CPT code 36568: PICC insertion, under 5, no imaging2026 Medicare rate & RVUs in North Dakota

Placement of a peripherally inserted central catheter in a child younger than 5, reported when insertion uses no imaging guidance.

CMS RVU26DEffective Oct 1, 2026One payment locality

In North Dakota, Medicare pays $78.68 for 36568 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$78.68Hospital or facility

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.

We’ll open 36568 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 36568 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 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 North Dakota 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. North Dakota pays $78.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

36568 in North Dakota vs other payment areas
  1. North Dakota · this page$78.68
  2. Los Angeles, CA · California$84.90+$6.22
  3. Washington, DC area · District of Columbia$89.66+$10.98
  4. Miami, FL · Florida$97.37+$18.69
  5. Chicago, IL · Illinois$95.60+$16.92
  6. Manhattan, NY · New York$94.36+$15.68
  7. Alaska · Alaska$114.75+$36.07

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

Every other payment area

36568 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$79.27
ArkansasArkansas—$78.73
ArizonaArizona—$82.39
Bakersfield, CACalifornia—$82.36
Chico, CACalifornia—$81.59
El Centro, CACalifornia—$81.63
Fresno, CACalifornia—$81.59
Hanford, CACalifornia—$81.59

36568 rates by state

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

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.

View every state and territory as a table
36568 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

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.

How the rate is built · 36568

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.06

2.06 RVUs× 1.000 GPCI

Practice expense0.19

0.19 RVUs× 1.000 GPCI

Malpractice0.26

0.26 RVUs× 1.000 GPCI

Adjusted RVUs

2.5100

Conversion factor

$33.4009

Medicare rate

$83.84

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

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,513

Code
36568
Physician work
2.06
Practice expense
0.19
Malpractice
0.26

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Facility calculation for 36568 in North Dakota
ComponentRVULocality factorAdjusted
Physician work2.06× 1.0002.0600
Practice expense0.19× 1.0000.1900
Malpractice0.26× 0.4060.1056
Total RVUs2.3556
Conversion factor× 33.4009

Facility rate, North Dakota$78.68

Facility: (2.06 × 1 + 0.19 × 1 + 0.26 × 0.406) × $33.4009 = $78.68

Open 36568 in the RVU calculator

Payment rules and modifiers for 36568

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

CMS payment indicators · 36568

PICC insertion, under 5, no imaging

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 36568 has changed in North Dakota

36568 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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, 2019

    RVU19A

    $220.71changed toNo rate

    Held through RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.

  2. January 1, 2018

    RVU18AR1

    $249.70changed to$220.71

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.20 changed to 4.38
    • Malpractice RVU 0.16 changed to 0.15
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  3. January 1, 2017

    RVU17A

    $304.49changed to$249.70

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 1.92 changed to 1.67
    • Practice expense RVU 6.49 changed to 5.20
    • Malpractice RVU 0.17 changed to 0.16
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  4. January 1, 2016

    RVU16A

    $307.42changed to$304.49

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.53 changed to 6.49
    • Malpractice RVU 0.19 changed to 0.17

    Held through RVU16B, RVU16C, RVU16D.

  5. July 1, 2015

    RVU15C

    $305.89changed to$307.42

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  6. January 1, 2015

    RVU15A

    $299.88changed to$305.89

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.36 changed to 6.53
    • Malpractice RVU 0.17 changed to 0.19
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  7. January 1, 2014

    RVU14A

    $298.49changed to$299.88

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.76 changed to 6.36
    • Malpractice RVU 0.18 changed to 0.17
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  8. January 1, 2013

    RVU13AR

    Earliest loaded release: $298.49

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$78.68RVU26D
2026-07-01Not available in this setting$78.68RVU26C
2026-04-01Not available in this setting$78.68RVU26B
2026-01-01Not available in this setting$78.68RVU26A
2025-10-01Not available in this setting$84.72RVU25D
2025-07-01Not available in this setting$84.72RVU25C
2025-04-01Not available in this setting$84.72RVU25B
2025-01-01Not available in this setting$84.72RVU25A
2024-10-01Not available in this setting$85.86RVU24D
2024-07-01Not available in this setting$85.86RVU24C
2024-04-01Not available in this setting$85.86RVU24B
2024-03-09Not available in this setting$85.86RVU24AR
2024-01-01Not available in this setting$84.46RVU24A
2023-10-01Not available in this setting$87.38RVU23D
2023-07-01Not available in this setting$87.38RVU23C
2023-04-01Not available in this setting$87.38RVU23B
2023-01-01Not available in this setting$87.38RVU23A
2022-10-01Not available in this setting$88.26RVU22D
2022-07-01Not available in this setting$88.26RVU22C
2022-04-01Not available in this setting$88.26RVU22B
2022-01-01Not available in this setting$88.26RVU22A
2021-10-01Not available in this setting$88.65RVU21D
2021-07-01Not available in this setting$88.65RVU21C
2021-04-01Not available in this setting$88.65RVU21B
2021-01-01Not available in this setting$88.65RVU21A
2020-10-01Not available in this setting$92.82RVU20D
2020-07-01Not available in this setting$92.82RVU20C
2020-04-01Not available in this setting$92.82RVU20B
2020-01-01Not available in this setting$92.82RVU20A
2019-10-01Not available in this setting$92.52RVU19D
2019-07-01Not available in this setting$92.52RVU19C
2019-04-01Not available in this setting$92.52RVU19B
2019-01-01Not available in this setting$92.52RVU19A
2018-10-01$220.71$74.20RVU18D
2018-07-01$220.71$74.20RVU18C
2018-04-01$220.71$74.20RVU18B
2018-01-01$220.71$74.20RVU18AR1
2017-10-01$249.70$85.68RVU17D
2017-07-01$249.70$85.68RVU17C
2017-04-01$249.70$85.68RVU17B
2017-01-01$249.70$85.68RVU17A
2016-10-01$304.49$97.90RVU16D
2016-07-01$304.49$97.90RVU16C
2016-04-01$304.49$97.90RVU16B
2016-01-01$304.49$97.90RVU16A
2015-10-01$307.42$100.08RVU15D
2015-07-01$307.42$100.08RVU15C
2015-04-01$305.89$99.59RVU15B
2015-01-01$305.89$99.59RVU15A
2014-10-01$299.88$98.91RVU14D
2014-07-01$299.88$98.91RVU14C
2014-04-01$299.88$98.91RVU14B
2014-01-01$299.88$98.91RVU14A
2013-10-01$298.49$93.67RVU13D
2013-07-01$298.49$93.67RVU13C
2013-04-01$298.49$93.67RVU13B
2013-01-01$298.49$93.67RVU13AR

Price 36568 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

36568 billing questions

When should 36572 be reported instead?

Report 36572 for PICC insertion in a child younger than 5 when imaging guidance is used. Code 36568 is for placement without imaging guidance.

How does 36568 differ from 36569?

Both describe PICC placement without imaging guidance. Use 36568 for a child younger than 5 and 36569 for a patient age 5 or older.

What documentation supports 36568?

Document the patient’s age on the procedure date, the PICC placement and catheter route, and whether imaging guidance was used.

Can modifier 50 be used for bilateral placement?

No. Modifier 50 is inappropriate for this code.

Is an assistant at surgery paid for this service?

No. Medicare does not pay an assistant at surgery for 36568; co-surgeons and team surgery are also not permitted.

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 36568PPRRVU2026_Oct_nonQPP.csv, line 4,513 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 36568 pays in North Dakota?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 36568 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist