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CMS RVU26D · Effective 2026-10-01

36217 in Merced

Office / nonfacility

$2120.90

Base rate per service

Facility setting

$285.77

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 procedures

About 36217: Third-order selective arterial catheter placement

Reports selective arterial catheter placement when the catheter is advanced into a third-order or more distal branch within a vascular family.

A physician, commonly an interventional radiologist, vascular surgeon, or cardiologist, advances a catheter through an arterial access site into a selected branch at the third order or beyond. The code describes the catheter’s selective position, not the angiographic images or treatment performed there. It may accompany diagnostic angiography or an endovascular procedure when the catheter placement is separately reportable. The relevant selection is the branch order reached along the route through the vascular family, rather than distance traveled or the number of vessels imaged.

Documentation should identify the access route, vascular family, catheterized branch, and order reached, along with any separately reportable imaging or intervention. Use the lower-order code when the highest branch reached is first or second order; 36218 may apply to an additional qualifying branch. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.

CMS billing rules for 36217

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 RVU6.13 · 10%
  • Practice expense (office) RVU51.50 · 87%
  • Malpractice RVU1.53 · 3%

3.9K

Medicare services in 2024 · #2010 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.

36217 compared with similar codes

Office rates for Merced, from the same CMS release.

36216

Arterial catheterization

Second-order branch

$1,149.55

Use 36216 when the catheter reaches a second-order branch. 36217 requires advancement into a third-order or more distal branch.

36218

Arterial catheterization

Additional branch in same family

$245.34

36217 reports the primary qualifying selective placement. 36218 represents an additional qualifying branch placement, not the primary placement.

36200

Aortic catheterization

Nonselective placement

$602.14

36200 describes placement in the aorta. 36217 requires selective advancement into a third-order or more distal arterial branch.

36221

Aortic arch angiography

Nonselective thoracic aorta

$1,017.49

36221 represents a cervicocerebral angiography service. 36217 describes selective catheter placement and is not a substitute for that combined service.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 36217 is $2125.04—$4.14 higher than the $2120.90 rate in Merced. Both use the same code, release and participation basis.

36217 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $2120.90

  2. Bakersfield

    $2125.04

    $4.14 higher than Merced

  3. Chico

    $2120.90

    The same base rate than Merced

  4. El Centro

    $2121.16

    $0.26 higher than Merced

  5. Fresno

    $2120.90

    The same base rate than Merced

  6. Hanford-Corcoran

    $2120.90

    The same base rate than Merced

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

    $2282.01

    $161.11 higher than Merced

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, 36217 ranges from $1708.67 in Arkansas to $2735.11 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

  • Madera

    California · 36217

    Office

    $2120.90

    Facility

    $285.77

    The same base rate than Merced for the office setting.

  • Modesto

    California · 36217

    Office

    $2120.90

    Facility

    $285.77

    The same base rate than Merced for the office setting.

  • Napa

    California · 36217

    Office

    $2510.76

    Facility

    $303.92

    $389.86 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36217

    Office

    $2275.53

    Facility

    $296.41

    $154.63 higher than Merced for the office setting.

  • Redding

    California · 36217

    Office

    $2120.90

    Facility

    $285.77

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 36217

    Office

    $2120.90

    Facility

    $285.77

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36217

    Office

    $2137.30

    Facility

    $302.18

    $16.40 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36217

    Office

    $2240.04

    Facility

    $292.73

    $119.14 higher than Merced for the office setting.

  • Salinas

    California · 36217

    Office

    $2232.14

    Facility

    $291.52

    $111.24 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36217

    Office

    $2295.88

    Facility

    $293.32

    $174.98 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36217

    Office

    $2673.06

    Facility

    $312.18

    $552.16 higher than Merced for the office setting.

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

    California · 36217

    Office

    $2671.32

    Facility

    $310.44

    $550.42 higher than Merced for the office setting.

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

    California · 36217

    Office

    $2735.11

    Facility

    $320.65

    $614.21 higher than Merced for the office setting.

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

    California · 36217

    Office

    $2728.01

    Facility

    $313.54

    $607.11 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36217

    Office

    $2194.87

    Facility

    $287.74

    $73.97 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 36217

    Office

    $2326.42

    Facility

    $292.04

    $205.52 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 36217

    Office

    $2243.56

    Facility

    $291.23

    $122.66 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 36217

    Office

    $2350.62

    Facility

    $294.47

    $229.72 higher than Merced for the office setting.

  • Stockton

    California · 36217

    Office

    $2120.90

    Facility

    $285.77

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 36217

    Office

    $2508.26

    Facility

    $301.41

    $387.36 higher than Merced for the office setting.

  • Visalia

    California · 36217

    Office

    $2120.90

    Facility

    $285.77

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 36217

    Office

    $2120.90

    Facility

    $285.77

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 36217

    Office

    $2299.01

    Facility

    $326.59

    $178.11 higher than Merced for the office setting.

  • Miami

    Florida · 36217

    Office

    $2124.66

    Facility

    $381.62

    $3.76 higher than Merced for the office setting.

  • Chicago

    Illinois · 36217

    Office

    $2052.21

    Facility

    $369.45

    $68.69 lower than Merced for the office setting.

  • Manhattan

    New York · 36217

    Office

    $2297.71

    Facility

    $352.07

    $176.81 higher than Merced for the office setting.

  • Alaska*

    Alaska · 36217

    Office

    $2167.24

    Facility

    $384.01

    $46.34 higher than Merced for the office setting.

  • Alabama

    Alabama · 36217

    Office

    $1738.80

    Facility

    $273.71

    $382.10 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 36217

    Office

    $1708.67

    Facility

    $270.37

    $412.23 lower than Merced for the office setting.

  • Arizona

    Arizona · 36217

    Office

    $1915.31

    Facility

    $292.83

    $205.59 lower than Merced for the office setting.

  • Colorado

    Colorado · 36217

    Office

    $2077.35

    Facility

    $295.80

    $43.55 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 36217

    Office

    $2123.28

    Facility

    $319.96

    $2.38 higher than Merced for the office setting.

  • Delaware

    Delaware · 36217

    Office

    $1951.22

    Facility

    $296.92

    $169.68 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 36217

    Office

    $2039.65

    Facility

    $343.50

    $81.25 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 36217

    Office

    $1926.02

    Facility

    $325.30

    $194.88 lower than Merced for the office setting.

  • Atlanta

    Georgia · 36217

    Office

    $2014.41

    Facility

    $313.23

    $106.49 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 36217

    Office

    $1800.03

    Facility

    $306.48

    $320.87 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 36217

    Office

    $2190.14

    Facility

    $286.36

    $69.24 higher than Merced for the office setting.

  • Iowa

    Iowa · 36217

    Office

    $1798.97

    Facility

    $266.91

    $321.93 lower than Merced for the office setting.

  • Idaho

    Idaho · 36217

    Office

    $1811.45

    Facility

    $271.02

    $309.45 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 36217

    Office

    $1890.20

    Facility

    $349.77

    $230.70 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 36217

    Office

    $1855.12

    Facility

    $326.40

    $265.78 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 36217

    Office

    $2063.33

    Facility

    $343.73

    $57.57 lower than Merced for the office setting.

  • Indiana

    Indiana · 36217

    Office

    $1824.16

    Facility

    $272.00

    $296.74 lower than Merced for the office setting.

  • Kansas

    Kansas · 36217

    Office

    $1785.52

    Facility

    $271.87

    $335.38 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 36217

    Office

    $1780.72

    Facility

    $292.19

    $340.18 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 36217

    Office

    $1881.46

    Facility

    $305.86

    $239.44 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 36217

    Office

    $1776.03

    Facility

    $294.20

    $344.87 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 36217

    Office

    $2312.48

    Facility

    $313.26

    $191.58 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36217

    Office

    $2060.07

    Facility

    $296.94

    $60.83 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36217

    Office

    $2116.96

    Facility

    $320.34

    $3.94 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 36217

    Office

    $1994.50

    Facility

    $300.02

    $126.40 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 36217

    Office

    $1819.07

    Facility

    $278.63

    $301.83 lower than Merced for the office setting.

  • Southern Maine

    Maine · 36217

    Office

    $1941.66

    Facility

    $282.34

    $179.24 lower than Merced for the office setting.

  • Detroit

    Michigan · 36217

    Office

    $1950.85

    Facility

    $335.07

    $170.05 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 36217

    Office

    $1832.94

    Facility

    $304.22

    $287.96 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 36217

    Office

    $1989.90

    Facility

    $266.96

    $131.00 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 36217

    Office

    $1869.89

    Facility

    $297.64

    $251.01 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 36217

    Office

    $1893.53

    Facility

    $299.52

    $227.37 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 36217

    Office

    $1737.29

    Facility

    $293.97

    $383.61 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 36217

    Office

    $1723.56

    Facility

    $281.91

    $397.34 lower than Merced for the office setting.

  • Montana**

    Montana · 36217

    Office

    $1975.90

    Facility

    $301.51

    $145.00 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 36217

    Office

    $1842.30

    Facility

    $280.10

    $278.60 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 36217

    Office

    $1945.64

    Facility

    $271.25

    $175.26 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 36217

    Office

    $1811.76

    Facility

    $266.30

    $309.14 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 36217

    Office

    $2040.14

    Facility

    $297.10

    $80.76 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 36217

    Office

    $2267.59

    Facility

    $325.31

    $146.69 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 36217

    Office

    $2147.40

    Facility

    $318.97

    $26.50 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 36217

    Office

    $1843.50

    Facility

    $308.08

    $277.40 lower than Merced for the office setting.

  • Nevada**

    Nevada · 36217

    Office

    $1969.18

    Facility

    $293.12

    $151.72 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36217

    Office

    $2358.00

    Facility

    $367.16

    $237.10 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36217

    Office

    $2159.36

    Facility

    $325.90

    $38.46 higher than Merced for the office setting.

  • Queens

    New York · 36217

    Office

    $2324.76

    Facility

    $345.63

    $203.86 higher than Merced for the office setting.

  • Rest Of New York

    New York · 36217

    Office

    $1874.81

    Facility

    $284.14

    $246.09 lower than Merced for the office setting.

  • Ohio

    Ohio · 36217

    Office

    $1826.75

    Facility

    $298.04

    $294.15 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 36217

    Office

    $1780.55

    Facility

    $285.32

    $340.35 lower than Merced for the office setting.

  • Portland

    Oregon · 36217

    Office

    $2157.13

    Facility

    $296.88

    $36.23 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 36217

    Office

    $1953.94

    Facility

    $286.25

    $166.96 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36217

    Office

    $2060.07

    Facility

    $317.03

    $60.83 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36217

    Office

    $1832.13

    Facility

    $295.05

    $288.77 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 36217

    Office

    $1994.15

    Facility

    $301.35

    $126.75 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 36217

    Office

    $2031.13

    Facility

    $301.49

    $89.77 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 36217

    Office

    $1837.60

    Facility

    $290.47

    $283.30 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 36217

    Office

    $1942.06

    Facility

    $267.68

    $178.84 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 36217

    Office

    $1795.80

    Facility

    $273.79

    $325.10 lower than Merced for the office setting.

  • Austin

    Texas · 36217

    Office

    $2070.35

    Facility

    $298.85

    $50.55 lower than Merced for the office setting.

  • Beaumont

    Texas · 36217

    Office

    $1817.56

    Facility

    $293.86

    $303.34 lower than Merced for the office setting.

  • Brazoria

    Texas · 36217

    Office

    $1950.91

    Facility

    $291.59

    $169.99 lower than Merced for the office setting.

  • Dallas

    Texas · 36217

    Office

    $1963.70

    Facility

    $296.01

    $157.20 lower than Merced for the office setting.

  • Fort Worth

    Texas · 36217

    Office

    $1947.17

    Facility

    $296.22

    $173.73 lower than Merced for the office setting.

  • Galveston

    Texas · 36217

    Office

    $1956.80

    Facility

    $294.14

    $164.10 lower than Merced for the office setting.

  • Houston

    Texas · 36217

    Office

    $1984.81

    Facility

    $322.14

    $136.09 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 36217

    Office

    $1883.31

    Facility

    $294.32

    $237.59 lower than Merced for the office setting.

  • Utah

    Utah · 36217

    Office

    $1867.58

    Facility

    $293.65

    $253.32 lower than Merced for the office setting.

  • Virginia

    Virginia · 36217

    Office

    $1931.73

    Facility

    $285.81

    $189.17 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36217

    Office

    $1994.15

    Facility

    $301.35

    $126.75 lower than Merced for the office setting.

  • Vermont

    Vermont · 36217

    Office

    $1933.55

    Facility

    $275.91

    $187.35 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 36217

    Office

    $2057.61

    Facility

    $294.48

    $63.29 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 36217

    Office

    $2367.36

    Facility

    $312.88

    $246.46 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 36217

    Office

    $1868.39

    Facility

    $264.32

    $252.51 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 36217

    Office

    $1772.68

    Facility

    $317.64

    $348.22 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 36217

    Office

    $1962.71

    Facility

    $288.32

    $158.19 lower than Merced for the office setting.

See how rates vary across the country

36217 · 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.

$1,708.67

$2,428.01

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$2,167.241
AL$1,738.801
AR$1,708.671
AZ$1,915.311
CA$2,120.90–$2,735.1129
CO$2,077.351
CT$2,123.281
DC$2,299.011
DE$1,951.221
FL$1,926.02–$2,124.663
GA$1,800.03–$2,014.412
GU$2,190.141
HI$2,190.141
IA$1,798.971
ID$1,811.451
IL$1,855.12–$2,063.334
IN$1,824.161
KS$1,785.521
KY$1,780.721
LA$1,776.03–$1,881.462
MA$2,060.07–$2,312.482
MD$1,994.50–$2,299.013
ME$1,819.07–$1,941.662
MI$1,832.94–$1,950.852
MN$1,989.901
MO$1,737.29–$1,893.533
MS$1,723.561
MT$1,975.901
NC$1,842.301
ND$1,945.641
NE$1,811.761
NH$2,040.141
NJ$2,147.40–$2,267.592
NM$1,843.501
NV$1,969.181
NY$1,874.81–$2,358.005
OH$1,826.751
OK$1,780.551
OR$1,953.94–$2,157.132
PA$1,832.13–$2,060.072
PR$1,994.151
RI$2,031.131
SC$1,837.601
SD$1,942.061
TN$1,795.801
TX$1,817.56–$2,070.358
UT$1,867.581
VA$1,931.73–$2,299.012
VI$1,994.151
VT$1,933.551
WA$2,057.61–$2,367.362
WI$1,868.391
WV$1,772.681
WY$1,962.711

Explore 36217 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 36217 in Merced, the physician’s office rate is $2120.90 and the facility-setting rate is $285.77: a difference of $1835.13.

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 36217 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$2332.99

$2120.90 × 110% = $2332.99

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 36217 in Merced.

PPRRVU2026_Oct_nonQPP.csv

4,445

Code
36217
Physician work
6.13
Practice expense
51.50
Malpractice
1.53

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 36217 in Merced
ComponentRVULocality factorAdjusted
Physician work6.13× 1.0176.2342
Practice expense51.50× 1.09656.4440
Malpractice1.53× 0.5360.8201
Total RVUs63.4983
Conversion factor× 33.4009

Office / nonfacility rate, Merced$2120.90

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

Open 36217 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.131.017
Practice expense51.51.096
Malpractice1.530.536

(6.13 × 1.017 + 51.5 × 1.096 + 1.53 × 0.536) × $33.4009 = $2120.90

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.131.017
Practice expense1.371.096
Malpractice1.530.536

(6.13 × 1.017 + 1.37 × 1.096 + 1.53 × 0.536) × $33.4009 = $285.77

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

36217 · Office / nonfacility

$2120.90

Effective 2026-10-01

The base rate is $262.87 higher than on 2025-10-01, moving from $1858.03 to $2120.90 (14.1%).

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

    $1858.03changed to$2120.90

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.29 changed to 6.13
    • Practice expense RVU 45.95 changed to 51.50
    • Malpractice RVU 1.50 changed to 1.53
    • 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: $1858.03

    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$2120.90$285.77RVU26D
2026-07-01$2120.90$285.77RVU26C
2026-04-01$2120.90$285.77RVU26B
2026-01-01$2120.90$285.77RVU26A
2025-10-01$1858.03$310.55RVU25D
2025-07-01$1858.03$310.55RVU25C
2025-04-01$1858.03$310.55RVU25B
2025-01-01$1858.03$310.55RVU25A

36217 billing questions

How is 36217 distinguished from 36216?

Choose 36217 when the catheter reaches a third-order or more distal branch within the vascular family. Use 36216 when it reaches a second-order branch.

Can 36217 be reported with angiography or an intervention?

It may be reported when the selective catheter placement is separately reportable from the imaging or treatment. Do not separately report catheter-placement work that is included in a more comprehensive service.

When is 36218 reported with 36217?

36218 is for an additional qualifying second-order or more distal branch within the same vascular family. Document the additional catheterized branch; it is not a substitute for the primary placement code.

What documentation supports 36217?

The report should show the catheter route, vascular family, specific branch reached, and branch order. Documentation should distinguish the primary selective placement from any additional branch placement.

Should modifier 50 be appended for bilateral catheterization?

No. The CMS bilateral adjustment does not apply to 36217, and modifier 50 is inappropriate for this code.

How does the multiple-procedure rule affect payment?

When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard reduction to the others. The code has a 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 36217PPRRVU2026_Oct_nonQPP.csv, line 4,445 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet