $314.70

    $641.92 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 36223

    Office

    $2640.32

    Facility

    $306.76

    $633.99 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36223

    Office

    $2124.50

    Facility

    $281.29

    $118.17 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 36223

    Office

    $2252.25

    Facility

    $286.05

    $245.92 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 36223

    Office

    $2171.68

    Facility

    $284.77

    $165.35 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 36223

    Office

    $2275.66

    Facility

    $288.42

    $269.33 higher than Austin for the office setting.

  • Stockton

    California · 36223

    Office

    $2052.65

    Facility

    $279.02

    $46.32 higher than Austin for the office setting.

  • Vallejo

    California · 36223

    Office

    $2427.84

    Facility

    $294.96

    $421.51 higher than Austin for the office setting.

  • Visalia

    California · 36223

    Office

    $2052.65

    Facility

    $279.02

    $46.32 higher than Austin for the office setting.

  • Yuba City

    California · 36223

    Office

    $2052.65

    Facility

    $279.02

    $46.32 higher than Austin for the office setting.

  • Colorado

    Colorado · 36223

    Office

    $2012.23

    Facility

    $290.39

    $5.90 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 36223

    Office

    $2059.95

    Facility

    $317.07

    $53.62 higher than Austin for the office setting.

  • Delaware

    Delaware · 36223

    Office

    $1890.66

    Facility

    $291.80

    $115.67 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 36223

    Office

    $1983.41

    Facility

    $344.10

    $22.92 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 36223

    Office

    $1870.74

    Facility

    $323.68

    $135.59 lower than Austin for the office setting.

  • Atlanta

    Georgia · 36223

    Office

    $1954.32

    Facility

    $310.15

    $52.01 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 36223

    Office

    $1746.03

    Facility

    $302.53

    $260.30 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 36223

    Office

    $2120.43

    Facility

    $280.45

    $114.10 higher than Austin for the office setting.

  • Iowa

    Iowa · 36223

    Office

    $1739.06

    Facility

    $258.34

    $267.27 lower than Austin for the office setting.

  • Idaho

    Idaho · 36223

    Office

    $1751.76

    Facility

    $262.95

    $254.57 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 36223

    Office

    $1839.77

    Facility

    $350.96

    $166.56 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 36223

    Office

    $1802.32

    Facility

    $324.83

    $204.01 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 36223

    Office

    $2006.06

    Facility

    $344.10

    $0.27 lower than Austin for the office setting.

  • Indiana

    Indiana · 36223

    Office

    $1764.20

    Facility

    $264.06

    $242.13 lower than Austin for the office setting.

  • Kansas

    Kansas · 36223

    Office

    $1726.79

    Facility

    $263.87

    $279.54 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 36223

    Office

    $1725.20

    Facility

    $286.56

    $281.13 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 36223

    Office

    $1824.72

    Facility

    $301.92

    $181.61 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 36223

    Office

    $1720.97

    Facility

    $288.80

    $285.36 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 36223

    Office

    $2241.12

    Facility

    $308.91

    $234.79 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36223

    Office

    $1995.51

    Facility

    $291.47

    $10.82 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36223

    Office

    $2054.06

    Facility

    $317.65

    $47.73 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 36223

    Office

    $1932.78

    Facility

    $295.09

    $73.55 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 36223

    Office

    $1760.27

    Facility

    $271.46

    $246.06 lower than Austin for the office setting.

  • Southern Maine

    Maine · 36223

    Office

    $1879.43

    Facility

    $275.72

    $126.90 lower than Austin for the office setting.

  • Detroit

    Michigan · 36223

    Office

    $1896.24

    Facility

    $334.60

    $110.09 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 36223

    Office

    $1777.53

    Facility

    $300.04

    $228.80 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 36223

    Office

    $1923.79

    Facility

    $258.59

    $82.54 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 36223

    Office

    $1812.29

    Facility

    $292.74

    $194.04 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 36223

    Office

    $1835.45

    Facility

    $294.85

    $170.88 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 36223

    Office

    $1683.45

    Facility

    $288.50

    $322.88 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 36223

    Office

    $1668.36

    Facility

    $275.03

    $337.97 lower than Austin for the office setting.

  • Montana**

    Montana · 36223

    Office

    $1915.43

    Facility

    $297.15

    $90.90 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 36223

    Office

    $1782.96

    Facility

    $273.11

    $223.37 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 36223

    Office

    $1881.61

    Facility

    $263.34

    $124.72 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 36223

    Office

    $1751.35

    Facility

    $257.68

    $254.98 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 36223

    Office

    $1976.92

    Facility

    $292.29

    $29.41 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 36223

    Office

    $2198.60

    Facility

    $321.40

    $192.27 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 36223

    Office

    $2082.31

    Facility

    $315.16

    $75.98 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 36223

    Office

    $1788.32

    Facility

    $304.37

    $218.01 lower than Austin for the office setting.

  • Nevada**

    Nevada · 36223

    Office

    $1907.67

    Facility

    $287.78

    $98.66 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36223

    Office

    $2292.31

    Facility

    $368.18

    $285.98 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36223

    Office

    $2094.72

    Facility

    $322.71

    $88.39 higher than Austin for the office setting.

  • Queens

    New York · 36223

    Office

    $2256.91

    Facility

    $344.11

    $250.58 higher than Austin for the office setting.

  • Rest Of New York

    New York · 36223

    Office

    $1815.03

    Facility

    $277.67

    $191.30 lower than Austin for the office setting.

