No office rate
Use 36511 when the apheresis treatment targets white blood cells. Use 36514 when plasma is removed.
On this page
CMS RVU26D · Effective 2026-10-01
36514 Plasma exchange Medicare reimbursement rates in Iowa
Report therapeutic plasma exchange when a patient’s plasma is removed during an apheresis session to treat a condition such as thrombotic thrombocytopenic purpura. Compare 36514 office and facility rates across CMS payment localities in Iowa.
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 36514 in Iowa?
Iowa 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
$655.95
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$73.74
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Apheresis
About 36514: Therapeutic plasma exchange
Report therapeutic plasma exchange when a patient’s plasma is removed during an apheresis session to treat a condition such as thrombotic thrombocytopenic purpura.
This service processes a patient’s blood through an apheresis system to separate and remove plasma while returning blood cells to the patient; replacement fluid is used as clinically indicated. It is commonly performed in a hospital or other facility by an apheresis team under physician direction. Typical clinical situations include plasma exchange for thrombotic thrombocytopenic purpura, myasthenia gravis, or Guillain-Barré syndrome when removal of plasma is part of the treatment plan.
Select this code when the treatment removes plasma, rather than targeting red cells, white cells, or platelets. Document the clinical indication, the plasma-directed treatment performed, and the service date. 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is unavailable, and co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 36514
- 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 RVU1.76 · 8%
- Practice expense (office) RVU19.47 · 91%
- Malpractice RVU0.16 · 1%
17.7K
Medicare services in 2024 · #1194 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.
36514 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
Use 36512 for therapeutic apheresis targeting red blood cells; this code is for plasma removal.
No office rate
Use 36513 when platelets are the treatment target. This code describes plasma-directed exchange.
$2,036.73
Use 36516 for selective adsorption of targeted substances from plasma. Use this code for therapeutic plasma removal.
Compare 36514 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
Iowa →
Office / nonfacility
$655.95
Facility
$73.74
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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 36514 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
4,501
- Code
- 36514
- Physician work
- 1.76
- Practice expense
- 19.47
- Malpractice
- 0.16
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.76 | × 1.000 | 1.7600 |
| Practice expense | 19.47 | × 0.915 | 17.8150 |
| Malpractice | 0.16 | × 0.397 | 0.0635 |
| Total RVUs | 19.6386 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$655.95
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.76 | 1 |
| Practice expense | 19.47 | 0.915 |
| Malpractice | 0.16 | 0.397 |
(1.76 × 1 + 19.47 × 0.915 + 0.16 × 0.397) × $33.4009 = $655.95
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.76 | 1 |
| Practice expense | 0.42 | 0.915 |
| Malpractice | 0.16 | 0.397 |
(1.76 × 1 + 0.42 × 0.915 + 0.16 × 0.397) × $33.4009 = $73.74
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.
36514 billing questions
When should this code be chosen over 36516?
Use this code for therapeutic removal of plasma. Code 36516 describes selective adsorption treatment, which targets selected substances rather than removing plasma broadly.
How does this differ from the other therapeutic apheresis codes?
Choose the code according to the blood component being treated: this service targets plasma, while 36511, 36512, and 36513 target white cells, red cells, and platelets, respectively.
Can modifier 50 be reported?
No. Plasma exchange is not reported as a bilateral service, so modifier 50 is inappropriate.
What documentation supports reporting this service?
Record the indication for treatment and document that the apheresis session removed plasma. The record should make clear that plasma, rather than another blood component, was targeted.
How is this code affected when other procedures occur in the same session?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction. Same-day preoperative and postoperative care is included in this code’s 0-day global period.
Can an assistant, co-surgeon, or surgical team be reported?
Assistant-at-surgery payment is unavailable for this service. Co-surgeon and team-surgery reporting 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.
4,49836511,,Apheresis wbc,A,,1.95,0.65,NA,0.65,,0.13,2.73,2.73,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,49936512,,Apheresis rbc,A,,1.95,0.50,NA,0.50,,0.12,2.57,2.57,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,50036513,,Apheresis platelets,A,,1.95,0.53,NA,0.53,,0.16,2.64,2.64,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,50136514,,Apheresis plasma,A,,1.76,19.47,,0.42,,0.16,21.39,2.34,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,50236516,,Apheresis immunoads slctv,A,,1.52,64.83,,0.36,,0.35,66.70,2.23,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,50336522,,Photopheresis,A,,1.71,38.95,,0.50,,0.13,40.79,2.34,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,50436555,,Insert non-tunnel cv cath,A,,1.88,4.35,,0.33,,0.16,6.39,2.37,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136