No office rate
Choose 36620 for percutaneous arterial catheterization for sampling, monitoring, or transfusion. Choose 36640 when arterial access is for extracorporeal circulation or standby.
On this page
CMS RVU26D · Effective 2026-10-01
36640 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$98.04
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.
Vascular access
About 36640: Arterial cannulation for extracorporeal circulation
Reports arterial catheter placement or cannulation for extracorporeal circulation or standby access, such as arterial access established for cardiopulmonary bypass.
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.
CMS billing rules for 36640
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU2.05 · 68%
- Practice expense (office) RVU0.83 · 27%
- Malpractice RVU0.14 · 5%
139
Medicare services in 2024 · #4613 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.
36640 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
Code 36625 describes arterial catheterization by cutdown for sampling, monitoring, or transfusion. The purpose of access, not simply the presence of an arterial catheter, distinguishes it from 36640.
$25.87
Code 36600 is for arterial puncture to obtain a blood sample. It does not describe placement or cannulation of an arterial catheter for extracorporeal circulation or standby.
The same code, a different location
How does Beaumont compare?
36640 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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 · 36640
Office
Unavailable
Facility
$99.00
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 36640
Office
Unavailable
Facility
$107.18
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 36640
Office
Unavailable
Facility
$110.03
No comparable office rate is available.
Miami
Florida · 36640
Office
Unavailable
Facility
$109.16
No comparable office rate is available.
Chicago
Illinois · 36640
Office
Unavailable
Facility
$107.54
No comparable office rate is available.
Manhattan
New York · 36640
Office
Unavailable
Facility
$112.48
No comparable office rate is available.
Alaska*
Alaska · 36640
Office
Unavailable
Facility
$134.81
No comparable office rate is available.
Alabama
Alabama · 36640
Office
Unavailable
Facility
$95.38
No comparable office rate is available.
Arkansas
Arkansas · 36640
Office
Unavailable
Facility
$94.69
No comparable office rate is available.
Arizona
Arizona · 36640
Office
Unavailable
Facility
$99.34
No comparable office rate is available.
Bakersfield
California · 36640
Office
Unavailable
Facility
$103.00
No comparable office rate is available.
Chico
California · 36640
Office
Unavailable
Facility
$102.53
No comparable office rate is available.
El Centro
California · 36640
Office
Unavailable
Facility
$102.55
No comparable office rate is available.
Fresno
California · 36640
Office
Unavailable
Facility
$102.53
No comparable office rate is available.
Hanford-Corcoran
California · 36640
Office
Unavailable
Facility
$102.53
No comparable office rate is available.
Madera
California · 36640
Office
Unavailable
Facility
$102.53
No comparable office rate is available.
Merced
California · 36640
Office
Unavailable
Facility
$102.53
No comparable office rate is available.
Modesto
California · 36640
Office
Unavailable
Facility
$102.53
No comparable office rate is available.
Napa
California · 36640
Office
Unavailable
Facility
$111.70
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 36640
Office
Unavailable
Facility
$106.07
No comparable office rate is available.
Redding
California · 36640
Office
Unavailable
Facility
$102.53
No comparable office rate is available.
Rest Of California
California · 36640
Office
Unavailable
Facility
$102.53
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 36640
Office
Unavailable
Facility
$104.08
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 36640
Office
Unavailable
Facility
$105.68
No comparable office rate is available.
Salinas
California · 36640
Office
Unavailable
Facility
$105.23
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 36640
Office
Unavailable
Facility
$106.22
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 36640
Office
Unavailable
Facility
$116.21
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 36640
Office
Unavailable
Facility
$116.05
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 36640
Office
Unavailable
Facility
$118.49
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 36640
Office
Unavailable
Facility
$117.84
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 36640
Office
Unavailable
Facility
$103.72
No comparable office rate is available.
Santa Cruz-Watsonville
California · 36640
Office
Unavailable
Facility
$106.10
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 36640
Office
Unavailable
Facility
$105.22
No comparable office rate is available.
Santa Rosa-Petaluma
California · 36640
Office
Unavailable
Facility
$107.08
No comparable office rate is available.
Stockton
California · 36640
Office
Unavailable
Facility
$102.53
No comparable office rate is available.
Vallejo
California · 36640
Office
Unavailable
Facility
$111.47
No comparable office rate is available.
Visalia
California · 36640
Office
Unavailable
Facility
$102.53
No comparable office rate is available.
Yuba City
California · 36640
Office
Unavailable
Facility
$102.53
No comparable office rate is available.
