CPT code 36561: Port placement, age five or older2026 Medicare rate & RVUs in Vermont
Reports placement of a tunneled central venous catheter connected to an implanted port for patients age five or older needing ongoing vascular access.
In Vermont, Medicare pays $939.52 for 36561 in the office and $283.47 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Vermont 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. Vermont pays $939.52. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$939.52
- Los Angeles, CA · California$1,095.51+$155.99
- Washington, DC area · District of Columbia$1,108.50+$168.98
- Miami, FL · Florida$1,041.56+$102.04
- Chicago, IL · Illinois$1,008.74+$69.22
- Manhattan, NY · New York$1,113.52+$174.00
- Alaska · Alaska$1,090.97+$151.45
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| 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 |
| Sacramento, CACalifornia | $1,075.66 | $304.97 |
| Salinas, CACalifornia | $1,071.75 | $303.71 |
| San Diego, CACalifornia | $1,099.21 | $306.65 |
| Marin County, CACalifornia | $1,267.66 | $333.29 |
| San Francisco, CACalifornia | $1,266.59 | $332.22 |
| San Benito County, CACalifornia | $1,296.69 | $341.11 |
| Santa Clara County, CACalifornia | $1,292.28 | $336.70 |
| San Luis Obispo, CACalifornia | $1,054.26 | $299.47 |
| Santa Cruz, CACalifornia | $1,111.42 | $306.27 |
| Santa Maria, CACalifornia | $1,076.37 | $303.70 |
| Santa Rosa, CACalifornia | $1,122.77 | $309.00 |
| Stockton, CACalifornia | $1,022.35 | $296.06 |
| Vallejo, CACalifornia | $1,193.35 | $319.94 |
| Visalia, CACalifornia | $1,022.35 | $296.06 |
| Yuba City, CACalifornia | $1,022.35 | $296.06 |
| ColoradoColorado | $1,005.43 | $300.34 |
| ConnecticutConnecticut | $1,030.20 | $316.50 |
| DelawareDelaware | $951.45 | $296.72 |
| Fort Lauderdale, FLFlorida | $997.90 | $326.61 |
| Rest of FloridaFlorida | $945.92 | $312.40 |
| Atlanta, GAGeorgia | $981.43 | $308.16 |
| Rest of GeorgiaGeorgia | $888.55 | $297.45 |
| Hawaii, Guam, HIHawaii | $1,050.93 | $297.47 |
| IowaIowa | $880.40 | $274.05 |
| IdahoIdaho | $886.52 | $276.86 |
| East St. Louis, ILIllinois | $935.42 | $325.76 |
| Rest of IllinoisIllinois | $915.91 | $310.89 |
| Suburban Chicago, ILIllinois | $1,008.47 | $327.90 |
| IndianaIndiana | $892.13 | $277.83 |
| KansasKansas | $875.63 | $276.57 |
| KentuckyKentucky | $877.54 | $288.42 |
| New Orleans, LALouisiana | $923.14 | $299.57 |
| Rest of LouisianaLouisiana | $875.93 | $289.47 |
| Metropolitan Boston, MAMassachusetts | $1,110.84 | $319.61 |
| Rest of MassachusettsMassachusetts | $998.53 | $300.73 |
| Baltimore area, MDMaryland | $1,027.33 | $316.28 |
| Rest of MarylandMaryland | $970.81 | $300.18 |
| Rest of MaineMaine | $891.25 | $281.59 |
| Southern Maine, MEMaine | $944.23 | $287.52 |
| Detroit, MIMichigan | $958.41 | $318.93 |
| Rest of MichiganMichigan | $902.14 | $297.12 |
| MinnesotaMinnesota | $961.80 | $279.91 |
| Metropolitan Kansas City, MOMissouri | $916.61 | $294.36 |
| Metropolitan St. Louis, MOMissouri | $927.05 | $296.19 |
| Rest of MissouriMissouri | $859.37 | $288.14 |
| MississippiMississippi | $851.17 | $280.61 |
| MontanaMontana | $962.55 | $299.88 |
| North CarolinaNorth Carolina | $901.43 | $283.16 |
| North DakotaNorth Dakota | $943.77 | $281.09 |
| NebraskaNebraska | $885.73 | $274.08 |
| New HampshireNew Hampshire | $989.08 | $299.23 |
| Northern New JerseyNew Jersey | $1,095.41 | $326.71 |
| Rest of New JerseyNew Jersey | $1,041.52 | $317.88 |
| New MexicoNew Mexico | $907.39 | $299.72 |
| NevadaNevada | $958.06 | $294.72 |
| NYC suburbs and Long Island, NYNew York | $1,142.15 | $354.24 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,048.28 | $322.65 |
| Queens, NYNew York | $1,123.79 | $340.51 |
| Rest of New YorkNew York | $916.08 | $286.54 |
| OhioOhio | $898.30 | $293.28 |
| OklahomaOklahoma | $876.13 | $284.36 |
| Portland, OROregon | $1,039.89 | $303.66 |
| Rest of OregonOregon | $950.22 | $290.20 |
| Metropolitan Philadelphia, PAPennsylvania | $1,002.56 | $312.72 |
| Rest of PennsylvaniaPennsylvania | $900.01 | $291.68 |
| Puerto RicoPuerto Rico | $970.30 | $300.34 |
| Rhode IslandRhode Island | $987.26 | $302.72 |
| South CarolinaSouth Carolina | $901.45 | $289.14 |
| South DakotaSouth Dakota | $941.54 | $278.87 |
| TennesseeTennessee | $880.39 | $278.01 |
| Austin, TXTexas | $1,002.42 | $301.31 |
| Beaumont, TXTexas | $893.57 | $290.53 |
| Brazoria, TXTexas | $950.46 | $293.75 |
| Dallas, TXTexas | $956.84 | $296.81 |
| Fort Worth, TXTexas | $949.83 | $296.43 |
| Galveston, TXTexas | $953.47 | $295.44 |
| Houston, TXTexas | $970.86 | $312.82 |
| Rest of TexasTexas | $921.69 | $292.81 |
| UtahUtah | $914.85 | $291.93 |
| VirginiaVirginia | $940.67 | $289.26 |
| Virgin Islands, VIUnited States Virgin Islands | $970.30 | $300.34 |
| Rest of WashingtonWashington | $996.82 | $299.02 |
| King County, WAWashington | $1,134.72 | $321.61 |
| WisconsinWisconsin | $909.49 | $274.64 |
| West VirginiaWest Virginia | $879.07 | $303.20 |
| WyomingWyoming | $954.36 | $291.69 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,090.97 | 1 |
| AL | $856.07 | 1 |
| AR | $842.58 | 1 |
| AZ | $935.04 | 1 |
| CA | $1,022.35–$1,296.69 | 29 |
| CO | $1,005.43 | 1 |
| CT | $1,030.20 | 1 |
| DC | $1,108.50 | 1 |
| DE | $951.45 | 1 |
| FL | $945.92–$1,041.56 | 3 |
| GA | $888.55–$981.43 | 2 |
| GU | $1,050.93 | 1 |
| HI | $1,050.93 | 1 |
| IA | $880.40 | 1 |
| ID | $886.52 | 1 |
| IL | $915.91–$1,008.74 | 4 |
| IN | $892.13 | 1 |
| KS | $875.63 | 1 |
| KY | $877.54 | 1 |
| LA | $875.93–$923.14 | 2 |
| MA | $998.53–$1,110.84 | 2 |
| MD | $970.81–$1,108.50 | 3 |
| ME | $891.25–$944.23 | 2 |
| MI | $902.14–$958.41 | 2 |
| MN | $961.80 | 1 |
| MO | $859.37–$927.05 | 3 |
| MS | $851.17 | 1 |
| MT | $962.55 | 1 |
| NC | $901.43 | 1 |
| ND | $943.77 | 1 |
| NE | $885.73 | 1 |
| NH | $989.08 | 1 |
| NJ | $1,041.52–$1,095.41 | 2 |
| NM | $907.39 | 1 |
| NV | $958.06 | 1 |
| NY | $916.08–$1,142.15 | 5 |
| OH | $898.30 | 1 |
| OK | $876.13 | 1 |
| OR | $950.22–$1,039.89 | 2 |
| PA | $900.01–$1,002.56 | 2 |
| PR | $970.30 | 1 |
| RI | $987.26 | 1 |
| SC | $901.45 | 1 |
| SD | $941.54 | 1 |
| TN | $880.39 | 1 |
| TX | $893.57–$1,002.42 | 8 |
| UT | $914.85 | 1 |
| VA | $940.67–$1,108.50 | 2 |
| VI | $970.30 | 1 |
| VT | $939.52 | 1 |
| WA | $996.82–$1,134.72 | 2 |
| WI | $909.49 | 1 |
| WV | $879.07 | 1 |
| WY | $954.36 | 1 |
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
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 Vermont 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
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.65 | × 1.000 | 5.6500 |
| Practice expense | 22.22 | × 0.990 | 21.9978 |
| Malpractice | 0.95 | × 0.506 | 0.4807 |
| Total RVUs | 28.1285 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Vermont$939.52
Office: (5.65 × 1 + 22.22 × 0.99 + 0.95 × 0.506) × $33.4009 = $939.52
Facility: (5.65 × 1 + 2.38 × 0.99 + 0.95 × 0.506) × $33.4009 = $283.47
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
| 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 · 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.
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).
How 36561 has changed in Vermont
36561 · Office / nonfacility
$939.52
Effective 2026-10-01
The base rate is $58.76 higher than on 2025-10-01, moving from $880.76 to $939.52 (6.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
$880.76changed to$939.52
- 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 0.993 changed to 0.990
- Malpractice GPCI 0.518 changed to 0.506
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$936.16changed to$880.76
- 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.
March 9, 2024
RVU24AR
$920.88changed to$936.16
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$988.21changed to$920.88
- 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 0.997 changed to 0.993
- Malpractice GPCI 0.543 changed to 0.518
January 1, 2023
RVU23A
$1047.34changed to$988.21
- 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 1.001 changed to 0.997
- Malpractice GPCI 0.569 changed to 0.543
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1099.98changed to$1047.34
- 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.
January 1, 2021
RVU21A
$1097.57changed to$1099.98
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 23.89 changed to 25.18
- Practice expense GPCI 1.008 changed to 1.001
- Malpractice GPCI 0.582 changed to 0.569
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1102.35changed to$1097.57
- 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 1.015 changed to 1.008
- Malpractice GPCI 0.595 changed to 0.582
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1108.87changed to$1102.35
- 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.
January 1, 2018
RVU18AR1
$1105.88changed to$1108.87
- 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 1.010 changed to 1.015
- Malpractice GPCI 0.639 changed to 0.595
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1192.23changed to$1105.88
- 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 1.004 changed to 1.010
- Malpractice GPCI 0.682 changed to 0.639
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1195.70changed to$1192.23
- 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.
July 1, 2015
RVU15C
$1189.75changed to$1195.70
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1189.57changed to$1189.75
- 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 1.006 changed to 1.004
- Malpractice GPCI 0.618 changed to 0.682
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$1189.57
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $939.52 | $283.47 | RVU26D |
| 2026-07-01 | $939.52 | $283.47 | RVU26C |
| 2026-04-01 | $939.52 | $283.47 | RVU26B |
| 2026-01-01 | $939.52 | $283.47 | RVU26A |
| 2025-10-01 | $880.76 | $303.24 | RVU25D |
| 2025-07-01 | $880.76 | $303.24 | RVU25C |
| 2025-04-01 | $880.76 | $303.24 | RVU25B |
| 2025-01-01 | $880.76 | $303.24 | RVU25A |
| 2024-10-01 | $936.16 | $310.43 | RVU24D |
| 2024-07-01 | $936.16 | $310.43 | RVU24C |
| 2024-04-01 | $936.16 | $310.43 | RVU24B |
| 2024-03-09 | $936.16 | $310.43 | RVU24AR |
| 2024-01-01 | $920.88 | $305.37 | RVU24A |
| 2023-10-01 | $988.21 | $317.56 | RVU23D |
| 2023-07-01 | $988.21 | $317.56 | RVU23C |
| 2023-04-01 | $988.21 | $317.56 | RVU23B |
| 2023-01-01 | $988.21 | $317.56 | RVU23A |
| 2022-10-01 | $1,047.34 | $325.42 | RVU22D |
| 2022-07-01 | $1,047.34 | $325.42 | RVU22C |
| 2022-04-01 | $1,047.34 | $325.42 | RVU22B |
| 2022-01-01 | $1,047.34 | $325.42 | RVU22A |
| 2021-10-01 | $1,099.98 | $327.03 | RVU21D |
| 2021-07-01 | $1,099.98 | $327.03 | RVU21C |
| 2021-04-01 | $1,099.98 | $327.03 | RVU21B |
| 2021-01-01 | $1,099.98 | $327.03 | RVU21A |
| 2020-10-01 | $1,097.57 | $338.36 | RVU20D |
| 2020-07-01 | $1,097.57 | $338.36 | RVU20C |
| 2020-04-01 | $1,097.57 | $338.36 | RVU20B |
| 2020-01-01 | $1,097.57 | $338.36 | RVU20A |
| 2019-10-01 | $1,102.35 | $338.93 | RVU19D |
| 2019-07-01 | $1,102.35 | $338.93 | RVU19C |
| 2019-04-01 | $1,102.35 | $338.93 | RVU19B |
| 2019-01-01 | $1,102.35 | $338.93 | RVU19A |
| 2018-10-01 | $1,108.87 | $340.08 | RVU18D |
| 2018-07-01 | $1,108.87 | $340.08 | RVU18C |
| 2018-04-01 | $1,108.87 | $340.08 | RVU18B |
| 2018-01-01 | $1,108.87 | $340.08 | RVU18AR1 |
| 2017-10-01 | $1,105.88 | $341.78 | RVU17D |
| 2017-07-01 | $1,105.88 | $341.78 | RVU17C |
| 2017-04-01 | $1,105.88 | $341.78 | RVU17B |
| 2017-01-01 | $1,105.88 | $341.78 | RVU17A |
| 2016-10-01 | $1,192.23 | $356.81 | RVU16D |
| 2016-07-01 | $1,192.23 | $356.81 | RVU16C |
| 2016-04-01 | $1,192.23 | $356.81 | RVU16B |
| 2016-01-01 | $1,192.23 | $356.81 | RVU16A |
| 2015-10-01 | $1,195.70 | $357.63 | RVU15D |
| 2015-07-01 | $1,195.70 | $357.63 | RVU15C |
| 2015-04-01 | $1,189.75 | $355.85 | RVU15B |
| 2015-01-01 | $1,189.75 | $355.85 | RVU15A |
| 2014-10-01 | $1,189.57 | $355.30 | RVU14D |
| 2014-07-01 | $1,189.57 | $355.30 | RVU14C |
| 2014-04-01 | $1,189.57 | $355.30 | RVU14B |
| 2014-01-01 | $1,189.57 | $355.30 | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
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
Fee sheets
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Your codes at your locality, with payer contracts beside Medicare.
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