FeeBase
Log inGet started
Menu

CPT code 36010: Venous catheter, SVC or IVC placement2026 Medicare rate & RVUs in Puerto Rico

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 Puerto Rico, Medicare pays $516.87 for 36010 in the office and $95.10 when it’s performed in a hospital or facility.

$516.87Office (non-facility)
$95.10Hospital or facility
+0.9%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $516.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

36010 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$516.87
  2. Los Angeles, CA · California$588.92+$72.05
  3. Washington, DC area · District of Columbia$593.86+$76.99
  4. Miami, FL · Florida$550.84+$33.97
  5. Chicago, IL · Illinois$532.74+$15.87
  6. Manhattan, NY · New York$594.21+$77.34
  7. Alaska · Alaska$569.58+$52.71

Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.

Every other payment area

36010 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$452.99$87.95
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

36010 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 36010 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work2.13× 1.0002.1300
Practice expense12.80× 1.01112.9408
Malpractice0.41× 0.9850.4038
Total RVUs15.4746
Conversion factor× 33.4009

Office rate, Puerto Rico$516.87

Office: (2.13 × 1 + 12.8 × 1.011 + 0.41 × 0.985) × $33.4009 = $516.87

Facility: (2.13 × 1 + 0.31 × 1.011 + 0.41 × 0.985) × $33.4009 = $95.10

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

Codes related to 36010

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 36010
CodeHow it relatesOffice range, Puerto Rico
Same family
36011Venous catheterization, first-order branchSelective placement in a first-order venous branch, rather than in the cava itself.$788.92
36012Venous catheterization, second-order or deeper branchSelective placement in a second-order or more distal venous branch.$815.40
Used instead
36000Venous access, needle or intracatheterReports venous needle access rather than catheter placement in the SVC or IVC.No office rate
Often billed with
75825Caval venography, inferior vena cavaReports imaging supervision and interpretation for IVC venography.$114.28
75827SVC venography, superior vena cavaReports imaging supervision and interpretation for SVC venography.$119.68

How 36010 has changed in Puerto Rico

36010 · Office / nonfacility

$516.87

Effective 2026-10-01

The base rate is $22.57 higher than on 2025-10-01, moving from $494.30 to $516.87 (4.6%).

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

    $494.30changed to$516.87

    • 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
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $532.14changed to$494.30

    • 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

    $523.45changed to$532.14

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $555.54changed to$523.45

    • 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
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $552.02changed to$555.54

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $588.27changed to$552.02

    • 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
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $586.12changed to$588.27

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

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $546.23changed to$586.12

    • 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
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $517.46changed to$546.23

    • 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
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $494.79changed to$517.46

    • 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.

  11. January 1, 2018

    RVU18AR1

    $429.68changed to$494.79

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 11.17 changed to 11.13
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $380.73changed to$429.68

    • 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
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $381.19changed to$380.73

    • 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.

  14. July 1, 2015

    RVU15C

    $379.30changed to$381.19

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $375.33changed to$379.30

    • 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
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $376.75changed to$375.33

    • 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
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $376.75

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$516.87$95.10RVU26D
2026-07-01$516.87$95.10RVU26C
2026-04-01$516.87$95.10RVU26B
2026-01-01$516.87$95.10RVU26A
2025-10-01$494.30$102.12RVU25D
2025-07-01$494.30$102.12RVU25C
2025-04-01$494.30$102.12RVU25B
2025-01-01$494.30$102.12RVU25A
2024-10-01$532.14$105.42RVU24D
2024-07-01$532.14$105.42RVU24C
2024-04-01$532.14$105.42RVU24B
2024-03-09$532.14$105.42RVU24AR
2024-01-01$523.45$103.70RVU24A
2023-10-01$555.54$107.04RVU23D
2023-07-01$552.02$107.08RVU23C
2023-04-01$552.02$107.08RVU23B
2023-01-01$552.02$107.08RVU23A
2022-10-01$588.27$110.03RVU22D
2022-07-01$588.27$110.03RVU22C
2022-04-01$588.27$110.03RVU22B
2022-01-01$588.27$110.03RVU22A
2021-10-01$586.12$111.29RVU21D
2021-07-01$586.12$111.29RVU21C
2021-04-01$586.12$111.29RVU21B
2021-01-01$586.12$111.29RVU21A
2020-10-01$546.23$115.14RVU20D
2020-07-01$546.23$115.14RVU20C
2020-04-01$546.23$115.14RVU20B
2020-01-01$546.23$115.14RVU20A
2019-10-01$517.46$114.99RVU19D
2019-07-01$517.46$114.99RVU19C
2019-04-01$517.46$114.99RVU19B
2019-01-01$517.46$114.99RVU19A
2018-10-01$494.79$114.51RVU18D
2018-07-01$494.79$114.51RVU18C
2018-04-01$494.79$114.51RVU18B
2018-01-01$494.79$114.51RVU18AR1
2017-10-01$429.68$106.50RVU17D
2017-07-01$429.68$106.50RVU17C
2017-04-01$429.68$106.50RVU17B
2017-01-01$429.68$106.50RVU17A
2016-10-01$380.73$109.88RVU16D
2016-07-01$380.73$109.88RVU16C
2016-04-01$380.73$109.88RVU16B
2016-01-01$380.73$109.88RVU16A
2015-10-01$381.19$110.38RVU15D
2015-07-01$381.19$110.38RVU15C
2015-04-01$379.30$109.83RVU15B
2015-01-01$379.30$109.83RVU15A
2014-10-01$375.33$109.09RVU14D
2014-07-01$375.33$109.09RVU14C
2014-04-01$375.33$109.09RVU14B
2014-01-01$375.33$109.09RVU14A
2013-10-01$376.75$104.33RVU13D
2013-07-01$376.75$104.33RVU13C
2013-04-01$376.75$104.33RVU13B
2013-01-01$376.75$104.33RVU13AR

Price 36010 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 36010 pays in Puerto Rico?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 36010 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet