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CMS RVU26D · Effective 2026-10-01

36225 in Delaware

Office / nonfacility

$1768.95

Base rate per service

Facility setting

$288.89

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.

Cerebrovascular angiography

About 36225: Selective subclavian catheter angiography

Reports selective catheter positioning in a subclavian artery for angiographic assessment of the same-side vertebral and/or cervical carotid vessels.

An interventional radiologist, neurointerventionalist, or other qualified physician selectively positions a catheter in one subclavian artery to perform angiographic assessment of the ipsilateral vertebral and/or cervical carotid vessels. This approach may be used when evaluating vertebral-origin disease or suspected subclavian steal. The service is generally performed in a hospital angiography suite or another setting equipped for catheter-based vascular imaging.

Report the code for the documented unilateral subclavian catheter position and the associated angiographic study; document the side, catheter location, vessels imaged, and findings. The specified angiographic work is represented with the catheter service. The CMS global period is 0 days, so same-day preoperative and postoperative care is included. For bilateral performance, modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 36225

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) RVU46.36 · 86%
  • Malpractice RVU1.69 · 3%

7.8K

Medicare services in 2024 · #1603 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.

36225 compared with similar codes

Office rates for Delaware, from the same CMS release.

36226

Vertebral angiography

Direct vertebral selection

$2,256.28

Choose 36225 when the catheter is positioned in the subclavian artery; choose 36226 when it is advanced selectively into the vertebral artery.

36224

Carotid angiography

Internal carotid, both circulations

$2,319.85

36224 describes selective internal carotid catheterization. 36225 describes selective subclavian positioning for imaging of the ipsilateral vertebral and/or cervical carotid vessels.

36221

Aortic arch angiography

Nonselective thoracic aorta

$940.99

36221 represents nonselective catheter positioning in the thoracic aorta. 36225 requires selective positioning in a subclavian artery.

The same code, a different location

How does Delaware compare?

36225 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $1768.95

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $2064.38

    $295.43 higher than Delaware

  3. Dc + Md/Va Suburbs

    $2084.42

    $315.47 higher than Delaware

  4. Miami

    $1942.09

    $173.14 higher than Delaware

  5. Chicago

    $1874.45

    $105.50 higher than Delaware

  6. Manhattan

    $2088.21

    $319.26 higher than Delaware

  7. Alaska*

    $1961.29

    $192.34 higher than Delaware

Other payment areas listed in Delaware 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, 36225 ranges from $1546.58 in Arkansas to $2471.13 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

  • Alabama

    Alabama · 36225

    Office

    $1574.24

    Facility

    $263.46

    $194.71 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 36225

    Office

    $1546.58

    Facility

    $259.77

    $222.37 lower than Delaware for the office setting.

  • Arizona

    Arizona · 36225

    Office

    $1736.16

    Facility

    $284.57

    $32.79 lower than Delaware for the office setting.

  • Bakersfield

    California · 36225

    Office

    $1922.43

    Facility

    $280.59

    $153.48 higher than Delaware for the office setting.

  • Chico

    California · 36225

    Office

    $1917.94

    Facility

    $276.10

    $148.99 higher than Delaware for the office setting.

  • El Centro

    California · 36225

    Office

    $1918.22

    Facility

    $276.38

    $149.27 higher than Delaware for the office setting.

  • Fresno

    California · 36225

    Office

    $1917.94

    Facility

    $276.10

    $148.99 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 36225

    Office

    $1917.94

    Facility

    $276.10

    $148.99 higher than Delaware for the office setting.

  • Madera

    California · 36225

    Office

    $1917.94

    Facility

    $276.10

    $148.99 higher than Delaware for the office setting.

  • Merced

    California · 36225

    Office

    $1917.94

    Facility

    $276.10

    $148.99 higher than Delaware for the office setting.

  • Modesto

    California · 36225

    Office

    $1917.94

    Facility

    $276.10

    $148.99 higher than Delaware for the office setting.

  • Napa

    California · 36225

    Office

    $2268.74

    Facility

    $294.33

    $499.79 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36225

    Office

    $2058.08

    Facility

    $287.41

    $289.13 higher than Delaware for the office setting.

  • Redding

    California · 36225

    Office

    $1917.94

    Facility

    $276.10

    $148.99 higher than Delaware for the office setting.

  • Rest Of California

    California · 36225

    Office

    $1917.94

    Facility

    $276.10

    $148.99 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36225

    Office

    $1936.02

    Facility

    $294.18

    $167.07 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36225

    Office

    $2025.25

    Facility

    $283.04

    $256.30 higher than Delaware for the office setting.

  • Salinas

    California · 36225

    Office

    $2018.12

    Facility

    $281.90

    $249.17 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36225

    Office

    $2075.56

    Facility

    $283.92

    $306.61 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36225

    Office

    $2414.43

    Facility

    $302.20

    $645.48 higher than Delaware for the office setting.

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

    California · 36225

    Office

    $2412.51

    Facility

    $300.28

    $643.56 higher than Delaware for the office setting.

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

    California · 36225

    Office

    $2471.13

    Facility

    $310.97

    $702.18 higher than Delaware for the office setting.

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

    California · 36225

    Office

    $2463.29

    Facility

    $303.13

    $694.34 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36225

    Office

    $1984.52

    Facility

    $278.27

    $215.57 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 36225

    Office

    $2102.96

    Facility

    $282.85

    $334.01 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 36225

    Office

    $2028.39

    Facility

    $281.69

    $259.44 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 36225

    Office

    $2124.77

    Facility

    $285.19

    $355.82 higher than Delaware for the office setting.

  • Stockton

    California · 36225

    Office

    $1917.94

    Facility

    $276.10

    $148.99 higher than Delaware for the office setting.

  • Vallejo

    California · 36225

    Office

    $2265.97

    Facility

    $291.57

    $497.02 higher than Delaware for the office setting.

  • Visalia

    California · 36225

    Office

    $1917.94

    Facility

    $276.10

    $148.99 higher than Delaware for the office setting.

  • Yuba City

    California · 36225

    Office

    $1917.94

    Facility

    $276.10

    $148.99 higher than Delaware for the office setting.

  • Colorado

    Colorado · 36225

    Office

    $1881.28

    Facility

    $287.38

    $112.33 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 36225

    Office

    $1927.13

    Facility

    $313.75

    $158.18 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 36225

    Office

    $1858.03

    Facility

    $340.53

    $89.08 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 36225

    Office

    $1752.55

    Facility

    $320.44

    $16.40 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 36225

    Office

    $1828.98

    Facility

    $306.98

    $60.03 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 36225

    Office

    $1635.90

    Facility

    $299.65

    $133.05 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 36225

    Office

    $1980.67

    Facility

    $277.41

    $211.72 higher than Delaware for the office setting.

  • Iowa

    Iowa · 36225

    Office

    $1626.63

    Facility

    $255.94

    $142.32 lower than Delaware for the office setting.

  • Idaho

    Idaho · 36225

    Office

    $1638.67

    Facility

    $260.48

    $130.28 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 36225

    Office

    $1725.65

    Facility

    $347.46

    $43.30 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 36225

    Office

    $1689.36

    Facility

    $321.65

    $79.59 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 36225

    Office

    $1878.99

    Facility

    $340.51

    $110.04 higher than Delaware for the office setting.

  • Indiana

    Indiana · 36225

    Office

    $1650.24

    Facility

    $261.57

    $118.71 lower than Delaware for the office setting.

  • Kansas

    Kansas · 36225

    Office

    $1615.64

    Facility

    $261.42

    $153.31 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 36225

    Office

    $1615.61

    Facility

    $283.87

    $153.34 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 36225

    Office

    $1708.61

    Facility

    $298.96

    $60.34 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 36225

    Office

    $1611.85

    Facility

    $286.09

    $157.10 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 36225

    Office

    $2094.17

    Facility

    $305.52

    $325.22 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36225

    Office

    $1865.90

    Facility

    $288.47

    $96.95 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36225

    Office

    $1921.71

    Facility

    $314.32

    $152.76 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 36225

    Office

    $1808.12

    Facility

    $292.11

    $39.17 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 36225

    Office

    $1647.08

    Facility

    $268.89

    $121.87 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 36225

    Office

    $1757.53

    Facility

    $272.98

    $11.42 lower than Delaware for the office setting.

  • Detroit

    Michigan · 36225

    Office

    $1776.82

    Facility

    $331.22

    $7.87 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 36225

    Office

    $1664.86

    Facility

    $297.16

    $104.09 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 36225

    Office

    $1797.46

    Facility

    $255.99

    $28.51 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 36225

    Office

    $1696.54

    Facility

    $289.89

    $72.41 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 36225

    Office

    $1718.08

    Facility

    $291.95

    $50.87 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 36225

    Office

    $1577.14

    Facility

    $285.83

    $191.81 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 36225

    Office

    $1562.32

    Facility

    $272.52

    $206.63 lower than Delaware for the office setting.

