$1,017.81
Use 36216 when the catheter reaches a second-order branch. 36217 requires advancement into a third-order or more distal branch.
On this page
CMS RVU26D · Effective 2026-10-01
36217 Arterial catheterization Medicare reimbursement rates in Wisconsin
Reports selective arterial catheter placement when the catheter is advanced into a third-order or more distal branch within a vascular family. Compare 36217 office and facility rates across CMS payment localities in Wisconsin.
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 36217 in Wisconsin?
Wisconsin 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
$1868.39
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
Facility setting
$264.32
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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 36217: Third-order selective arterial catheter placement
Reports selective arterial catheter placement when the catheter is advanced into a third-order or more distal branch within a vascular family.
A physician, commonly an interventional radiologist, vascular surgeon, or cardiologist, advances a catheter through an arterial access site into a selected branch at the third order or beyond. The code describes the catheter’s selective position, not the angiographic images or treatment performed there. It may accompany diagnostic angiography or an endovascular procedure when the catheter placement is separately reportable. The relevant selection is the branch order reached along the route through the vascular family, rather than distance traveled or the number of vessels imaged.
Documentation should identify the access route, vascular family, catheterized branch, and order reached, along with any separately reportable imaging or intervention. Use the lower-order code when the highest branch reached is first or second order; 36218 may apply to an additional qualifying branch. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 36217
- 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
- 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 RVU6.13 · 10%
- Practice expense (office) RVU51.50 · 87%
- Malpractice RVU1.53 · 3%
3.9K
Medicare services in 2024 · #2010 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.
36217 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
$216.96
36217 reports the primary qualifying selective placement. 36218 represents an additional qualifying branch placement, not the primary placement.
$533.01
36200 describes placement in the aorta. 36217 requires selective advancement into a third-order or more distal arterial branch.
$898.72
36221 represents a cervicocerebral angiography service. 36217 describes selective catheter placement and is not a substitute for that combined service.
Compare 36217 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
Wisconsin →
Office / nonfacility
$1868.39
Facility
$264.32
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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 36217 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
4,445
- Code
- 36217
- Physician work
- 6.13
- Practice expense
- 51.50
- Malpractice
- 1.53
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.13 | × 1.000 | 6.1300 |
| Practice expense | 51.50 | × 0.958 | 49.3370 |
| Malpractice | 1.53 | × 0.308 | 0.4712 |
| Total RVUs | 55.9382 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$1868.39
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.13 | 1 |
| Practice expense | 51.5 | 0.958 |
| Malpractice | 1.53 | 0.308 |
(6.13 × 1 + 51.5 × 0.958 + 1.53 × 0.308) × $33.4009 = $1868.39
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.13 | 1 |
| Practice expense | 1.37 | 0.958 |
| Malpractice | 1.53 | 0.308 |
(6.13 × 1 + 1.37 × 0.958 + 1.53 × 0.308) × $33.4009 = $264.32
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.
36217 billing questions
How is 36217 distinguished from 36216?
Choose 36217 when the catheter reaches a third-order or more distal branch within the vascular family. Use 36216 when it reaches a second-order branch.
Can 36217 be reported with angiography or an intervention?
It may be reported when the selective catheter placement is separately reportable from the imaging or treatment. Do not separately report catheter-placement work that is included in a more comprehensive service.
When is 36218 reported with 36217?
36218 is for an additional qualifying second-order or more distal branch within the same vascular family. Document the additional catheterized branch; it is not a substitute for the primary placement code.
What documentation supports 36217?
The report should show the catheter route, vascular family, specific branch reached, and branch order. Documentation should distinguish the primary selective placement from any additional branch placement.
Should modifier 50 be appended for bilateral catheterization?
No. The CMS bilateral adjustment does not apply to 36217, and modifier 50 is inappropriate for this code.
How does the multiple-procedure rule affect payment?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard reduction to the others. The code has a 0-day global period.
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.
4,44236200,,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
4,44436216,,Place catheter in artery,A,,5.14,26.08,,1.02,,1.13,32.35,7.29,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,44536217,,Place catheter in artery,A,,6.13,51.50,,1.37,,1.53,59.16,9.03,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,44636218,,Place catheter in artery,A,,0.98,5.69,,0.20,,0.21,6.88,1.39,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,44736221,,Place cath thoracic aorta,A,,3.82,23.81,,0.61,,0.90,28.53,5.33,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,