FeeBase
Log inGet started
Menu

CPT code 36561: Port placement, age five or older2026 Medicare rate & RVUs in Puerto Rico

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 Puerto Rico, Medicare pays $970.30 for 36561 in the office and $300.34 when it’s performed in a hospital or facility.

$970.30Office (non-facility)
$300.34Hospital or facility
+0.8%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $970.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

36561 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$970.30
  2. Los Angeles, CA · California$1,095.51+$125.21
  3. Washington, DC area · District of Columbia$1,108.50+$138.20
  4. Miami, FL · Florida$1,041.56+$71.26
  5. Chicago, IL · Illinois$1,008.74+$38.44
  6. Manhattan, NY · New York$1,113.52+$143.22
  7. Alaska · Alaska$1,090.97+$120.67

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

Every other payment area

36561 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$856.07$276.23
ArkansasArkansas$842.58$273.34
ArizonaArizona$935.04$292.91
Bakersfield, CACalifornia$1,025.04$298.75
Chico, CACalifornia$1,022.35$296.06
El Centro, CACalifornia$1,022.51$296.22
Fresno, CACalifornia$1,022.35$296.06
Hanford, CACalifornia$1,022.35$296.06

36561 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.

$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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 36561 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work5.65× 1.0005.6500
Practice expense22.22× 1.01122.4644
Malpractice0.95× 0.9850.9357
Total RVUs29.0502
Conversion factor× 33.4009

Office rate, Puerto Rico$970.30

Office: (5.65 × 1 + 22.22 × 1.011 + 0.95 × 0.985) × $33.4009 = $970.30

Facility: (5.65 × 1 + 2.38 × 1.011 + 0.95 × 0.985) × $33.4009 = $300.34

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

Codes related to 36561

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

Codes related to 36561
CodeHow it relatesOffice range, Puerto Rico
Same family
36560Central venous port, child younger than fiveTunneled central venous access with a subcutaneous port for patients younger than five.$1,354.63
36558Tunneled catheter, age 5 years or olderTunneled central venous catheter for patients age five or older, without a subcutaneous port.$794.05
Used instead
36556Central line insertion, age 5 years or olderNon-tunneled central venous catheter placement when a tunneled port is not the selected access method.$239.60

How 36561 has changed in Puerto Rico

36561 · Office / nonfacility

$970.30

Effective 2026-10-01

The base rate is $66.18 higher than on 2025-10-01, moving from $904.12 to $970.30 (7.3%).

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

    $904.12changed to$970.30

    • 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
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $961.23changed to$904.12

    • 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

    $945.54changed to$961.23

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1010.80changed to$945.54

    • 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
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $1005.09changed to$1010.80

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $1066.84changed to$1005.09

    • 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
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $1119.66changed to$1066.84

    • 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

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $1111.20changed to$1119.66

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 23.89 changed to 25.18
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $1108.84changed to$1111.20

    • 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
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $1115.59changed to$1108.84

    • 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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $972.51changed to$1115.59

    • 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
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $894.52changed to$972.51

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 6.04 changed to 5.79
    • Practice expense RVU 26.43 changed to 24.15
    • Malpractice RVU 1.06 changed to 0.99
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $897.10changed to$894.52

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 26.40 changed to 26.43
    • Malpractice RVU 1.07 changed to 1.06

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $892.63changed to$897.10

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $880.01changed to$892.63

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 26.36 changed to 26.40
    • Malpractice RVU 1.05 changed to 1.07
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $899.23changed to$880.01

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 29.67 changed to 26.36
    • Malpractice RVU 1.10 changed to 1.05
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $899.23

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$970.30$300.34RVU26D
2026-07-01$970.30$300.34RVU26C
2026-04-01$970.30$300.34RVU26B
2026-01-01$970.30$300.34RVU26A
2025-10-01$904.12$318.46RVU25D
2025-07-01$904.12$318.46RVU25C
2025-04-01$904.12$318.46RVU25B
2025-01-01$904.12$318.46RVU25A
2024-10-01$961.23$326.69RVU24D
2024-07-01$961.23$326.69RVU24C
2024-04-01$961.23$326.69RVU24B
2024-03-09$961.23$326.69RVU24AR
2024-01-01$945.54$321.36RVU24A
2023-10-01$1,010.80$332.76RVU23D
2023-07-01$1,005.09$332.43RVU23C
2023-04-01$1,005.09$332.43RVU23B
2023-01-01$1,005.09$332.43RVU23A
2022-10-01$1,066.84$339.88RVU22D
2022-07-01$1,066.84$339.88RVU22C
2022-04-01$1,066.84$339.88RVU22B
2022-01-01$1,066.84$339.88RVU22A
2021-10-01$1,119.66$341.30RVU21D
2021-07-01$1,119.66$341.30RVU21C
2021-04-01$1,119.66$341.30RVU21B
2021-01-01$1,119.66$341.30RVU21A
2020-10-01$1,111.20$351.98RVU20D
2020-07-01$1,111.20$351.98RVU20C
2020-04-01$1,111.20$351.98RVU20B
2020-01-01$1,111.20$351.98RVU20A
2019-10-01$1,108.84$351.44RVU19D
2019-07-01$1,108.84$351.44RVU19C
2019-04-01$1,108.84$351.44RVU19B
2019-01-01$1,108.84$351.44RVU19A
2018-10-01$1,115.59$352.86RVU18D
2018-07-01$1,115.59$352.86RVU18C
2018-04-01$1,115.59$352.86RVU18B
2018-01-01$1,115.59$352.86RVU18AR1
2017-10-01$972.51$324.92RVU17D
2017-07-01$972.51$324.92RVU17C
2017-04-01$972.51$324.92RVU17B
2017-01-01$972.51$324.92RVU17A
2016-10-01$894.52$307.90RVU16D
2016-07-01$894.52$307.90RVU16C
2016-04-01$894.52$307.90RVU16B
2016-01-01$894.52$307.90RVU16A
2015-10-01$897.10$308.61RVU15D
2015-07-01$897.10$308.61RVU15C
2015-04-01$892.63$307.07RVU15B
2015-01-01$892.63$307.07RVU15A
2014-10-01$880.01$306.14RVU14D
2014-07-01$880.01$306.14RVU14C
2014-04-01$880.01$306.14RVU14B
2014-01-01$880.01$306.14RVU14A
2013-10-01$899.23$296.02RVU13D
2013-07-01$899.23$296.02RVU13C
2013-04-01$899.23$296.02RVU13B
2013-01-01$899.23$296.02RVU13AR

Price 36561 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 36561 pays in Puerto Rico?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 36561 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet