No office rate
Use 36625 when the artery is exposed through a cutdown. Use 36620 for percutaneous arterial catheterization.
On this page
CMS RVU26D · Effective 2026-10-01
36625 Arterial catheter Medicare reimbursement rates in Utah
Reports arterial catheter placement through surgical cutdown for blood sampling, pressure monitoring, or transfusion when percutaneous access is not used. Compare 36625 office and facility rates across CMS payment localities in Utah.
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 36625 in Utah?
Utah 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
$93.46
1 of 1 localities have a supported rate.
Payment area: Utah
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.
Arterial catheterization
About 36625: Arterial catheter insertion by cutdown
Reports arterial catheter placement through surgical cutdown for blood sampling, pressure monitoring, or transfusion when percutaneous access is not used.
This service places a catheter in an artery after the physician surgically exposes the vessel through an incision. It supports arterial blood sampling, continuous pressure monitoring, or transfusion when access is obtained by cutdown rather than a percutaneous approach. It is most often performed by a surgeon or other physician in a facility setting, including during an operation or acute-care treatment.
Choose this code when the documentation supports arterial catheterization by cutdown for sampling, monitoring, or transfusion; a percutaneous approach points to a different code, and long-term catheter use has a separate code. Record the artery, the cutdown approach, the catheter placement, and its clinical purpose. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 36625
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- 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 RVU2.06 · 72%
- Practice expense (office) RVU0.47 · 16%
- Malpractice RVU0.33 · 12%
667
Medicare services in 2024 · #3306 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.
36625 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
36640 describes catheter placement by cutdown for long-term use; 36625 is for sampling, monitoring, or transfusion.
No office rate
36660 is specifically for catheterization of a newborn's umbilical artery. This code describes arterial catheterization by cutdown.
$26.34
36600 is arterial blood withdrawal rather than catheter placement. Choose this code when a catheter is inserted by cutdown.
Compare 36625 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
Utah →
Office / nonfacility
Unavailable
Facility
$93.46
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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 36625 in Utah.
PPRRVU2026_Oct_nonQPP.csv
4,539
- Code
- 36625
- Physician work
- 2.06
- Practice expense
- 0.47
- Malpractice
- 0.33
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.06 | × 1.000 | 2.0600 |
| Practice expense | 0.47 | × 0.940 | 0.4418 |
| Malpractice | 0.33 | × 0.898 | 0.2963 |
| Total RVUs | 2.7981 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$93.46
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.06 | 1 |
| Practice expense | 0.47 | 0.94 |
| Malpractice | 0.33 | 0.898 |
(2.06 × 1 + 0.47 × 0.94 + 0.33 × 0.898) × $33.4009 = $93.46
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.
36625 billing questions
How does this differ from 36620?
This code describes arterial catheterization by cutdown, which involves surgically exposing the artery. Code 36620 is for percutaneous arterial catheterization.
When should 36640 be considered instead?
Use 36640 for arterial catheter placement by cutdown intended for long-term use. This code covers cutdown catheterization for sampling, monitoring, or transfusion.
What documentation supports reporting this code?
Document the artery accessed, the surgical cutdown approach, catheter placement, and the purpose, such as sampling, monitoring, or transfusion.
Can modifier 50 be used for bilateral arterial access?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
How are assistant and co-surgeon services handled?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What care is included in the global period?
The code has a 0-day global period. Same-day preoperative and postoperative care is included.
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.
4,53636598,,Inj w/fluor eval cv device,T,,0.72,2.68,,0.12,,0.07,3.47,0.91,9,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,53736600,,Withdrawal of arterial blood,A,,0.31,0.49,,0.06,,0.02,0.82,0.39,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985