CPT code 36568: PICC insertion, under 5, no imaging2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $89.66 for 36568 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 36568 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 36568 covers

Code 36568 represents placement of a peripherally inserted central catheter in a child younger than 5, with the catheter advanced from a peripheral vein into central circulation and no imaging guidance used. Pediatric hospitalists, intensivists, surgeons, and other clinicians trained in vascular access may perform the placement at the bedside or in a procedure setting for therapies such as prolonged intravenous antibiotics or parenteral nutrition. This is not a tunneled catheter or a PICC with a subcutaneous port.

Choose the code based on the patient’s age on the procedure date and whether imaging guidance is used. Document the patient’s age, catheter route and placement, and whether imaging guidance was used. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery; 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 Washington, DC area compares for 36568

Across 109 of 109 payment localities, the facility rate for 36568 runs from $77.56 in Wisconsin to $114.75 in Alaska. Washington, DC area pays $89.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

36568 rates by state

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

See 36568 in every payment locality

How the 36568 rate is calculated

Each of 36568’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 36568

The CMS indicators that decide how 36568 is paid alongside other services.

Codes related to 36568

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

How 36568 has changed in Washington, DC area

Price 36568 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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