Billing code 36225: Subclavian angiographyMedicare rate & RVUs in Utah

Reports selective catheter positioning in a subclavian artery for angiographic assessment of the same-side vertebral and/or cervical carotid vessels.

CMS RVU26DEffective Oct 1, 20261 payment locality7.8K Medicare services in 2024

Medicare pays $1,693.63 for 36225 in the office in Utah (Utah). Which amount applies depends on the service address.

$1,693.63Office (non-facility)
$285.48Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 36225 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 36225 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 36225 covers

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.

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 in Utah

36225 office and facility rates by payment locality
Payment localityOfficeFacility
Utah$1,693.63$285.48

How the 36225 rate is calculated

Each of 36225’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 36225

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 5.61Practice expense 46.36Malpractice 1.69

53.6600 adjusted RVUs×$33.4009 conversion factor=$1,792.29

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 36225

The CMS indicators that decide how 36225 is paid alongside other services.

CMS payment indicators · 36225

Subclavian angiography

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

36225 without 50 · national office

$1,792.29

Subclavian angiography

36225-50 · Bilateral: 150%

$2,688.44

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

36225 compared with similar codes

Compare codes

36225 vs 36226 vs 36224 vs 36221: national Medicare rates

Swap in your local Medicare rate.

  • 36225
    Subclavian angiography · 5.61 wRVU
    $1,792.29
  • 36226
    Vertebral angiography · 6.09 wRVU
    $2,285.96+$493.67
  • 36224
    Carotid angiography · 6.09 wRVU
    $2,350.42+$558.13
  • 36221
    Aortic arch angiography · 3.82 wRVU
    $952.93−$839.36

How to choose

36226Vertebral angiography
Choose 36225 when the catheter is positioned in the subclavian artery; choose 36226 when it is advanced selectively into the vertebral artery.
36224Carotid angiography
36224 describes selective internal carotid catheterization. 36225 describes selective subclavian positioning for imaging of the ipsilateral vertebral and/or cervical carotid vessels.
36221Aortic arch angiography
36221 represents nonselective catheter positioning in the thoracic aorta. 36225 requires selective positioning in a subclavian artery.

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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 36225PPRRVU2026_Oct_nonQPP.csv, line 4,451 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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