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CPT code 36560: Central venous port, child younger than five2026 Medicare rate & RVUs in Utah

Reports placement of a tunneled central venous access device with an implanted port for a patient younger than five years.

CMS RVU26DEffective Oct 1, 2026One payment locality15 Medicare services in 2024

In Utah, Medicare pays $1,272.38 for 36560 in the office and $352.14 when it’s performed in a hospital or facility.

$1,272.38Office (non-facility)
$352.14Hospital or facility
−5.3%vs the national office rate ($1,343.38)

Check a contract rate as a % of Medicare · 36560 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 36560 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 36560 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 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.

How Utah compares for 36560

Across 109 of 109 payment localities, the office rate for 36560 runs from $1,163.67 in Arkansas to $1,824.34 in San Benito County, CA. Utah pays $1,272.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

36560 in Utah vs other payment areas
  1. Utah · this page$1,272.38
  2. Los Angeles, CA · California$1,534.07+$261.69
  3. Washington, DC area · District of Columbia$1,554.70+$282.32
  4. Miami, FL · Florida$1,468.43+$196.05
  5. Chicago, IL · Illinois$1,418.14+$145.76
  6. Manhattan, NY · New York$1,563.97+$291.59
  7. Alaska · Alaska$1,489.33+$216.95

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

Every other payment area

36560 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,183.85$327.24
ArkansasArkansas$1,163.67$322.72
ArizonaArizona$1,301.91$353.28
Bakersfield, CACalifornia$1,431.66$358.70
Chico, CACalifornia$1,427.44$354.48
El Centro, CACalifornia$1,427.70$354.74
Fresno, CACalifornia$1,427.44$354.48
Hanford, CACalifornia$1,427.44$354.48

36560 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.

$1,163.67

$1,625.89

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

View every state and territory as a table
36560 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,489.331
AL$1,183.851
AR$1,163.671
AZ$1,301.911
CA$1,427.44–$1,824.3429
CO$1,404.291
CT$1,442.591
DC$1,554.701
DE$1,325.941
FL$1,321.62–$1,468.433
GA$1,235.28–$1,372.022
GU$1,471.211
HI$1,471.211
IA$1,218.761
ID$1,228.211
IL$1,277.71–$1,418.144
IN$1,236.551
KS$1,212.331
KY$1,217.471
LA$1,215.35–$1,285.962
MA$1,393.88–$1,557.962
MD$1,354.18–$1,554.703
ME$1,236.03–$1,314.192
MI$1,254.95–$1,341.062
MN$1,338.201
MO$1,191.02–$1,290.973
MS$1,177.601
MT$1,343.281
NC$1,251.141
ND$1,312.241
NE$1,226.511
NH$1,381.691
NJ$1,457.01–$1,534.422
NM$1,263.101
NV$1,335.721
NY$1,273.10–$1,607.725
OH$1,248.611
OK$1,214.611
OR$1,323.43–$1,454.572
PA$1,250.77–$1,401.912
PR$1,354.631
RI$1,377.571
SC$1,252.361
SD$1,308.561
TN$1,219.531
TX$1,241.18–$1,401.268
UT$1,272.381
VA$1,309.37–$1,554.702
VI$1,354.631
VT$1,306.541
WA$1,391.40–$1,592.012
WI$1,261.141
WV$1,222.641
WY$1,329.751

See 36560 in every payment locality

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

Office or facility?

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.

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,508

Code
36560
Physician work
5.89
Practice expense
32.76
Malpractice
1.57

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 36560 in Utah
ComponentRVULocality factorAdjusted
Physician work5.89× 1.0005.8900
Practice expense32.76× 0.94030.7944
Malpractice1.57× 0.8981.4099
Total RVUs38.0943
Conversion factor× 33.4009

Office rate, Utah$1272.38

Office: (5.89 × 1 + 32.76 × 0.94 + 1.57 × 0.898) × $33.4009 = $1272.38

Facility: (5.89 × 1 + 3.45 × 0.94 + 1.57 × 0.898) × $33.4009 = $352.14

Open 36560 in the RVU calculator

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

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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.
Split (54/55/56)0.10/0.80/0.10Share 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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

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).

When to use modifier 50

Codes related to 36560

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

Codes related to 36560
CodeHow it relatesOffice range, Utah
Same family
36561Port placement, age five or olderTunneled central venous access device with a subcutaneous port for patients five years or older.$914.85
Used instead
36557Tunneled catheter, under age five, no portTunneled central venous catheter for a patient younger than five, without a subcutaneous port or pump.$1,194.25
36558Tunneled catheter, age 5 years or olderTunneled central venous catheter without a port or pump for a patient five years or older.$748.42
36555Central line insertion, under age 5Non-tunneled central venous catheter placement for a patient younger than five.$204.17
36556Central line insertion, age 5 years or olderNon-tunneled central venous catheter placement for a patient five years or older.$226.65

How 36560 has changed in Utah

36560 · Office / nonfacility

$1272.38

Effective 2026-10-01

The base rate is $192.00 higher than on 2025-10-01, moving from $1080.38 to $1272.38 (17.8%).

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

    $1080.38changed to$1272.38

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.04 changed to 5.89
    • Practice expense RVU 27.78 changed to 32.76
    • Malpractice RVU 1.55 changed to 1.57
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1144.73changed to$1080.38

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 28.84 changed to 27.78

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1126.05changed to$1144.73

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1184.32changed to$1126.05

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 29.79 changed to 28.84
    • Malpractice RVU 1.53 changed to 1.55
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $1240.13changed to$1184.32

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 31.10 changed to 29.79
    • Malpractice RVU 1.52 changed to 1.53
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1294.23changed to$1240.13

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 32.51 changed to 31.10
    • Malpractice RVU 1.47 changed to 1.52

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1266.71changed to$1294.23

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 29.93 changed to 32.51
    • Malpractice RVU 1.46 changed to 1.47
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1269.53changed to$1266.71

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 29.65 changed to 29.93
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1267.14changed to$1269.53

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 29.62 changed to 29.65

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $969.23changed to$1267.14

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 21.96 changed to 29.62
    • Malpractice RVU 0.56 changed to 1.46
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1296.62changed to$969.23

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 6.29 changed to 6.04
    • Practice expense RVU 30.63 changed to 21.96
    • Malpractice RVU 1.44 changed to 0.56
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1034.61changed to$1296.62

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 23.62 changed to 30.63
    • Malpractice RVU 0.62 changed to 1.44

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1029.46changed to$1034.61

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1274.93changed to$1029.46

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 31.19 changed to 23.62
    • Malpractice RVU 0.56 changed to 0.62
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1344.36changed to$1274.93

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 35.56 changed to 31.19
    • Malpractice RVU 0.59 changed to 0.56
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1344.36

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,272.38$352.14RVU26D
2026-07-01$1,272.38$352.14RVU26C
2026-04-01$1,272.38$352.14RVU26B
2026-01-01$1,272.38$352.14RVU26A
2025-10-01$1,080.38$361.51RVU25D
2025-07-01$1,080.38$361.51RVU25C
2025-04-01$1,080.38$361.51RVU25B
2025-01-01$1,080.38$361.51RVU25A
2024-10-01$1,144.73$369.54RVU24D
2024-07-01$1,144.73$369.54RVU24C
2024-04-01$1,144.73$369.54RVU24B
2024-03-09$1,144.73$369.54RVU24AR
2024-01-01$1,126.05$363.51RVU24A
2023-10-01$1,184.32$370.34RVU23D
2023-07-01$1,184.32$370.34RVU23C
2023-04-01$1,184.32$370.34RVU23B
2023-01-01$1,184.32$370.34RVU23A
2022-10-01$1,240.13$372.86RVU22D
2022-07-01$1,240.13$372.86RVU22C
2022-04-01$1,240.13$372.86RVU22B
2022-01-01$1,240.13$372.86RVU22A
2021-10-01$1,294.23$372.63RVU21D
2021-07-01$1,294.23$372.63RVU21C
2021-04-01$1,294.23$372.63RVU21B
2021-01-01$1,294.23$372.63RVU21A
2020-10-01$1,266.71$388.98RVU20D
2020-07-01$1,266.71$388.98RVU20C
2020-04-01$1,266.71$388.98RVU20B
2020-01-01$1,266.71$388.98RVU20A
2019-10-01$1,269.53$397.24RVU19D
2019-07-01$1,269.53$397.24RVU19C
2019-04-01$1,269.53$397.24RVU19B
2019-01-01$1,269.53$397.24RVU19A
2018-10-01$1,267.14$396.47RVU18D
2018-07-01$1,267.14$396.47RVU18C
2018-04-01$1,267.14$396.47RVU18B
2018-01-01$1,267.14$396.47RVU18AR1
2017-10-01$969.23$349.11RVU17D
2017-07-01$969.23$349.11RVU17C
2017-04-01$969.23$349.11RVU17B
2017-01-01$969.23$349.11RVU17A
2016-10-01$1,296.62$403.99RVU16D
2016-07-01$1,296.62$403.99RVU16C
2016-04-01$1,296.62$403.99RVU16B
2016-01-01$1,296.62$403.99RVU16A
2015-10-01$1,034.61$363.05RVU15D
2015-07-01$1,034.61$363.05RVU15C
2015-04-01$1,029.46$361.25RVU15B
2015-01-01$1,029.46$361.25RVU15A
2014-10-01$1,274.93$367.62RVU14D
2014-07-01$1,274.93$367.62RVU14C
2014-04-01$1,274.93$367.62RVU14B
2014-01-01$1,274.93$367.62RVU14A
2013-10-01$1,344.36$362.03RVU13D
2013-07-01$1,344.36$362.03RVU13C
2013-04-01$1,344.36$362.03RVU13B
2013-01-01$1,344.36$362.03RVU13AR

Price 36560 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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
RVUs for 36560PPRRVU2026_Oct_nonQPP.csv, line 4,508 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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