CPT code 36565: Tunneled catheter, two catheters, no port or pump2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $833.35 for 36565 in the office and $285.91 when it’s performed in a hospital or facility.

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.

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 South Dakota 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. South Dakota pays $833.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

36565 rates by state

Office rate range in each state. Select a state to see its payment localities.

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.

Payment rules and modifiers for 36565

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

What modifiers do to the payment

When to use modifier 50

Codes related to 36565

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

How 36565 has changed in South Dakota

Price 36565 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates