FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

36481 in Redding

Office / nonfacility

$1764.99

Base rate per service

Facility setting

$276.90

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 procedure

About 36481: Percutaneous portal vein catheter insertion

Reports percutaneous placement of a catheter in the hepatic portal vein for portal venous access, including evaluation involving portography or pressure assessment.

This service establishes catheter access to the hepatic portal vein through a percutaneous approach, typically by an interventional radiologist in a hospital interventional radiology suite. The access may support portal venography, pressure assessment, or another planned evaluation or intervention involving the portal venous system. It is distinct from routine peripheral venipuncture and from catheter placement in an ordinary systemic vein.

Report 36481 when the record supports percutaneous catheter placement in the hepatic portal vein, not merely a needle puncture or peripheral venous access. Documentation should identify the access route, target vessel, catheter placement, and clinical purpose. The code 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 the others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 36481

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 RVU6.56 · 13%
  • Practice expense (office) RVU41.76 · 85%
  • Malpractice RVU0.75 · 2%

603

Medicare services in 2024 · #3391 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.

36481 compared with similar codes

Office rates for Redding, from the same CMS release.

75885

Hepatic venography

With hemodynamic evaluation

$142.13

75885 represents transhepatic portography with hemodynamic evaluation and radiological supervision and interpretation; 36481 represents catheter insertion.

75887

Hepatic venography

Without hemodynamic evaluation

$142.50

75887 represents transhepatic portography without hemodynamic evaluation and radiological supervision and interpretation; it does not describe the catheter insertion itself.

36011

Venous catheterization

First-order branch

$838.80

36011 describes selective catheter placement in a venous branch. Choose 36481 for percutaneous catheter placement specifically in the hepatic portal vein.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 36481 is $1767.25—$2.26 higher than the $1764.99 rate in Redding. Both use the same code, release and participation basis.

36481 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $1764.99

  2. Bakersfield

    $1767.25

    $2.26 higher than Redding

  3. Chico

    $1764.99

    The same base rate than Redding

  4. El Centro

    $1765.11

    $0.12 higher than Redding

  5. Fresno

    $1764.99

    The same base rate than Redding

  6. Hanford-Corcoran

    $1764.99

    The same base rate than Redding

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

    $1894.80

    $129.81 higher than Redding

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, 36481 ranges from $1430.16 in Arkansas to $2267.97 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 · 36481

    Office

    $1764.99

    Facility

    $276.90

    The same base rate than Redding for the office setting.

  • Merced

    California · 36481

    Office

    $1764.99

    Facility

    $276.90

    The same base rate than Redding for the office setting.

  • Modesto

    California · 36481

    Office

    $1764.99

    Facility

    $276.90

    The same base rate than Redding for the office setting.

  • Napa

    California · 36481

    Office

    $2084.01

    Facility

    $294.50

    $319.02 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36481

    Office

    $1889.53

    Facility

    $284.67

    $124.54 higher than Redding for the office setting.

  • Rest Of California

    California · 36481

    Office

    $1764.99

    Facility

    $276.90

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36481

    Office

    $1773.15

    Facility

    $285.06

    $8.16 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36481

    Office

    $1862.60

    Facility

    $283.54

    $97.61 higher than Redding for the office setting.

  • Salinas

    California · 36481

    Office

    $1855.93

    Facility

    $282.30

    $90.94 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36481

    Office

    $1907.47

    Facility

    $283.60

    $142.48 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36481

    Office

    $2218.12

    Facility

    $303.70

    $453.13 higher than Redding for the office setting.

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

    California · 36481

    Office

    $2217.27

    Facility

    $302.85

    $452.28 higher than Redding for the office setting.

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

    California · 36481

    Office

    $2267.97

    Facility

    $310.10

    $502.98 higher than Redding for the office setting.

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

    California · 36481

    Office

    $2264.49

    Facility

    $306.62

    $499.50 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36481

    Office

    $1824.96

    Facility

    $278.49

    $59.97 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 36481

    Office

    $1931.85

    Facility

    $282.18

    $166.86 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 36481

    Office

    $1865.03

    Facility

    $281.90

    $100.04 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 36481

    Office

    $1951.95

    Facility

    $284.64

    $186.96 higher than Redding for the office setting.

  • Stockton

    California · 36481

    Office

    $1764.99

    Facility

    $276.90

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 36481

    Office

    $2082.79

    Facility

    $293.28

    $317.80 higher than Redding for the office setting.

  • Visalia

    California · 36481

    Office

    $1764.99

    Facility

    $276.90

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 36481

    Office

    $1764.99

    Facility

    $276.90

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 36481

    Office

    $1901.92

    Facility

    $302.50

    $136.93 higher than Redding for the office setting.

  • Miami

    Florida · 36481

    Office

    $1734.47

    Facility

    $321.06

    $30.52 lower than Redding for the office setting.

  • Chicago

    Illinois · 36481

    Office

    $1679.93

    Facility

    $315.40

    $85.06 lower than Redding for the office setting.

  • Manhattan

    New York · 36481

    Office

    $1893.65

    Facility

    $315.94

    $128.66 higher than Redding for the office setting.

  • Alaska*

    Alaska · 36481

    Office

    $1827.95

    Facility

    $381.95

    $62.96 higher than Redding for the office setting.

  • Alabama

    Alabama · 36481

    Office

    $1453.76

    Facility

    $265.73

    $311.23 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 36481

    Office

    $1430.16

    Facility

    $263.86

    $334.83 lower than Redding for the office setting.

  • Arizona

    Arizona · 36481

    Office

    $1592.14

    Facility

    $276.48

    $172.85 lower than Redding for the office setting.

  • Colorado

    Colorado · 36481

    Office

    $1725.39

    Facility

    $280.75

    $39.60 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 36481

    Office

    $1756.03

    Facility

    $293.73

    $8.96 lower than Redding for the office setting.

  • Delaware

    Delaware · 36481

    Office

    $1620.81

    Facility

    $279.36

    $144.18 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 36481

    Office

    $1677.36

    Facility

    $301.96

    $87.63 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 36481

    Office

    $1590.21

    Facility

    $292.20

    $174.78 lower than Redding for the office setting.

  • Atlanta

    Georgia · 36481

    Office

    $1666.99

    Facility

    $287.52

    $98.00 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 36481

    Office

    $1493.15

    Facility

    $282.04

    $271.84 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 36481

    Office

    $1819.53

    Facility

    $275.77

    $54.54 higher than Redding for the office setting.

  • Iowa

    Iowa · 36481

    Office

    $1505.32

    Facility

    $262.98

    $259.67 lower than Redding for the office setting.

  • Idaho

    Idaho · 36481

    Office

    $1514.19

    Facility

    $265.07

    $250.80 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 36481

    Office

    $1552.80

    Facility

    $303.67

    $212.19 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 36481

    Office

    $1531.74

    Facility

    $292.11

    $233.25 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 36481

    Office

    $1697.52

    Facility

    $303.11

    $67.47 lower than Redding for the office setting.

  • Indiana

    Indiana · 36481

    Office

    $1524.28

    Facility

    $265.65

    $240.71 lower than Redding for the office setting.

  • Kansas

    Kansas · 36481

    Office

    $1492.65

    Facility

    $265.25

    $272.34 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 36481

    Office

    $1482.03

    Facility

    $274.99

    $282.96 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 36481

    Office

    $1560.09

    Facility

    $282.46

    $204.90 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 36481

    Office

    $1477.53

    Facility

    $275.92

    $287.46 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 36481

    Office

    $1915.81

    Facility

    $294.66

    $150.82 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36481

    Office

    $1711.33

    Facility

    $281.62

    $53.66 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36481

    Office

    $1750.25

    Facility

    $293.38

    $14.74 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 36481

    Office

    $1655.86

    Facility

    $281.82

    $109.13 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 36481

    Office

    $1517.93

    Facility

    $268.80

    $247.06 lower than Redding for the office setting.

  • Southern Maine

    Maine · 36481

    Office

    $1617.19

    Facility

    $271.66

    $147.80 lower than Redding for the office setting.

  • Detroit

    Michigan · 36481

    Office

    $1607.35

    Facility

    $297.12

    $157.64 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 36481

    Office

    $1520.86

    Facility

    $281.24

    $244.13 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 36481

    Office

    $1661.80

    Facility

    $264.68

    $103.19 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 36481

    Office

    $1553.32

    Facility

    $278.40

    $211.67 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 36481

    Office

    $1572.08

    Facility

    $279.51

    $192.91 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 36481

    Office

    $1445.85

    Facility

    $275.47

    $319.14 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 36481

    Office

    $1438.56

    Facility

    $269.54

    $326.43 lower than Redding for the office setting.

  • Montana**

    Montana · 36481

    Office

    $1638.93

    Facility

    $281.19

    $126.06 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 36481

    Office

    $1536.49

    Facility

    $269.71

    $228.50 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 36481

    Office

    $1624.10

    Facility

    $266.36

    $140.89 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 36481

    Office

    $1516.00

    Facility

    $262.80

    $248.99 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 36481

    Office

    $1693.04

    Facility

    $279.62

    $71.95 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 36481

    Office

    $1877.66

    Facility

    $302.67

    $112.67 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 36481

    Office

    $1778.50

    Facility

    $295.84

    $13.51 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 36481

    Office

    $1528.25

    Facility

    $283.19

    $236.74 lower than Redding for the office setting.

  • Nevada**

    Nevada · 36481

    Office

    $1636.19

    Facility

    $277.09

    $128.80 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36481

    Office

    $1938.09

    Facility

    $323.73

    $173.10 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36481

    Office

    $1786.61

    Facility

    $299.88

    $21.62 higher than Redding for the office setting.

  • Queens

    New York · 36481

    Office

    $1917.94

    Facility

    $313.08

    $152.95 higher than Redding for the office setting.

  • Rest Of New York

    New York · 36481

    Office

    $1561.80

    Facility

    $271.94

    $203.19 lower than Redding for the office setting.

  • Ohio

    Ohio · 36481

    Office

    $1517.83

    Facility

    $278.21

    $247.16 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 36481

    Office

    $1484.15

    Facility

    $271.68

    $280.84 lower than Redding for the office setting.

  • Portland

    Oregon · 36481

    Office

    $1790.90

    Facility

    $282.44

    $25.91 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 36481

    Office

    $1625.96

    Facility

    $273.65

    $139.03 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36481

    Office

    $1704.95

    Facility

    $291.53

    $60.04 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36481

    Office

    $1523.23

    Facility

    $276.82

    $241.76 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 36481

    Office

    $1653.95

    Facility

    $281.27

    $111.04 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 36481

    Office

    $1686.47

    Facility

    $283.92

    $78.52 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 36481

    Office

    $1529.22

    Facility

    $274.66

    $235.77 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 36481

    Office

    $1622.35

    Facility

    $264.60

    $142.64 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 36481

    Office

    $1500.45

    Facility

    $266.26

    $264.54 lower than Redding for the office setting.

  • Austin

    Texas · 36481

    Office

    $1717.46

    Facility

    $280.97

    $47.53 lower than Redding for the office setting.

  • Beaumont

    Texas · 36481

    Office

    $1511.67

    Facility

    $276.12

    $253.32 lower than Redding for the office setting.

  • Brazoria

    Texas · 36481

    Office

    $1622.67

    Facility

    $277.14

    $142.32 lower than Redding for the office setting.

  • Dallas

    Texas · 36481

    Office

    $1631.82

    Facility

    $279.50

    $133.17 lower than Redding for the office setting.

  • Fort Worth

    Texas · 36481

    Office

    $1618.20

    Facility

    $279.46

    $146.79 lower than Redding for the office setting.

  • Galveston

    Texas · 36481

    Office

    $1626.66

    Facility

    $278.42

    $138.33 lower than Redding for the office setting.

  • Houston

    Texas · 36481

    Office

    $1640.39

    Facility

    $292.15

    $124.60 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 36481

    Office

    $1565.42

    Facility

    $276.91

    $199.57 lower than Redding for the office setting.

  • Utah

    Utah · 36481

    Office

    $1552.74

    Facility

    $276.46

    $212.25 lower than Redding for the office setting.

  • Virginia

    Virginia · 36481

    Office

    $1607.91

    Facility

    $273.24

    $157.08 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36481

    Office

    $1653.95

    Facility

    $281.27

    $111.04 lower than Redding for the office setting.

  • Vermont

    Vermont · 36481

    Office

    $1612.66

    Facility

    $268.49

    $152.33 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 36481

    Office

    $1709.77

    Facility

    $280.06

    $55.22 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 36481

    Office

    $1961.98

    Facility

    $296.02

    $196.99 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 36481

    Office

    $1563.06

    Facility

    $262.34

    $201.93 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 36481

    Office

    $1467.06

    Facility

    $287.18

    $297.93 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 36481

    Office

    $1632.47

    Facility

    $274.72

    $132.52 lower than Redding for the office setting.

See how rates vary across the country

36481 · 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.

$1,430.16

$2,016.48

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,827.951
AL$1,453.761
AR$1,430.161
AZ$1,592.141
CA$1,764.99–$2,267.9729
CO$1,725.391
CT$1,756.031
DC$1,901.921
DE$1,620.811
FL$1,590.21–$1,734.473
GA$1,493.15–$1,666.992
GU$1,819.531
HI$1,819.531
IA$1,505.321
ID$1,514.191
IL$1,531.74–$1,697.524
IN$1,524.281
KS$1,492.651
KY$1,482.031
LA$1,477.53–$1,560.092
MA$1,711.33–$1,915.812
MD$1,655.86–$1,901.923
ME$1,517.93–$1,617.192
MI$1,520.86–$1,607.352
MN$1,661.801
MO$1,445.85–$1,572.083
MS$1,438.561
MT$1,638.931
NC$1,536.491
ND$1,624.101
NE$1,516.001
NH$1,693.041
NJ$1,778.50–$1,877.662
NM$1,528.251
NV$1,636.191
NY$1,561.80–$1,938.095
OH$1,517.831
OK$1,484.151
OR$1,625.96–$1,790.902
PA$1,523.23–$1,704.952
PR$1,653.951
RI$1,686.471
SC$1,529.221
SD$1,622.351
TN$1,500.451
TX$1,511.67–$1,717.468
UT$1,552.741
VA$1,607.91–$1,901.922
VI$1,653.951
VT$1,612.661
WA$1,709.77–$1,961.982
WI$1,563.061
WV$1,467.061
WY$1,632.471

Explore 36481 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 36481 in Redding, the physician’s office rate is $1764.99 and the facility-setting rate is $276.90: a difference of $1488.09.

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 36481 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1941.49

$1764.99 × 110% = $1941.49

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 36481 in Redding.

PPRRVU2026_Oct_nonQPP.csv

4,492

Code
36481
Physician work
6.56
Practice expense
41.76
Malpractice
0.75

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 36481 in Redding
ComponentRVULocality factorAdjusted
Physician work6.56× 1.0176.6715
Practice expense41.76× 1.09645.7690
Malpractice0.75× 0.5360.4020
Total RVUs52.8425
Conversion factor× 33.4009

Office / nonfacility rate, Redding$1764.99

Open 36481 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work6.561.017
Practice expense41.761.096
Malpractice0.750.536

(6.56 × 1.017 + 41.76 × 1.096 + 0.75 × 0.536) × $33.4009 = $1764.99

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.561.017
Practice expense1.111.096
Malpractice0.750.536

(6.56 × 1.017 + 1.11 × 1.096 + 0.75 × 0.536) × $33.4009 = $276.90

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

36481 · Office / nonfacility

$1764.99

Effective 2026-10-01

The base rate is $43.31 higher than on 2025-10-01, moving from $1721.68 to $1764.99 (2.5%).

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

    $1721.68changed to$1764.99

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.73 changed to 6.56
    • Practice expense RVU 42.09 changed to 41.76
    • Malpractice RVU 0.71 changed to 0.75
    • 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: $1721.68

    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$1764.99$276.90RVU26D
2026-07-01$1764.99$276.90RVU26C
2026-04-01$1764.99$276.90RVU26B
2026-01-01$1764.99$276.90RVU26A
2025-10-01$1721.68$307.14RVU25D
2025-07-01$1721.68$307.14RVU25C
2025-04-01$1721.68$307.14RVU25B
2025-01-01$1721.68$307.14RVU25A

36481 billing questions

How is 36481 different from routine venipuncture?

36481 represents percutaneous catheter placement in the hepatic portal vein. Codes for routine blood collection or peripheral venipuncture do not describe portal venous catheter access.

Does 36481 include transhepatic portography?

36481 reports catheter placement. Portographic imaging and its interpretation are distinct services; report them only when performed and separately supported by the record.

Can modifier 50 be appended for bilateral access?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant surgeon or co-surgeon be billed?

Medicare does not pay an assistant at surgery for 36481, and co-surgeons are not permitted. Team-surgery billing is also not permitted.

What documentation supports reporting 36481?

Document the percutaneous approach, hepatic portal vein target, catheter placement, and reason for obtaining portal venous access. A record of venipuncture alone does not establish catheter placement.

How does the multiple-procedure reduction affect payment?

When other procedures are performed in the same session, the highest-valued procedure is paid in full and the remaining procedures are subject to the standard 50% reduction.

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 36481PPRRVU2026_Oct_nonQPP.csv, line 4,492 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet