36000
No office ratePlace needle in vein
36000 describes peripheral venous access. Use 36005 when contrast is injected into an extremity vein for venography; its access introduction is included.
On this page
CMS RVU26D · Effective 2026-10-01
36005 Venography injection Medicare reimbursement rates in California
Reports contrast injection into an extremity vein for venography, including the needle or catheter introduction used to deliver the contrast. Compare 36005 office and facility rates across CMS payment localities in California.
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.
What does Medicare pay for 36005 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$262.52–$337.41
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $74.89 per service.
Facility setting
$40.31–$45.05
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $4.74 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 36005 pays more and less in California
29 payment localities
$262.52 to $337.41
Vascular imaging
About 36005: Extremity venography contrast injection
Reports contrast injection into an extremity vein for venography, including the needle or catheter introduction used to deliver the contrast.
A clinician injects contrast into a peripheral vein to opacify the veins of an arm or leg for venographic imaging. The service includes introducing the needle or catheter used for the injection. It is typically performed by a radiologist, interventional radiologist, or other clinician conducting the venographic study in an imaging department, hospital, or office-based setting. The imaging and its interpretation are represented by the applicable radiology service rather than by this injection code alone.
Report 36005 for the extremity-vein contrast injection, not for routine venous access or catheter placement alone. Documentation should identify the extremity studied and support the injection for venography. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. With multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. For bilateral performance, modifier 50 is paid at 150%. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 36005
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.93 · 13%
- Practice expense (office) RVU6.23 · 85%
- Malpractice RVU0.16 · 2%
13.8K
Medicare services in 2024 · #1301 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.
36005 compared with similar codes
Office rates for California, from the same CMS release.
$113.13–$140.57
75820 represents radiological supervision and interpretation for unilateral extremity venography. 36005 reports the contrast injection and access introduction.
$139.65–$171.97
75822 represents radiological supervision and interpretation for bilateral extremity venography; 36005 reports the injection service, with modifier 50 for bilateral performance.
Compare 36005 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $262.97 | Facility $40.76 |
| Chico | Office $262.52 | Facility $40.31 |
| El Centro | Office $262.55 | Facility $40.34 |
| Fresno | Office $262.52 | Facility $40.31 |
| Hanford-Corcoran | Office $262.52 | Facility $40.31 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $282.05 | Facility $42.21 |
| Madera | Office $262.52 | Facility $40.31 |
| Merced | Office $262.52 | Facility $40.31 |
| Modesto | Office $262.52 | Facility $40.31 |
| Napa | Office $309.99 | Facility $42.78 |
| Oxnard-Thousand Oaks-Ventura | Office $281.22 | Facility $41.58 |
| Redding | Office $262.52 | Facility $40.31 |
| Rest Of California | Office $262.52 | Facility $40.31 |
| Riverside-San Bernardino-Ontario | Office $264.24 | Facility $42.04 |
| Sacramento-Roseville-Folsom | Office $277.05 | Facility $41.26 |
| Salinas | Office $276.06 | Facility $41.08 |
| San Diego-Chula Vista-Carlsbad | Office $283.76 | Facility $41.28 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $329.87 | Facility $44.00 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $329.69 | Facility $43.82 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $337.41 | Facility $45.05 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $336.66 | Facility $44.31 |
| San Luis Obispo-Paso Robles | Office $271.47 | Facility $40.54 |
| Santa Cruz-Watsonville | Office $287.41 | Facility $41.07 |
| Santa Maria-Santa Barbara | Office $277.43 | Facility $41.03 |
| Santa Rosa-Petaluma | Office $290.39 | Facility $41.42 |
| Stockton | Office $262.52 | Facility $40.31 |
| Vallejo | Office $309.73 | Facility $42.52 |
| Visalia | Office $262.52 | Facility $40.31 |
| Yuba City | Office $262.52 | Facility $40.31 |
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36005 billing questions
Does 36005 include introducing the needle or catheter?
Yes. The injection service includes introducing the needle or catheter used to deliver contrast, so 36000 is not separately reported for that same access.
Is the venographic imaging interpretation included?
36005 reports the contrast injection, not the imaging interpretation. The applicable radiology service, such as 75820 for unilateral extremity venography, represents the imaging and interpretation.
How is bilateral extremity venography reported?
For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150%.
What documentation supports 36005?
Document the extremity vein injected and the contrast injection performed for venographic imaging. The record should distinguish this service from routine venous access or catheter placement alone.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
Can an assistant or co-surgeon be reported?
An assistant at surgery is paid only with documentation of medical necessity. 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.
4,42935907,,Excision graft abdomen,A,,36.34,6.01,NA,6.01,,9.24,51.59,51.59,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,43036000,,Place needle in vein,B,+,0.18,0.74,,0.04,,0.02,0.94,0.24,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,43136002,,Pseudoaneurysm injection trt,A,,1.91,2.32,,0.54,,0.30,4.53,2.75,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,43236005,,Injection ext venography,A,,0.93,6.23,,0.16,,0.16,7.32,1.25,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,43336010,,Place catheter in vein,A,,2.13,12.80,,0.31,,0.41,15.34,2.85,0,XXX,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,43436011,,Place catheter in vein,A,,3.06,19.81,,0.49,,0.54,23.41,4.09,0,XXX,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,43536012,,Place catheter in vein,A,,3.42,20.16,,0.56,,0.62,24.20,4.60,0,XXX,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00