  • Ohio

    Ohio · 36223

    Office

    $1770.62

    Facility

    $293.13

    $235.71 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 36223

    Office

    $1724.00

    Facility

    $278.88

    $282.33 lower than Austin for the office setting.

  • Portland

    Oregon · 36223

    Office

    $2089.40

    Facility

    $291.50

    $83.07 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 36223

    Office

    $1891.89

    Facility

    $280.09

    $114.44 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36223

    Office

    $1998.45

    Facility

    $313.83

    $7.88 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36223

    Office

    $1775.37

    Facility

    $289.80

    $230.96 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 36223

    Office

    $1933.07

    Facility

    $296.99

    $73.26 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 36223

    Office

    $1968.08

    Facility

    $296.40

    $38.25 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 36223

    Office

    $1779.97

    Facility

    $284.69

    $226.36 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 36223

    Office

    $1877.62

    Facility

    $259.34

    $128.71 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 36223

    Office

    $1737.03

    Facility

    $266.02

    $269.30 lower than Austin for the office setting.

  • Utah

    Utah · 36223

    Office

    $1809.45

    Facility

    $288.28

    $196.88 lower than Austin for the office setting.

  • Virginia

    Virginia · 36223

    Office

    $1870.34

    Facility

    $279.58

    $135.99 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36223

    Office

    $1933.07

    Facility

    $296.99

    $73.26 lower than Austin for the office setting.

  • Vermont

    Vermont · 36223

    Office

    $1870.62

    Facility

    $268.53

    $135.71 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 36223

    Office

    $1992.89

    Facility

    $288.85

    $13.44 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 36223

    Office

    $2293.79

    Facility

    $308.16

    $287.46 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 36223

    Office

    $1805.83

    Facility

    $255.53

    $200.50 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 36223

    Office

    $1721.25

    Facility

    $314.97

    $285.08 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 36223

    Office

    $1900.69

    Facility

    $282.42

    $105.64 lower than Austin for the office setting.

See how rates vary across the country

36223 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 all state and territory rates as a table
State / territoryRate rangeLocalities
AK$2,092.201
AL$1,681.871
AR$1,652.221
AZ$1,855.511
CA$2,052.65–$2,648.2529
CO$2,012.231
CT$2,059.951
DC$2,229.561
DE$1,890.661
FL$1,870.74–$2,071.383
GA$1,746.03–$1,954.322
GU$2,120.431
HI$2,120.431
IA$1,739.061
ID$1,751.761
IL$1,802.32–$2,006.064
IN$1,764.201
KS$1,726.791
KY$1,725.201
LA$1,720.97–$1,824.722
MA$1,995.51–$2,241.122
MD$1,932.78–$2,229.563
ME$1,760.27–$1,879.432
MI$1,777.53–$1,896.242
MN$1,923.791
MO$1,683.45–$1,835.453
MS$1,668.361
MT$1,915.431
NC$1,782.961
ND$1,881.611
NE$1,751.351
NH$1,976.921
NJ$2,082.31–$2,198.602
NM$1,788.321
NV$1,907.671
NY$1,815.03–$2,292.315
OH$1,770.621
OK$1,724.001
OR$1,891.89–$2,089.402
PA$1,775.37–$1,998.452
PR$1,933.071
RI$1,968.081
SC$1,779.971
SD$1,877.621
TN$1,737.031
TX$1,761.09–$2,006.338
UT$1,809.451
VA$1,870.34–$2,229.562
VI$1,933.071
VT$1,870.621
WA$1,992.89–$2,293.792
WI$1,805.831
WV$1,721.251
WY$1,900.691

Explore 36223 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 36223 in Austin, the physician’s office rate is $2006.33 and the facility-setting rate is $294.19: a difference of $1712.14.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 36223 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$2206.96

$2006.33 × 110% = $2206.96

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 36223 in Austin.

PPRRVU2026_Oct_nonQPP.csv

4,449

Code
36223
Physician work
5.61
Practice expense
50.03
Malpractice
1.71

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 36223 in Austin
ComponentRVULocality factorAdjusted
Physician work5.61× 1.0025.6212
Practice expense50.03× 1.05852.9317
Malpractice1.71× 0.8861.5151
Total RVUs60.0680
Conversion factor× 33.4009

Office / nonfacility rate, Austin$2006.33

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

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Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.611.002
Practice expense50.031.058
Malpractice1.710.886

(5.61 × 1.002 + 50.03 × 1.058 + 1.71 × 0.886) × $33.4009 = $2006.33

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.611.002
Practice expense1.581.058
Malpractice1.710.886

(5.61 × 1.002 + 1.58 × 1.058 + 1.71 × 0.886) × $33.4009 = $294.19

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

36223 · Office / nonfacility

$2006.33

Effective 2026-10-01

The base rate is $346.79 higher than on 2025-10-01, moving from $1659.54 to $2006.33 (20.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $1659.54changed to$2006.33

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.75 changed to 5.61
    • Practice expense RVU 42.11 changed to 50.03
    • Malpractice RVU 1.65 changed to 1.71
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $1659.54

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$2006.33$294.19RVU26D
2026-07-01$2006.33$294.19RVU26C
2026-04-01$2006.33$294.19RVU26B
2026-01-01$2006.33$294.19RVU26A
2025-10-01$1659.54$316.99RVU25D
2025-07-01$1659.54$316.99RVU25C
2025-04-01$1659.54$316.99RVU25B
2025-01-01$1659.54$316.99RVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 36223PPRRVU2026_Oct_nonQPP.csv, line 4,449 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet