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CPT code 36563: Port placement, two catheters2026 Medicare rate & RVUs in Nevada

Reports placement of a tunneled central venous access device with subcutaneous port access requiring two catheters for long-term vascular access.

CMS RVU26DEffective Oct 1, 2026One payment locality110 Medicare services in 2024

In Nevada, Medicare pays $1,157.75 for 36563 in the office and $334.59 when it’s performed in a hospital or facility.

$1,157.75Office (non-facility)
$334.59Hospital or facility
−0.6%vs the national office rate ($1,164.69)

Check a contract rate as a % of Medicare · 36563 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 36563 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 36563 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 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.

How Nevada compares for 36563

Across 109 of 109 payment localities, the office rate for 36563 runs from $1,011.77 in Arkansas to $1,572.05 in San Benito County, CA. Nevada pays $1,157.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

36563 in Nevada vs other payment areas
  1. Nevada · this page$1,157.75
  2. Los Angeles, CA · California$1,325.69+$167.94
  3. Washington, DC area · District of Columbia$1,344.76+$187.01
  4. Miami, FL · Florida$1,274.52+$116.77
  5. Chicago, IL · Illinois$1,231.66+$73.91
  6. Manhattan, NY · New York$1,354.22+$196.47
  7. Alaska · Alaska$1,301.04+$143.29

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

Every other payment area

36563 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,028.93$309.39
ArkansasArkansas$1,011.77$305.39
ArizonaArizona$1,129.31$332.47
Bakersfield, CACalifornia$1,238.54$337.27
Chico, CACalifornia$1,234.72$333.44
El Centro, CACalifornia$1,234.95$333.68
Fresno, CACalifornia$1,234.72$333.44
Hanford, CACalifornia$1,234.72$333.44

36563 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.

$1,011.77

$1,403.39

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

View every state and territory as a table
36563 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,301.041
AL$1,028.931
AR$1,011.771
AZ$1,129.311
CA$1,234.72–$1,572.0529
CO$1,215.761
CT$1,249.521
DC$1,344.761
DE$1,149.841
FL$1,147.79–$1,274.523
GA$1,074.10–$1,189.502
GU$1,271.251
HI$1,271.251
IA$1,057.881
ID$1,066.071
IL$1,110.94–$1,231.664
IN$1,073.141
KS$1,052.771
KY$1,058.291
LA$1,056.62–$1,116.662
MA$1,207.14–$1,346.482
MD$1,173.85–$1,344.763
ME$1,073.08–$1,139.012
MI$1,090.50–$1,164.712
MN$1,158.291
MO$1,036.16–$1,120.503
MS$1,024.171
MT$1,164.601
NC$1,085.881
ND$1,136.711
NE$1,064.361
NH$1,196.631
NJ$1,261.93–$1,327.792
NM$1,097.591
NV$1,157.751
NY$1,104.58–$1,391.895
OH$1,084.811
OK$1,055.481
OR$1,147.01–$1,258.162
PA$1,086.45–$1,215.112
PR$1,174.131
RI$1,193.751
SC$1,087.511
SD$1,133.421
TN$1,058.931
TX$1,078.32–$1,213.228
UT$1,104.531
VA$1,135.16–$1,344.762
VI$1,174.131
VT$1,132.201
WA$1,204.86–$1,375.242
WI$1,093.351
WV$1,064.141
WY$1,152.441

See 36563 in every payment locality

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

Office or facility?

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.

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,510

Code
36563
Physician work
5.84
Practice expense
27.62
Malpractice
1.41

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 36563 in Nevada
ComponentRVULocality factorAdjusted
Physician work5.84× 1.0005.8400
Practice expense27.62× 1.00127.6476
Malpractice1.41× 0.8331.1745
Total RVUs34.6621
Conversion factor× 33.4009

Office rate, Nevada$1157.75

Office: (5.84 × 1 + 27.62 × 1.001 + 1.41 × 0.833) × $33.4009 = $1157.75

Facility: (5.84 × 1 + 3 × 1.001 + 1.41 × 0.833) × $33.4009 = $334.59

Open 36563 in the RVU calculator

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

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)0The 150% bilateral adjustment doesn’t apply.
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 · 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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

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%).

When to use modifier 51

Codes related to 36563

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

Codes related to 36563
CodeHow it relatesOffice range, Nevada
Same family
36561Port placement, age five or olderTunneled port placement for a single catheter in a patient age 5 or older.$958.06
Used instead
36558Tunneled catheter, age 5 years or olderTunneled central catheter without a subcutaneous port for a patient age 5 or older.$784.64
36557Tunneled catheter, under age five, no portTunneled central catheter without a subcutaneous port for a patient younger than 5.$1,256.14
36566Tunneled catheter, two catheters, age 5+Tunneled central access device without a port, requiring two catheters, for a patient age 5 or older.$4,403.10
36565Tunneled catheter, two catheters, no port or pumpTunneled central access device without a port, requiring two catheters, for a patient younger than 5.$854.23

How 36563 has changed in Nevada

36563 · Office / nonfacility

$1157.75

Effective 2026-10-01

The base rate is $155.05 higher than on 2025-10-01, moving from $1002.70 to $1157.75 (15.5%).

