CPT code 36420: Venous cutdown, under 1 year2026 Medicare rate & RVUs in New Mexico
Surgical venous access by cutdown in an infant younger than one year, reported when incision and vein exposure are needed for venipuncture.
In New Mexico, Medicare pays $47.26 for 36420 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 36420 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 36420 covers
This service provides venous access in an infant younger than one year by making an incision and exposing a vein for needle or catheter entry. It is used when access is needed but a percutaneous puncture is not the approach performed. Physicians or other qualified practitioners may perform the procedure in settings such as a hospital or emergency department, including for infants who need urgent vascular access.
Report the code only when the patient is under one year old and the documented technique involves surgical exposure of a vein, rather than needle puncture through intact skin. The record should support the infant’s age, the clinical need for access, and the cutdown technique performed. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard multiple procedure reduction.
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 New Mexico compares for 36420
Across 109 of 109 payment localities, the facility rate for 36420 runs from $40.32 in Wisconsin to $59.21 in Alaska. New Mexico pays $47.26. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$47.26
- Los Angeles, CA · California$45.72−$1.54
- Washington, DC area · District of Columbia$49.72+$2.46
- Miami, FL · Florida$58.57+$11.31
- Chicago, IL · Illinois$56.73+$9.47
- Manhattan, NY · New York$53.75+$6.49
- Alaska · Alaska$59.21+$11.95
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $41.95 |
| ArkansasArkansas | — | $41.45 |
| ArizonaArizona | — | $44.77 |
| Bakersfield, CACalifornia | — | $44.09 |
| Chico, CACalifornia | — | $43.44 |
| El Centro, CACalifornia | — | $43.48 |
| Fresno, CACalifornia | — | $43.44 |
| Hanford, CACalifornia | — | $43.44 |
| Madera, CACalifornia | — | $43.44 |
| Merced, CACalifornia | — | $43.44 |
| Modesto, CACalifornia | — | $43.44 |
| Napa, CACalifornia | — | $45.91 |
| Oxnard, CACalifornia | — | $44.96 |
| Redding, CACalifornia | — | $43.44 |
| Rest of CaliforniaCalifornia | — | $43.44 |
| Riverside, CACalifornia | — | $46.02 |
| Sacramento, CACalifornia | — | $44.42 |
| Salinas, CACalifornia | — | $44.24 |
| San Diego, CACalifornia | — | $44.45 |
| Marin County, CACalifornia | — | $47.06 |
| San Francisco, CACalifornia | — | $46.78 |
| San Benito County, CACalifornia | — | $48.34 |
| Santa Clara County, CACalifornia | — | $47.22 |
| San Luis Obispo, CACalifornia | — | $43.67 |
| Santa Cruz, CACalifornia | — | $44.21 |
| Santa Maria, CACalifornia | — | $44.18 |
| Santa Rosa, CACalifornia | — | $44.57 |
| Stockton, CACalifornia | — | $43.44 |
| Vallejo, CACalifornia | — | $45.52 |
| Visalia, CACalifornia | — | $43.44 |
| Yuba City, CACalifornia | — | $43.44 |
| ColoradoColorado | — | $45.07 |
| ConnecticutConnecticut | — | $48.84 |
| DelawareDelaware | — | $45.38 |
| Fort Lauderdale, FLFlorida | — | $52.64 |
| Rest of FloridaFlorida | — | $49.89 |
| Atlanta, GAGeorgia | — | $47.89 |
| Rest of GeorgiaGeorgia | — | $47.06 |
| Hawaii, Guam, HIHawaii | — | $43.45 |
| IowaIowa | — | $40.81 |
| IdahoIdaho | — | $41.44 |
| East St. Louis, ILIllinois | — | $53.79 |
| Rest of IllinoisIllinois | — | $50.14 |
| Suburban Chicago, ILIllinois | — | $52.66 |
| IndianaIndiana | — | $41.58 |
| KansasKansas | — | $41.60 |
| KentuckyKentucky | — | $44.82 |
| New Orleans, LALouisiana | — | $46.87 |
| Rest of LouisianaLouisiana | — | $45.14 |
| Metropolitan Boston, MAMassachusetts | — | $47.59 |
| Rest of MassachusettsMassachusetts | — | $45.27 |
| Baltimore area, MDMaryland | — | $48.91 |
| Rest of MarylandMaryland | — | $45.83 |
| Rest of MaineMaine | — | $42.64 |
| Southern Maine, MEMaine | — | $43.09 |
| Detroit, MIMichigan | — | $51.41 |
| Rest of MichiganMichigan | — | $46.66 |
| MinnesotaMinnesota | — | $40.60 |
| Metropolitan Kansas City, MOMissouri | — | $45.58 |
| Metropolitan St. Louis, MOMissouri | — | $45.85 |
| Rest of MissouriMissouri | — | $45.15 |
| MississippiMississippi | — | $43.26 |
| MontanaMontana | — | $46.08 |
| North CarolinaNorth Carolina | — | $42.84 |
| North DakotaNorth Dakota | — | $41.33 |
| NebraskaNebraska | — | $40.70 |
| New HampshireNew Hampshire | — | $45.31 |
| Northern New JerseyNew Jersey | — | $49.56 |
| Rest of New JerseyNew Jersey | — | $48.67 |
| NevadaNevada | — | $44.76 |
| NYC suburbs and Long Island, NYNew York | — | $56.07 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $49.76 |
| Queens, NYNew York | — | $52.70 |
| Rest of New YorkNew York | — | $43.45 |
| OhioOhio | — | $45.69 |
| OklahomaOklahoma | — | $43.73 |
| Portland, OROregon | — | $45.16 |
| Rest of OregonOregon | — | $43.69 |
| Metropolitan Philadelphia, PAPennsylvania | — | $48.45 |
| Rest of PennsylvaniaPennsylvania | — | $45.21 |
| Puerto RicoPuerto Rico | — | $46.03 |
| Rhode IslandRhode Island | — | $46.03 |
| South CarolinaSouth Carolina | — | $44.48 |
| South DakotaSouth Dakota | — | $40.77 |
| TennesseeTennessee | — | $41.90 |
| Austin, TXTexas | — | $45.55 |
| Beaumont, TXTexas | — | $45.04 |
| Brazoria, TXTexas | — | $44.54 |
| Dallas, TXTexas | — | $45.23 |
| Fort Worth, TXTexas | — | $45.28 |
| Galveston, TXTexas | — | $44.94 |
| Houston, TXTexas | — | $49.33 |
| Rest of TexasTexas | — | $45.04 |
| UtahUtah | — | $44.95 |
| VirginiaVirginia | — | $43.65 |
| Virgin Islands, VIUnited States Virgin Islands | — | $46.03 |
| VermontVermont | — | $42.08 |
| Rest of WashingtonWashington | — | $44.89 |
| King County, WAWashington | — | $47.48 |
| WisconsinWisconsin | — | $40.32 |
| West VirginiaWest Virginia | — | $48.85 |
| WyomingWyoming | — | $44.01 |
36420 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 36420 rate is calculated
Each of 36420’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 · 36420
RVUs × geographic indexes × conversion factor
Work0.98
0.98 RVUs× 1.000 GPCI
Practice expense0.16
0.16 RVUs× 1.000 GPCI
Malpractice0.24
0.24 RVUs× 1.000 GPCI
Adjusted RVUs
1.3800
Conversion factor
$33.4009
Medicare rate
$46.09
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,473
- Code
- 36420
- Physician work
- 0.98
- Practice expense
- 0.16
- Malpractice
- 0.24
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.98 | × 1.000 | 0.9800 |
| Practice expense | 0.16 | × 0.917 | 0.1467 |
| Malpractice | 0.24 | × 1.201 | 0.2882 |
| Total RVUs | 1.4150 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$47.26
Facility: (0.98 × 1 + 0.16 × 0.917 + 0.24 × 1.201) × $33.4009 = $47.26
Payment rules and modifiers for 36420
The CMS indicators that decide how 36420 is paid alongside other services.
CMS payment indicators · 36420
Venous cutdown, under 1 year
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
36420 without 51 · national facility
$46.09
Venous cutdown, under 1 year
36420-51 · Second procedure: 50%
$23.05
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%).
