CPT code 36557: Tunneled catheter, under age five, no port2026 Medicare rate & RVUs in Iowa

Report this code for tunneled central venous catheter placement in a child younger than five when the catheter has no subcutaneous port or pump.

CMS RVU26DEffective Oct 1, 2026One payment locality20 Medicare services in 2024

In Iowa, Medicare pays $1,146.33 for 36557 in the office and $273.48 when it’s performed in a hospital or facility.

$1,146.33Office (non-facility)

$273.48Hospital or facility

−9.2%vs the national office rate ($1,262.22)

Check a contract rate as a % of Medicare · 36557 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

Rate in Iowa
What 36557 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

What 36557 covers

This service places a central venous catheter through a subcutaneous tunnel, with the catheter exiting the skin and no implanted port or pump. It is commonly used for young children needing durable access for treatments such as chemotherapy, parenteral nutrition, or prolonged intravenous therapy. Surgeons and other qualified proceduralists may perform the placement in a hospital or surgical setting.

Select the code based on the patient’s age on the date of the procedure and whether the device is tunneled and lacks a port or pump. Documentation should identify the patient’s age, catheter type, tunneled route, and placement details. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 applies to a bilateral procedure, paid at 150%. Assistant-at-surgery payment requires documented 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 Iowa compares for 36557

Across 109 of 109 payment localities, the office rate for 36557 runs from $1,092.00 in Arkansas to $1,728.49 in San Benito County, CA. Iowa pays $1,146.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

36557 in Iowa vs other payment areas

Iowa · this page$1,146.33
Los Angeles, CA · California$1,448.39+$302.06
Washington, DC area · District of Columbia$1,464.36+$318.03
Miami, FL · Florida$1,371.06+$224.73
Chicago, IL · Illinois$1,324.00+$177.67
Manhattan, NY · New York$1,469.21+$322.88
Alaska · Alaska$1,391.59+$245.26

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

Every other payment area

36557 in every other Medicare payment locality
Payment locality	Office	Facility
AlabamaAlabama	$1,111.15	$276.46
ArkansasArkansas	$1,092.00	$272.58
ArizonaArizona	$1,223.20	$298.84
Bakersfield, CACalifornia	$1,350.30	$304.80
Chico, CACalifornia	$1,346.86	$301.36
El Centro, CACalifornia	$1,347.08	$301.57
Fresno, CACalifornia	$1,346.86	$301.36
Hanford, CACalifornia	$1,346.86	$301.36
Madera, CACalifornia	$1,346.86	$301.36
Merced, CACalifornia	$1,346.86	$301.36
Modesto, CACalifornia	$1,346.86	$301.36
Napa, CACalifornia	$1,588.35	$331.07
Oxnard, CACalifornia	$1,443.51	$315.96
Redding, CACalifornia	$1,346.86	$301.36
Rest of CaliforniaCalifornia	$1,346.86	$301.36
Riverside, CACalifornia	$1,360.58	$315.07
Sacramento, CACalifornia	$1,420.92	$311.50
Salinas, CACalifornia	$1,415.88	$310.28
San Diego, CACalifornia	$1,455.21	$314.31
Marin County, CACalifornia	$1,688.89	$343.84
San Francisco, CACalifornia	$1,687.43	$342.39
San Benito County, CACalifornia	$1,728.49	$352.93
Santa Clara County, CACalifornia	$1,722.55	$346.98
San Luis Obispo, CACalifornia	$1,392.45	$305.93
Santa Cruz, CACalifornia	$1,473.66	$314.63
Santa Maria, CACalifornia	$1,422.83	$310.55
Santa Rosa, CACalifornia	$1,488.88	$317.45
Stockton, CACalifornia	$1,346.86	$301.36
Vallejo, CACalifornia	$1,586.25	$328.97
Visalia, CACalifornia	$1,346.86	$301.36
Yuba City, CACalifornia	$1,346.86	$301.36
ColoradoColorado	$1,322.62	$307.64
ConnecticutConnecticut	$1,356.02	$328.63
DelawareDelaware	$1,245.98	$303.49
Fort Lauderdale, FLFlorida	$1,310.55	$344.22
Rest of FloridaFlorida	$1,237.08	$325.12
Atlanta, GAGeorgia	$1,288.25	$319.06
Rest of GeorgiaGeorgia	$1,155.93	$305.03
Hawaii, Guam, HIHawaii	$1,389.46	$304.84
IdahoIdaho	$1,154.88	$277.26
East St. Louis, ILIllinois	$1,220.76	$343.14
Rest of IllinoisIllinois	$1,194.06	$323.12
Suburban Chicago, ILIllinois	$1,324.96	$345.28
IndianaIndiana	$1,162.85	$278.56
KansasKansas	$1,139.24	$276.89
KentuckyKentucky	$1,140.91	$292.87
New Orleans, LALouisiana	$1,205.49	$307.84
Rest of LouisianaLouisiana	$1,138.51	$294.28
Metropolitan Boston, MAMassachusetts	$1,469.72	$330.73
Rest of MassachusettsMassachusetts	$1,312.28	$307.79
Baltimore area, MDMaryland	$1,352.29	$328.73
Rest of MarylandMaryland	$1,273.03	$307.65
Rest of MaineMaine	$1,161.25	$283.63
Southern Maine, MEMaine	$1,236.90	$291.56
Detroit, MIMichigan	$1,254.44	$333.90
Rest of MichiganMichigan	$1,175.50	$304.56
MinnesotaMinnesota	$1,262.87	$281.27
Metropolitan Kansas City, MOMissouri	$1,196.57	$300.83
Metropolitan St. Louis, MOMissouri	$1,211.42	$303.28
Rest of MissouriMissouri	$1,114.81	$292.52
MississippiMississippi	$1,103.70	$282.37
MontanaMontana	$1,262.13	$308.20
North CarolinaNorth Carolina	$1,175.76	$285.74
North DakotaNorth Dakota	$1,236.82	$282.89
NebraskaNebraska	$1,154.00	$273.52
New HampshireNew Hampshire	$1,300.34	$307.30
Northern New JerseyNew Jersey	$1,444.79	$338.23
Rest of New JerseyNew Jersey	$1,370.27	$328.58
New MexicoNew Mexico	$1,182.82	$308.07
NevadaNevada	$1,256.14	$301.26
NYC suburbs and Long Island, NYNew York	$1,509.42	$375.20
Poughkeepsie and northern NYC suburbs, NYNew York	$1,379.08	$334.53
Queens, NYNew York	$1,484.26	$356.71
Rest of New YorkNew York	$1,196.52	$290.28
OhioOhio	$1,170.33	$299.39
OklahomaOklahoma	$1,139.25	$287.39
Portland, OROregon	$1,371.50	$311.68
Rest of OregonOregon	$1,245.28	$295.17
Metropolitan Philadelphia, PAPennsylvania	$1,316.81	$323.76
Rest of PennsylvaniaPennsylvania	$1,172.94	$297.23
Puerto RicoPuerto Rico	$1,273.24	$308.82
Rhode IslandRhode Island	$1,295.61	$310.21
South CarolinaSouth Carolina	$1,175.24	$293.81
South DakotaSouth Dakota	$1,233.83	$279.90
TennesseeTennessee	$1,145.95	$278.83
Austin, TXTexas	$1,319.15	$309.90
Beaumont, TXTexas	$1,163.77	$295.70
Brazoria, TXTexas	$1,244.55	$299.20
Dallas, TXTexas	$1,253.34	$303.23
Fort Worth, TXTexas	$1,243.30	$302.72
Galveston, TXTexas	$1,248.72	$301.47
Houston, TXTexas	$1,272.15	$324.90
Rest of TexasTexas	$1,204.01	$298.73
UtahUtah	$1,194.25	$297.56
VirginiaVirginia	$1,231.63	$293.92
Virgin Islands, VIUnited States Virgin Islands	$1,273.24	$308.82
VermontVermont	$1,230.50	$286.11
Rest of WashingtonWashington	$1,310.26	$305.77
King County, WAWashington	$1,503.02	$332.54
WisconsinWisconsin	$1,188.11	$274.24
West VirginiaWest Virginia	$1,141.77	$312.80
WyomingWyoming	$1,251.10	$297.17

36557 rates by state

Office rate range in each state. Select a state to see its payment localities.

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

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.

$1,092.00

$1,537.68

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

View every state and territory as a table

36557 office rate range by state
State / territory	Office rate range	Localities
AK	$1,391.59	1
AL	$1,111.15	1
AR	$1,092.00	1
AZ	$1,223.20	1
CA	$1,346.86–$1,728.49	29
CO	$1,322.62	1
CT	$1,356.02	1
DC	$1,464.36	1
DE	$1,245.98	1
FL	$1,237.08–$1,371.06	3
GA	$1,155.93–$1,288.25	2
GU	$1,389.46	1
HI	$1,389.46	1
IA	$1,146.33	1
ID	$1,154.88	1
IL	$1,194.06–$1,324.96	4
IN	$1,162.85	1
KS	$1,139.24	1
KY	$1,140.91	1
LA	$1,138.51–$1,205.49	2
MA	$1,312.28–$1,469.72	2
MD	$1,273.03–$1,464.36	3
ME	$1,161.25–$1,236.90	2
MI	$1,175.50–$1,254.44	2
MN	$1,262.87	1
MO	$1,114.81–$1,211.42	3
MS	$1,103.70	1
MT	$1,262.13	1
NC	$1,175.76	1
ND	$1,236.82	1
NE	$1,154.00	1
NH	$1,300.34	1
NJ	$1,370.27–$1,444.79	2
NM	$1,182.82	1
NV	$1,256.14	1
NY	$1,196.52–$1,509.42	5
OH	$1,170.33	1
OK	$1,139.25	1
OR	$1,245.28–$1,371.50	2
PA	$1,172.94–$1,316.81	2
PR	$1,273.24	1
RI	$1,295.61	1
SC	$1,175.24	1
SD	$1,233.83	1
TN	$1,145.95	1
TX	$1,163.77–$1,319.15	8
UT	$1,194.25	1
VA	$1,231.63–$1,464.36	2
VI	$1,273.24	1
VT	$1,230.50	1
WA	$1,310.26–$1,503.02	2
WI	$1,188.11	1
WV	$1,141.77	1
WY	$1,251.10	1

See 36557 in every payment locality

How the 36557 rate is calculated

Each of 36557’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 · 36557

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work4.77

4.77 RVUs× 1.000 GPCI

Practice expense31.74

31.74 RVUs× 1.000 GPCI

Malpractice1.28

1.28 RVUs× 1.000 GPCI

Adjusted RVUs

37.7900

Conversion factor

$33.4009

Medicare rate

$1,262.22

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

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,506

Code: 36557
Physician work: 4.77
Practice expense: 31.74
Malpractice: 1.28

GPCI2026.csv

Locality: Iowa
Physician work: 1.000
Practice expense: 0.915
Malpractice: 0.397

Office calculation for 36557 in Iowa
Component	RVU	Locality factor	Adjusted
Physician work	4.77	× 1.000	4.7700
Practice expense	31.74	× 0.915	29.0421
Malpractice	1.28	× 0.397	0.5082
Total RVUs			34.3203
Conversion factor			× 33.4009

Office rate, Iowa$1146.33

Office: (4.77 × 1 + 31.74 × 0.915 + 1.28 × 0.397) × $33.4009 = $1146.33

Facility: (4.77 × 1 + 3.18 × 0.915 + 1.28 × 0.397) × $33.4009 = $273.48

Open 36557 in the RVU calculator

Payment rules and modifiers for 36557

36557 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 36557

Tunneled catheter, under age five, no port

Rule	CMS value	What it means
Global period	010	Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures	2	Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)	1	Bilateral with modifier 50 pays 150% of the fee schedule amount.
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.
Split (54/55/56)	0.10/0.80/0.10	Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 36557

Tunneled catheter, under age five, no port

Date of surgery

Date of a later visit

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit

Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

36557 without 50 · national office

$1,262.22

Tunneled catheter, under age five, no port

36557-50 · Bilateral: 150%

$1,893.33

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 36557

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

Codes related to 36557
Code	How it relates	Office range, Iowa
Same family
36558	Tunneled catheter, age 5 years or olderSame tunneled catheter without port or pump, for patients age five or older.	$722.29
Used instead
36560	Central venous port, child younger than fiveTunneled central access with a subcutaneous port for patients younger than five.	$1,218.76
36555	Central line insertion, under age 5Non-tunneled central catheter placement for patients younger than five.	$197.86
36556	Central line insertion, age 5 years or olderNon-tunneled central catheter placement for patients age five or older.	$218.48

How 36557 has changed in Iowa

36557 · Office / nonfacility

$1146.33

Effective 2026-10-01

Compare with release effective

The base rate is $173.63 higher than on 2025-10-01, moving from $972.70 to $1146.33 (17.9%).

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

January 1, 2026
RVU26A
$972.70changed to$1146.33
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.89 changed to 4.77
- Practice expense RVU 26.95 changed to 31.74
- Malpractice RVU 1.26 changed to 1.28
- Practice expense GPCI 0.913 changed to 0.915
- Malpractice GPCI 0.457 changed to 0.397
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1032.75changed to$972.70
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 28.00 changed to 26.95
- Malpractice RVU 1.25 changed to 1.26
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1015.90changed to$1032.75
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1075.61changed to$1015.90
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 28.92 changed to 28.00
- Malpractice RVU 1.21 changed to 1.25
- Practice expense GPCI 0.910 changed to 0.913
- Malpractice GPCI 0.441 changed to 0.457
January 1, 2023
RVU23A
$1135.37changed to$1075.61
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 30.20 changed to 28.92
- Malpractice RVU 1.24 changed to 1.21
- Practice expense GPCI 0.907 changed to 0.910
- Malpractice GPCI 0.425 changed to 0.441
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1125.20changed to$1135.37
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 29.60 changed to 30.20
- Malpractice RVU 1.20 changed to 1.24
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1022.18changed to$1125.20
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 25.28 changed to 29.60
- Malpractice RVU 1.19 changed to 1.20
- Malpractice GPCI 0.424 changed to 0.425
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$946.51changed to$1022.18
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 23.01 changed to 25.28
- Malpractice GPCI 0.423 changed to 0.424
Held through RVU20B, RVU20C, RVU20D.
July 1, 2019
RVU19C
$946.05changed to$946.51
- Malpractice RVU 1.16 changed to 1.19
Held through RVU19D.
January 1, 2019
RVU19A
$865.32changed to$946.05
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 20.56 changed to 23.01
- Malpractice RVU 1.18 changed to 1.16
Held through RVU19B.
January 1, 2018
RVU18AR1
$845.05changed to$865.32
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 20.13 changed to 20.56
- Malpractice RVU 1.09 changed to 1.18
- Practice expense GPCI 0.902 changed to 0.907
- Malpractice GPCI 0.458 changed to 0.423
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$924.00changed to$845.05
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 5.14 changed to 4.89
- Practice expense RVU 22.40 changed to 20.13
- Malpractice RVU 1.21 changed to 1.09
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 0.493 changed to 0.458
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$939.60changed to$924.00
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 22.77 changed to 22.40
- Malpractice RVU 1.23 changed to 1.21
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$934.92changed to$939.60
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$919.19changed to$934.92
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 22.45 changed to 22.77
- Malpractice RVU 1.04 changed to 1.23
- Practice expense GPCI 0.892 changed to 0.896
- Malpractice GPCI 0.475 changed to 0.493
Held through RVU15B.
January 1, 2014
RVU14A
$718.70changed to$919.19
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 17.46 changed to 22.45
- Malpractice RVU 1.09 changed to 1.04
- Practice expense GPCI 0.887 changed to 0.892
- Malpractice GPCI 0.456 changed to 0.475
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $718.70
Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	$1,146.33	$273.48	RVU26D
2026-07-01	$1,146.33	$273.48	RVU26C
2026-04-01	$1,146.33	$273.48	RVU26B
2026-01-01	$1,146.33	$273.48	RVU26A
2025-10-01	$972.70	$281.05	RVU25D
2025-07-01	$972.70	$281.05	RVU25C
2025-04-01	$972.70	$281.05	RVU25B
2025-01-01	$972.70	$281.05	RVU25A
2024-10-01	$1,032.75	$286.95	RVU24D
2024-07-01	$1,032.75	$286.95	RVU24C
2024-04-01	$1,032.75	$286.95	RVU24B
2024-03-09	$1,032.75	$286.95	RVU24AR
2024-01-01	$1,015.90	$282.26	RVU24A
2023-10-01	$1,075.61	$289.25	RVU23D
2023-07-01	$1,075.61	$289.25	RVU23C
2023-04-01	$1,075.61	$289.25	RVU23B
2023-01-01	$1,075.61	$289.25	RVU23A
2022-10-01	$1,135.37	$294.18	RVU22D
2022-07-01	$1,135.37	$294.18	RVU22C
2022-04-01	$1,135.37	$294.18	RVU22B
2022-01-01	$1,135.37	$294.18	RVU22A
2021-10-01	$1,125.20	$294.13	RVU21D
2021-07-01	$1,125.20	$294.13	RVU21C
2021-04-01	$1,125.20	$294.13	RVU21B
2021-01-01	$1,125.20	$294.13	RVU21A
2020-10-01	$1,022.18	$298.45	RVU20D
2020-07-01	$1,022.18	$298.45	RVU20C
2020-04-01	$1,022.18	$298.45	RVU20B
2020-01-01	$1,022.18	$298.45	RVU20A
2019-10-01	$946.51	$296.68	RVU19D
2019-07-01	$946.51	$296.68	RVU19C
2019-04-01	$946.05	$296.23	RVU19B
2019-01-01	$946.05	$296.23	RVU19A
2018-10-01	$865.32	$295.55	RVU18D
2018-07-01	$865.32	$295.55	RVU18C
2018-04-01	$865.32	$295.55	RVU18B
2018-01-01	$865.32	$295.55	RVU18AR1
2017-10-01	$845.05	$293.76	RVU17D
2017-07-01	$845.05	$293.76	RVU17C
2017-04-01	$845.05	$293.76	RVU17B
2017-01-01	$845.05	$293.76	RVU17A
2016-10-01	$924.00	$308.05	RVU16D
2016-07-01	$924.00	$308.05	RVU16C
2016-04-01	$924.00	$308.05	RVU16B
2016-01-01	$924.00	$308.05	RVU16A
2015-10-01	$939.60	$309.52	RVU15D
2015-07-01	$939.60	$309.52	RVU15C
2015-04-01	$934.92	$307.98	RVU15B
2015-01-01	$934.92	$307.98	RVU15A
2014-10-01	$919.19	$304.72	RVU14D
2014-07-01	$919.19	$304.72	RVU14C
2014-04-01	$919.19	$304.72	RVU14B
2014-01-01	$919.19	$304.72	RVU14A
2013-10-01	$718.70	$279.31	RVU13D
2013-07-01	$718.70	$279.31	RVU13C
2013-04-01	$718.70	$279.31	RVU13B
2013-01-01	$718.70	$279.31	RVU13AR

Price 36557 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

Ackley
Ackworth
Adair
Adel
Afton
Agency
Ainsworth
Akron

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36557 billing questions

How does this code differ from 36558?

Both describe tunneled central venous catheter placement without a port or pump. Use 36557 for a patient younger than five and 36558 for a patient age five or older.

Can this code be used for an implanted port?

No. It describes a tunneled catheter without a subcutaneous port or pump; code selection changes when the implanted device includes a port.

What documentation supports reporting 36557?

Document the patient’s age on the procedure date, the tunneled catheter placement, and that the device has no subcutaneous port or pump.

Are related postoperative visits separately paid during the global period?

Related postoperative visits during the 10-day global period are included in the procedure payment.

When is an assistant at surgery payable?

CMS allows assistant-at-surgery payment only when the record documents medical necessity. Co-surgeons and team surgery are not permitted for this code.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in that session are paid at 50%. For a bilateral procedure reported with modifier 50, CMS pays at 150%.

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 36557PPRRVU2026_Oct_nonQPP.csv, line 4,506 (RVU26D)

4,50336522,,[CPT descriptor omitted],A,,1.71,38.95,,0.50,,0.13,40.79,2.34,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,50436555,,[CPT descriptor omitted],A,,1.88,4.35,,0.33,,0.16,6.39,2.37,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,50536556,,[CPT descriptor omitted],A,,1.71,5.18,,0.38,,0.23,7.12,2.32,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,50636557,,[CPT descriptor omitted],A,,4.77,31.74,,3.18,,1.28,37.79,9.23,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,50736558,,[CPT descriptor omitted],A,,4.48,18.46,,1.84,,0.64,23.58,6.96,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,50836560,,[CPT descriptor omitted],A,,5.89,32.76,,3.45,,1.57,40.22,10.91,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

4,50936561,,[CPT descriptor omitted],A,,5.65,22.22,,2.38,,0.95,28.82,8.98,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772

5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563

5208102,IN,00,INDIANA,1.000,0.927,0.486

5305102,IA,00,IOWA,1.000,0.915,0.397

5405202,KS,00,KANSAS,1.000,0.904,0.504

5515102,KY,00,KENTUCKY,1.000,0.889,0.915

5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136

Open CMS source How we calculate rates

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What 36557 covers

How Iowa compares for 36557

Every other payment area

36557 rates by state

How the 36557 rate is calculated

Payment rules and modifiers for 36557

What modifiers do to the payment

Codes related to 36557

How 36557 has changed in Iowa

Where the Iowa rate applies

36557 billing questions

How does this code differ from 36558?

Can this code be used for an implanted port?

What documentation supports reporting 36557?

Are related postoperative visits separately paid during the global period?

When is an assistant at surgery payable?

How are other procedures in the same session paid?

Where these rates come from

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