CPT code 36560: Central venous port, child younger than five2026 Medicare rate & RVUs in California
Reports placement of a tunneled central venous access device with an implanted port for a patient younger than five years.
Medicare pays $1,427.44–$1,824.34 for 36560 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 36560 covers
Select this code when the patient is younger than five on the procedure date and the device includes a subcutaneous port. Documentation should establish the patient’s age, tunneled central venous placement, and port implantation; a tunneled catheter without a port or a non-tunneled catheter is coded differently. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in one session, Medicare pays the highest-valued procedure in full and other procedures at 50%. A bilateral procedure reported with modifier 50 is paid at 150%. 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.
Where 36560 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$1427.44 to $1824.34
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $1,431.66 | $358.70 |
| Chico, CA | $1,427.44 | $354.48 |
| El Centro, CA | $1,427.70 | $354.74 |
| Fresno, CA | $1,427.44 | $354.48 |
| Hanford, CA | $1,427.44 | $354.48 |
| Los Angeles, CA | $1,534.07 | $375.94 |
| Madera, CA | $1,427.44 | $354.48 |
| Marin County, CA | $1,782.33 | $401.97 |
| Merced, CA | $1,427.44 | $354.48 |
| Modesto, CA | $1,427.44 | $354.48 |
| Napa, CA | $1,677.94 | $387.64 |
| Oxnard, CA | $1,528.27 | $371.12 |
| Redding, CA | $1,427.44 | $354.48 |
| Rest of California | $1,427.44 | $354.48 |
| Riverside, CA | $1,444.26 | $371.30 |
| Sacramento, CA | $1,504.49 | $365.94 |
| Salinas, CA | $1,499.13 | $364.49 |
| San Benito County, CA | $1,824.34 | $412.65 |
| San Diego, CA | $1,539.73 | $368.87 |
| San Francisco, CA | $1,780.55 | $400.19 |
| San Luis Obispo, CA | $1,474.49 | $359.43 |
| Santa Clara County, CA | $1,817.05 | $405.36 |
| Santa Cruz, CA | $1,558.44 | $368.98 |
| Santa Maria, CA | $1,506.20 | $364.71 |
| Santa Rosa, CA | $1,574.43 | $372.25 |
| Stockton, CA | $1,427.44 | $354.48 |
| Vallejo, CA | $1,675.37 | $385.07 |
| Visalia, CA | $1,427.44 | $354.48 |
| Yuba City, CA | $1,427.44 | $354.48 |
How the 36560 rate is calculated
Each of 36560’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 · 36560
RVUs × geographic indexes × conversion factor
Work5.89
5.89 RVUs× 1.000 GPCI
Practice expense32.76
32.76 RVUs× 1.000 GPCI
Malpractice1.57
1.57 RVUs× 1.000 GPCI
Adjusted RVUs
40.2200
Conversion factor
$33.4009
Medicare rate
$1,343.38
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36560
36560 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 36560
Central venous port, child younger than five
| 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 · 36560
Central venous port, child younger than five
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.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
36560 without 50 · national office
$1,343.38
Central venous port, child younger than five
36560-50 · Bilateral: 150%
$2,015.07
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).
36560 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 36561Port placementAge five or older
- Both codes include a tunneled central venous device with a subcutaneous port. Choose 36560 for a patient younger than five and 36561 for a patient five or older.
- 36557Tunneled catheterUnder age five, no port
- Choose 36557 for a patient younger than five when the tunneled catheter has no subcutaneous port or pump. A port-equipped device is reported with 36560.
- 36555Central line insertionUnder age 5
- 36555 describes non-tunneled central venous catheter placement in a patient younger than five. Use 36560 when the catheter is tunneled and connected to an implanted port.
36560 billing questions
Does 36560 include the implanted port?
Yes. The code covers placement of the tunneled central venous catheter and its subcutaneous port as one service.
When should 36561 be used instead?
Use 36561 for the corresponding tunneled central venous access device with a subcutaneous port when the patient is five years or older.
How does 36560 differ from 36557?
Both are for patients younger than five and involve tunneled central venous access, but 36560 includes a subcutaneous port; 36557 is for a catheter without a port or pump.
Are related postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure payment.
How are other procedures in the same session paid?
Medicare pays the highest-valued procedure in full and other procedures at 50%. Modifier 50 applies to a bilateral procedure, and assistant-at-surgery payment requires medical-necessity documentation.
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
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