Colorado
Colorado · 36640
Office
Unavailable
Facility
$102.44
No comparable office rate is available.
Connecticut
Connecticut · 36640
Office
Unavailable
Facility
$105.36
No comparable office rate is available.
Delaware
Delaware · 36640
Office
Unavailable
Facility
$100.41
No comparable office rate is available.
Fort Lauderdale
Florida · 36640
Office
Unavailable
Facility
$105.01
No comparable office rate is available.
Rest Of Florida
Florida · 36640
Office
Unavailable
Facility
$102.00
No comparable office rate is available.
Atlanta
Georgia · 36640
Office
Unavailable
Facility
$102.46
No comparable office rate is available.
Rest Of Georgia
Georgia · 36640
Office
Unavailable
Facility
$98.77
No comparable office rate is available.
Hawaii, Guam
Hawaii · 36640
Office
Unavailable
Facility
$102.70
No comparable office rate is available.
Iowa
Iowa · 36640
Office
Unavailable
Facility
$95.69
No comparable office rate is available.
Idaho
Idaho · 36640
Office
Unavailable
Facility
$96.19
No comparable office rate is available.
East St. Louis
Illinois · 36640
Office
Unavailable
Facility
$103.39
No comparable office rate is available.
Rest Of Illinois
Illinois · 36640
Office
Unavailable
Facility
$101.09
No comparable office rate is available.
Suburban Chicago
Illinois · 36640
Office
Unavailable
Facility
$105.71
No comparable office rate is available.
Indiana
Indiana · 36640
Office
Unavailable
Facility
$96.44
No comparable office rate is available.
Kansas
Kansas · 36640
Office
Unavailable
Facility
$95.89
No comparable office rate is available.
Kentucky
Kentucky · 36640
Office
Unavailable
Facility
$97.40
No comparable office rate is available.
New Orleans
Louisiana · 36640
Office
Unavailable
Facility
$99.87
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 36640
Office
Unavailable
Facility
$97.49
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 36640
Office
Unavailable
Facility
$108.54
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 36640
Office
Unavailable
Facility
$102.49
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 36640
Office
Unavailable
Facility
$105.10
No comparable office rate is available.
Rest Of Maryland
Maryland · 36640
Office
Unavailable
Facility
$101.50
No comparable office rate is available.
Rest Of Maine
Maine · 36640
Office
Unavailable
Facility
$96.89
No comparable office rate is available.
Southern Maine
Maine · 36640
Office
Unavailable
Facility
$98.90
No comparable office rate is available.
Detroit
Michigan · 36640
Office
Unavailable
Facility
$103.11
No comparable office rate is available.
Rest Of Michigan
Michigan · 36640
Office
Unavailable
Facility
$99.06
No comparable office rate is available.
Minnesota
Minnesota · 36640
Office
Unavailable
Facility
$98.38
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 36640
Office
Unavailable
Facility
$99.07
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 36640
Office
Unavailable
Facility
$99.55
No comparable office rate is available.
Rest Of Missouri
Missouri · 36640
Office
Unavailable
Facility
$96.92
No comparable office rate is available.
Mississippi
Mississippi · 36640
Office
Unavailable
Facility
$95.80
No comparable office rate is available.
Montana**
Montana · 36640
Office
Unavailable
Facility
$100.86
No comparable office rate is available.
North Carolina
North Carolina · 36640
Office
Unavailable
Facility
$97.33
No comparable office rate is available.
North Dakota**
North Dakota · 36640
Office
Unavailable
Facility
$98.09
No comparable office rate is available.
Nebraska
Nebraska · 36640
Office
Unavailable
Facility
$95.83
No comparable office rate is available.
New Hampshire
New Hampshire · 36640
Office
Unavailable
Facility
$101.42
No comparable office rate is available.
Northern Nj
New Jersey · 36640
Office
Unavailable
Facility
$109.94
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 36640
Office
Unavailable
Facility
$106.61
No comparable office rate is available.
New Mexico
New Mexico · 36640
Office
Unavailable
Facility
$99.51
No comparable office rate is available.
Nevada**
Nevada · 36640
Office
Unavailable
Facility
$100.12
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 36640
Office
Unavailable
Facility
$114.50
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 36640
Office
Unavailable
Facility
$107.57
No comparable office rate is available.
Queens
New York · 36640
Office
Unavailable
Facility
$112.37
No comparable office rate is available.
Rest Of New York
New York · 36640
Office
Unavailable
Facility
$98.10
No comparable office rate is available.
Ohio
Ohio · 36640
Office
Unavailable
Facility
$98.50
No comparable office rate is available.
Oklahoma
Oklahoma · 36640
Office
Unavailable
Facility
$96.86
No comparable office rate is available.
Portland
Oregon · 36640
Office
Unavailable
Facility
$103.85
No comparable office rate is available.
Rest Of Oregon
Oregon · 36640
Office
Unavailable
Facility
$99.37
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 36640
Office
Unavailable
Facility
$104.14
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 36640
Office
Unavailable
Facility
$98.34
No comparable office rate is available.
Puerto Rico
Puerto Rico · 36640
Office
Unavailable
Facility
$101.11
No comparable office rate is available.
Rhode Island
Rhode Island · 36640
Office
Unavailable
Facility
$102.58
No comparable office rate is available.
South Carolina
South Carolina · 36640
Office
Unavailable
Facility
$98.06
No comparable office rate is available.
South Dakota**
South Dakota · 36640
Office
Unavailable
Facility
$97.77
No comparable office rate is available.
Tennessee
Tennessee · 36640
Office
Unavailable
Facility
$96.18
No comparable office rate is available.
Utah
Utah · 36640
Office
Unavailable
Facility
$98.73
No comparable office rate is available.
Virginia
Virginia · 36640
Office
Unavailable
Facility
$99.02
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 36640
Office
Unavailable
Facility
$101.11
No comparable office rate is available.
Vermont
Vermont · 36640
Office
Unavailable
Facility
$98.28
No comparable office rate is available.
Rest Of Washington
Washington · 36640
Office
Unavailable
Facility
$102.11
No comparable office rate is available.
Seattle (King Cnty)
Washington · 36640
Office
Unavailable
Facility
$109.73
No comparable office rate is available.
Wisconsin
Wisconsin · 36640
Office
Unavailable
Facility
$96.47
No comparable office rate is available.
West Virginia
West Virginia · 36640
Office
Unavailable
Facility
$99.25
No comparable office rate is available.
Wyoming**
Wyoming · 36640
Office
Unavailable
Facility
$99.65
No comparable office rate is available.
See how rates vary across the country
36640 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 36640 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$107.84
$98.04 × 110% = $107.84
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.
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 36640 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
4,540
- Code
- 36640
- Physician work
- 2.05
- Practice expense
- 0.83
- Malpractice
- 0.14
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.05 | × 1.000 | 2.0500 |
| Practice expense | 0.83 | × 0.910 | 0.7553 |
| Malpractice | 0.14 | × 0.929 | 0.1301 |
| Total RVUs | 2.9354 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$98.04
Open 36640 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.05 | 1 |
| Practice expense | 0.83 | 0.91 |
| Malpractice | 0.14 | 0.929 |
(2.05 × 1 + 0.83 × 0.91 + 0.14 × 0.929) × $33.4009 = $98.04
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
36640 · 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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $98.04 | RVU26D |
| 2026-07-01 | Not available in this setting | $98.04 | RVU26C |
| 2026-04-01 | Not available in this setting | $98.04 | RVU26B |
| 2026-01-01 | Not available in this setting | $98.04 | RVU26A |
| 2025-10-01 | Not available in this setting | $108.76 | RVU25D |
| 2025-07-01 | Not available in this setting | $108.76 | RVU25C |
| 2025-04-01 | Not available in this setting | $108.76 | RVU25B |
| 2025-01-01 | Not available in this setting | $108.76 | RVU25A |
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 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.
4,53736600,,Withdrawal of arterial blood,A,,0.31,0.49,,0.06,,0.02,0.82,0.39,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,53836620,,Insertion catheter artery,A,,0.98,0.16,NA,0.16,,0.08,1.22,1.22,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,53936625,,Insertion catheter artery,A,,2.06,0.47,NA,0.47,,0.33,2.86,2.86,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54036640,,Insertion catheter artery,A,,2.05,0.83,NA,0.83,,0.14,3.02,3.02,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54136660,,Insertion catheter artery,A,,1.37,0.28,NA,0.28,,0.07,1.72,1.72,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54236680,,Insert needle bone cavity,A,,1.17,0.33,NA,0.33,,0.23,1.73,1.73,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54336800,,Insertion of cannula,A,,2.37,0.58,NA,0.58,,0.27,3.22,3.22,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858
10004412,TX,28,FORT WORTH,1.009,0.986,0.871