CPT 36011
Global XXX ActivePlace catheter in vein
CPT 36011 Billing & Documentation Guide
CPT code 36011 (Place catheter in vein) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 3.06, a non-facility practice expense RVU of 19.81, and a malpractice RVU of 0.54, a total non-facility RVU of 23.41 and facility RVU of 4.09. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $810.28, though rates vary from $679.87 to $1077.25 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36011, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 36011 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 4 units of 36011 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 36011
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 3.06 | 3.06 |
| Practice Expense RVU | 19.81 | 0.49 |
| Malpractice RVU | 0.54 | 0.54 |
| Total RVU | 23.41 | 4.09 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36011
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $898.59 | $135.02 | $838.8 - $1077.25 | 29 |
| Florida | $801.19 | $153.74 | $761.87 - $836.62 | 3 |
| Georgia | $755.18 | $139.56 | $713.92 - $796.43 | 2 |
| Illinois | $776.37 | $152.85 | $734.5 - $814.42 | 4 |
| Michigan | $748.91 | $142.96 | $726.68 - $771.13 | 2 |
| North Carolina | $731.07 | $129 | $731.07 - $731.07 | 1 |
| New York | $869.73 | $149.83 | $743.47 - $928.97 | 5 |
| Ohio | $724.49 | $135.33 | $724.49 - $724.49 | 1 |
| Pennsylvania | $770.52 | $138.44 | $726.67 - $814.36 | 2 |
| Texas | $770.94 | $135.64 | $721.08 - $818.44 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 36011
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36011 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0921T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 35201 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 35206 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 35226 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 35231 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 35236 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 35256 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 35261 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 36011
What does CPT code 36011 mean? +
CPT code 36011 represents: Place catheter in vein. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of XXX.
What is the Medicare reimbursement for CPT 36011? +
The 2026 Medicare national average non-facility payment for CPT 36011 is $810.28. Rates range from $679.87 to $1077.25 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36011? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 36011? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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