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CPT code 36565: Tunneled catheter, two catheters, no port or pump2026 Medicare rate & RVUs in Los Angeles, CA

Reports placement of two tunneled central venous catheters without a port or pump in a patient age five years or older.

CMS RVU26DEffective Oct 1, 2026One payment locality516 Medicare services in 2024

In Los Angeles, CA, Medicare pays $969.92 for 36565 in the office and $322.29 when it’s performed in a hospital or facility.

$969.92Office (non-facility)
$322.29Hospital or facility
+12.7%vs the national office rate ($860.41)

Check a contract rate as a % of Medicare · 36565 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 36565 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 36565 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 36565 covers

This service places two catheters through a subcutaneous tunnel into central venous access, without an implanted port or infusion pump. It is used when the patient needs two separate catheter pathways for ongoing access, such as for complex infusion or dialysis needs. A surgeon or interventional radiologist typically performs the insertion in a hospital or other procedural setting. The code is for patients age five years or older; the number of catheters and the absence of a port or pump distinguish it from related insertion services.

Report one unit for the insertion service involving both catheters, rather than a separate unit for each catheter. The procedure note should identify the patient’s age, the two catheters placed, their tunneled route, and that no port or pump was implanted. CMS assigns a 10-day global period, so related postoperative visits during those 10 days are included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. 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 Los Angeles, CA compares for 36565

Across 109 of 109 payment localities, the office rate for 36565 runs from $751.68 in Arkansas to $1,141.14 in San Benito County, CA. Los Angeles, CA pays $969.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

36565 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$969.92
  2. Bakersfield, CA · California$908.63−$61.29
  3. Chico, CA · California$905.28−$64.64
  4. El Centro, CA · California$905.48−$64.44
  5. Fresno, CA · California$905.28−$64.64
  6. Hanford, CA · California$905.28−$64.64
  7. Madera, CA · California$905.28−$64.64

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

Every other payment area

36565 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$905.28$305.28
Modesto, CACalifornia$905.28$305.28
Napa, CACalifornia$1,052.89$331.36
Oxnard, CACalifornia$965.16$318.09
Redding, CACalifornia$905.28$305.28
Rest of CaliforniaCalifornia$905.28$305.28
Riverside, CACalifornia$918.38$318.39
Sacramento, CACalifornia$951.14$314.46

36565 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.

$751.68

$1,023.21

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

View every state and territory as a table
36565 office rate range by state
State / territoryOffice rate rangeLocalities
AK$977.481
AL$763.851
AR$751.681
AZ$834.981
CA$905.28–$1,141.1429
CO$894.131
CT$921.321
DC$987.511
DE$849.661
FL$853.14–$948.583
GA$800.09–$879.262
GU$929.691
HI$929.691
IA$782.211
ID$788.461
IL$828.46–$917.654
IN$793.401
KS$779.631
KY$786.911
LA$786.14–$828.722
MA$888.59–$986.072
MD$866.52–$987.513
ME$794.53–$839.692
MI$810.77–$866.282
MN$850.021
MO$772.28–$830.203
MS$762.071
MT$860.331
NC$803.421
ND$836.201
NE$786.481
NH$881.181
NJ$929.96–$976.022
NM$816.231
NV$854.231
NY$816.76–$1,026.665
OH$805.841
OK$783.811
OR$845.78–$923.032
PA$806.43–$897.542
PR$866.741
RI$880.411
SC$806.341
SD$833.351
TN$784.121
TX$800.73–$892.738
UT$818.391
VA$837.70–$987.512
VI$866.741
VT$833.971
WA$886.56–$1,005.612
WI$805.711
WV$795.321
WY$849.811

See 36565 in every payment locality

How the 36565 rate is calculated

Each of 36565’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 · 36565

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.65

5.65 RVUs× 1.000 GPCI

Practice expense18.89

18.89 RVUs× 1.000 GPCI

Malpractice1.22

1.22 RVUs× 1.000 GPCI

Adjusted RVUs

25.7600

Conversion factor

$33.4009

Medicare rate

$860.41

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

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,511

Code
36565
Physician work
5.65
Practice expense
18.89
Malpractice
1.22

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 36565 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work5.65× 1.0415.8816
Practice expense18.89× 1.18322.3469
Malpractice1.22× 0.6640.8101
Total RVUs29.0386
Conversion factor× 33.4009

Office rate, Los Angeles, CA$969.92

Office: (5.65 × 1.041 + 18.89 × 1.183 + 1.22 × 0.664) × $33.4009 = $969.92

Facility: (5.65 × 1.041 + 2.5 × 1.183 + 1.22 × 0.664) × $33.4009 = $322.29

Open 36565 in the RVU calculator

Payment rules and modifiers for 36565

36565 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 36565

Tunneled catheter, two catheters, no port or pump

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 · 36565

Tunneled catheter, two catheters, no port or pump

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

36565 without 50 · national office

$860.41

Tunneled catheter, two catheters, no port or pump

36565-50 · Bilateral: 150%

$1,290.62

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 36565

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

Codes related to 36565
CodeHow it relatesOffice range, Los Angeles, CA
Same family
36558Tunneled catheter, age 5 years or olderSingle tunneled catheter for a patient age five years or older, without a port or pump.$899.38
36557Tunneled catheter, under age five, no portRelated single-catheter service for a patient younger than five years.$1,448.39
36566Tunneled catheter, two catheters, age 5+Related two-catheter insertion when a subcutaneous port is included.$5,162.10
36561Port placement, age five or olderTunneled central access device with a subcutaneous port for a patient age five years or older.$1,095.51
Used instead
36556Central line insertion, age 5 years or olderConsider for central catheter placement without a subcutaneous tunnel in a patient age five years or older.$269.24

How 36565 has changed in Los Angeles, CA

36565 · Office / nonfacility

$969.92

Effective 2026-10-01

The base rate is $99.57 higher than on 2025-10-01, moving from $870.35 to $969.92 (11.4%).

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

    $870.35changed to$969.92

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.79 changed to 5.65
    • Practice expense RVU 16.76 changed to 18.89
    • Malpractice RVU 1.25 changed to 1.22
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $923.09changed to$870.35

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 17.45 changed to 16.76

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $908.03changed to$923.09

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $948.08changed to$908.03

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 17.74 changed to 17.45
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690

  5. January 1, 2023

    RVU23A

    $994.29changed to$948.08

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 18.47 changed to 17.74
    • Malpractice RVU 1.27 changed to 1.25
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1031.93changed to$994.29

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 19.20 changed to 18.47
    • Malpractice RVU 1.25 changed to 1.27

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1014.74changed to$1031.93

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 17.99 changed to 19.20
    • Malpractice RVU 1.24 changed to 1.25
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1005.17changed to$1014.74

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 17.82 changed to 17.99
    • Work GPCI 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1017.28changed to$1005.17

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 18.12 changed to 17.82
    • Malpractice RVU 1.26 changed to 1.24

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1014.83changed to$1017.28

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 18.14 changed to 18.12
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1118.40changed to$1014.83

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 6.04 changed to 5.79
    • Practice expense RVU 20.41 changed to 18.14
    • Malpractice RVU 1.34 changed to 1.26
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1112.01changed to$1118.40

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 20.16 changed to 20.41

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1106.48changed to$1112.01

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1117.47changed to$1106.48

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 20.68 changed to 20.16
    • Malpractice RVU 1.23 changed to 1.34
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1171.60changed to$1117.47

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 23.70 changed to 20.68
    • Malpractice RVU 1.29 changed to 1.23
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$1171.60

  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$969.92$322.29RVU26D
2026-07-01$969.92$322.29RVU26C
2026-04-01$969.92$322.29RVU26B
2026-01-01$969.92$322.29RVU26A
2025-10-01$870.35$338.53RVU25D
2025-07-01$870.35$338.53RVU25C
2025-04-01$870.35$338.53RVU25B
2025-01-01$870.35$338.53RVU25A
2024-10-01$923.09$346.39RVU24D
2024-07-01$923.09$346.39RVU24C
2024-04-01$923.09$346.39RVU24B
2024-03-09$923.09$346.39RVU24AR
2024-01-01$908.03$340.74RVU24A
2023-10-01$948.08$350.95RVU23D
2023-07-01$948.08$350.95RVU23C
2023-04-01$948.08$350.95RVU23B
2023-01-01$948.08$350.95RVU23A
2022-10-01$994.29$359.55RVU22D
2022-07-01$994.29$359.55RVU22C
2022-04-01$994.29$359.55RVU22B
2022-01-01$994.29$359.55RVU22A
2021-10-01$1,031.93$359.13RVU21D
2021-07-01$1,031.93$359.13RVU21C
2021-04-01$1,031.93$359.13RVU21B
2021-01-01$1,031.93$359.13RVU21A
2020-10-01$1,014.74$364.97RVU20D
2020-07-01$1,014.74$364.97RVU20C
2020-04-01$1,014.74$364.97RVU20B
2020-01-01$1,014.74$364.97RVU20A
2019-10-01$1,005.17$359.57RVU19D
2019-07-01$1,005.17$359.57RVU19C
2019-04-01$1,005.17$359.57RVU19B
2019-01-01$1,005.17$359.57RVU19A
2018-10-01$1,017.28$360.94RVU18D
2018-07-01$1,017.28$360.94RVU18C
2018-04-01$1,017.28$360.94RVU18B
2018-01-01$1,017.28$360.94RVU18AR1
2017-10-01$1,014.83$364.96RVU17D
2017-07-01$1,014.83$364.96RVU17C
2017-04-01$1,014.83$364.96RVU17B
2017-01-01$1,014.83$364.96RVU17A
2016-10-01$1,118.40$386.38RVU16D
2016-07-01$1,118.40$386.38RVU16C
2016-04-01$1,118.40$386.38RVU16B
2016-01-01$1,118.40$386.38RVU16A
2015-10-01$1,112.01$386.10RVU15D
2015-07-01$1,112.01$386.10RVU15C
2015-04-01$1,106.48$384.18RVU15B
2015-01-01$1,106.48$384.18RVU15A
2014-10-01$1,117.47$378.66RVU14D
2014-07-01$1,117.47$378.66RVU14C
2014-04-01$1,117.47$378.66RVU14B
2014-01-01$1,117.47$378.66RVU14A
2013-10-01$1,171.60$367.50RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 36565 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

Browse all communities in California

36565 billing questions

How does this differ from 36558?

This code is for a patient age five years or older who needs two tunneled catheters without a port or pump. 36558 describes the corresponding single-catheter service.

Can I report one unit for each catheter?

No. The service is reported once for the insertion involving two catheters; do not report a separate unit for each catheter.

When is 36566 a better fit?

Use 36566 when the two-catheter insertion includes a subcutaneous port. This code describes two catheters without a port or pump.

Are related postoperative visits separately payable during the global period?

Related postoperative visits during the 10-day global period are included in this procedure.

Can an assistant or another surgeon be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. CMS does not permit co-surgeon or team-surgery reporting for this code.

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 36565PPRRVU2026_Oct_nonQPP.csv, line 4,511 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

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