CPT 36013
Global XXX ActivePlace catheter in artery
CPT 36013 Billing & Documentation Guide
CPT code 36013 (Place catheter in artery) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.46, a non-facility practice expense RVU of 20.35, and a malpractice RVU of 0.4, a total non-facility RVU of 23.21 and facility RVU of 3.36. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $804.65, though rates vary from $672.92 to $1078.51 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36013, 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 36013 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 2 units of 36013 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 36013
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.46 | 2.46 |
| Practice Expense RVU | 20.35 | 0.5 |
| Malpractice RVU | 0.4 | 0.4 |
| Total RVU | 23.21 | 3.36 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36013
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 | $896.64 | $112.12 | $835.68 - $1078.51 | 29 |
| Florida | $790.15 | $124.93 | $752.05 - $823.53 | 3 |
| Georgia | $746.71 | $114.21 | $704.39 - $789.04 | 2 |
| Illinois | $764.76 | $124.13 | $723.62 - $804.48 | 4 |
| Michigan | $739.22 | $116.66 | $717.82 - $760.61 | 2 |
| North Carolina | $724.87 | $106.29 | $724.87 - $724.87 | 1 |
| New York | $862.51 | $122.86 | $737.28 - $920.41 | 5 |
| Ohio | $716.21 | $110.88 | $716.21 - $716.21 | 1 |
| Pennsylvania | $762.96 | $113.55 | $718.76 - $807.16 | 2 |
| Texas | $764.2 | $111.47 | $713.11 - $813.3 | 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 36013
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36013 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 36013
What does CPT code 36013 mean? +
CPT code 36013 represents: Place catheter in artery. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of XXX.
What is the Medicare reimbursement for CPT 36013? +
The 2026 Medicare national average non-facility payment for CPT 36013 is $804.65. Rates range from $672.92 to $1078.51 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36013? +
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 36013? +
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 June 2, 2026.
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