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CPT code 36400: Venipuncture, under age three, femoral or jugular2026 Medicare rate & RVUs in Detroit, MI

Reports skilled femoral or jugular venipuncture to obtain a blood specimen from a child younger than three when this access is required.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Detroit, MI, Medicare pays $27.34 for 36400 in the office and $16.06 when it’s performed in a hospital or facility.

$27.34Office (non-facility)
$16.06Hospital or facility
−0.2%vs the national office rate ($27.39)

Check a contract rate as a % of Medicare · 36400 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 36400 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Detroit, MI
  2. What 36400 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 36400 covers

This service captures a difficult venous blood draw from the femoral or jugular vein in a child younger than three when access requires a physician’s or qualified health care professional’s skill. It is typically used to obtain a diagnostic blood specimen when routine peripheral access is not suitable. The code describes venipuncture, not placement of a central venous catheter or surgical venous cutdown. Documentation should identify the child’s age, access site, and circumstances supporting skilled access.

Select the code by both age and vein: scalp vein access and access through another vein in this age group have separate codes, while skilled venipuncture in an older patient falls under a different code. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies a 50% payment reduction to the others.

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 Detroit, MI compares for 36400

Across 109 of 109 payment localities, the office rate for 36400 runs from $25.04 in Arkansas to $34.79 in San Benito County, CA. Detroit, MI pays $27.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

36400 in Detroit, MI vs other payment areas
  1. Detroit, MI · this page$27.34
  2. Rest of Michigan · Michigan$26.23−$1.11
  3. Los Angeles, CA · California$30.30+$2.96
  4. Washington, DC area · District of Columbia$30.69+$3.35
  5. Miami, FL · Florida$29.00+$1.66
  6. Chicago, IL · Illinois$28.41+$1.07
  7. Manhattan, NY · New York$30.90+$3.56

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

Every other payment area

36400 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$34.20$21.75
AlabamaAlabama$25.30$15.07
ArkansasArkansas$25.04$15.00
ArizonaArizona$26.85$15.52
Bakersfield, CACalifornia$28.74$15.93
Chico, CACalifornia$28.67$15.86
El Centro, CACalifornia$28.67$15.86
Fresno, CACalifornia$28.67$15.86

36400 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.

$25.04

$34.20

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

View every state and territory as a table
36400 office rate range by state
State / territoryOffice rate rangeLocalities
AK$34.201
AL$25.301
AR$25.041
AZ$26.851
CA$28.67–$34.7929
CO$28.311
CT$28.881
DC$30.691
DE$27.211
FL$27.09–$29.003
GA$25.97–$27.792
GU$29.081
HI$29.081
IA$25.771
ID$25.891
IL$26.52–$28.414
IN$26.001
KS$25.681
KY$25.741
LA$25.71–$26.632
MA$28.21–$30.612
MD$27.63–$30.693
ME$25.99–$27.012
MI$26.23–$27.342
MN$27.331
MO$25.39–$26.703
MS$25.221
MT$27.391
NC$26.191
ND$26.991
NE$25.871
NH$27.891
NJ$29.27–$30.512
NM$26.331
NV$27.291
NY$26.47–$31.475
OH$26.141
OK$25.701
OR$27.13–$29.012
PA$26.17–$28.332
PR$27.541
RI$28.031
SC$26.201
SD$26.951
TN$25.771
TX$26.05–$28.178
UT$26.461
VA$26.95–$30.692
VI$27.541
VT$26.921
WA$28.15–$31.142
WI$26.321
WV$25.801
WY$27.221

See 36400 in every payment locality

How the 36400 rate is calculated

Each of 36400’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 · 36400

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.37

0.37 RVUs× 1.000 GPCI

Practice expense0.43

0.43 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.8200

Conversion factor

$33.4009

Medicare rate

$27.39

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

The exact Detroit, MI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,467

Code
36400
Physician work
0.37
Practice expense
0.43
Malpractice
0.02

GPCI2026.csv

64

Locality
Detroit, MI
Physician work
1.000
Practice expense
0.965
Malpractice
1.686
Office calculation for 36400 in Detroit, MI
ComponentRVULocality factorAdjusted
Physician work0.37× 1.0000.3700
Practice expense0.43× 0.9650.4149
Malpractice0.02× 1.6860.0337
Total RVUs0.8187
Conversion factor× 33.4009

Office rate, Detroit, MI$27.34

Office: (0.37 × 1 + 0.43 × 0.965 + 0.02 × 1.686) × $33.4009 = $27.34

Facility: (0.37 × 1 + 0.08 × 0.965 + 0.02 × 1.686) × $33.4009 = $16.06

Open 36400 in the RVU calculator

Payment rules and modifiers for 36400

The CMS indicators that decide how 36400 is paid alongside other services.

CMS payment indicators · 36400

Venipuncture, under age three, femoral or jugular

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)0The 150% bilateral adjustment doesn’t apply.
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 51 · payment effect

With and without the modifier

36400 without 51 · national office

$27.39

Venipuncture, under age three, femoral or jugular

36400-51 · Second procedure: 50%

$13.70

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 36400

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

Codes related to 36400
CodeHow it relatesOffice range, Detroit, MI
Same family
36405Scalp venipuncture, younger than 3 yearsSibling code for skilled scalp venipuncture in a child younger than three.$24.04
36406Pediatric venipuncture, other vein, under age threeSibling code for skilled venipuncture through another vein in a child younger than three.$18.18
36410Skilled venipuncture, age three or olderSkilled venipuncture code for patients age three or older.$19.06
Used instead
36415Venipuncture, routine venous sampleRoutine venous blood collection when this skilled femoral or jugular access is not required.$9.34

How 36400 has changed in Detroit, MI

36400 · Office / nonfacility

$27.34

Effective 2026-10-01

The base rate is $0.27 higher than on 2025-10-01, moving from $27.07 to $27.34 (1.0%).

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

    $27.07changed to$27.34

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.38 changed to 0.37
    • Practice expense RVU 0.41 changed to 0.43
    • Malpractice RVU 0.03 changed to 0.02
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 0.986 changed to 0.965
    • Malpractice GPCI 1.718 changed to 1.686

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $27.86changed to$27.07

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $27.40changed to$27.86

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $28.59changed to$27.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.40 changed to 0.41
    • Malpractice RVU 0.04 changed to 0.03
    • Work GPCI 1.000 changed to 1.003
    • Practice expense GPCI 0.992 changed to 0.986
    • Malpractice GPCI 1.670 changed to 1.718

  5. January 1, 2023

    RVU23A

    $28.85changed to$28.59

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.39 changed to 0.40
    • Practice expense GPCI 0.997 changed to 0.992
    • Malpractice GPCI 1.622 changed to 1.670

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $28.74changed to$28.85

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.38 changed to 0.39

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $28.05changed to$28.74

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.35 changed to 0.38
    • Malpractice RVU 0.03 changed to 0.04
    • Practice expense GPCI 0.993 changed to 0.997
    • Malpractice GPCI 1.657 changed to 1.622

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $27.39changed to$28.05

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.02 changed to 0.03
    • Practice expense GPCI 0.989 changed to 0.993
    • Malpractice GPCI 1.691 changed to 1.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $27.36changed to$27.39

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $28.27changed to$27.36

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.04 changed to 0.02
    • Practice expense GPCI 0.992 changed to 0.989
    • Malpractice GPCI 1.510 changed to 1.691

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $30.93changed to$28.27

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.42 changed to 0.35
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.994 changed to 0.992
    • Malpractice GPCI 1.328 changed to 1.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $28.90changed to$30.93

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.40 changed to 0.42
    • Malpractice RVU 0.02 changed to 0.05

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $28.75changed to$28.90

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $32.11changed to$28.75

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.43 changed to 0.40
    • Malpractice RVU 0.05 changed to 0.02
    • Work GPCI 1.010 changed to 1.000
    • Practice expense GPCI 1.009 changed to 0.994
    • Malpractice GPCI 1.571 changed to 1.328

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $31.61changed to$32.11

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.44 changed to 0.43
    • Work GPCI 1.022 changed to 1.010
    • Practice expense GPCI 1.023 changed to 1.009
    • Malpractice GPCI 1.814 changed to 1.571

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $31.61

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$27.34$16.06RVU26D
2026-07-01$27.34$16.06RVU26C
2026-04-01$27.34$16.06RVU26B
2026-01-01$27.34$16.06RVU26A
2025-10-01$27.07$18.46RVU25D
2025-07-01$27.07$18.46RVU25C
2025-04-01$27.07$18.46RVU25B
2025-01-01$27.07$18.46RVU25A
2024-10-01$27.86$19.00RVU24D
2024-07-01$27.86$19.00RVU24C
2024-04-01$27.86$19.00RVU24B
2024-03-09$27.86$19.00RVU24AR
2024-01-01$27.40$18.69RVU24A
2023-10-01$28.59$19.85RVU23D
2023-07-01$28.59$19.85RVU23C
2023-04-01$28.59$19.85RVU23B
2023-01-01$28.59$19.85RVU23A
2022-10-01$28.85$20.23RVU22D
2022-07-01$28.85$20.23RVU22C
2022-04-01$28.85$20.23RVU22B
2022-01-01$28.85$20.23RVU22A
2021-10-01$28.74$20.39RVU21D
2021-07-01$28.74$20.39RVU21C
2021-04-01$28.74$20.39RVU21B
2021-01-01$28.74$20.39RVU21A
2020-10-01$28.05$20.17RVU20D
2020-07-01$28.05$20.17RVU20C
2020-04-01$28.05$20.17RVU20B
2020-01-01$28.05$20.17RVU20A
2019-10-01$27.39$19.55RVU19D
2019-07-01$27.39$19.55RVU19C
2019-04-01$27.39$19.55RVU19B
2019-01-01$27.39$19.55RVU19A
2018-10-01$27.36$19.53RVU18D
2018-07-01$27.36$19.53RVU18C
2018-04-01$27.36$19.53RVU18B
2018-01-01$27.36$19.53RVU18AR1
2017-10-01$28.27$19.37RVU17D
2017-07-01$28.27$19.37RVU17C
2017-04-01$28.27$19.37RVU17B
2017-01-01$28.27$19.37RVU17A
2016-10-01$30.93$21.32RVU16D
2016-07-01$30.93$21.32RVU16C
2016-04-01$30.93$21.32RVU16B
2016-01-01$30.93$21.32RVU16A
2015-10-01$28.90$19.97RVU15D
2015-07-01$28.90$19.97RVU15C
2015-04-01$28.75$19.87RVU15B
2015-01-01$28.75$19.87RVU15A
2014-10-01$32.11$22.35RVU14D
2014-07-01$32.11$22.35RVU14C
2014-04-01$32.11$22.35RVU14B
2014-01-01$32.11$22.35RVU14A
2013-10-01$31.61$21.52RVU13D
2013-07-01$31.61$21.52RVU13C
2013-04-01$31.61$21.52RVU13B
2013-01-01$31.61$21.52RVU13AR

Price 36400 for an earlier date of service

Where the Detroit, MI rate applies

Detroit, MI is a Medicare payment area, not a city. Our Census mapping connects it to 98 cities and communities in Michigan. Some span more than one payment area; confirm with the service ZIP.

  • Detroit
  • Allen Park
  • Ann Arbor
  • Armada
  • Auburn Hills
  • Barton Hills
  • Belleville
  • Berkley

Browse all communities in Michigan

36400 billing questions

When is 36400 appropriate instead of routine venipuncture?

Use it for a skilled femoral or jugular blood draw in a child younger than three. Routine venous collection is represented by 36415.

How does 36400 differ from 36405 and 36406?

The venipuncture site distinguishes these codes: 36400 is for femoral or jugular access, 36405 for scalp access, and 36406 for another vein in a child younger than three.

Does 36400 describe central venous catheter placement?

No. It describes venipuncture for a blood specimen, not placement of a central venous catheter.

How does the multiple procedure reduction affect 36400?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.

What documentation supports reporting 36400?

Document the child’s age, femoral or jugular access site, and the clinical circumstances requiring skilled venipuncture.

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 36400PPRRVU2026_Oct_nonQPP.csv, line 4,467 (RVU26D)
Geographic factors for Detroit, MIGPCI2026.csv, line 64 (RVU26D)

Open CMS sourceHow we calculate rates

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