CPT 36225
Global 000 ActivePlace cath subclavian art
CPT 36225 Billing & Documentation Guide
CPT code 36225 (Place cath subclavian 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 5.61, a non-facility practice expense RVU of 46.36, and a malpractice RVU of 1.69, a total non-facility RVU of 53.66 and facility RVU of 8.81. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1855.55, though rates vary from $1546.58 to $2471.13 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36225, 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 36225 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 36225 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 36225
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 5.61 | 5.61 |
| Practice Expense RVU | 46.36 | 1.51 |
| Malpractice RVU | 1.69 | 1.69 |
| Total RVU | 53.66 | 8.81 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36225
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 | $2056.97 | $284.39 | $1917.94 - $2471.13 | 29 |
| Florida | $1850.89 | $347.87 | $1752.55 - $1942.09 | 3 |
| Georgia | $1732.44 | $303.32 | $1635.9 - $1828.98 | 2 |
| Illinois | $1792.11 | $344.64 | $1689.36 - $1878.99 | 4 |
| Michigan | $1720.84 | $314.19 | $1664.86 - $1776.82 | 2 |
| North Carolina | $1668.17 | $270.51 | $1668.17 - $1668.17 | 1 |
| New York | $2000.47 | $329.27 | $1698.1 - $2145.32 | 5 |
| Ohio | $1658.03 | $290.33 | $1658.03 - $1658.03 | 1 |
| Pennsylvania | $1766.13 | $298.81 | $1662.21 - $1870.05 | 2 |
| Texas | $1765.31 | $290.5 | $1648.92 - $1876.04 | 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 36225
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36225 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 36225
What does CPT code 36225 mean? +
CPT code 36225 represents: Place cath subclavian art. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 36225? +
The 2026 Medicare national average non-facility payment for CPT 36225 is $1855.55. Rates range from $1546.58 to $2471.13 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36225? +
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 36225? +
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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