CPT 36440
Global XXX ActiveBld push tfuj 2 yr/<
CPT 36440 Billing & Documentation Guide
CPT code 36440 (Bld push tfuj 2 yr/<) 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, a non-facility practice expense RVU of 0.2, and a malpractice RVU of 0.06, a total non-facility RVU of 1.26 and facility RVU of 1.26. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $42.77, though rates vary from $40.17 to $58.32 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36440, 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 36440 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 1 units of 36440 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 36440
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1 | 1 |
| Practice Expense RVU | 0.2 | 0.2 |
| Malpractice RVU | 0.06 | 0.06 |
| Total RVU | 1.26 | 1.26 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36440
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 | $43.59 | $43.59 | $42.36 - $47.78 | 29 |
| Florida | $44 | $44 | $42.8 - $45.42 | 3 |
| Georgia | $42.23 | $42.23 | $41.75 - $42.7 | 2 |
| Illinois | $43.8 | $43.8 | $42.63 - $44.95 | 4 |
| Michigan | $42.5 | $42.5 | $41.76 - $43.23 | 2 |
| North Carolina | $40.91 | $40.91 | $40.91 - $40.91 | 1 |
| New York | $45.16 | $45.16 | $41.16 - $47.2 | 5 |
| Ohio | $41.52 | $41.52 | $41.52 - $41.52 | 1 |
| Pennsylvania | $42.39 | $42.39 | $41.43 - $43.35 | 2 |
| Texas | $42.02 | $42.02 | $41.34 - $43.06 | 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 36440
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36440 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | 9 | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | 9 | Misuse of Column Two code with Column One code |
| 0543T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0544T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0548T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0567T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0568T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0569T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0570T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0571T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 36440
What does CPT code 36440 mean? +
CPT code 36440 represents: Bld push tfuj 2 yr/<. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of XXX.
What is the Medicare reimbursement for CPT 36440? +
The 2026 Medicare national average non-facility payment for CPT 36440 is $42.77. Rates range from $40.17 to $58.32 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36440? +
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 36440? +
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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