$2,090.65
Choose 36225 when the catheter is positioned in the subclavian artery; choose 36226 when it is advanced selectively into the vertebral artery.
On this page
CMS RVU26D · Effective 2026-10-01
36225 Subclavian angiography Medicare reimbursement rates in Nebraska
Reports selective catheter positioning in a subclavian artery for angiographic assessment of the same-side vertebral and/or cervical carotid vessels. Compare 36225 office and facility rates across CMS payment localities in Nebraska.
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 36225 in Nebraska?
Nebraska 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
$1637.95
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$255.27
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Cerebrovascular angiography
About 36225: Selective subclavian catheter angiography
Reports selective catheter positioning in a subclavian artery for angiographic assessment of the same-side vertebral and/or cervical carotid vessels.
An interventional radiologist, neurointerventionalist, or other qualified physician selectively positions a catheter in one subclavian artery to perform angiographic assessment of the ipsilateral vertebral and/or cervical carotid vessels. This approach may be used when evaluating vertebral-origin disease or suspected subclavian steal. The service is generally performed in a hospital angiography suite or another setting equipped for catheter-based vascular imaging.
Report the code for the documented unilateral subclavian catheter position and the associated angiographic study; document the side, catheter location, vessels imaged, and findings. The specified angiographic work is represented with the catheter service. The CMS global period is 0 days, so same-day preoperative and postoperative care is included. For bilateral performance, modifier 50 is paid at 150%. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 36225
- 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) RVU46.36 · 86%
- Malpractice RVU1.69 · 3%
7.8K
Medicare services in 2024 · #1603 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.
36225 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$2,149.42
36224 describes selective internal carotid catheterization. 36225 describes selective subclavian positioning for imaging of the ipsilateral vertebral and/or cervical carotid vessels.
$872.99
36221 represents nonselective catheter positioning in the thoracic aorta. 36225 requires selective positioning in a subclavian artery.
Compare 36225 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
Nebraska →
Office / nonfacility
$1637.95
Facility
$255.27
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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 36225 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
4,451
- Code
- 36225
- Physician work
- 5.61
- Practice expense
- 46.36
- Malpractice
- 1.69
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.61 | × 1.000 | 5.6100 |
| Practice expense | 46.36 | × 0.923 | 42.7903 |
| Malpractice | 1.69 | × 0.378 | 0.6388 |
| Total RVUs | 49.0391 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$1637.95
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.61 | 1 |
| Practice expense | 46.36 | 0.923 |
| Malpractice | 1.69 | 0.378 |
(5.61 × 1 + 46.36 × 0.923 + 1.69 × 0.378) × $33.4009 = $1637.95
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.61 | 1 |
| Practice expense | 1.51 | 0.923 |
| Malpractice | 1.69 | 0.378 |
(5.61 × 1 + 1.51 × 0.923 + 1.69 × 0.378) × $33.4009 = $255.27
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.
36225 billing questions
When is 36225 used instead of 36226?
Use 36225 when the selective catheter position is in the subclavian artery. Use 36226 when the catheter is selectively positioned in the vertebral artery.
Is the angiographic study reported separately from 36225?
The code represents the subclavian catheter service with the specified ipsilateral vertebral and/or cervical carotid angiographic assessment. Do not separately report another selective catheter-placement service for the same position.
What documentation supports 36225?
Document the side, selective catheter location in the subclavian artery, vessels imaged, and angiographic findings. The record should distinguish this position from direct catheterization of the vertebral artery.
How is bilateral performance reported under the CMS rule?
For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150%.
How does the multiple-procedure reduction affect 36225?
When it is one of multiple procedures performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%. The reduction depends on the relative values of the procedures performed.
Can an assistant or co-surgeon be paid for this service?
CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery 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.
4,44836222,,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
4,45336227,,Place cath xtrnl carotid,A,,2.04,5.50,,0.55,,0.65,8.19,3.24,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,45436228,,Place cath intracranial art,A,,4.14,40.57,,1.16,,1.43,46.14,6.73,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068