CPT code 36563: Port placement, two catheters2026 Medicare rate & RVUs in Massachusetts
Reports placement of a tunneled central venous access device with subcutaneous port access requiring two catheters for long-term vascular access.
Medicare pays $1,207.14–$1,346.48 for 36563 in the office in Massachusetts, from Rest of Massachusetts to Metropolitan Boston, MA. 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.
Your location
On this page 9 sections
What 36563 covers
This service places a tunneled central venous access device with a subcutaneous port and two catheters. A surgeon or interventional radiologist typically performs the procedure in an operating room or procedural suite when the treatment plan requires two catheter pathways for ongoing access, such as for distinct infusion needs. The implanted port provides access through the skin after the insertion sites heal.
Select this code when the documented device configuration requires two catheters and includes a subcutaneous port; a single-catheter port or a tunneled catheter without a port is a different service. The operative report should establish the tunneled central placement, port configuration, and need for both catheters. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires 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.
Where 36563 pays more and less in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | $1,346.48 | $364.62 |
| Rest of Massachusetts | $1,207.14 | $341.23 |
How the 36563 rate is calculated
Each of 36563’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 · 36563
RVUs × geographic indexes × conversion factor
Work5.84
5.84 RVUs× 1.000 GPCI
Practice expense27.62
27.62 RVUs× 1.000 GPCI
Malpractice1.41
1.41 RVUs× 1.000 GPCI
Adjusted RVUs
34.8700
Conversion factor
$33.4009
Medicare rate
$1,164.69
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36563
36563 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 36563
Port placement, two catheters
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 · 36563
Port placement, two catheters
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 51 · payment effect
With and without the modifier
36563 without 51 · national office
$1,164.69
Port placement, two catheters
36563-51 · Second procedure: 50%
$582.35
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
36563 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 36561Port placementAge five or older
- Both involve tunneled central access with a subcutaneous port; choose 36563 when the device requires two catheters rather than one.
- 36558Tunneled catheterAge 5 years or older
- Code 36558 describes tunneled central catheter placement without a subcutaneous port for a patient age 5 or older. This code includes a port and requires two catheters.
- 36566Tunneled catheterTwo catheters, age 5+
- Both describe tunneled central access requiring two catheters in a patient age 5 or older; 36566 is for a device without a subcutaneous port.
36563 billing questions
How does this differ from 36561?
This code is for a port device requiring two catheters. Code 36561 describes a tunneled port placement with a single catheter.
When should 36558 be considered instead?
Use 36558 for a tunneled central venous catheter without a subcutaneous port in a patient age 5 or older. The port and two-catheter configuration distinguish this service.
Are related postoperative visits separately payable during the global period?
Related postoperative visits within the 10-day global period are included in the procedure payment.
Can modifier 50 be reported for two catheters?
No. The two-catheter device configuration is not a bilateral service, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
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
Put 36563 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet