CPT code 36561: Port placement, age five or older2026 Medicare rate & RVUs in Marin County, CA

Reports placement of a tunneled central venous catheter connected to an implanted port for patients age five or older needing ongoing vascular access.

CMS RVU26DEffective Oct 1, 2026One payment locality111.9K Medicare services in 2024

In Marin County, CA, Medicare pays $1,267.66 for 36561 in the office and $333.29 when it’s performed in a hospital or facility.

$1,267.66Office (non-facility)
$333.29Hospital or facility
+31.7%vs the national office rate ($962.61)

Check a contract rate as a % of Medicare · 36561 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 36561 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Marin County, CA
  2. What 36561 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 36561 covers

This service places a central venous catheter through a tunnel under the skin and connects it to a port implanted beneath the skin. The port provides repeat access for treatments such as chemotherapy, long-term intravenous medication, or blood sampling. Surgeons and interventional radiologists commonly perform the procedure in hospital procedural settings and, in some cases, office settings. The patient must be at least five years old, and the device must include a subcutaneous port.

Report the code for initial placement, not for a non-tunneled line, a tunneled catheter without a port, or replacement of an existing device. The operative report should support the patient’s age, tunneled route, port placement, and reason for access. Imaging guidance used for placement is included in the procedure. CMS assigns a 10-day global period, including related postoperative visits during that period. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 for a bilateral procedure is paid at 150%. An assistant at surgery is paid only with 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 Marin County, CA compares for 36561

Across 109 of 109 payment localities, the office rate for 36561 runs from $842.58 in Arkansas to $1,296.69 in San Benito County, CA. Marin County, CA pays $1,267.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

36561 in Marin County, CA vs other payment areas
  1. Marin County, CA · this page$1,267.66
  2. Bakersfield, CA · California$1,025.04−$242.62
  3. Chico, CA · California$1,022.35−$245.31
  4. El Centro, CA · California$1,022.51−$245.15
  5. Fresno, CA · California$1,022.35−$245.31
  6. Hanford, CA · California$1,022.35−$245.31
  7. Los Angeles, CA · California$1,095.51−$172.15

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

Every other payment area

36561 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$1,022.35$296.06
Merced, CACalifornia$1,022.35$296.06
Modesto, CACalifornia$1,022.35$296.06
Napa, CACalifornia$1,194.90$321.50
Oxnard, CACalifornia$1,091.01$307.73
Redding, CACalifornia$1,022.35$296.06
Rest of CaliforniaCalifornia$1,022.35$296.06
Riverside, CACalifornia$1,032.59$306.30

36561 rates by state

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

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.

$842.58

$1,159.52

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

View every state and territory as a table
36561 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,090.971
AL$856.071
AR$842.581
AZ$935.041
CA$1,022.35–$1,296.6929
CO$1,005.431
CT$1,030.201
DC$1,108.501
DE$951.451
FL$945.92–$1,041.563
GA$888.55–$981.432
GU$1,050.931
HI$1,050.931
IA$880.401
ID$886.521
IL$915.91–$1,008.744
IN$892.131
KS$875.631
KY$877.541
LA$875.93–$923.142
MA$998.53–$1,110.842
MD$970.81–$1,108.503
ME$891.25–$944.232
MI$902.14–$958.412
MN$961.801
MO$859.37–$927.053
MS$851.171
MT$962.551
NC$901.431
ND$943.771
NE$885.731
NH$989.081
NJ$1,041.52–$1,095.412
NM$907.391
NV$958.061
NY$916.08–$1,142.155
OH$898.301
OK$876.131
OR$950.22–$1,039.892
PA$900.01–$1,002.562
PR$970.301
RI$987.261
SC$901.451
SD$941.541
TN$880.391
TX$893.57–$1,002.428
UT$914.851
VA$940.67–$1,108.502
VI$970.301
VT$939.521
WA$996.82–$1,134.722
WI$909.491
WV$879.071
WY$954.361

See 36561 in every payment locality

How the 36561 rate is calculated

Each of 36561’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 · 36561

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.65

5.65 RVUs× 1.000 GPCI

Practice expense22.22

22.22 RVUs× 1.000 GPCI

Malpractice0.95

0.95 RVUs× 1.000 GPCI

Adjusted RVUs

28.8200

Conversion factor

$33.4009

Medicare rate

$962.61

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

The exact Marin County, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,509

Code
36561
Physician work
5.65
Practice expense
22.22
Malpractice
0.95

GPCI2026.csv

25

Locality
Marin County, CA
Physician work
1.095
Practice expense
1.410
Malpractice
0.459
Office calculation for 36561 in Marin County, CA
ComponentRVULocality factorAdjusted
Physician work5.65× 1.0956.1867
Practice expense22.22× 1.41031.3302
Malpractice0.95× 0.4590.4360
Total RVUs37.9530
Conversion factor× 33.4009

Office rate, Marin County, CA$1267.66

Office: (5.65 × 1.095 + 22.22 × 1.41 + 0.95 × 0.459) × $33.4009 = $1267.66

Facility: (5.65 × 1.095 + 2.38 × 1.41 + 0.95 × 0.459) × $33.4009 = $333.29

Open 36561 in the RVU calculator

Payment rules and modifiers for 36561

36561 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 36561

Port placement, age five or older

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 · 36561

Port placement, age five or older

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

36561 without 50 · national office

$962.61

Port placement, age five or older

36561-50 · Bilateral: 150%

$1,443.92

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

How 36561 has changed in Marin County, CA

36561 · Office / nonfacility

$1267.66

Effective 2026-10-01

The base rate is $80.96 higher than on 2025-10-01, moving from $1186.70 to $1267.66 (6.8%).

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

    $1186.70changed to$1267.66

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.79 changed to 5.65
    • Practice expense RVU 21.11 changed to 22.22
    • Malpractice RVU 0.92 changed to 0.95
    • Work GPCI 1.088 changed to 1.095
    • Practice expense GPCI 1.419 changed to 1.410
    • Malpractice GPCI 0.470 changed to 0.459

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1263.41changed to$1186.70

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 21.99 changed to 21.11
    • Malpractice RVU 0.96 changed to 0.92

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1242.79changed to$1263.41

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1295.45changed to$1242.79

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 22.93 changed to 21.99
    • Malpractice RVU 0.94 changed to 0.96
    • Work GPCI 1.082 changed to 1.088
    • Practice expense GPCI 1.374 changed to 1.419
    • Malpractice GPCI 0.487 changed to 0.470
  5. January 1, 2023

    RVU23A

    $1332.03changed to$1295.45

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 23.91 changed to 22.93
    • Malpractice RVU 0.95 changed to 0.94
    • Work GPCI 1.077 changed to 1.082
    • Practice expense GPCI 1.329 changed to 1.374
    • Malpractice GPCI 0.504 changed to 0.487

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1384.59changed to$1332.03

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 25.18 changed to 23.91
    • Malpractice RVU 0.93 changed to 0.95
    • Work GPCI 1.071 changed to 1.077
    • Practice expense GPCI 1.311 changed to 1.329

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1359.28changed to$1384.59

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 23.89 changed to 25.18
    • Work GPCI 1.068 changed to 1.071
    • Practice expense GPCI 1.299 changed to 1.311
    • Malpractice GPCI 0.481 changed to 0.504

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1348.80changed to$1359.28

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 23.88 changed to 23.89
    • Malpractice RVU 0.94 changed to 0.93
    • Work GPCI 1.065 changed to 1.068
    • Practice expense GPCI 1.291 changed to 1.299
    • Malpractice GPCI 0.458 changed to 0.481

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1345.92changed to$1348.80

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 24.08 changed to 23.88
    • Malpractice RVU 0.96 changed to 0.94
    • Work GPCI 1.062 changed to 1.065
    • Practice expense GPCI 1.279 changed to 1.291

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1338.39changed to$1345.92

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 24.15 changed to 24.08
    • Malpractice RVU 0.99 changed to 0.96
    • Work GPCI 1.058 changed to 1.062
    • Practice expense GPCI 1.271 changed to 1.279
    • Malpractice GPCI 0.477 changed to 0.458

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$1338.39

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,267.66$333.29RVU26D
2026-07-01$1,267.66$333.29RVU26C
2026-04-01$1,267.66$333.29RVU26B
2026-01-01$1,267.66$333.29RVU26A
2025-10-01$1,186.70$361.42RVU25D
2025-07-01$1,186.70$361.42RVU25C
2025-04-01$1,186.70$361.42RVU25B
2025-01-01$1,186.70$361.42RVU25A
2024-10-01$1,263.41$369.25RVU24D
2024-07-01$1,263.41$369.25RVU24C
2024-04-01$1,263.41$369.25RVU24B
2024-03-09$1,263.41$369.25RVU24AR
2024-01-01$1,242.79$363.23RVU24A
2023-10-01$1,295.45$371.22RVU23D
2023-07-01$1,295.45$371.22RVU23C
2023-04-01$1,295.45$371.22RVU23B
2023-01-01$1,295.45$371.22RVU23A
2022-10-01$1,332.03$373.56RVU22D
2022-07-01$1,332.03$373.56RVU22C
2022-04-01$1,332.03$373.56RVU22B
2022-01-01$1,332.03$373.56RVU22A
2021-10-01$1,384.59$372.25RVU21D
2021-07-01$1,384.59$372.25RVU21C
2021-04-01$1,384.59$372.25RVU21B
2021-01-01$1,384.59$372.25RVU21A
2020-10-01$1,359.28$380.89RVU20D
2020-07-01$1,359.28$380.89RVU20C
2020-04-01$1,359.28$380.89RVU20B
2020-01-01$1,359.28$380.89RVU20A
2019-10-01$1,348.80$377.79RVU19D
2019-07-01$1,348.80$377.79RVU19C
2019-04-01$1,348.80$377.79RVU19B
2019-01-01$1,348.80$377.79RVU19A
2018-10-01$1,345.92$377.16RVU18D
2018-07-01$1,345.92$377.16RVU18C
2018-04-01$1,345.92$377.16RVU18B
2018-01-01$1,345.92$377.16RVU18AR1
2017-10-01$1,338.39$376.83RVU17D
2017-07-01$1,338.39$376.83RVU17C
2017-04-01$1,338.39$376.83RVU17B
2017-01-01$1,338.39$376.83RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 36561 for an earlier date of service

Where the Marin County, CA rate applies

Marin County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Alto
  • Belvedere
  • Black Point-Green Point
  • Bolinas
  • Corte Madera
  • Dillon Beach
  • Fairfax
  • Inverness

Browse all communities in California

36561 billing questions

How does this differ from 36560?

Both describe tunneled central venous access with a subcutaneous port. Use 36561 for a patient age five or older; 36560 is for a patient younger than five.

When is 36558 more appropriate?

Use 36558 for a tunneled central venous catheter in a patient age five or older when the device has no subcutaneous port. This code requires a port.

Can imaging guidance be billed separately?

Imaging guidance used to place the access device is included in this procedure and is not separately reported as guidance.

What documentation supports reporting this code?

Document the patient’s age, the tunneled catheter placement, the subcutaneous port, and the clinical need for ongoing central venous access.

How does CMS handle other procedures performed in the same session?

Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and other procedures at 50%. The 10-day global period includes related postoperative visits.

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 36561PPRRVU2026_Oct_nonQPP.csv, line 4,509 (RVU26D)
Geographic factors for Marin County, CAGPCI2026.csv, line 25 (RVU26D)

Open CMS sourceHow we calculate rates

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