36221 Place cath thoracic aorta
What 36221 is
CMS fee schedule short descriptor: Place cath thoracic aorta.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 36221 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 3.82 | 23.81 | 0.90 | 28.53 | $952.93 |
| Facility (hospital, ASC) | 3.82 | 0.61 | 0.90 | 5.33 | $178.03 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply (endoscopic or minor procedure: global period is the day of the procedure).
Medically Unlikely Edit (MUE)
Medicare caps 36221 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 36221? These codes are bundled into it
36221 is a Column 1 code in 259 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
01916 | Anes dx arteriography/vngrph | 0 - no modifier bypass | Check pair |
01924 | Anes ther ivntl rad artl nos | 0 - no modifier bypass | Check pair |
01925 | Anes ivntl rad artl crtd/c | 0 - no modifier bypass | Check pair |
01926 | Anes ivntl rad icr icar/aort | 0 - no modifier bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
12001 | Rpr s/n/ax/gen/trnk 2.5cm/< | 1 - modifier may bypass | Check pair |
12002 | Rpr s/n/ax/gen/trnk2.6-7.5cm | 1 - modifier may bypass | Check pair |
12004 | Rpr s/n/ax/gen/trk7.6-12.5cm | 1 - modifier may bypass | Check pair |
12005 | Rpr s/n/a/gen/trk12.6-20.0cm | 1 - modifier may bypass | Check pair |
12006 | Rpr s/n/a/gen/trk20.1-30.0cm | 1 - modifier may bypass | Check pair |
12007 | Rpr s/n/ax/gen/trnk >30.0 cm | 1 - modifier may bypass | Check pair |
12011 | Rpr f/e/e/n/l/m 2.5 cm/< | 1 - modifier may bypass | Check pair |
12013 | Rpr f/e/e/n/l/m 2.6-5.0 cm | 1 - modifier may bypass | Check pair |
12014 | Rpr f/e/e/n/l/m 5.1-7.5 cm | 1 - modifier may bypass | Check pair |
12015 | Rpr f/e/e/n/l/m 7.6-12.5 cm | 1 - modifier may bypass | Check pair |
12016 | Rpr fe/e/en/l/m 12.6-20.0 cm | 1 - modifier may bypass | Check pair |
12017 | Rpr fe/e/en/l/m 20.1-30.0 cm | 1 - modifier may bypass | Check pair |
12018 | Rpr f/e/e/n/l/m >30.0 cm | 1 - modifier may bypass | Check pair |
12020 | Tx supfc wnd dehsn smpl clsr | 1 - modifier may bypass | Check pair |
12021 | Tx supfc wnd dehsn w/packing | 1 - modifier may bypass | Check pair |
12031 | Intmd rpr s/a/t/ext 2.5 cm/< | 1 - modifier may bypass | Check pair |
12032 | Intmd rpr s/a/t/ext 2.6-7.5 | 1 - modifier may bypass | Check pair |
12034 | Intmd rpr s/tr/ext 7.6-12.5 | 1 - modifier may bypass | Check pair |
12035 | Intmd rpr s/a/t/ext 12.6-20 | 1 - modifier may bypass | Check pair |
Showing 30 of 259 column 2 codes. Use the pair checker for any specific combination.
36221 is bundled into these codes
36221 appears as a Column 2 code in 28 active edits. Reported with one of these Column 1 codes on the same date of service, 36221 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0515T | Insj wcs lv compl sys | 1 | Check pair |
0516T | Insj wcs lv eltrd only | 1 | Check pair |
0520T | Rmv&rplcmt pg wcs lv battery | 1 | Check pair |
0632T | Perq tcat us abltj nrv p-art | 1 | Check pair |
36222 | Place cath carotid/inom art | 0 | Check pair |
36223 | Place cath carotid/inom art | 0 | Check pair |
36224 | Place cath carotd art | 0 | Check pair |
36225 | Place cath subclavian art | 0 | Check pair |
36226 | Place cath vertebral art | 0 | Check pair |
36227 | Place cath xtrnl carotid | 0 | Check pair |
36228 | Place cath intracranial art | 0 | Check pair |
37211 | Thrombolytic art therapy | 1 | Check pair |
37212 | Thrombolytic venous therapy | 1 | Check pair |
37213 | Thromblytic art/ven therapy | 1 | Check pair |
37214 | Cessj therapy cath removal | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.