$25.71
Use 36600 for arterial puncture and withdrawal of a diagnostic blood sample without placing an indwelling catheter. Use 36660 when a catheter is placed in a newborn’s umbilical artery.
On this page
CMS RVU26D · Effective 2026-10-01
36660 Arterial catheter Medicare reimbursement rates in Nebraska
Reports placement of an arterial catheter through a newborn’s umbilical artery for diagnostic sampling, continuous monitoring, or therapy. Compare 36660 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 36660 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
No supported rate
Facility setting
$55.28
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.
Vascular access
About 36660: Newborn umbilical artery catheterization
Reports placement of an arterial catheter through a newborn’s umbilical artery for diagnostic sampling, continuous monitoring, or therapy.
This service places a catheter into a newborn’s umbilical artery, usually in a neonatal intensive care setting. The access can support continuous arterial pressure monitoring, repeated blood sampling such as blood gas testing, or prescribed therapy. A physician or other qualified practitioner with appropriate training performs and documents the placement. The code is specific to the newborn umbilical artery; it does not describe an umbilical venous catheter or a one-time arterial puncture for a blood sample.
Report the service when the catheter is actually placed in the umbilical artery. The procedure note should identify the newborn, arterial route, placement, and clinical purpose. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 36660
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.37 · 80%
- Practice expense (office) RVU0.28 · 16%
- Malpractice RVU0.07 · 4%
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.
36660 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
36620 describes percutaneous arterial catheterization by a nonumbilical route; 36660 identifies catheter placement through a newborn’s umbilical artery.
No office rate
36625 describes arterial catheterization by cutdown. The newborn umbilical-artery placement belongs to 36660.
$80.99
36510 is for catheterization of a newborn’s umbilical vein. Use 36660 for arterial access; the vessel and purpose documented in the procedure note distinguish them.
Compare 36660 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
Unavailable
Facility
$55.28
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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 36660 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
4,541
- Code
- 36660
- Physician work
- 1.37
- Practice expense
- 0.28
- Malpractice
- 0.07
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.37 | × 1.000 | 1.3700 |
| Practice expense | 0.28 | × 0.923 | 0.2584 |
| Malpractice | 0.07 | × 0.378 | 0.0265 |
| Total RVUs | 1.6549 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$55.28
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.37 | 1 |
| Practice expense | 0.28 | 0.923 |
| Malpractice | 0.07 | 0.378 |
(1.37 × 1 + 0.28 × 0.923 + 0.07 × 0.378) × $33.4009 = $55.28
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.
36660 billing questions
How is this different from 36620?
36660 is for catheter placement through a newborn’s umbilical artery. Code 36620 describes percutaneous arterial catheterization by a route other than the umbilical artery.
Can a separate umbilical venous catheter be reported?
An umbilical venous catheter is a different service and uses a venous access code. Document the separate vessel and catheter placement rather than treating venous access as part of 36660.
Does modifier 50 apply when both sides are involved?
No. CMS specifies that bilateral adjustment does not apply and modifier 50 is inappropriate for this code.
Is same-day evaluation and postoperative care separately included?
The 0-day global period includes same-day preoperative and postoperative care. The code reports the catheter placement itself.
How does the multiple-procedure reduction work?
For procedures performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
What documentation supports an assistant-at-surgery claim?
The record must document the medical necessity of the assistant. CMS does not permit co-surgeon or team-surgery payment for this code.
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.
4,53836620,,Insertion catheter artery,A,,0.98,0.16,NA,0.16,,0.08,1.22,1.22,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,53936625,,Insertion catheter artery,A,,2.06,0.47,NA,0.47,,0.33,2.86,2.86,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54036640,,Insertion catheter artery,A,,2.05,0.83,NA,0.83,,0.14,3.02,3.02,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54136660,,Insertion catheter artery,A,,1.37,0.28,NA,0.28,,0.07,1.72,1.72,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54236680,,Insert needle bone cavity,A,,1.17,0.33,NA,0.33,,0.23,1.73,1.73,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54336800,,Insertion of cannula,A,,2.37,0.58,NA,0.58,,0.27,3.22,3.22,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54436810,,Insertion of cannula,A,,3.86,1.11,NA,1.11,,0.34,5.31,5.31,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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