  • Montana**

    Montana · 36225

    Office

    $1792.18

    Facility

    $294.15

    $23.23 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 36225

    Office

    $1668.17

    Facility

    $270.51

    $100.78 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 36225

    Office

    $1758.76

    Facility

    $260.73

    $10.19 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 36225

    Office

    $1637.95

    Facility

    $255.27

    $131.00 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 36225

    Office

    $1848.72

    Facility

    $289.27

    $79.77 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 36225

    Office

    $2055.69

    Facility

    $317.97

    $286.74 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 36225

    Office

    $1947.72

    Facility

    $311.87

    $178.77 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 36225

    Office

    $1675.12

    Facility

    $301.42

    $93.83 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 36225

    Office

    $1784.41

    Facility

    $284.89

    $15.46 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36225

    Office

    $2145.32

    Facility

    $364.16

    $376.37 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36225

    Office

    $1959.68

    Facility

    $319.34

    $190.73 higher than Delaware for the office setting.

  • Queens

    New York · 36225

    Office

    $2111.06

    Facility

    $340.38

    $342.11 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 36225

    Office

    $1698.10

    Facility

    $274.98

    $70.85 lower than Delaware for the office setting.

  • Ohio

    Ohio · 36225

    Office

    $1658.03

    Facility

    $290.33

    $110.92 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 36225

    Office

    $1614.02

    Facility

    $276.28

    $154.93 lower than Delaware for the office setting.

  • Portland

    Oregon · 36225

    Office

    $1952.72

    Facility

    $288.41

    $183.77 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 36225

    Office

    $1769.33

    Facility

    $277.30

    $0.38 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36225

    Office

    $1870.05

    Facility

    $310.60

    $101.10 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36225

    Office

    $1662.21

    Facility

    $287.02

    $106.74 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 36225

    Office

    $1808.48

    Facility

    $293.97

    $39.53 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 36225

    Office

    $1840.86

    Facility

    $293.39

    $71.91 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 36225

    Office

    $1666.14

    Facility

    $281.96

    $102.81 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 36225

    Office

    $1754.81

    Facility

    $256.78

    $14.14 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 36225

    Office

    $1625.25

    Facility

    $263.54

    $143.70 lower than Delaware for the office setting.

  • Austin

    Texas · 36225

    Office

    $1876.04

    Facility

    $291.13

    $107.09 higher than Delaware for the office setting.

  • Beaumont

    Texas · 36225

    Office

    $1648.92

    Facility

    $285.71

    $120.03 lower than Delaware for the office setting.

  • Brazoria

    Texas · 36225

    Office

    $1767.44

    Facility

    $282.89

    $1.51 lower than Delaware for the office setting.

  • Dallas

    Texas · 36225

    Office

    $1779.77

    Facility

    $287.73

    $10.82 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 36225

    Office

    $1765.02

    Facility

    $287.96

    $3.93 lower than Delaware for the office setting.

  • Galveston

    Texas · 36225

    Office

    $1773.24

    Facility

    $285.70

    $4.29 higher than Delaware for the office setting.

  • Houston

    Texas · 36225

    Office

    $1804.18

    Facility

    $316.63

    $35.23 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 36225

    Office

    $1707.85

    Facility

    $286.21

    $61.10 lower than Delaware for the office setting.

  • Utah

    Utah · 36225

    Office

    $1693.63

    Facility

    $285.48

    $75.32 lower than Delaware for the office setting.

  • Virginia

    Virginia · 36225

    Office

    $1749.37

    Facility

    $276.81

    $19.58 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36225

    Office

    $1808.48

    Facility

    $293.97

    $39.53 higher than Delaware for the office setting.

  • Vermont

    Vermont · 36225

    Office

    $1748.92

    Facility

    $265.87

    $20.03 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 36225

    Office

    $1863.31

    Facility

    $285.88

    $94.36 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 36225

    Office

    $2142.83

    Facility

    $304.75

    $373.88 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 36225

    Office

    $1688.20

    Facility

    $253.08

    $80.75 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 36225

    Office

    $1613.77

    Facility

    $311.98

    $155.18 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 36225

    Office

    $1777.62

    Facility

    $279.59

    $8.67 higher than Delaware for the office setting.

