$458.78
Choose 36140 for direct needle or catheter access to an extremity artery; choose 36100 for carotid or subclavian access.
On this page
CMS RVU26D · Effective 2026-10-01
36100 Arterial access Medicare reimbursement rates in Idaho
Report this service when a clinician establishes needle or catheter access directly in a carotid or subclavian artery for a vascular procedure. Compare 36100 office and facility rates across CMS payment localities in Idaho.
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 36100 in Idaho?
Idaho has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$472.17
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
Facility setting
$120.63
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
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.
Vascular access
About 36100: Carotid or subclavian arterial access
Report this service when a clinician establishes needle or catheter access directly in a carotid or subclavian artery for a vascular procedure.
This code describes establishing entry into a carotid or subclavian artery with a needle or intracatheter. It may be used when direct access at one of these vessels is part of an angiographic or endovascular procedure. The record should identify the artery accessed and document that the access was actually performed; this is not a code for imaging or for catheter advancement to a separate target. Physicians and other qualified practitioners may perform the service in a procedural setting, including a hospital or ambulatory surgery center.
Select the code by the artery entered: carotid or subclavian access distinguishes it from direct access to an extremity artery or the aorta. Document the access site and the procedural circumstances supporting the service. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%. For bilateral reporting with modifier 50, CMS pays this procedure at 150%.
CMS billing rules for 36100
- 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%.
Where the value comes from
- Work RVU2.94 · 19%
- Practice expense (office) RVU11.81 · 76%
- Malpractice RVU0.70 · 5%
72
Medicare services in 2024 · #5129 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.
36100 compared with similar codes
Office rates for Idaho, from the same CMS release.
$503.00
36160 identifies direct access to the aorta. It is not the code for entering a carotid or subclavian artery.
$980.64
36215 describes selective catheter placement in an arterial branch, not the act of establishing carotid or subclavian access.
Compare 36100 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.
1 of 1 payment localities
Idaho →
Office / nonfacility
$472.17
Facility
$120.63
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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 36100 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
4,439
- Code
- 36100
- Physician work
- 2.94
- Practice expense
- 11.81
- Malpractice
- 0.70
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.94 | × 1.000 | 2.9400 |
| Practice expense | 11.81 | × 0.920 | 10.8652 |
| Malpractice | 0.70 | × 0.473 | 0.3311 |
| Total RVUs | 14.1363 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$472.17
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.94 | 1 |
| Practice expense | 11.81 | 0.92 |
| Malpractice | 0.7 | 0.473 |
(2.94 × 1 + 11.81 × 0.92 + 0.7 × 0.473) × $33.4009 = $472.17
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.94 | 1 |
| Practice expense | 0.37 | 0.92 |
| Malpractice | 0.7 | 0.473 |
(2.94 × 1 + 0.37 × 0.92 + 0.7 × 0.473) × $33.4009 = $120.63
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.
36100 billing questions
How does 36100 differ from 36140?
36100 is for direct access to a carotid or subclavian artery. 36140 describes direct access to an extremity artery.
Is 36100 the code for the angiogram or catheter advancement?
No. It identifies establishing access in the carotid or subclavian artery; imaging and catheter placement describe other services. Report those services only when separately performed and supported by their applicable coding rules.
What documentation supports 36100?
Document the specific carotid or subclavian artery accessed and the access procedure performed. A record that only describes imaging or a catheter's final position does not establish that this access service occurred.
How is bilateral access reported?
When the procedure is performed bilaterally and reported with modifier 50, CMS pays 36100 at 150%.
What happens when 36100 is performed with other procedures in the same session?
Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and the other procedures 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 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.
4,43636013,,Place catheter in artery,A,,2.46,20.35,,0.50,,0.40,23.21,3.36,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,43736014,,Place catheter in artery,A,,2.94,19.06,,0.49,,0.48,22.48,3.91,0,XXX,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,43836015,,Place catheter in artery,A,,3.42,19.87,,0.55,,0.49,23.78,4.46,0,XXX,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,43936100,,Establish access to artery,A,,2.94,11.81,,0.37,,0.70,15.45,4.01,0,XXX,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,44036140,,Intro ndl icath upr/lxtr art,A,,1.72,12.87,,0.27,,0.37,14.96,2.36,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,44136160,,Establish access to aorta,A,,2.46,13.51,,0.38,,0.36,16.33,3.20,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,44236200,,Place catheter in aorta,A,,2.70,13.64,,0.36,,0.62,16.96,3.68,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772