$678.82
Use 36013 for placement in the right heart or main pulmonary artery. Use 36014 when the catheter is selectively advanced into a pulmonary artery.
On this page
CMS RVU26D · Effective 2026-10-01
36013 Pulmonary catheter placement Medicare reimbursement rates in Kentucky
Reports catheter advancement into the right heart or main pulmonary artery for pulmonary vascular procedures when selective branch catheterization is not performed. Compare 36013 office and facility rates across CMS payment localities in Kentucky.
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 36013 in Kentucky?
Kentucky 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
$698.65
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$109.24
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 catheterization
About 36013: Right heart or main pulmonary artery catheter placement
Reports catheter advancement into the right heart or main pulmonary artery for pulmonary vascular procedures when selective branch catheterization is not performed.
Code 36013 represents catheter advancement through venous access into the right heart or main pulmonary artery, without selective placement in a more distal pulmonary artery branch. It is commonly used when catheter positioning is part of pulmonary angiography or another pulmonary vascular procedure. Cardiologists, interventional radiologists, and other physicians performing catheter-based procedures typically report it in a hospital or other facility setting.
Choose the code from the documented catheter destination and degree of selection, not just the access site. The procedure note should identify the route and final catheter position; for pulmonary angiography, the imaging documentation should support the associated study. When other procedures are performed in the same session, CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full and the others at 50%. When catheter placement is part of a more comprehensive service, follow the applicable CPT reporting instructions rather than reporting the same placement separately.
CMS billing rules for 36013
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU2.46 · 11%
- Practice expense (office) RVU20.35 · 88%
- Malpractice RVU0.40 · 2%
580
Medicare services in 2024 · #3428 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.
36013 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$719.21
Code 36015 is for selective catheter placement in segmental or subsegmental pulmonary artery branches, farther along the arterial tree than the placement described by 36013.
$766.18
Code 93451 reports a diagnostic right-heart catheterization, including its catheter placement and hemodynamic assessment. Code 36013 describes catheter placement for a separately reportable vascular procedure, not an extra charge for the same placement.
No office rate
Code 93503 describes placement of a flow-directed catheter for monitoring. Code 36013 describes positioning in the right heart or main pulmonary artery for a catheter-based vascular procedure.
Compare 36013 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
Kentucky →
Office / nonfacility
$698.65
Facility
$109.24
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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 36013 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
4,436
- Code
- 36013
- Physician work
- 2.46
- Practice expense
- 20.35
- Malpractice
- 0.40
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.46 | × 1.000 | 2.4600 |
| Practice expense | 20.35 | × 0.889 | 18.0912 |
| Malpractice | 0.40 | × 0.915 | 0.3660 |
| Total RVUs | 20.9172 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$698.65
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.46 | 1 |
| Practice expense | 20.35 | 0.889 |
| Malpractice | 0.4 | 0.915 |
(2.46 × 1 + 20.35 × 0.889 + 0.4 × 0.915) × $33.4009 = $698.65
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.46 | 1 |
| Practice expense | 0.5 | 0.889 |
| Malpractice | 0.4 | 0.915 |
(2.46 × 1 + 0.5 × 0.889 + 0.4 × 0.915) × $33.4009 = $109.24
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.
36013 billing questions
How is 36013 different from 36014 or 36015?
Code 36013 describes placement in the right heart or main pulmonary artery. Codes 36014 and 36015 describe selective placement farther into the pulmonary arterial tree, with 36015 reaching segmental or subsegmental branches.
Can 36013 be reported with a diagnostic right-heart catheterization?
A diagnostic right-heart catheterization reported with 93451 includes the catheter placement for that service. Do not report 36013 as an additional line for the same catheter introduction.
Is 36013 the same service as Swan-Ganz catheter placement?
No. Code 93503 describes placement of a flow-directed catheter for monitoring. Code 36013 identifies catheter placement into the right heart or main pulmonary artery for a catheter-based vascular procedure.
What documentation supports reporting 36013?
Document the venous route, the catheter’s final location in the right heart or main pulmonary artery, and the procedure performed. The documented tip location helps distinguish 36013 from selective pulmonary artery placement.
How does the multiple procedure reduction affect 36013?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the 50% reduction to the other procedures.
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.
4,43336010,,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
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
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631