CPT®
Surgery
Surgical Procedures on the Cardiovascular System
Surgical Procedures on Arteries and Veins
Vascular Injection Procedures
Intra-Arterial-Intra-Aortic Vascular Injection Procedures
Diagnostic Studies of Cervicocerebral Arteries
Selective catheter placement, arterial system; thoracic or brachiocephalic branch
CPT® 36216 in section: Selective catheter placement, arterial system; thoracic or brachiocephalic branch...
CPT® Code Set
36216 - CPT® Code in category: Selective catheter placement, arterial system; thoracic or brachioceph...
CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA.
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CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA.
Additional Code Information includes:
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Save time with a Professional or Facility subscription! You will be able to see the most common modifiers billed to Medicare along with this code.
Related CPT CodeBook Guidelines (Reverse Guideline Lookup) 
cpt/cpt_reference_guidelines_content.php?set=CPT&c=36216
View historical information about the code including when it was added, changed, deleted, etc. Access to this feature is available in the following products:
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CPT® Vignettes illustrate code use through sample patient examples. Every vignette contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service. Where appropriate, there are also Pre- and Post-service descriptions. Vignettes are reviewed annually and updated when necessary. 300-400 new vignettes are added each year as codes added, revised and reviewed. Available for over 5000 of the most common CPT codes. Access to this feature is available in the following products:
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Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account. Access to this feature is available in the following products:
Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account. |
See Documentation, coding, and billing tips for this code. Access to this feature is available in the following products:
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Calculated for National Unadjusted (00000)
* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.
Medicare vs. My Fee Evaluation
| Modifier | Medicare Allowed | 150% | 200% | My Fee |
|---|---|---|---|---|
| (none) | $265.30 | $397.95 | $530.60 | (your fee) |
| (MPPR) | $132.82 | $199.23 | $265.63 | (your fee) |
Calculated fee values are available. Access to this feature is available in the following products:
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Medicare Participating - Assignment Accepted (Mandatory)
| Modifier | Allowed | Medicare 80% | Patient Pays |
|---|---|---|---|
| (none) | $265.30 | $##.## | $##.## |
| (MPPR) | $132.82 | $##.## | $##.## |
Medicare Non-Participating - Assignment Accepted (Check To Doctor)
| Modifier | Allowed | Medicare 80% | Patient Pays | Limiting Charge (Amount Billed) |
|---|---|---|---|---|
| (none) | $##.## | $##.## | $##.## | $##.## |
| (MPPR) | $##.## | $##.## | $##.## | $##.## |
Medicare Non-Participating - Assignment NOT Accepted (Check To Patient)
| Modifier | Allowed | Medicare 80% | Patient Pays | Limiting Charge (Amount Billed) |
|---|---|---|---|---|
| (none) | $##.## | $##.## | $##.## | $##.## |
| (MPPR) | $##.## | $##.## | $##.## | $##.## |
Medicare vs. My Fee Evaluation
| Modifier | Medicare Allowed | 150% | 200% | My Fee |
|---|---|---|---|---|
| (none) | $1,047.22 | $1,570.84 | $2,094.45 | (your fee) |
| (MPPR) | $523.61 | $785.42 | $1,047.22 | (your fee) |
View calculated CPT fee values specifically for your Medicare locality. Access to this feature is available in the following products:
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Medicare Participating - Assignment Accepted (Mandatory)
| Modifier | Allowed | Medicare 80% | Patient Pays |
|---|---|---|---|
| (none) | $1,047.22 | $##.## | $##.## |
| (MPPR) | $523.61 | $##.## | $##.## |
Medicare Non-Participating - Assignment Accepted (Check To Doctor)
| Modifier | Allowed | Medicare 80% | Patient Pays | Limiting Charge (Amount Billed) |
|---|---|---|---|---|
| (none) | $##.## | $##.## | $##.## | $##.## |
| (MPPR) | $##.## | $##.## | $##.## | $##.## |
Medicare Non-Participating - Assignment NOT Accepted (Check To Patient)
| Modifier | Allowed | Medicare 80% | Patient Pays | Limiting Charge (Amount Billed) |
|---|---|---|---|---|
| (none) | $##.## | $##.## | $##.## | $##.## |
| (MPPR) | $##.## | $##.## | $##.## | $##.## |
This section shows APC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more. Access to this feature is available in the following products:
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View fees for this code from 4 different built-in fee schedules and from those you've added using the Compare-A-Fee™ tool. If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Compare-A-Fee™ tool.
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View a table of UCR, Worker's Comp, and Medicare Fees here, as well as see UCR Fees in the charts below. Access to this feature is available in the following products:
Note: Subscribers will see the fee graphs below. |
View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts. Access to this feature is available in the following products:
Note: Subscribers will see the fee graphs below. |
Calculated for National Unadjusted (00000)
* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.
RVU Components (by modifier)
| Modifier | Work | Practice Expense | Malpractice Expense | Total |
|---|---|---|---|---|
| (none) | 5.27 | 1.61 | 1.09 | 7.970 |
| (MPPR) | 2.63 | 0.81 | 0.55 | 3.990 |
Calculated fee values are available. Access to this feature is available in the following products:
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Practitioner Labor
| Pre-Service | Intra-Service | Post-Service | Total Time* |
|---|---|---|---|
| ## | ## | ## | ## min |
* Total Time may be greater than the displayed components.
Work RVU Components (by modifier)
| Modifier | National Unadjusted Work RVU | Work GPCI | Adjusted Work RVU |
|---|---|---|---|
| (none) | ##.## | ##.## | 5.27 |
| (MPPR) | ##.## | ##.## | 2.63 |
Clinical Labor - Direct Expense
| Staff | Staff Rate | Pre Time | Intra Time | Post Time | Total Time |
|---|---|---|---|---|---|
| RN/LPN/MTA | $0.50 / min | ## min | ## min | ## min | ## min |
| Vascular Interventional Technologist | $0.73 / min | ## min | ## min | ## min | ## min |
Equipment - Direct Expense
| Item | Purchase Price | Expected Life | Total Time |
|---|---|---|---|
| Technologist PACS workstation | $##.## | ## years | ## min |
| stretcher | $##.## | ## years | ## min |
| room, angiography | $##.## | ## years | ## min |
| ECG, 3-channel (with SpO2, NIBP, temp, resp) | $##.## | ## years | ## min |
| IV infusion pump | $##.## | ## years | ## min |
Supplies - Direct Expense
| Item | Unit Price | Quantity | Unit | Amount |
|---|---|---|---|---|
| kit, guidewire introducer (Micro-Stick) | $##.## | ## | kit | $##.## |
| pack, minimum multi-specialty visit | $##.## | ## | pack | $##.## |
| tray, shave prep | $##.## | ## | tray | $##.## |
| cap, surgical | $##.## | ## | item | $##.## |
| drape, sterile, c-arm, fluoro | $##.## | ## | item | $##.## |
| drape, sterile, femoral | $##.## | ## | item | $##.## |
| drape-towel, sterile 18in x 26in | $##.## | ## | item | $##.## |
| gloves, sterile | $##.## | ## | pair | $##.## |
| gown, surgical, sterile | $##.## | ## | item | $##.## |
| mask, surgical | $##.## | ## | item | $##.## |
| mask, surgical, with face shield | $##.## | ## | item | $##.## |
| shoe covers, surgical | $##.## | ## | pair | $##.## |
| underpad 2ft x 3ft (Chux) | $##.## | ## | item | $##.## |
| catheter, angiographic, pig-tail | $##.## | ## | item | $##.## |
| closed flush system, angiography | $##.## | ## | item | $##.## |
| syringe 10-12ml | $##.## | ## | item | $##.## |
| syringe 20ml | $##.## | ## | item | $##.## |
| syringe w-needle, OSHA compliant (SafetyGlide) | $##.## | ## | item | $##.## |
| guidewire, hydrophilic | $##.## | ## | item | $##.## |
| vascular sheath | $##.## | ## | item | $##.## |
| catheter, (SIM2F1) | $##.## | ## | item | $##.## |
| guidewire, cerebral (Bentson) | $##.## | ## | item | $##.## |
| suture device for vessel closure (Perclose A-T) | $##.## | ## | item | $##.## |
| blade, surgical (Bard-Parker) | $##.## | ## | item | $##.## |
| applicator, sponge-tipped | $##.## | ## | item | $##.## |
| gauze, sterile 4in x 4in | $##.## | ## | item | $##.## |
| tape, surgical paper 1in (Micropore) | $##.## | ## | inch | $##.## |
| heparin 1,000 units-ml inj | $##.## | ## | ml | $##.## |
| lidocaine 1%-2% inj (Xylocaine) | $##.## | ## | ml | $##.## |
| sodium chloride 0.9% irrigation (500-1000ml uou) | $##.## | ## | item | $##.## |
| povidone soln (Betadine) | $##.## | ## | ml | $##.## |
Indirect Expenses (clerical,overhead, and other) are also included in the practice expense.
PE RVU Components (by modifier)
| Modifier | National Unadjusted PE RVU | PE GPCI | Adjusted PE RVU |
|---|---|---|---|
| (none) | ##.## | ##.## | 1.610 |
| (MPPR) | ##.## | ##.## | 0.810 |
RVU Components (by modifier)
| Modifier | Work | Practice Expense | Malpractice Expense | Total |
|---|---|---|---|---|
| (none) | 5.27 | 25.1 | 1.09 | 31.460 |
| (MPPR) | 2.63 | 12.55 | 0.55 | 15.730 |
View calculated CPT fee values specifically for your Medicare locality. Access to this feature is available in the following products:
|
Practitioner Labor
| Pre-Service | Intra-Service | Post-Service | Total Time* |
|---|---|---|---|
| ## | ## | ## | ## min |
* Total Time may be greater than the displayed components.
Work RVU Components (by modifier)
| Modifier | National Unadjusted Work RVU | Work GPCI | Adjusted Work RVU |
|---|---|---|---|
| (none) | ##.## | ##.## | 5.27 |
| (MPPR) | ##.## | ##.## | 2.63 |
Clinical Labor (Non-Facility)- Direct Expense
| Staff | Staff Rate | Pre Time | Intra Time | Post Time | Total Time |
|---|---|---|---|---|---|
| RN/LPN/MTA | $0.50 / min | ## min | ## min | ## min | ## min |
| Vascular Interventional Technologist | $0.73 / min | ## min | ## min | ## min | ## min |
Equipment (Non-Facility)- Direct Expense
| Item | Purchase Price | Expected Life | Total Time |
|---|---|---|---|
| Technologist PACS workstation | $##.## | ## years | ## min |
| stretcher | $##.## | ## years | ## min |
| room, angiography | $##.## | ## years | ## min |
| ECG, 3-channel (with SpO2, NIBP, temp, resp) | $##.## | ## years | ## min |
| IV infusion pump | $##.## | ## years | ## min |
Supplies (Non-Facility)- Direct Expense
| Item | Unit Price | Quantity | Unit | Amount |
|---|---|---|---|---|
| kit, guidewire introducer (Micro-Stick) | $##.## | ## | kit | $##.## |
| pack, minimum multi-specialty visit | $##.## | ## | pack | $##.## |
| tray, shave prep | $##.## | ## | tray | $##.## |
| cap, surgical | $##.## | ## | item | $##.## |
| drape, sterile, c-arm, fluoro | $##.## | ## | item | $##.## |
| drape, sterile, femoral | $##.## | ## | item | $##.## |
| drape-towel, sterile 18in x 26in | $##.## | ## | item | $##.## |
| gloves, sterile | $##.## | ## | pair | $##.## |
| gown, surgical, sterile | $##.## | ## | item | $##.## |
| mask, surgical | $##.## | ## | item | $##.## |
| mask, surgical, with face shield | $##.## | ## | item | $##.## |
| shoe covers, surgical | $##.## | ## | pair | $##.## |
| underpad 2ft x 3ft (Chux) | $##.## | ## | item | $##.## |
| catheter, angiographic, pig-tail | $##.## | ## | item | $##.## |
| closed flush system, angiography | $##.## | ## | item | $##.## |
| syringe 10-12ml | $##.## | ## | item | $##.## |
| syringe 20ml | $##.## | ## | item | $##.## |
| syringe w-needle, OSHA compliant (SafetyGlide) | $##.## | ## | item | $##.## |
| guidewire, hydrophilic | $##.## | ## | item | $##.## |
| vascular sheath | $##.## | ## | item | $##.## |
| catheter, (SIM2F1) | $##.## | ## | item | $##.## |
| guidewire, cerebral (Bentson) | $##.## | ## | item | $##.## |
| suture device for vessel closure (Perclose A-T) | $##.## | ## | item | $##.## |
| blade, surgical (Bard-Parker) | $##.## | ## | item | $##.## |
| applicator, sponge-tipped | $##.## | ## | item | $##.## |
| gauze, sterile 4in x 4in | $##.## | ## | item | $##.## |
| tape, surgical paper 1in (Micropore) | $##.## | ## | inch | $##.## |
| heparin 1,000 units-ml inj | $##.## | ## | ml | $##.## |
| lidocaine 1%-2% inj (Xylocaine) | $##.## | ## | ml | $##.## |
| sodium chloride 0.9% irrigation (500-1000ml uou) | $##.## | ## | item | $##.## |
| povidone soln (Betadine) | $##.## | ## | ml | $##.## |
Indirect Expenses (clerical,overhead, and other) are also included in the practice expense.
PE RVU Components (by modifier)
| Modifier | National Unadjusted PE RVU | PE GPCI | Adjusted PE RVU |
|---|---|---|---|
| (none) | ##.## | ##.## | 25.100 |
| (MPPR) | ##.## | ##.## | 12.550 |
View relationships (or crosswalks) between code sets. Access to this feature is available in the following products:
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