See how rates vary across the country

36225 · 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.

$1,546.58

$2,194.54

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,961.291
AL$1,574.241
AR$1,546.581
AZ$1,736.161
CA$1,917.94–$2,471.1329
CO$1,881.281
CT$1,927.131
DC$2,084.421
DE$1,768.951
FL$1,752.55–$1,942.093
GA$1,635.90–$1,828.982
GU$1,980.671
HI$1,980.671
IA$1,626.631
ID$1,638.671
IL$1,689.36–$1,878.994
IN$1,650.241
KS$1,615.641
KY$1,615.611
LA$1,611.85–$1,708.612
MA$1,865.90–$2,094.172
MD$1,808.12–$2,084.423
ME$1,647.08–$1,757.532
MI$1,664.86–$1,776.822
MN$1,797.461
MO$1,577.14–$1,718.083
MS$1,562.321
MT$1,792.181
NC$1,668.171
ND$1,758.761
NE$1,637.951
NH$1,848.721
NJ$1,947.72–$2,055.692
NM$1,675.121
NV$1,784.411
NY$1,698.10–$2,145.325
OH$1,658.031
OK$1,614.021
OR$1,769.33–$1,952.722
PA$1,662.21–$1,870.052
PR$1,808.481
RI$1,840.861
SC$1,666.141
SD$1,754.811
TN$1,625.251
TX$1,648.92–$1,876.048
UT$1,693.631
VA$1,749.37–$2,084.422
VI$1,808.481
VT$1,748.921
WA$1,863.31–$2,142.832
WI$1,688.201
WV$1,613.771
WY$1,777.621

Explore 36225 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 Delaware →

Why are the office and facility amounts different?

For 36225 in Delaware, the physician’s office rate is $1768.95 and the facility-setting rate is $288.89: a difference of $1480.06.

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 36225 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1945.85

$1768.95 × 110% = $1945.85

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 36225 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

4,451

Code
36225
Physician work
5.61
Practice expense
46.36
Malpractice
1.69

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 36225 in Delaware
ComponentRVULocality factorAdjusted
Physician work5.61× 1.0055.6380
Practice expense46.36× 0.98845.8037
Malpractice1.69× 0.8991.5193
Total RVUs52.9610
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$1768.95

Open 36225 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.611.005
Practice expense46.360.988
Malpractice1.690.899

(5.61 × 1.005 + 46.36 × 0.988 + 1.69 × 0.899) × $33.4009 = $1768.95

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.611.005
Practice expense1.510.988
Malpractice1.690.899

(5.61 × 1.005 + 1.51 × 0.988 + 1.69 × 0.899) × $33.4009 = $288.89

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

36225 · Office / nonfacility

$1768.95

Effective 2026-10-01

The base rate is $259.99 higher than on 2025-10-01, moving from $1508.96 to $1768.95 (17.2%).

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

    $1508.96changed to$1768.95

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.75 changed to 5.61
    • Practice expense RVU 39.58 changed to 46.36
    • Malpractice RVU 1.67 changed to 1.69
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $1508.96

    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$1768.95$288.89RVU26D
2026-07-01$1768.95$288.89RVU26C
2026-04-01$1768.95$288.89RVU26B
2026-01-01$1768.95$288.89RVU26A
2025-10-01$1508.96$314.34RVU25D
2025-07-01$1508.96$314.34RVU25C
2025-04-01$1508.96$314.34RVU25B
2025-01-01$1508.96$314.34RVU25A

36225 billing questions

When is 36225 used instead of 36226?

Use 36225 when the selective catheter position is in the subclavian artery. Use 36226 when the catheter is selectively positioned in the vertebral artery.

Is the angiographic study reported separately from 36225?

The code represents the subclavian catheter service with the specified ipsilateral vertebral and/or cervical carotid angiographic assessment. Do not separately report another selective catheter-placement service for the same position.

What documentation supports 36225?

Document the side, selective catheter location in the subclavian artery, vessels imaged, and angiographic findings. The record should distinguish this position from direct catheterization of the vertebral artery.

How is bilateral performance reported under the CMS rule?

For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150%.

How does the multiple-procedure reduction affect 36225?

When it is one of multiple procedures performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%. The reduction depends on the relative values of the procedures performed.

Can an assistant or co-surgeon be paid for this service?

CMS 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.

RVUs for 36225PPRRVU2026_Oct_nonQPP.csv, line 4,451 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet