Billing code 36014: Pulmonary catheterizationMedicare rate & RVUs in Alaska
Report selective advancement of a catheter into a pulmonary artery branch for pulmonary angiography or related evaluation, distinct from placement in the main pulmonary artery.
Medicare pays $834.13 for 36014 in the office in Alaska (Alaska*). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 36014 covers
This service captures advancing a catheter from the right heart or main pulmonary artery into a selected pulmonary artery branch. It is commonly performed by an interventional radiologist or cardiologist during catheter-based evaluation of pulmonary vascular disease, such as suspected pulmonary embolism or pulmonary hypertension. The catheter placement is distinct from the imaging interpretation and from any treatment performed through the catheter.
Choose the code based on the catheter’s documented position in the pulmonary arterial tree; placement limited to the right heart or main pulmonary artery is represented by 36013, while additional branch placement is distinguished by 36015. The report should identify the catheter route, the branch or side reached, and the reason for selective positioning. Pulmonary angiographic imaging, when performed, is separately represented by the applicable imaging code. For bilateral catheterization, CMS pays with modifier 50 at 150%. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%.
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.
36014 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | $834.13 | $173.56 |
How the 36014 rate is calculated
Each of 36014’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 36014
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.94Practice expense 19.06Malpractice 0.48
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 36014
The CMS indicators that decide how 36014 is paid alongside other services.
CMS payment indicators · 36014
Pulmonary catheterization
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
36014 without 50 · national office
$750.85
Pulmonary catheterization
36014-50 · Bilateral: 150%
$1,126.28
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
36014 compared with similar codes
Compare codes
36014 vs 36013 vs 36015 vs 36011 vs 36215: national Medicare rates
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How to choose
- 36013Pulmonary catheter placement
- Use 36013 for catheter placement limited to the right heart or main pulmonary artery; 36014 reflects selective advancement into a pulmonary artery branch.
- 36015Pulmonary catheterization
- 36015 identifies catheter placement in an additional pulmonary artery branch, rather than the selective placement represented by 36014.
- 36011Venous catheterization
- 36011 describes selective placement in a first-order venous branch. 36014 concerns selective placement in the pulmonary arterial circulation.
- 36215Arterial catheterization
- 36215 concerns selective catheter placement in a thoracic or brachiocephalic systemic arterial branch, not a pulmonary artery branch.
36014 billing questions
How does 36014 differ from 36013?
36014 represents selective catheter advancement into a pulmonary artery branch. Use 36013 when placement is limited to the right heart or main pulmonary artery.
When is 36015 considered?
36015 distinguishes catheter placement in an additional pulmonary artery branch. Documentation should establish the branch catheterized and how it relates to the placement reported with 36014.
Does 36014 include pulmonary angiographic imaging?
No. The catheter-placement service is distinct from pulmonary angiography; report the applicable imaging service when imaging is performed and supported.
How is bilateral catheterization reported for Medicare?
Report bilateral performance with modifier 50. CMS pays the bilateral procedure at 150%.
What happens when another procedure is performed in the same session?
Under the CMS multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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