CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 36223 RVU and Medicare Payment (2026)
Place cath carotid/inom art — 5.61 work RVU, about $1,915.54 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 5.61
- PE RVU (non-facility)
- 50.03
- PE RVU (facility)
- 1.58
- MP RVU
- 1.71
- Office payment
- $1,915.54
- Facility payment
- $297.27
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 36223 in a non-facility setting with national GPCI: (5.61 + 50.03 + 1.71) × $33.4009 ≈ $1,915.54. The same code in a facility setting pays about $297.27 because facility PE RVU (1.58) replaces office PE RVU.
What changes by locality
GPCI moves 36223 non-facility payment from $1,652.22 to $2,648.25 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 36223?
5.61. 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 36223 in 2026?
About $1,915.54 non-facility ($297.27 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 (5.61) and malpractice RVU stay fixed; only practice expense changes (50.03 office vs 1.58 facility). That is the entire office-vs-facility payment gap.