$1,259.01
Choose 36222 for ipsilateral extracranial carotid angiography without imaging the intracranial carotid circulation. 36223 includes that intracranial territory.
On this page
CMS RVU26D · Effective 2026-10-01
36223 Carotid angiography Medicare reimbursement rates in Minnesota
Reports unilateral catheterization in the common carotid or innominate artery with angiography of the ipsilateral intracranial carotid circulation. Compare 36223 office and facility rates across CMS payment localities in Minnesota.
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 36223 in Minnesota?
Minnesota 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
$1923.79
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$258.59
1 of 1 localities have a supported rate.
Payment area: Minnesota
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.
Diagnostic angiography
About 36223: Common carotid intracranial angiography
Reports unilateral catheterization in the common carotid or innominate artery with angiography of the ipsilateral intracranial carotid circulation.
A physician selectively places a catheter in a common carotid artery or the innominate artery and images the ipsilateral intracranial carotid circulation. The service includes angiography of the extracranial carotid or cervical circulation when performed, along with the associated radiological supervision and interpretation. Interventional radiologists, neurointerventionalists, and other physicians performing diagnostic cervicocerebral angiography commonly report it in a hospital angiography suite or catheterization lab, such as during evaluation of carotid disease or a suspected intracranial vascular lesion.
Report the code for each unilateral service when the catheter position and imaged territory meet these criteria. The report should identify the catheterized vessel, side, angiographic territory, and physician interpretation. Catheter placement and the associated imaging supervision and interpretation are included. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 36223
- 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
- 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 RVU5.61 · 10%
- Practice expense (office) RVU50.03 · 87%
- Malpractice RVU1.71 · 3%
18.1K
Medicare services in 2024 · #1188 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.
36223 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$2,364.70
36224 requires selective catheter placement in the internal carotid artery; 36223 describes placement in the common carotid or innominate artery.
$954.83
36221 covers nonselective thoracic aorta catheterization and angiography of the aortic arch and great-vessel origins, rather than selective carotid or innominate catheterization with intracranial imaging.
Compare 36223 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
Minnesota →
Office / nonfacility
$1923.79
Facility
$258.59
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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 36223 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
4,449
- Code
- 36223
- Physician work
- 5.61
- Practice expense
- 50.03
- Malpractice
- 1.71
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.61 | × 1.000 | 5.6100 |
| Practice expense | 50.03 | × 1.029 | 51.4809 |
| Malpractice | 1.71 | × 0.296 | 0.5062 |
| Total RVUs | 57.5970 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$1923.79
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.61 | 1 |
| Practice expense | 50.03 | 1.029 |
| Malpractice | 1.71 | 0.296 |
(5.61 × 1 + 50.03 × 1.029 + 1.71 × 0.296) × $33.4009 = $1923.79
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.61 | 1 |
| Practice expense | 1.58 | 1.029 |
| Malpractice | 1.71 | 0.296 |
(5.61 × 1 + 1.58 × 1.029 + 1.71 × 0.296) × $33.4009 = $258.59
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.
36223 billing questions
How is 36223 different from 36222?
36223 includes imaging of the ipsilateral intracranial carotid circulation. Use 36222 when the angiography is limited to the ipsilateral extracranial carotid circulation.
How is 36223 different from 36224?
36223 describes catheter placement in the common carotid or innominate artery. 36224 describes selective catheter placement in the internal carotid artery.
Can catheter placement or imaging interpretation be billed separately?
The catheter placement and associated radiological supervision and interpretation are included in 36223 for the described service.
How should bilateral services be reported?
Report bilateral performance with modifier 50; CMS pays the bilateral procedure at 150%.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction. Same-day preoperative and postoperative care is included in this code's 0-day global period.
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.
4,44636218,,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
4,45036224,,Place cath carotd art,A,,6.09,62.32,,1.89,,1.96,70.37,9.94,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,45136225,,Place cath subclavian art,A,,5.61,46.36,,1.51,,1.69,53.66,8.81,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,45236226,,Place cath vertebral art,A,,6.09,60.43,,1.85,,1.92,68.44,9.86,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002