CPT 36140
Global XXX ActiveIntro ndl icath upr/lxtr art
CPT 36140 Billing & Documentation Guide
CPT code 36140 (Intro ndl icath upr/lxtr art) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.72, a non-facility practice expense RVU of 12.87, and a malpractice RVU of 0.37, a total non-facility RVU of 14.96 and facility RVU of 2.36. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $517.83, though rates vary from $433.07 to $690.27 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36140, 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 36140 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 3 units of 36140 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 36140
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.72 | 1.72 |
| Practice Expense RVU | 12.87 | 0.27 |
| Malpractice RVU | 0.37 | 0.37 |
| Total RVU | 14.96 | 2.36 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36140
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 | $574.87 | $76.88 | $536.19 - $690.27 | 29 |
| Florida | $512.81 | $90.56 | $486.98 - $536.2 | 3 |
| Georgia | $482.41 | $80.93 | $455.62 - $509.21 | 2 |
| Illinois | $496.63 | $89.98 | $469.24 - $521.23 | 4 |
| Michigan | $478.49 | $83.32 | $463.87 - $493.11 | 2 |
| North Carolina | $466.41 | $73.76 | $466.41 - $466.41 | 1 |
| New York | $556.54 | $87.04 | $474.51 - $595.19 | 5 |
| Ohio | $462.38 | $78.14 | $462.38 - $462.38 | 1 |
| Pennsylvania | $492.24 | $80.02 | $463.75 - $520.72 | 2 |
| Texas | $492.45 | $78.13 | $460.11 - $523.32 | 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 36140
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36140 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 |
| 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 |
Frequently Asked Questions, CPT 36140
What does CPT code 36140 mean? +
CPT code 36140 represents: Intro ndl icath upr/lxtr art. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of XXX.
What is the Medicare reimbursement for CPT 36140? +
The 2026 Medicare national average non-facility payment for CPT 36140 is $517.83. Rates range from $433.07 to $690.27 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36140? +
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 36140? +
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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