CPT 36600
Global XXX ActiveWithdrawal of arterial blood
CPT 36600 Billing & Documentation Guide
CPT code 36600 (Withdrawal of arterial blood) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.31, a non-facility practice expense RVU of 0.49, and a malpractice RVU of 0.02, a total non-facility RVU of 0.82 and facility RVU of 0.39. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $28.22, though rates vary from $24.76 to $35.45 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36600, 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 36600 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 4 units of 36600 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 36600
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.31 | 0.31 |
| Practice Expense RVU | 0.49 | 0.06 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 0.82 | 0.39 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36600
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 | $30.46 | $13.46 | $28.83 - $35.45 | 29 |
| Florida | $28.07 | $13.66 | $27 - $29.08 | 3 |
| Georgia | $26.79 | $13.08 | $25.75 - $27.82 | 2 |
| Illinois | $27.48 | $13.6 | $26.34 - $28.42 | 4 |
| Michigan | $26.66 | $13.18 | $26.05 - $27.27 | 2 |
| North Carolina | $26.05 | $12.65 | $26.05 - $26.05 | 1 |
| New York | $30.01 | $13.99 | $26.37 - $31.72 | 5 |
| Ohio | $25.97 | $12.86 | $25.97 - $25.97 | 1 |
| Pennsylvania | $27.2 | $13.13 | $26.01 - $28.38 | 2 |
| Texas | $27.15 | $13.01 | $25.87 - $28.28 | 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 36600
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36600 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 36600
What does CPT code 36600 mean? +
CPT code 36600 represents: Withdrawal of arterial blood. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of XXX.
What is the Medicare reimbursement for CPT 36600? +
The 2026 Medicare national average non-facility payment for CPT 36600 is $28.22. Rates range from $24.76 to $35.45 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36600? +
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 36600? +
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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