CPT 36100
Global XXX ActiveEstablish access to artery
CPT 36100 Billing & Documentation Guide
CPT code 36100 (Establish access to 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 2.94, a non-facility practice expense RVU of 11.81, and a malpractice RVU of 0.7, a total non-facility RVU of 15.45 and facility RVU of 4.01. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $531.89, though rates vary from $449.08 to $690.35 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36100, 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 36100 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 36100 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 36100
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.94 | 2.94 |
| Practice Expense RVU | 11.81 | 0.37 |
| Malpractice RVU | 0.7 | 0.7 |
| Total RVU | 15.45 | 4.01 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36100
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 | $581.16 | $129.02 | $544.73 - $690.35 | 29 |
| Florida | $539.49 | $156.11 | $510.45 - $567.97 | 3 |
| Georgia | $502.64 | $138.11 | $477.93 - $527.35 | 2 |
| Illinois | $524.37 | $155.17 | $494.89 - $548.98 | 4 |
| Michigan | $501.51 | $142.71 | $484.74 - $518.28 | 2 |
| North Carolina | $481.17 | $124.67 | $481.17 - $481.17 | 1 |
| New York | $574.71 | $148.43 | $489.38 - $616.92 | 5 |
| Ohio | $481.91 | $133.05 | $481.91 - $481.91 | 1 |
| Pennsylvania | $510.46 | $136.18 | $482.41 - $538.5 | 2 |
| Texas | $508.81 | $132.63 | $478.88 - $536.45 | 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 36100
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36100 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01916 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01924 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 01925 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 01926 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 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 |
| 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 |
Frequently Asked Questions, CPT 36100
What does CPT code 36100 mean? +
CPT code 36100 represents: Establish access to artery. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of XXX.
What is the Medicare reimbursement for CPT 36100? +
The 2026 Medicare national average non-facility payment for CPT 36100 is $531.89. Rates range from $449.08 to $690.35 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36100? +
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 36100? +
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 1, 2026.
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