$987.87–$1,046.60
Use 36215 for the primary first-order selective placement. Use 36218 only for an additional qualifying placement in the same arterial family.
On this page
CMS RVU26D · Effective 2026-10-01
36218 Arterial catheterization Medicare reimbursement rates in Michigan
Report 36218 for each additional qualifying selective catheter placement in a second-order-or-higher branch of the same arterial family during a primary procedure. Compare 36218 office and facility rates across CMS payment localities in Michigan.
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 36218 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$214.17–$227.96
2 of 2 localities have a supported rate.
Facility setting
$46.75–$51.01
2 of 2 localities have a supported rate.
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 procedure
About 36218: Additional selective arterial catheter placement
Report 36218 for each additional qualifying selective catheter placement in a second-order-or-higher branch of the same arterial family during a primary procedure.
Code 36218 represents an additional selective catheter placement beyond the primary placement in the same arterial family. The physician advances the catheter into another qualifying branch, with the branch’s order determined by its route from the aorta. This work may occur during diagnostic arteriography or an endovascular procedure. Interventional radiologists, vascular surgeons, and other physicians performing arterial catheterization commonly report it in an angiography suite or operating room.
Report 36218 only with an eligible primary catheter-placement procedure; it is not a standalone service. The operative or angiography report should identify the catheter path, selected branches, and the additional placement that supports the code. CMS treats it as an add-on paid within the primary procedure’s global period. The number and order of branches documented should support the primary and additional placement codes reported.
CMS billing rules for 36218
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.98 · 14%
- Practice expense (office) RVU5.69 · 83%
- Malpractice RVU0.21 · 3%
2.4K
Medicare services in 2024 · #2332 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.
36218 compared with similar codes
Office rates for Michigan, from the same CMS release.
$1,009.60–$1,075.92
Code 36216 reports a primary second-order selective placement; 36218 reports an additional qualifying placement beyond the primary service.
$1,832.94–$1,950.85
Code 36217 reports a primary third-order-or-higher selective placement. Code 36218 is for another qualifying placement in the same family.
$106.18–$112.33
Code 36248 is the corresponding additional-placement code for the abdominal or lower-extremity arterial family; 36218 applies to its own arterial family.
Compare 36218 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
$227.96
Facility
$51.01
Rest Of Michigan →
Office / nonfacility
$214.17
Facility
$46.75
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36218 billing questions
Can 36218 be reported by itself?
No. It is an add-on code and must be reported with an eligible primary catheter-placement procedure.
How is 36218 different from 36217?
Code 36217 represents a primary selective placement in a third-order-or-higher branch. Code 36218 represents an additional qualifying placement in the same arterial family.
What documentation supports an additional placement?
Document the catheter route, the branches selected, and which selection was additional to the primary placement. The recorded anatomy should support the order assigned to each branch.
Does 36218 describe the angiographic imaging?
No. It represents the additional catheter placement. The record should distinguish that work from any imaging or interpretation services reported separately.
Which primary codes may be paired with 36218?
It is used with an eligible primary selective catheter-placement code, such as 36215, 36216, or 36217, when the additional placement meets the same-family criteria.
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.
4,44336215,,Place catheter in artery,A,,4.07,27.17,,0.94,,0.62,31.86,5.63,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,44436216,,Place catheter in artery,A,,5.14,26.08,,1.02,,1.13,32.35,7.29,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,44536217,,Place catheter in artery,A,,6.13,51.50,,1.37,,1.53,59.16,9.03,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,44636218,,Place catheter in artery,A,,0.98,5.69,,0.20,,0.21,6.88,1.39,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,44736221,,Place cath thoracic aorta,A,,3.82,23.81,,0.61,,0.90,28.53,5.33,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,44836222,,Place cath carotid/inom art,A,,5.15,31.25,,1.10,,1.31,37.71,7.56,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,44936223,,Place cath carotid/inom art,A,,5.61,50.03,,1.58,,1.71,57.35,8.90,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00