CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 36216 RVU and Medicare Payment (2026)
Place catheter in artery — 5.14 work RVU, about $1,080.52 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.14
- PE RVU (non-facility)
- 26.08
- PE RVU (facility)
- 1.02
- MP RVU
- 1.13
- Office payment
- $1,080.52
- Facility payment
- $243.49
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 36216 in a non-facility setting with national GPCI: (5.14 + 26.08 + 1.13) × $33.4009 ≈ $1,080.52. The same code in a facility setting pays about $243.49 because facility PE RVU (1.02) replaces office PE RVU.
What changes by locality
GPCI moves 36216 non-facility payment from $939.39 to $1,466.92 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 36216?
5.14. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 36216 in 2026?
About $1,080.52 non-facility ($243.49 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (5.14) and malpractice RVU stay fixed; only practice expense changes (26.08 office vs 1.02 facility). That is the entire office-vs-facility payment gap.