CPT 36625
Global 000 ActiveInsertion catheter artery
CPT 36625 Billing & Documentation Guide
CPT code 36625 (Insertion catheter 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 2.06, a non-facility practice expense RVU of 0.47, and a malpractice RVU of 0.33, a total non-facility RVU of 2.86 and facility RVU of 2.86. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $96.03, though rates vary from $87.24 to $126 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36625, 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 36625 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 36625 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 36625
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.06 | 2.06 |
| Practice Expense RVU | 0.47 | 0.47 |
| Malpractice RVU | 0.33 | 0.33 |
| Total RVU | 2.86 | 2.86 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36625
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 | $95.82 | $95.82 | $93.09 - $104.92 | 29 |
| Florida | $106.01 | $106.01 | $100.38 - $113.02 | 3 |
| Georgia | $97.08 | $97.08 | $95.95 - $98.2 | 2 |
| Illinois | $105.28 | $105.28 | $100.37 - $110.36 | 4 |
| Michigan | $99.06 | $99.06 | $95.58 - $102.54 | 2 |
| North Carolina | $90.5 | $90.5 | $90.5 - $90.5 | 1 |
| New York | $104.57 | $104.57 | $91.47 - $112.34 | 5 |
| Ohio | $94.25 | $94.25 | $94.25 - $94.25 | 1 |
| Pennsylvania | $96.59 | $96.59 | $93.63 - $99.54 | 2 |
| Texas | $94.88 | $94.88 | $93.33 - $100.11 | 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 36625
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36625 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 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 | CPT Separate procedure definition |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | CPT Separate procedure definition |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | CPT Separate procedure definition |
| 12001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12002 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12004 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 36625
What does CPT code 36625 mean? +
CPT code 36625 represents: Insertion catheter artery. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 36625? +
The 2026 Medicare national average non-facility payment for CPT 36625 is $96.03. Rates range from $87.24 to $126 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36625? +
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 36625? +
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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