CPT 36222
Global 000 ActivePlace cath carotid/inom art
CPT 36222 Billing & Documentation Guide
CPT code 36222 (Place cath carotid/inom art) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 5.15, a non-facility practice expense RVU of 31.25, and a malpractice RVU of 1.31, a total non-facility RVU of 37.71 and facility RVU of 7.56. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1302.3, though rates vary from $1091.15 to $1719.52 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36222, 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 36222 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 1 units of 36222 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 36222
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 5.15 | 5.15 |
| Practice Expense RVU | 31.25 | 1.1 |
| Malpractice RVU | 1.31 | 1.31 |
| Total RVU | 37.71 | 7.56 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36222
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 | $1436.98 | $245.38 | $1342.37 - $1719.52 | 29 |
| Florida | $1304.45 | $294.05 | $1235.63 - $1369.24 | 3 |
| Georgia | $1220.39 | $259.68 | $1155.22 - $1285.56 | 2 |
| Illinois | $1264.78 | $291.74 | $1193.37 - $1322.71 | 4 |
| Michigan | $1213.71 | $268.1 | $1174.38 - $1253.03 | 2 |
| North Carolina | $1173.82 | $234.25 | $1173.82 - $1173.82 | 1 |
| New York | $1404.1 | $280.65 | $1194.36 - $1505.33 | 5 |
| Ohio | $1169.09 | $249.66 | $1169.09 - $1169.09 | 1 |
| Pennsylvania | $1242.72 | $256.33 | $1171.55 - $1313.88 | 2 |
| Texas | $1241.2 | $249.77 | $1162.5 - $1315.44 | 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 36222
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36222 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 | Anesthesia service included in surgical procedure |
| 01925 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01926 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 36222
What does CPT code 36222 mean? +
CPT code 36222 represents: Place cath carotid/inom art. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 36222? +
The 2026 Medicare national average non-facility payment for CPT 36222 is $1302.3. Rates range from $1091.15 to $1719.52 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36222? +
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 36222? +
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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