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

    $1002.70changed to$1157.75

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.99 changed to 5.84
    • Practice expense RVU 23.92 changed to 27.62
    • Malpractice RVU 1.29 changed to 1.41
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1069.13changed to$1002.70

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 25.09 changed to 23.92
    • Malpractice RVU 1.23 changed to 1.29

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1051.68changed to$1069.13

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1156.14changed to$1051.68

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 26.70 changed to 25.09
    • Malpractice RVU 1.30 changed to 1.23
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $1225.45changed to$1156.14

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 27.50 changed to 26.70
    • Malpractice RVU 1.40 changed to 1.30
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1279.09changed to$1225.45

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 28.80 changed to 27.50
    • Malpractice RVU 1.36 changed to 1.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1231.45changed to$1279.09

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 26.56 changed to 28.80
    • Malpractice RVU 1.37 changed to 1.36
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1254.97changed to$1231.45

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 27.15 changed to 26.56
    • Malpractice RVU 1.33 changed to 1.37
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1275.49changed to$1254.97

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 27.73 changed to 27.15
    • Malpractice RVU 1.35 changed to 1.33

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1286.18changed to$1275.49

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 27.59 changed to 27.73
    • Malpractice RVU 1.37 changed to 1.35
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1412.71changed to$1286.18

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 6.24 changed to 5.99
    • Practice expense RVU 30.22 changed to 27.59
    • Malpractice RVU 1.45 changed to 1.37
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1424.68changed to$1412.71

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 30.43 changed to 30.22
    • Malpractice RVU 1.42 changed to 1.45

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1417.59changed to$1424.68

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1403.34changed to$1417.59

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 29.90 changed to 30.43
    • Malpractice RVU 1.25 changed to 1.42
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1503.33changed to$1403.34

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 34.34 changed to 29.90
    • Malpractice RVU 1.31 changed to 1.25
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$1503.33

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,157.75$334.59RVU26D
2026-07-01$1,157.75$334.59RVU26C
2026-04-01$1,157.75$334.59RVU26B
2026-01-01$1,157.75$334.59RVU26A
2025-10-01$1,002.70$343.16RVU25D
2025-07-01$1,002.70$343.16RVU25C
2025-04-01$1,002.70$343.16RVU25B
2025-01-01$1,002.70$343.16RVU25A
2024-10-01$1,069.13$350.45RVU24D
2024-07-01$1,069.13$350.45RVU24C
2024-04-01$1,069.13$350.45RVU24B
2024-03-09$1,069.13$350.45RVU24AR
2024-01-01$1,051.68$344.73RVU24A
2023-10-01$1,156.14$369.96RVU23D
2023-07-01$1,156.14$369.96RVU23C
2023-04-01$1,156.14$369.96RVU23B
2023-01-01$1,156.14$369.96RVU23A
2022-10-01$1,225.45$391.79RVU22D
2022-07-01$1,225.45$391.79RVU22C
2022-04-01$1,225.45$391.79RVU22B
2022-01-01$1,225.45$391.79RVU22A
2021-10-01$1,279.09$391.76RVU21D
2021-07-01$1,279.09$391.76RVU21C
2021-04-01$1,279.09$391.76RVU21B
2021-01-01$1,279.09$391.76RVU21A
2020-10-01$1,231.45$389.84RVU20D
2020-07-01$1,231.45$389.84RVU20C
2020-04-01$1,231.45$389.84RVU20B
2020-01-01$1,231.45$389.84RVU20A
2019-10-01$1,254.97$380.09RVU19D
2019-07-01$1,254.97$380.09RVU19C
2019-04-01$1,254.97$380.09RVU19B
2019-01-01$1,254.97$380.09RVU19A
2018-10-01$1,275.49$382.16RVU18D
2018-07-01$1,275.49$382.16RVU18C
2018-04-01$1,275.49$382.16RVU18B
2018-01-01$1,275.49$382.16RVU18AR1
2017-10-01$1,286.18$385.92RVU17D
2017-07-01$1,286.18$385.92RVU17C
2017-04-01$1,286.18$385.92RVU17B
2017-01-01$1,286.18$385.92RVU17A
2016-10-01$1,412.71$404.21RVU16D
2016-07-01$1,412.71$404.21RVU16C
2016-04-01$1,412.71$404.21RVU16B
2016-01-01$1,412.71$404.21RVU16A
2015-10-01$1,424.68$404.61RVU15D
2015-07-01$1,424.68$404.61RVU15C
2015-04-01$1,417.59$402.60RVU15B
2015-01-01$1,417.59$402.60RVU15A
2014-10-01$1,403.34$402.96RVU14D
2014-07-01$1,403.34$402.96RVU14C
2014-04-01$1,403.34$402.96RVU14B
2014-01-01$1,403.34$402.96RVU14A
2013-10-01$1,503.33$405.44RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 36563 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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
RVUs for 36563PPRRVU2026_Oct_nonQPP.csv, line 4,510 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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