CPT 36217
Global 000 ActivePlace catheter in artery
CPT 36217 Billing & Documentation Guide
CPT code 36217 (Place catheter in artery) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 6.13, a non-facility practice expense RVU of 51.5, and a malpractice RVU of 1.53, a total non-facility RVU of 59.16 and facility RVU of 9.03. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $2047.88, though rates vary from $1708.67 to $2735.11 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36217, 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 36217 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 36217 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 36217
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 6.13 | 6.13 |
| Practice Expense RVU | 51.5 | 1.37 |
| Malpractice RVU | 1.53 | 1.53 |
| Total RVU | 59.16 | 9.03 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36217
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 | $2275.21 | $293.94 | $2120.9 - $2735.11 | 29 |
| Florida | $2030.11 | $350.14 | $1926.02 - $2124.66 | 3 |
| Georgia | $1907.22 | $309.86 | $1800.03 - $2014.41 | 2 |
| Illinois | $1965.22 | $347.34 | $1855.12 - $2063.33 | 4 |
| Michigan | $1891.9 | $319.65 | $1832.94 - $1950.85 | 2 |
| North Carolina | $1842.3 | $280.1 | $1842.3 - $1842.3 | 1 |
| New York | $2202.93 | $334.98 | $1874.81 - $2358 | 5 |
| Ohio | $1826.75 | $298.04 | $1826.75 - $1826.75 | 1 |
| Pennsylvania | $1946.1 | $306.04 | $1832.13 - $2060.07 | 2 |
| Texas | $1946.83 | $298.39 | $1817.56 - $2070.35 | 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 36217
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36217 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 36217
What does CPT code 36217 mean? +
CPT code 36217 represents: Place catheter in artery. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 36217? +
The 2026 Medicare national average non-facility payment for CPT 36217 is $2047.88. Rates range from $1708.67 to $2735.11 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36217? +
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 36217? +
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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