No office rate
Choose 36513 when platelets are the removal target; 36511 is for therapeutic apheresis directed at white blood cells.
On this page
CMS RVU26D · Effective 2026-10-01
36513 Platelet apheresis Medicare reimbursement rates in Missouri
Report platelet-directed therapeutic apheresis when blood is processed extracorporeally to remove platelets for treatment of a clinical condition. Compare 36513 office and facility rates across CMS payment localities in Missouri.
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 36513 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$85.60–$87.34
3 of 3 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.
Where 36513 pays more and less in Missouri
Therapeutic apheresis
About 36513: Platelet-directed therapeutic apheresis
Report platelet-directed therapeutic apheresis when blood is processed extracorporeally to remove platelets for treatment of a clinical condition.
This service processes a patient’s blood through an extracorporeal apheresis system to remove platelets while returning other blood components, with replacement fluid as clinically indicated. It is commonly performed by an apheresis or transfusion medicine team in a hospital apheresis unit, including for patients who need rapid platelet reduction because of a serious platelet-related condition.
Select this code when platelets are the therapeutic removal target; codes for removing white cells, red cells, or plasma describe different targets. The record should support the clinical indication and identify the platelet-directed procedure performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery and does not permit co-surgeons or team surgery for this service.
CMS billing rules for 36513
- 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 RVU1.95 · 74%
- Practice expense (office) RVU0.53 · 20%
- Malpractice RVU0.16 · 6%
118
Medicare services in 2024 · #4753 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.
36513 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
Choose 36513 for platelet removal. Code 36512 is for therapeutic apheresis directed at red blood cells.
$624.56–$683.24
Choose 36513 when platelets are removed; 36514 describes therapeutic apheresis directed at plasma.
$1,928.71–$2,123.93
Code 36513 targets platelet removal. Code 36516 describes selective immunoadsorption rather than platelet-directed removal.
Compare 36513 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$86.98
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$87.34
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$85.60
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36513 billing questions
How do I distinguish this from other therapeutic apheresis codes?
Use this code when platelets are the component removed. Codes 36511, 36512, and 36514 address white cells, red cells, and plasma, respectively.
Is modifier 50 appropriate when both sides are involved?
No. CMS identifies bilateral adjustment as inappropriate for this service because the descriptor or anatomy does not support modifier 50.
Are same-day preoperative and postoperative services included?
Yes. The code has a 0-day global period, with same-day preoperative and postoperative care included.
How does the multiple procedure reduction work?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
Can an assistant, co-surgeon, or surgical team be reported?
CMS does not pay an assistant at surgery for this service and does not permit co-surgeon or team-surgery reporting.
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.
4,49736510,,Insertion of catheter vein,A,,1.06,1.45,,0.22,,0.07,2.58,1.35,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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