CPT code 36010: Venous catheter, SVC or IVC placement2026 Medicare rate & RVUs in Washington, DC area

Reports advancing a catheter into the superior or inferior vena cava for central venous evaluation or catheter-based work, without selective branch placement.

CMS RVU26DEffective Oct 1, 2026One payment locality9.9K Medicare services in 2024

In Washington, DC area, Medicare pays $593.86 for 36010 in the office and $102.42 when it’s performed in a hospital or facility.

$593.86Office (non-facility)
$102.42Hospital or facility
+15.9%vs the national office rate ($512.37)

Check a contract rate as a % of Medicare · 36010 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 36010 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 36010 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 36010 covers

CPT 36010 represents advancing a catheter into the superior vena cava (SVC) or inferior vena cava (IVC). It is used for central venous catheter positioning, such as during caval venography or catheter-based evaluation of suspected central venous obstruction. Interventional radiologists and other physicians performing vascular catheter procedures commonly provide this service in a fluoroscopy suite or procedural setting. The defining point is placement in the cava itself, rather than selective catheterization of a named venous branch.

Report the code when the catheter reaches the SVC or IVC and documentation supports that placement; distinguish it from peripheral venous needle access and from selective branch catheterization. For caval venography, the imaging service is distinct from catheter placement and may be represented by the applicable supervision-and-interpretation code when supported. CMS applies the standard multiple-procedure reduction when multiple procedures are performed in the same session: the highest-valued procedure is paid in full and other procedures at 50%. When the service is appropriately reported bilaterally with modifier 50, CMS pays 150%.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Washington, DC area compares for 36010

Across 109 of 109 payment localities, the office rate for 36010 runs from $445.45 in Arkansas to $702.81 in San Benito County, CA. Washington, DC area pays $593.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

36010 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$593.86
  2. Los Angeles, CA · California$588.92−$4.94
  3. Miami, FL · Florida$550.84−$43.02
  4. Chicago, IL · Illinois$532.74−$61.12
  5. Manhattan, NY · New York$594.21+$0.35
  6. Alaska · Alaska$569.58−$24.28
  7. Alabama · Alabama$452.99−$140.87

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

36010 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$445.45$87.09
ArizonaArizona$497.14$92.90
Bakersfield, CACalifornia$549.41$92.18
Chico, CACalifornia$548.27$91.04
El Centro, CACalifornia$548.34$91.11
Fresno, CACalifornia$548.27$91.04
Hanford, CACalifornia$548.27$91.04
Madera, CACalifornia$548.27$91.04

36010 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$445.45

$625.54

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
36010 office rate range by state
State / territoryOffice rate rangeLocalities
AK$569.581
AL$452.991
AR$445.451
AZ$497.141
CA$548.27–$702.8129
CO$537.591
CT$549.591
DC$593.861
DE$506.211
FL$500.45–$550.843
GA$468.83–$522.182
GU$565.181
HI$565.181
IA$467.771
ID$470.951
IL$482.88–$534.984
IN$474.121
KS$464.531
KY$463.751
LA$462.63–$489.012
MA$533.39–$596.722
MD$517.09–$593.863
ME$472.99–$503.472
MI$476.94–$506.802
MN$515.131
MO$453.01–$491.883
MS$449.371
MT$512.341
NC$478.781
ND$504.241
NE$470.931
NH$528.191
NJ$555.88–$586.192
NM$479.641
NV$510.511
NY$486.93–$609.465
OH$475.281
OK$463.571
OR$506.59–$557.462
PA$476.56–$533.822
PR$516.871
RI$526.351
SC$477.821
SD$503.281
TN$467.121
TX$472.92–$535.758
UT$485.321
VA$501.08–$593.862
VI$516.871
VT$501.331
WA$532.68–$610.472
WI$484.941
WV$462.271
WY$508.811

See 36010 in every payment locality

How the 36010 rate is calculated

Each of 36010’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 36010

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.13

2.13 RVUs× 1.000 GPCI

Practice expense12.80

12.80 RVUs× 1.000 GPCI

Malpractice0.41

0.41 RVUs× 1.000 GPCI

Adjusted RVUs

15.3400

Conversion factor

$33.4009

Medicare rate

$512.37

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,433

Code
36010
Physician work
2.13
Practice expense
12.80
Malpractice
0.41

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 36010 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work2.13× 1.0542.2450
Practice expense12.80× 1.17815.0784
Malpractice0.41× 1.1130.4563
Total RVUs17.7797
Conversion factor× 33.4009

Office rate, Washington, DC area$593.86

Office: (2.13 × 1.054 + 12.8 × 1.178 + 0.41 × 1.113) × $33.4009 = $593.86

Facility: (2.13 × 1.054 + 0.31 × 1.178 + 0.41 × 1.113) × $33.4009 = $102.42

Open 36010 in the RVU calculator

Payment rules and modifiers for 36010

The CMS indicators that decide how 36010 is paid alongside other services.

CMS payment indicators · 36010

Venous catheter, SVC or IVC placement

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

36010 without 50 · national office

$512.37

Venous catheter, SVC or IVC placement

36010-50 · Bilateral: 150%

$768.56

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 36010 has changed in Washington, DC area

36010 · Office / nonfacility

$593.86

Effective 2026-10-01

The base rate is $17.62 higher than on 2025-10-01, moving from $576.24 to $593.86 (3.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $576.24changed to$593.86

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.18 changed to 2.13
    • Practice expense RVU 12.63 changed to 12.80
    • Malpractice RVU 0.39 changed to 0.41
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $620.78changed to$576.24

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 13.32 changed to 12.63
    • Malpractice RVU 0.40 changed to 0.39

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $610.64changed to$620.78

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $658.70changed to$610.64

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 13.73 changed to 13.32
    • Malpractice RVU 0.38 changed to 0.40
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168
  5. January 1, 2023

    RVU23A

    $709.49changed to$658.70

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 14.32 changed to 13.73
    • Malpractice RVU 0.39 changed to 0.38
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $706.75changed to$709.49

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 14.12 changed to 14.32

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $649.98changed to$706.75

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 12.48 changed to 14.12
    • Malpractice RVU 0.38 changed to 0.39
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $608.32changed to$649.98

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 11.73 changed to 12.48
    • Malpractice RVU 0.37 changed to 0.38
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $581.17changed to$608.32

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 11.13 changed to 11.73
    • Malpractice RVU 0.36 changed to 0.37

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $581.47changed to$581.17

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 11.17 changed to 11.13
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $604.64changed to$581.47

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 2.43 changed to 2.18
    • Practice expense RVU 11.47 changed to 11.17
    • Malpractice RVU 0.40 changed to 0.36
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $605.55changed to$604.64

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 11.43 changed to 11.47
    • Malpractice RVU 0.41 changed to 0.40

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $602.53changed to$605.55

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $600.83changed to$602.53

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 11.50 changed to 11.43
    • Malpractice RVU 0.33 changed to 0.41
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $614.57changed to$600.83

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 12.62 changed to 11.50
    • Malpractice RVU 0.35 changed to 0.33
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $614.57

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$593.86$102.42RVU26D
2026-07-01$593.86$102.42RVU26C
2026-04-01$593.86$102.42RVU26B
2026-01-01$593.86$102.42RVU26A
2025-10-01$576.24$112.02RVU25D
2025-07-01$576.24$112.02RVU25C
2025-04-01$576.24$112.02RVU25B
2025-01-01$576.24$112.02RVU25A
2024-10-01$620.78$115.67RVU24D
2024-07-01$620.78$115.67RVU24C
2024-04-01$620.78$115.67RVU24B
2024-03-09$620.78$115.67RVU24AR
2024-01-01$610.64$113.78RVU24A
2023-10-01$658.70$118.55RVU23D
2023-07-01$658.70$118.55RVU23C
2023-04-01$658.70$118.55RVU23B
2023-01-01$658.70$118.55RVU23A
2022-10-01$709.49$123.07RVU22D
2022-07-01$709.49$123.07RVU22C
2022-04-01$709.49$123.07RVU22B
2022-01-01$709.49$123.07RVU22A
2021-10-01$706.75$124.52RVU21D
2021-07-01$706.75$124.52RVU21C
2021-04-01$706.75$124.52RVU21B
2021-01-01$706.75$124.52RVU21A
2020-10-01$649.98$127.80RVU20D
2020-07-01$649.98$127.80RVU20C
2020-04-01$649.98$127.80RVU20B
2020-01-01$649.98$127.80RVU20A
2019-10-01$608.32$126.71RVU19D
2019-07-01$608.32$126.71RVU19C
2019-04-01$608.32$126.71RVU19B
2019-01-01$608.32$126.71RVU19A
2018-10-01$581.17$126.12RVU18D
2018-07-01$581.17$126.12RVU18C
2018-04-01$581.17$126.12RVU18B
2018-01-01$581.17$126.12RVU18AR1
2017-10-01$581.47$126.52RVU17D
2017-07-01$581.47$126.52RVU17C
2017-04-01$581.47$126.52RVU17B
2017-01-01$581.47$126.52RVU17A
2016-10-01$604.64$141.70RVU16D
2016-07-01$604.64$141.70RVU16C
2016-04-01$604.64$141.70RVU16B
2016-01-01$604.64$141.70RVU16A
2015-10-01$605.55$142.67RVU15D
2015-07-01$605.55$142.67RVU15C
2015-04-01$602.53$141.96RVU15B
2015-01-01$602.53$141.96RVU15A
2014-10-01$600.83$138.37RVU14D
2014-07-01$600.83$138.37RVU14C
2014-04-01$600.83$138.37RVU14B
2014-01-01$600.83$138.37RVU14A
2013-10-01$614.57$133.20RVU13D
2013-07-01$614.57$133.20RVU13C
2013-04-01$614.57$133.20RVU13B
2013-01-01$614.57$133.20RVU13AR

Price 36010 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

36010 billing questions

When should 36010 be chosen instead of 36011?

Use 36010 for catheter placement in the SVC or IVC itself. Use 36011 when the catheter is selectively advanced into a first-order venous branch.

How does 36010 differ from 36012?

36010 describes placement in the cava. 36012 is for selective catheter placement in a second-order or more distal venous branch.

Can a venography imaging code be reported with 36010?

For IVC or SVC venography, 75825 or 75827 describes the imaging supervision and interpretation, while 36010 describes catheter placement. Documentation should support each reported service.

How does CMS handle multiple procedures in the same session?

The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple-procedure reduction.

When does modifier 50 affect payment for 36010?

When 36010 is appropriately reported as a bilateral procedure with modifier 50, CMS pays 150%. The record must support the bilateral service.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 36010PPRRVU2026_Oct_nonQPP.csv, line 4,433 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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