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

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 Nevada, Medicare pays $27.29 for 36400 in the office and $15.59 when it’s performed in a hospital or facility.

$27.29Office (non-facility)
$15.59Hospital or facility
−0.4%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 Nevada
  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 Nevada 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. Nevada pays $27.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

36400 in Nevada vs other payment areas
  1. Nevada · this page$27.29
  2. Los Angeles, CA · California$30.30+$3.01
  3. Washington, DC area · District of Columbia$30.69+$3.40
  4. Miami, FL · Florida$29.00+$1.71
  5. Chicago, IL · Illinois$28.41+$1.12
  6. Manhattan, NY · New York$30.90+$3.61
  7. Alaska · Alaska$34.20+$6.91

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

Every other payment area

36400 in every other Medicare payment locality
Payment localityOfficeFacility
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
Hanford, 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 Nevada 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

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 36400 in Nevada
ComponentRVULocality factorAdjusted
Physician work0.37× 1.0000.3700
Practice expense0.43× 1.0010.4304
Malpractice0.02× 0.8330.0167
Total RVUs0.8171
Conversion factor× 33.4009

Office rate, Nevada$27.29

Office: (0.37 × 1 + 0.43 × 1.001 + 0.02 × 0.833) × $33.4009 = $27.29

Facility: (0.37 × 1 + 0.08 × 1.001 + 0.02 × 0.833) × $33.4009 = $15.59

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, Nevada
Same family
36405Scalp venipuncture, younger than 3 yearsSibling code for skilled scalp venipuncture in a child younger than three.$23.95
36406Pediatric venipuncture, other vein, under age threeSibling code for skilled venipuncture through another vein in a child younger than three.$18.33
36410Skilled venipuncture, age three or olderSkilled venipuncture code for patients age three or older.$18.94
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 Nevada

36400 · Office / nonfacility

$27.29

Effective 2026-10-01

The base rate is $0.92 higher than on 2025-10-01, moving from $26.37 to $27.29 (3.5%).

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

    $26.37changed to$27.29

    • 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
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $27.14changed to$26.37

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $26.70changed to$27.14

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $27.92changed to$26.70

    • 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
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $28.58changed to$27.92

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.39 changed to 0.40
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $28.47changed to$28.58

    • 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

    $27.62changed to$28.47

    • 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
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $27.21changed to$27.62

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.02 changed to 0.03
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $27.18changed to$27.21

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $28.04changed to$27.18

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.04 changed to 0.02
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $31.24changed to$28.04

    • 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
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $29.54changed to$31.24

    • 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

    $29.39changed to$29.54

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $31.86changed to$29.39

    • 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 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $30.86changed to$31.86

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.44 changed to 0.43
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$30.86

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$27.29$15.59RVU26D
2026-07-01$27.29$15.59RVU26C
2026-04-01$27.29$15.59RVU26B
2026-01-01$27.29$15.59RVU26A
2025-10-01$26.37$17.64RVU25D
2025-07-01$26.37$17.64RVU25C
2025-04-01$26.37$17.64RVU25B
2025-01-01$26.37$17.64RVU25A
2024-10-01$27.14$18.15RVU24D
2024-07-01$27.14$18.15RVU24C
2024-04-01$27.14$18.15RVU24B
2024-03-09$27.14$18.15RVU24AR
2024-01-01$26.70$17.86RVU24A
2023-10-01$27.92$19.11RVU23D
2023-07-01$27.92$19.11RVU23C
2023-04-01$27.92$19.11RVU23B
2023-01-01$27.92$19.11RVU23A
2022-10-01$28.58$19.93RVU22D
2022-07-01$28.58$19.93RVU22C
2022-04-01$28.58$19.93RVU22B
2022-01-01$28.58$19.93RVU22A
2021-10-01$28.47$20.10RVU21D
2021-07-01$28.47$20.10RVU21C
2021-04-01$28.47$20.10RVU21B
2021-01-01$28.47$20.10RVU21A
2020-10-01$27.62$19.68RVU20D
2020-07-01$27.62$19.68RVU20C
2020-04-01$27.62$19.68RVU20B
2020-01-01$27.62$19.68RVU20A
2019-10-01$27.21$19.14RVU19D
2019-07-01$27.21$19.14RVU19C
2019-04-01$27.21$19.14RVU19B
2019-01-01$27.21$19.14RVU19A
2018-10-01$27.18$19.12RVU18D
2018-07-01$27.18$19.12RVU18C
2018-04-01$27.18$19.12RVU18B
2018-01-01$27.18$19.12RVU18AR1
2017-10-01$28.04$18.76RVU17D
2017-07-01$28.04$18.76RVU17C
2017-04-01$28.04$18.76RVU17B
2017-01-01$28.04$18.76RVU17A
2016-10-01$31.24$21.08RVU16D
2016-07-01$31.24$21.08RVU16C
2016-04-01$31.24$21.08RVU16B
2016-01-01$31.24$21.08RVU16A
2015-10-01$29.54$20.09RVU15D
2015-07-01$29.54$20.09RVU15C
2015-04-01$29.39$19.99RVU15B
2015-01-01$29.39$19.99RVU15A
2014-10-01$31.86$21.66RVU14D
2014-07-01$31.86$21.66RVU14C
2014-04-01$31.86$21.66RVU14B
2014-01-01$31.86$21.66RVU14A
2013-10-01$30.86$20.42RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 36400 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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 NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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