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CMS RVU26D · Effective 2026-10-01

36013 in Madera

Office / nonfacility

$835.68

Base rate per service

Facility setting

$109.03

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 catheterization

About 36013: Right heart or main pulmonary artery catheter placement

Reports catheter advancement into the right heart or main pulmonary artery for pulmonary vascular procedures when selective branch catheterization is not performed.

Code 36013 represents catheter advancement through venous access into the right heart or main pulmonary artery, without selective placement in a more distal pulmonary artery branch. It is commonly used when catheter positioning is part of pulmonary angiography or another pulmonary vascular procedure. Cardiologists, interventional radiologists, and other physicians performing catheter-based procedures typically report it in a hospital or other facility setting.

Choose the code from the documented catheter destination and degree of selection, not just the access site. The procedure note should identify the route and final catheter position; for pulmonary angiography, the imaging documentation should support the associated study. When other procedures are performed in the same session, CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full and the others at 50%. When catheter placement is part of a more comprehensive service, follow the applicable CPT reporting instructions rather than reporting the same placement separately.

CMS billing rules for 36013

Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.

Where the value comes from

  • Work RVU2.46 · 11%
  • Practice expense (office) RVU20.35 · 88%
  • Malpractice RVU0.40 · 2%

580

Medicare services in 2024 · #3428 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.

36013 compared with similar codes

Office rates for Madera, from the same CMS release.

36014

Pulmonary catheterization

Selective pulmonary artery

$806.20

Use 36013 for placement in the right heart or main pulmonary artery. Use 36014 when the catheter is selectively advanced into a pulmonary artery.

36015

Pulmonary catheterization

Segmental or subsegmental branch

$852.33

Code 36015 is for selective catheter placement in segmental or subsegmental pulmonary artery branches, farther along the arterial tree than the placement described by 36013.

93451

Right heart cath

Hemodynamic measurements

$918.91

Code 93451 reports a diagnostic right-heart catheterization, including its catheter placement and hemodynamic assessment. Code 36013 describes catheter placement for a separately reportable vascular procedure, not an extra charge for the same placement.

93503

Heart catheter

Monitoring catheter placement

No office rate

Code 93503 describes placement of a flow-directed catheter for monitoring. Code 36013 describes positioning in the right heart or main pulmonary artery for a catheter-based vascular procedure.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 36013 is $836.82—$1.14 higher than the $835.68 rate in Madera. Both use the same code, release and participation basis.

36013 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $835.68

  2. $1.14 higher than Madera

  3. Chico

    $835.68

    The same base rate than Madera

  4. El Centro

    $835.75

    $0.07 higher than Madera

  5. Fresno

    $835.68

    The same base rate than Madera

  6. The same base rate than Madera

  7. $62.82 higher than Madera

Other payment areas listed in California 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, 36013 ranges from $672.92 in Arkansas to $1078.51 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
  • Merced

    California · 36013

    Office

    $835.68

    Facility

    $109.03

    The same base rate than Madera for the office setting.

  • Modesto

    California · 36013

    Office

    $835.68

    Facility

    $109.03

    The same base rate than Madera for the office setting.

  • Napa

    California · 36013

    Office

    $989.99

    Facility

    $116.14

    $154.31 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36013

    Office

    $896.21

    Facility

    $112.53

    $60.53 higher than Madera for the office setting.

  • Redding

    California · 36013

    Office

    $835.68

    Facility

    $109.03

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 36013

    Office

    $835.68

    Facility

    $109.03

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36013

    Office

    $840.00

    Facility

    $113.35

    $4.32 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36013

    Office

    $882.79

    Facility

    $111.71

    $47.11 higher than Madera for the office setting.

  • Salinas

    California · 36013

    Office

    $879.66

    Facility

    $111.23

    $43.98 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36013

    Office

    $904.80

    Facility

    $111.85

    $69.12 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36013

    Office

    $1054.49

    Facility

    $119.65

    $218.81 higher than Madera for the office setting.

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

    California · 36013

    Office

    $1054.04

    Facility

    $119.20

    $218.36 higher than Madera for the office setting.

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

    California · 36013

    Office

    $1078.51

    Facility

    $122.45

    $242.83 higher than Madera for the office setting.

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

    California · 36013

    Office

    $1076.65

    Facility

    $120.59

    $240.97 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36013

    Office

    $864.91

    Facility

    $109.75

    $29.23 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 36013

    Office

    $916.90

    Facility

    $111.34

    $81.22 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 36013

    Office

    $884.17

    Facility

    $111.10

    $48.49 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 36013

    Office

    $926.47

    Facility

    $112.30

    $90.79 higher than Madera for the office setting.

  • Stockton

    California · 36013

    Office

    $835.68

    Facility

    $109.03

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 36013

    Office

    $989.33

    Facility

    $115.49

    $153.65 higher than Madera for the office setting.

  • Visalia

    California · 36013

    Office

    $835.68

    Facility

    $109.03

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 36013

    Office

    $835.68

    Facility

    $109.03

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 36013

    Office

    $902.17

    Facility

    $121.15

    $66.49 higher than Madera for the office setting.

  • Miami

    Florida · 36013

    Office

    $823.53

    Facility

    $133.34

    $12.15 lower than Madera for the office setting.

  • Chicago

    Illinois · 36013

    Office

    $796.51

    Facility

    $130.19

    $39.17 lower than Madera for the office setting.

  • Manhattan

    New York · 36013

    Office

    $898.44

    Facility

    $128.02

    $62.76 higher than Madera for the office setting.

  • Alaska*

    Alaska · 36013

    Office

    $854.50

    Facility

    $148.40

    $18.82 higher than Madera for the office setting.

  • Alabama

    Alabama · 36013

    Office

    $684.47

    Facility

    $104.34

    $151.21 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 36013

    Office

    $672.92

    Facility

    $103.39

    $162.76 lower than Madera for the office setting.

  • Arizona

    Arizona · 36013

    Office

    $752.24

    Facility

    $109.79

    $83.44 lower than Madera for the office setting.

  • Colorado

    Colorado · 36013

    Office

    $816.80

    Facility

    $111.36

    $18.88 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 36013

    Office

    $832.02

    Facility

    $117.96

    $3.66 lower than Madera for the office setting.

  • Delaware

    Delaware · 36013

    Office

    $766.14

    Facility

    $111.09

    $69.54 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 36013

    Office

    $794.87

    Facility

    $123.24

    $40.81 lower than Madera for the office setting.

  • Rest Of Florida

    Florida · 36013

    Office

    $752.05

    Facility

    $118.21

    $83.63 lower than Madera for the office setting.

  • Atlanta

    Georgia · 36013

    Office

    $789.04

    Facility

    $115.43

    $46.64 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 36013

    Office

    $704.39

    Facility

    $112.99

    $131.29 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 36013

    Office

    $862.73

    Facility

    $108.89

    $27.05 higher than Madera for the office setting.

  • Iowa

    Iowa · 36013

    Office

    $709.40

    Facility

    $102.75

    $126.28 lower than Madera for the office setting.

  • Idaho

    Idaho · 36013

    Office

    $713.82

    Facility

    $103.85

    $121.86 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 36013

    Office

    $734.41

    Facility

    $124.44

    $101.27 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 36013

    Office

    $723.62

    Facility

    $118.30

    $112.06 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 36013

    Office

    $804.48

    Facility

    $123.57

    $31.20 lower than Madera for the office setting.

  • Indiana

    Indiana · 36013

    Office

    $718.75

    Facility

    $104.14

    $116.93 lower than Madera for the office setting.

  • Kansas

    Kansas · 36013

    Office

    $703.36

    Facility

    $104.00

    $132.32 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 36013

    Office

    $698.65

    Facility

    $109.24

    $137.03 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 36013

    Office

    $736.95

    Facility

    $113.06

    $98.73 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 36013

    Office

    $696.51

    Facility

    $109.75

    $139.17 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 36013

    Office

    $909.00

    Facility

    $117.37

    $73.32 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36013

    Office

    $809.86

    Facility

    $111.71

    $25.82 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36013

    Office

    $829.33

    Facility

    $117.93

    $6.35 lower than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 36013

    Office

    $783.12

    Facility

    $112.15

    $52.56 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 36013

    Office

    $715.81

    Facility

    $105.84

    $119.87 lower than Madera for the office setting.

  • Southern Maine

    Maine · 36013

    Office

    $764.19

    Facility

    $107.15

    $71.49 lower than Madera for the office setting.

  • Detroit

    Michigan · 36013

    Office

    $760.61

    Facility

    $120.81

    $75.07 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 36013

    Office

    $717.82

    Facility

    $112.50

    $117.86 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 36013

    Office

    $785.54

    Facility

    $103.31

    $50.14 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 36013

    Office

    $733.47

    Facility

    $110.90

    $102.21 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 36013

    Office

    $742.64

    Facility

    $111.45

    $93.04 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 36013

    Office

    $681.09

    Facility

    $109.57

    $154.59 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 36013

    Office

    $677.27

    Facility

    $106.42

    $158.41 lower than Madera for the office setting.

  • Montana**

    Montana · 36013

    Office

    $775.21

    Facility

    $112.20

    $60.47 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 36013

    Office

    $724.87

    Facility

    $106.29

    $110.81 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 36013

    Office

    $767.30

    Facility

    $104.29

    $68.38 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 36013

    Office

    $714.59

    Facility

    $102.63

    $121.09 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 36013

    Office

    $801.43

    Facility

    $111.24

    $34.25 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 36013

    Office

    $890.07

    Facility

    $120.98

    $54.39 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 36013

    Office

    $842.35

    Facility

    $118.35

    $6.67 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 36013

    Office

    $721.50

    Facility

    $113.53

    $114.18 lower than Madera for the office setting.

  • Nevada**

    Nevada · 36013

    Office

    $773.68

    Facility

    $110.01

    $62.00 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36013

    Office

    $920.41

    Facility

    $132.09

    $84.73 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36013

    Office

    $846.31

    Facility

    $120.32

    $10.63 higher than Madera for the office setting.

  • Queens

    New York · 36013

    Office

    $910.11

    Facility

    $126.43

    $74.43 higher than Madera for the office setting.

  • Rest Of New York

    New York · 36013

    Office

    $737.28

    Facility

    $107.42

    $98.40 lower than Madera for the office setting.

  • Ohio

    Ohio · 36013

    Office

    $716.21

    Facility

    $110.88

    $119.47 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 36013

    Office

    $699.53

    Facility

    $107.46

    $136.15 lower than Madera for the office setting.

  • Portland

    Oregon · 36013

    Office

    $848.58

    Facility

    $111.98

    $12.90 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 36013

    Office

    $768.55

    Facility

    $108.19

    $67.13 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36013

    Office

    $807.16

    Facility

    $116.97

    $28.52 lower than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36013

    Office

    $718.76

    Facility

    $110.12

    $116.92 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 36013

    Office

    $782.51

    Facility

    $112.21

    $53.17 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 36013

    Office

    $797.78

    Facility

    $112.90

    $37.90 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 36013

    Office

    $721.57

    Facility

    $108.95

    $114.11 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 36013

    Office

    $766.36

    Facility

    $103.36

    $69.32 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 36013

    Office

    $707.20

    Facility

    $104.52

    $128.48 lower than Madera for the office setting.

  • Austin

    Texas · 36013

    Office

    $813.30

    Facility

    $111.84

    $22.38 lower than Madera for the office setting.

  • Beaumont

    Texas · 36013

    Office

    $713.11

    Facility

    $109.78

    $122.57 lower than Madera for the office setting.

  • Brazoria

    Texas · 36013

    Office

    $766.84

    Facility

    $109.79

    $68.84 lower than Madera for the office setting.

  • Dallas

    Texas · 36013

    Office

    $771.36

    Facility

    $111.00

    $64.32 lower than Madera for the office setting.

  • Fort Worth

    Texas · 36013

    Office

    $764.73

    Facility

    $111.01

    $70.95 lower than Madera for the office setting.

  • Galveston

    Texas · 36013

    Office

    $768.84

    Facility

    $110.47

    $66.84 lower than Madera for the office setting.

  • Houston

    Texas · 36013

    Office

    $776.16

    Facility

    $117.79

    $59.52 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 36013

    Office

    $739.27

    Facility

    $110.08

    $96.41 lower than Madera for the office setting.

  • Utah

    Utah · 36013

    Office

    $733.09

    Facility

    $109.86

    $102.59 lower than Madera for the office setting.

  • Virginia

    Virginia · 36013

    Office

    $759.75

    Facility

    $108.02

    $75.93 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36013

    Office

    $782.51

    Facility

    $112.21

    $53.17 lower than Madera for the office setting.

  • Vermont

    Vermont · 36013

    Office

    $761.84

    Facility

    $105.46

    $73.84 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 36013

    Office

    $809.13

    Facility

    $110.99

    $26.55 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 36013

    Office

    $931.19

    Facility

    $117.68

    $95.51 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 36013

    Office

    $737.44

    Facility

    $102.28

    $98.24 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 36013

    Office

    $691.95

    Facility

    $115.80

    $143.73 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 36013

    Office

    $771.76

    Facility

    $108.75

    $63.92 lower than Madera for the office setting.

See how rates vary across the country

36013 · 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.

$672.92

$957.10

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$854.501
AL$684.471
AR$672.921
AZ$752.241
CA$835.68–$1,078.5129
CO$816.801
CT$832.021
DC$902.171
DE$766.141
FL$752.05–$823.533
GA$704.39–$789.042
GU$862.731
HI$862.731
IA$709.401
ID$713.821
IL$723.62–$804.484
IN$718.751
KS$703.361
KY$698.651
LA$696.51–$736.952
MA$809.86–$909.002
MD$783.12–$902.173
ME$715.81–$764.192
MI$717.82–$760.612
MN$785.541
MO$681.09–$742.643
MS$677.271
MT$775.211
NC$724.871
ND$767.301
NE$714.591
NH$801.431
NJ$842.35–$890.072
NM$721.501
NV$773.681
NY$737.28–$920.415
OH$716.211
OK$699.531
OR$768.55–$848.582
PA$718.76–$807.162
PR$782.511
RI$797.781
SC$721.571
SD$766.361
TN$707.201
TX$713.11–$813.308
UT$733.091
VA$759.75–$902.172
VI$782.511
VT$761.841
WA$809.13–$931.192
WI$737.441
WV$691.951
WY$771.761

Explore 36013 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, 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.

Why are the office and facility amounts different?

For 36013 in Madera, the physician’s office rate is $835.68 and the facility-setting rate is $109.03: a difference of $726.65.

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 36013 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$919.25

$835.68 × 110% = $919.25

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.

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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 36013 in Madera.

PPRRVU2026_Oct_nonQPP.csv

4,436

Code
36013
Physician work
2.46
Practice expense
20.35
Malpractice
0.40

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 36013 in Madera
ComponentRVULocality factorAdjusted
Physician work2.46× 1.0172.5018
Practice expense20.35× 1.09622.3036
Malpractice0.40× 0.5360.2144
Total RVUs25.0198
Conversion factor× 33.4009

Office / nonfacility rate, Madera$835.68

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

Open 36013 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.461.017
Practice expense20.351.096
Malpractice0.40.536

(2.46 × 1.017 + 20.35 × 1.096 + 0.4 × 0.536) × $33.4009 = $835.68

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.461.017
Practice expense0.51.096
Malpractice0.40.536

(2.46 × 1.017 + 0.5 × 1.096 + 0.4 × 0.536) × $33.4009 = $109.03

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

36013 · Office / nonfacility

$835.68

Effective 2026-10-01

The base rate is $66.11 higher than on 2025-10-01, moving from $769.57 to $835.68 (8.6%).

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

    $769.57changed to$835.68

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.52 changed to 2.46
    • Practice expense RVU 19.25 changed to 20.35
    • Malpractice RVU 0.35 changed to 0.40
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $769.57

    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$835.68$109.03RVU26D
2026-07-01$835.68$109.03RVU26C
2026-04-01$835.68$109.03RVU26B
2026-01-01$835.68$109.03RVU26A
2025-10-01$769.57$118.34RVU25D
2025-07-01$769.57$118.34RVU25C
2025-04-01$769.57$118.34RVU25B
2025-01-01$769.57$118.34RVU25A

36013 billing questions

How is 36013 different from 36014 or 36015?

Code 36013 describes placement in the right heart or main pulmonary artery. Codes 36014 and 36015 describe selective placement farther into the pulmonary arterial tree, with 36015 reaching segmental or subsegmental branches.

Can 36013 be reported with a diagnostic right-heart catheterization?

A diagnostic right-heart catheterization reported with 93451 includes the catheter placement for that service. Do not report 36013 as an additional line for the same catheter introduction.

Is 36013 the same service as Swan-Ganz catheter placement?

No. Code 93503 describes placement of a flow-directed catheter for monitoring. Code 36013 identifies catheter placement into the right heart or main pulmonary artery for a catheter-based vascular procedure.

What documentation supports reporting 36013?

Document the venous route, the catheter’s final location in the right heart or main pulmonary artery, and the procedure performed. The documented tip location helps distinguish 36013 from selective pulmonary artery placement.

How does the multiple procedure reduction affect 36013?

When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the 50% reduction to the other procedures.

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 36013PPRRVU2026_Oct_nonQPP.csv, line 4,436 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)