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CPT code 36556: Central line insertion, age 5 years or older2026 Medicare rate & RVUs in Nevada

Report 36556 for insertion of a non-tunneled central venous catheter through a central vein in a patient age 5 years or older.

CMS RVU26DEffective Oct 1, 2026One payment locality291.4K Medicare services in 2024

In Nevada, Medicare pays $236.70 for 36556 in the office and $76.22 when it’s performed in a hospital or facility.

$236.70Office (non-facility)
$76.22Hospital or facility
−0.5%vs the national office rate ($237.81)

Check a contract rate as a % of Medicare · 36556 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 36556 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 36556 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 36556 covers

This service covers placement of a non-tunneled catheter into a central vein for access such as infusion of medications or fluids, hemodynamic monitoring, or treatment when peripheral access is inadequate. It is commonly performed by a physician or other qualified practitioner in a hospital, intensive care unit, emergency department, or procedural setting. The patient must be at least 5 years old, and the catheter must be centrally inserted and non-tunneled; a peripherally inserted central catheter or a tunneled catheter is a different service.

Report the code for the insertion, not for a later exchange or removal. The record should identify the indication, patient age, access site, and catheter placement. Ultrasound guidance may be separately reported when its requirements are met and documented. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; 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 Nevada compares for 36556

Across 109 of 109 payment localities, the office rate for 36556 runs from $209.69 in Arkansas to $317.01 in San Benito County, CA. Nevada pays $236.70. The RVUs are the same everywhere; the geographic indexes change the dollars.

36556 in Nevada vs other payment areas
  1. Nevada · this page$236.70
  2. Los Angeles, CA · California$269.24+$32.54
  3. Washington, DC area · District of Columbia$272.56+$35.86
  4. Miami, FL · Florida$256.65+$19.95
  5. Chicago, IL · Illinois$249.03+$12.33
  6. Manhattan, NY · New York$274.00+$37.30
  7. Alaska · Alaska$274.17+$37.47

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

Every other payment area

36556 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$212.85$72.57
ArkansasArkansas$209.69$71.97
ArizonaArizona$231.34$75.99
Bakersfield, CACalifornia$252.51$76.79
Chico, CACalifornia$251.83$76.11
El Centro, CACalifornia$251.87$76.15
Fresno, CACalifornia$251.83$76.11
Hanford, CACalifornia$251.83$76.11

36556 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.

$209.69

$284.42

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

View every state and territory as a table
36556 office rate range by state
State / territoryOffice rate rangeLocalities
AK$274.171
AL$212.851
AR$209.691
AZ$231.341
CA$251.83–$317.0129
CO$247.891
CT$253.891
DC$272.561
DE$235.251
FL$234.07–$256.653
GA$220.60–$242.302
GU$258.281
HI$258.281
IA$218.481
ID$219.921
IL$227.09–$249.034
IN$221.241
KS$217.391
KY$217.961
LA$217.59–$228.652
MA$246.34–$272.882
MD$239.83–$272.563
ME$221.07–$233.422
MI$223.75–$237.032
MN$237.421
MO$213.74–$229.523
MS$211.761
MT$237.801
NC$223.451
ND$233.251
NE$219.711
NH$243.951
NJ$256.76–$269.622
NM$225.001
NV$236.701
NY$226.88–$280.755
OH$222.821
OK$217.591
OR$234.84–$255.972
PA$223.20–$247.422
PR$239.601
RI$243.781
SC$223.511
SD$232.711
TN$218.511
TX$221.70–$247.098
UT$226.651
VA$232.61–$272.562
VI$239.601
VT$232.291
WA$245.89–$278.542
WI$225.231
WV$218.461
WY$235.821

See 36556 in every payment locality

How the 36556 rate is calculated

Each of 36556’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 · 36556

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.71

1.71 RVUs× 1.000 GPCI

Practice expense5.18

5.18 RVUs× 1.000 GPCI

Malpractice0.23

0.23 RVUs× 1.000 GPCI

Adjusted RVUs

7.1200

Conversion factor

$33.4009

Medicare rate

$237.81

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

4,505

Code
36556
Physician work
1.71
Practice expense
5.18
Malpractice
0.23

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 36556 in Nevada
ComponentRVULocality factorAdjusted
Physician work1.71× 1.0001.7100
Practice expense5.18× 1.0015.1852
Malpractice0.23× 0.8330.1916
Total RVUs7.0868
Conversion factor× 33.4009

Office rate, Nevada$236.70

Office: (1.71 × 1 + 5.18 × 1.001 + 0.23 × 0.833) × $33.4009 = $236.70

Facility: (1.71 × 1 + 0.38 × 1.001 + 0.23 × 0.833) × $33.4009 = $76.22

Open 36556 in the RVU calculator

Payment rules and modifiers for 36556

The CMS indicators that decide how 36556 is paid alongside other services.

CMS payment indicators · 36556

Central line insertion, age 5 years or older

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
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.

Codes related to 36556

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

Codes related to 36556
CodeHow it relatesOffice range, Nevada
Same family
36555Central line insertion, under age 5Non-tunneled central catheter insertion for a patient younger than 5 years.$212.68
Used instead
36558Tunneled catheter, age 5 years or olderTunneled central catheter insertion for a patient age 5 years or older.$784.64
36569PICC insertion, age 5 or older, no imagingPICC insertion without imaging for a patient age 5 years or older.No office rate
Often billed with
76937Vascular access guidance, ultrasound guidanceUltrasound guidance may be separately reported when performed and documented as required.$40.22

How 36556 has changed in Nevada

36556 · Office / nonfacility

$236.70

Effective 2026-10-01

The base rate is $36.61 higher than on 2025-10-01, moving from $200.09 to $236.70 (18.3%).

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

    $200.09changed to$236.70

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.75 changed to 1.71
    • Practice expense RVU 4.25 changed to 5.18
    • Malpractice RVU 0.22 changed to 0.23
    • 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

    $210.18changed to$200.09

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.37 changed to 4.25
    • Malpractice RVU 0.23 changed to 0.22

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $206.75changed to$210.18

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $217.95changed to$206.75

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.44 changed to 4.37
    • Malpractice RVU 0.22 changed to 0.23
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $227.92changed to$217.95

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.53 changed to 4.44
    • 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

    $231.78changed to$227.92

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.60 changed to 4.53
    • Malpractice RVU 0.21 changed to 0.22

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $220.71changed to$231.78

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.11 changed to 4.60
    • Malpractice RVU 0.22 changed to 0.21
    • 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

    $217.82changed to$220.71

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.04 changed to 4.11
    • Malpractice RVU 0.20 changed to 0.22
    • 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

    $216.85changed to$217.82

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.02 changed to 4.04

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $242.80changed to$216.85

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 2.50 changed to 1.75
    • Practice expense RVU 3.85 changed to 4.02
    • Malpractice RVU 0.29 changed to 0.20
    • 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

    $245.78changed to$242.80

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.87 changed to 3.85
    • 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

    $246.27changed to$245.78

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.85 changed to 3.87
    • Malpractice RVU 0.30 changed to 0.29

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $245.04changed to$246.27

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $246.29changed to$245.04

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.83 changed to 3.85
    • 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

    $251.76changed to$246.29

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.27 changed to 3.83
    • Malpractice RVU 0.31 changed to 0.30
    • 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$251.76

  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$236.70$76.22RVU26D
2026-07-01$236.70$76.22RVU26C
2026-04-01$236.70$76.22RVU26B
2026-01-01$236.70$76.22RVU26A
2025-10-01$200.09$79.43RVU25D
2025-07-01$200.09$79.43RVU25C
2025-04-01$200.09$79.43RVU25B
2025-01-01$200.09$79.43RVU25A
2024-10-01$210.18$81.69RVU24D
2024-07-01$210.18$81.69RVU24C
2024-04-01$210.18$81.69RVU24B
2024-03-09$210.18$81.69RVU24AR
2024-01-01$206.75$80.36RVU24A
2023-10-01$217.95$84.77RVU23D
2023-07-01$217.95$84.77RVU23C
2023-04-01$217.95$84.77RVU23B
2023-01-01$217.95$84.77RVU23A
2022-10-01$227.92$88.45RVU22D
2022-07-01$227.92$88.45RVU22C
2022-04-01$227.92$88.45RVU22B
2022-01-01$227.92$88.45RVU22A
2021-10-01$231.78$88.71RVU21D
2021-07-01$231.78$88.71RVU21C
2021-04-01$231.78$88.71RVU21B
2021-01-01$231.78$88.71RVU21A
2020-10-01$220.71$90.07RVU20D
2020-07-01$220.71$90.07RVU20C
2020-04-01$220.71$90.07RVU20B
2020-01-01$220.71$90.07RVU20A
2019-10-01$217.82$88.07RVU19D
2019-07-01$217.82$88.07RVU19C
2019-04-01$217.82$88.07RVU19B
2019-01-01$217.82$88.07RVU19A
2018-10-01$216.85$101.52RVU18D
2018-07-01$216.85$101.52RVU18C
2018-04-01$216.85$101.52RVU18B
2018-01-01$216.85$101.52RVU18AR1
2017-10-01$242.80$125.53RVU17D
2017-07-01$242.80$125.53RVU17C
2017-04-01$242.80$125.53RVU17B
2017-01-01$242.80$125.53RVU17A
2016-10-01$245.78$126.50RVU16D
2016-07-01$245.78$126.50RVU16C
2016-04-01$245.78$126.50RVU16B
2016-01-01$245.78$126.50RVU16A
2015-10-01$246.27$127.31RVU15D
2015-07-01$246.27$127.31RVU15C
2015-04-01$245.04$126.67RVU15B
2015-01-01$245.04$126.67RVU15A
2014-10-01$246.29$128.38RVU14D
2014-07-01$246.29$128.38RVU14C
2014-04-01$246.29$128.38RVU14B
2014-01-01$246.29$128.38RVU14A
2013-10-01$251.76$125.41RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 36556 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

36556 billing questions

How does 36556 differ from 36555?

Both cover insertion of a non-tunneled, centrally inserted catheter. Use 36556 for patients age 5 years or older and 36555 for children younger than 5.

When is 36558 more appropriate?

36558 describes insertion of a tunneled central venous catheter in a patient age 5 years or older. Use 36556 when the catheter is non-tunneled.

Can ultrasound guidance be reported separately?

CPT 76937 may be reported separately when the required ultrasound guidance service is performed and the documentation supports it.

Should modifier 50 be appended for access on both sides?

No. Medicare's bilateral adjustment does not apply to 36556, and modifier 50 is inappropriate.

Is same-day postoperative care separately payable?

No. The 0-day global period includes same-day preoperative and postoperative care.

Can an assistant or co-surgeon be paid for 36556?

Medicare does not pay an assistant at surgery for this service because of a statutory restriction. 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 36556PPRRVU2026_Oct_nonQPP.csv, line 4,505 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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