How 36420 has changed in New Mexico
36420 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $47.26 | RVU26D |
| 2026-07-01 | Not available in this setting | $47.26 | RVU26C |
| 2026-04-01 | Not available in this setting | $47.26 | RVU26B |
| 2026-01-01 | Not available in this setting | $47.26 | RVU26A |
| 2025-10-01 | Not available in this setting | $45.92 | RVU25D |
| 2025-07-01 | Not available in this setting | $45.92 | RVU25C |
| 2025-04-01 | Not available in this setting | $45.92 | RVU25B |
| 2025-01-01 | Not available in this setting | $45.92 | RVU25A |
| 2024-10-01 | Not available in this setting | $47.64 | RVU24D |
| 2024-07-01 | Not available in this setting | $47.64 | RVU24C |
| 2024-04-01 | Not available in this setting | $47.64 | RVU24B |
| 2024-03-09 | Not available in this setting | $47.64 | RVU24AR |
| 2024-01-01 | Not available in this setting | $46.87 | RVU24A |
| 2023-10-01 | Not available in this setting | $48.44 | RVU23D |
| 2023-07-01 | Not available in this setting | $48.44 | RVU23C |
| 2023-04-01 | Not available in this setting | $48.44 | RVU23B |
| 2023-01-01 | Not available in this setting | $48.44 | RVU23A |
| 2022-10-01 | Not available in this setting | $48.70 | RVU22D |
| 2022-07-01 | Not available in this setting | $48.70 | RVU22C |
| 2022-04-01 | Not available in this setting | $48.70 | RVU22B |
| 2022-01-01 | Not available in this setting | $48.70 | RVU22A |
| 2021-10-01 | Not available in this setting | $49.10 | RVU21D |
| 2021-07-01 | Not available in this setting | $49.10 | RVU21C |
| 2021-04-01 | Not available in this setting | $49.10 | RVU21B |
| 2021-01-01 | Not available in this setting | $49.10 | RVU21A |
| 2020-10-01 | Not available in this setting | $51.17 | RVU20D |
| 2020-07-01 | Not available in this setting | $51.17 | RVU20C |
| 2020-04-01 | Not available in this setting | $51.17 | RVU20B |
| 2020-01-01 | Not available in this setting | $51.17 | RVU20A |
| 2019-10-01 | Not available in this setting | $49.56 | RVU19D |
| 2019-07-01 | Not available in this setting | $49.56 | RVU19C |
| 2019-04-01 | Not available in this setting | $49.56 | RVU19B |
| 2019-01-01 | Not available in this setting | $49.56 | RVU19A |
| 2018-10-01 | Not available in this setting | $49.51 | RVU18D |
| 2018-07-01 | Not available in this setting | $49.51 | RVU18C |
| 2018-04-01 | Not available in this setting | $49.51 | RVU18B |
| 2018-01-01 | Not available in this setting | $49.51 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $56.04 | RVU17D |
| 2017-07-01 | Not available in this setting | $56.04 | RVU17C |
| 2017-04-01 | Not available in this setting | $56.04 | RVU17B |
| 2017-01-01 | Not available in this setting | $56.04 | RVU17A |
| 2016-10-01 | Not available in this setting | $53.83 | RVU16D |
| 2016-07-01 | Not available in this setting | $53.83 | RVU16C |
| 2016-04-01 | Not available in this setting | $53.83 | RVU16B |
| 2016-01-01 | Not available in this setting | $53.83 | RVU16A |
| 2015-10-01 | Not available in this setting | $51.67 | RVU15D |
| 2015-07-01 | Not available in this setting | $51.67 | RVU15C |
| 2015-04-01 | Not available in this setting | $51.42 | RVU15B |
| 2015-01-01 | Not available in this setting | $51.42 | RVU15A |
| 2014-10-01 | Not available in this setting | $49.64 | RVU14D |
| 2014-07-01 | Not available in this setting | $49.64 | RVU14C |
| 2014-04-01 | Not available in this setting | $49.64 | RVU14B |
| 2014-01-01 | Not available in this setting | $49.64 | RVU14A |
| 2013-10-01 | Not available in this setting | $51.21 | RVU13D |
| 2013-07-01 | Not available in this setting | $51.21 | RVU13C |
| 2013-04-01 | Not available in this setting | $51.21 | RVU13B |
| 2013-01-01 | Not available in this setting | $51.21 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
36420 billing questions
How does this code differ from percutaneous venipuncture codes?
This code describes access using an incision to expose a vein in an infant under one year. Codes such as 36400, 36405, and 36406 describe needle venipuncture without a cutdown.
Does the patient’s age determine whether to use this code or 36425?
Yes. Use 36420 for a patient younger than one year and 36425 for a patient who is one year or older, when a venous cutdown is performed.
What documentation supports reporting a cutdown?
Document the patient’s age, the need for venous access, and that an incision was made to expose the vein for access. A record of needle puncture alone does not support this code.
How does the multiple procedure reduction affect this service?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
Can this code be used for routine blood collection?
No. This code represents surgical venous access by cutdown in an infant, not routine venous blood collection such as a standard blood draw.
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
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