$500.55
36100 concerns access in a different arterial territory. Choose according to the artery entered, not simply the fact that both services establish arterial access.
On this page
CMS RVU26D · Effective 2026-10-01
36140 Arterial access Medicare reimbursement rates in Vermont
Reports introduction of a needle or catheter into an upper- or lower-extremity artery, commonly to establish access for vascular imaging or intervention. Compare 36140 office and facility rates across CMS payment localities in Vermont.
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 36140 in Vermont?
Vermont 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
$489.27
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$72.63
1 of 1 localities have a supported rate.
Payment area: Vermont
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 procedures
About 36140: Extremity artery catheter introduction
Reports introduction of a needle or catheter into an upper- or lower-extremity artery, commonly to establish access for vascular imaging or intervention.
Code 36140 describes introducing a needle or catheter into an artery of an arm or leg. Interventional radiologists, vascular surgeons, and other physicians performing vascular procedures may use it in an angiography suite, catheterization laboratory, or similar procedural setting. The code concerns access to an extremity artery; it does not describe the angiographic images or catheter placement in a more central vessel.
Select the code based on the artery entered and the service performed, and document the access site, side, purpose, and catheter placement. When extremity angiography or another vascular procedure is performed, distinguish the access service from the imaging or intervention and report each service only when separately supported. If multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%.
CMS billing rules for 36140
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU1.72 · 11%
- Practice expense (office) RVU12.87 · 86%
- Malpractice RVU0.37 · 2%
13.8K
Medicare services in 2024 · #1302 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.
36140 compared with similar codes
Office rates for Vermont, from the same CMS release.
$534.98
36160 describes translumbar aortic access. Code 36140 is for an upper- or lower-extremity artery.
$551.69
36200 describes nonselective catheter placement in the aorta. Code 36140 concerns introduction into an extremity artery.
No office rate
36620 is for percutaneous arterial catheterization used for pressure monitoring; 36140 concerns access for a vascular procedure.
Compare 36140 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
Vermont →
Office / nonfacility
$489.27
Facility
$72.63
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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 36140 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
4,440
- Code
- 36140
- Physician work
- 1.72
- Practice expense
- 12.87
- Malpractice
- 0.37
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.72 | × 1.000 | 1.7200 |
| Practice expense | 12.87 | × 0.990 | 12.7413 |
| Malpractice | 0.37 | × 0.506 | 0.1872 |
| Total RVUs | 14.6485 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$489.27
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.72 | 1 |
| Practice expense | 12.87 | 0.99 |
| Malpractice | 0.37 | 0.506 |
(1.72 × 1 + 12.87 × 0.99 + 0.37 × 0.506) × $33.4009 = $489.27
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.72 | 1 |
| Practice expense | 0.27 | 0.99 |
| Malpractice | 0.37 | 0.506 |
(1.72 × 1 + 0.27 × 0.99 + 0.37 × 0.506) × $33.4009 = $72.63
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.
36140 billing questions
How is 36140 different from catheter placement in the aorta?
36140 describes entry into an upper- or lower-extremity artery. Use the code that reflects the catheter’s documented destination when it is advanced into a more central vessel.
Does 36140 report the angiographic images?
No. It describes arterial access, not the imaging study. Angiography requires its own code when the imaging service is performed and separately reportable.
What details should the procedure note include?
Document the extremity artery and side entered, the purpose of access, and the catheter placement. The record should make clear whether the service involved vascular procedural access or arterial pressure monitoring.
How does the multiple procedure reduction affect payment?
For multiple procedures in the same session, CMS pays the highest-valued procedure in full and the others at 50%.
When would 36620 be more appropriate?
Use 36620 for percutaneous arterial catheterization performed for pressure monitoring. Code 36140 describes extremity arterial access for a vascular procedure, rather than an arterial monitoring line.
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.
4,43736014,,Place catheter in artery,A,,2.94,19.06,,0.49,,0.48,22.48,3.91,0,XXX,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,43836015,,Place catheter in artery,A,,3.42,19.87,,0.55,,0.49,23.78,4.46,0,XXX,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,43936100,,Establish access to artery,A,,2.94,11.81,,0.37,,0.70,15.45,4.01,0,XXX,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,44036140,,Intro ndl icath upr/lxtr art,A,,1.72,12.87,,0.27,,0.37,14.96,2.36,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,44136160,,Establish access to aorta,A,,2.46,13.51,,0.38,,0.36,16.33,3.20,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,44236200,,Place catheter in aorta,A,,2.70,13.64,,0.36,,0.62,16.96,3.68,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,44336215,,Place catheter in artery,A,,4.07,27.17,,0.94,,0.62,31.86,5.63,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817