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CPT code 36510: Umbilical catheter, newborn diagnosis or therapy2026 Medicare rate & RVUs in Puerto Rico

Reports catheter placement through a newborn’s umbilical vein for diagnostic or therapeutic access, rather than a peripherally or centrally inserted catheter.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Puerto Rico, Medicare pays $86.67 for 36510 in the office and $45.14 when it’s performed in a hospital or facility.

$86.67Office (non-facility)
$45.14Hospital or facility
+0.6%vs the national office rate ($86.17)

Check a contract rate as a % of Medicare · 36510 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 36510 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 36510 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 36510 covers

A clinician places a catheter through the umbilical vein of a newborn to obtain vascular access for diagnosis or treatment. The service is typically performed in a hospital newborn or neonatal intensive care setting, such as when a newborn needs access for medication, fluids, blood sampling, or other indicated therapy. The report should identify the newborn, the umbilical venous route, the reason for catheterization, and the procedure performed.

This code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures, including this one when lower-valued, are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

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 36510

Across 109 of 109 payment localities, the office rate for 36510 runs from $78.21 in Arkansas to $110.39 in San Benito County, CA. Puerto Rico pays $86.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

36510 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$86.67
  2. Los Angeles, CA · California$95.70+$9.03
  3. Washington, DC area · District of Columbia$96.97+$10.30
  4. Miami, FL · Florida$91.73+$5.06
  5. Chicago, IL · Illinois$89.69+$3.02
  6. Manhattan, NY · New York$97.66+$10.99
  7. Alaska · Alaska$105.98+$19.31

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

Every other payment area

36510 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$79.11$43.16
ArkansasArkansas$78.21$42.92
ArizonaArizona$84.34$44.53
Bakersfield, CACalifornia$90.58$45.56
Chico, CACalifornia$90.34$45.31
El Centro, CACalifornia$90.35$45.33
Fresno, CACalifornia$90.34$45.31
Hanford, CACalifornia$90.34$45.31

36510 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.

$78.21

$105.98

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

View every state and territory as a table
36510 office rate range by state
State / territoryOffice rate rangeLocalities
AK$105.981
AL$79.111
AR$78.211
AZ$84.341
CA$90.34–$110.3929
CO$89.191
CT$91.101
DC$96.971
DE$85.531
FL$85.22–$91.733
GA$81.39–$87.532
GU$91.831
HI$91.831
IA$80.651
ID$81.071
IL$83.28–$89.694
IN$81.441
KS$80.371
KY$80.601
LA$80.51–$83.632
MA$88.83–$96.762
MD$86.92–$96.973
ME$81.42–$84.882
MI$82.26–$86.082
MN$85.931
MO$79.43–$83.853
MS$78.831
MT$86.171
NC$82.091
ND$84.791
NE$80.991
NH$87.871
NJ$92.27–$96.312
NM$82.621
NV$85.831
NY$83.06–$99.605
OH$81.981
OK$80.471
OR$85.29–$91.522
PA$82.07–$89.252
PR$86.671
RI$88.191
SC$82.141
SD$84.621
TN$80.681
TX$81.65–$88.798
UT$83.031
VA$84.66–$96.972
VI$86.671
VT$84.541
WA$88.64–$98.512
WI$82.521
WV$80.841
WY$85.571

See 36510 in every payment locality

How the 36510 rate is calculated

Each of 36510’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 · 36510

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.06

1.06 RVUs× 1.000 GPCI

Practice expense1.45

1.45 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

2.5800

Conversion factor

$33.4009

Medicare rate

$86.17

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

4,497

Code
36510
Physician work
1.06
Practice expense
1.45
Malpractice
0.07

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 36510 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.06× 1.0001.0600
Practice expense1.45× 1.0111.4659
Malpractice0.07× 0.9850.0690
Total RVUs2.5949
Conversion factor× 33.4009

Office rate, Puerto Rico$86.67

Office: (1.06 × 1 + 1.45 × 1.011 + 0.07 × 0.985) × $33.4009 = $86.67

Facility: (1.06 × 1 + 0.22 × 1.011 + 0.07 × 0.985) × $33.4009 = $45.14

Open 36510 in the RVU calculator

Payment rules and modifiers for 36510

The CMS indicators that decide how 36510 is paid alongside other services.

CMS payment indicators · 36510

Umbilical catheter, newborn diagnosis or therapy

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
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)0Not paid without supporting documentation.
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

36510 without 51 · national office

$86.17

Umbilical catheter, newborn diagnosis or therapy

36510-51 · Second procedure: 50%

$43.09

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 36510

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

Codes related to 36510
CodeHow it relatesOffice range, Puerto Rico
Used instead
36555Central line insertion, under age 5Non-tunneled central venous catheter insertion by a central route, rather than newborn umbilical access.$214.95
36556Central line insertion, age 5 years or olderNon-tunneled central venous catheter insertion for an older patient, rather than newborn umbilical access.$239.60
36568PICC insertion, under 5, no imagingPICC insertion without imaging guidance for a patient younger than five.No office rate
36569PICC insertion, age 5 or older, no imagingPICC insertion without imaging guidance for a patient five or older.No office rate

How 36510 has changed in Puerto Rico

36510 · Office / nonfacility

$86.67

Effective 2026-10-01

The base rate is $3.59 higher than on 2025-10-01, moving from $83.08 to $86.67 (4.3%).

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

    $83.08changed to$86.67

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.09 changed to 1.06
    • Practice expense RVU 1.40 changed to 1.45
    • 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

    $86.16changed to$83.08

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.41 changed to 1.40
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $84.76changed to$86.16

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $86.74changed to$84.76

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.38 changed to 1.41
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $86.41changed to$86.74

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

  6. January 1, 2023

    RVU23A

    $87.89changed to$86.41

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.36 changed to 1.38
    • 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

    $85.82changed to$87.89

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.30 changed to 1.36
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $85.48changed to$85.82

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.19 changed to 1.30
    • Malpractice RVU 0.08 changed to 0.06
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $84.60changed to$85.48

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.18 changed to 1.19
    • Malpractice RVU 0.07 changed to 0.08
    • 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

    $83.79changed to$84.60

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.16 changed to 1.18

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $80.44changed to$83.79

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.24 changed to 1.16
    • Malpractice RVU 0.14 changed to 0.07
    • 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

    $75.16changed to$80.44

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.39 changed to 1.24
    • Malpractice RVU 0.10 changed to 0.14
    • 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

    $76.21changed to$75.16

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.40 changed to 1.39
    • Malpractice RVU 0.15 changed to 0.10

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $75.83changed to$76.21

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $78.46changed to$75.83

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.50 changed to 1.40
    • Malpractice RVU 0.23 changed to 0.15
    • 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

    $74.64changed to$78.46

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.54 changed to 1.50
    • Malpractice RVU 0.24 changed to 0.23
    • 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: $74.64

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$86.67$45.14RVU26D
2026-07-01$86.67$45.14RVU26C
2026-04-01$86.67$45.14RVU26B
2026-01-01$86.67$45.14RVU26A
2025-10-01$83.08$50.18RVU25D
2025-07-01$83.08$50.18RVU25C
2025-04-01$83.08$50.18RVU25B
2025-01-01$83.08$50.18RVU25A
2024-10-01$86.16$52.31RVU24D
2024-07-01$86.16$52.31RVU24C
2024-04-01$86.16$52.31RVU24B
2024-03-09$86.16$52.31RVU24AR
2024-01-01$84.76$51.45RVU24A
2023-10-01$86.74$53.27RVU23D
2023-07-01$86.41$53.20RVU23C
2023-04-01$86.41$53.20RVU23B
2023-01-01$86.41$53.20RVU23A
2022-10-01$87.89$54.40RVU22D
2022-07-01$87.89$54.40RVU22C
2022-04-01$87.89$54.40RVU22B
2022-01-01$87.89$54.40RVU22A
2021-10-01$85.82$53.81RVU21D
2021-07-01$85.82$53.81RVU21C
2021-04-01$85.82$53.81RVU21B
2021-01-01$85.82$53.81RVU21A
2020-10-01$85.48$56.01RVU20D
2020-07-01$85.48$56.01RVU20C
2020-04-01$85.48$56.01RVU20B
2020-01-01$85.48$56.01RVU20A
2019-10-01$84.60$55.57RVU19D
2019-07-01$84.60$55.57RVU19C
2019-04-01$84.60$55.57RVU19B
2019-01-01$84.60$55.57RVU19A
2018-10-01$83.79$55.51RVU18D
2018-07-01$83.79$55.51RVU18C
2018-04-01$83.79$55.51RVU18B
2018-01-01$83.79$55.51RVU18AR1
2017-10-01$80.44$54.33RVU17D
2017-07-01$80.44$54.33RVU17C
2017-04-01$80.44$54.33RVU17B
2017-01-01$80.44$54.33RVU17A
2016-10-01$75.16$50.42RVU16D
2016-07-01$75.16$50.42RVU16C
2016-04-01$75.16$50.42RVU16B
2016-01-01$75.16$50.42RVU16A
2015-10-01$76.21$51.64RVU15D
2015-07-01$76.21$51.64RVU15C
2015-04-01$75.83$51.38RVU15B
2015-01-01$75.83$51.38RVU15A
2014-10-01$78.46$52.93RVU14D
2014-07-01$78.46$52.93RVU14C
2014-04-01$78.46$52.93RVU14B
2014-01-01$78.46$52.93RVU14A
2013-10-01$74.64$49.73RVU13D
2013-07-01$74.64$49.73RVU13C
2013-04-01$74.64$49.73RVU13B
2013-01-01$74.64$49.73RVU13AR

Price 36510 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

36510 billing questions

When should this code be chosen instead of a PICC insertion code?

Use this code when the catheter is placed through a newborn’s umbilical vein. PICC codes describe peripherally inserted central catheters, not umbilical access.

Does the 0-day global period include same-day care?

Yes. Same-day preoperative and postoperative care is included in the 0-day global period.

Should modifier 50 be appended for catheterization on both sides?

No. Modifier 50 is inappropriate for this service.

How is this code affected when other procedures occur in the same session?

The highest-valued procedure is paid in full; other procedures are subject to the standard 50% multiple-procedure reduction.

When is assistant-at-surgery payment allowed?

Only when the record documents medical necessity for the assistant. Co-surgeons and team surgery are not permitted.

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 36510PPRRVU2026_Oct_nonQPP.csv, line 4,497 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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