CPT code 36568: PICC insertion, under 5, no imaging2026 Medicare rate & RVUs in New Mexico
Placement of a peripherally inserted central catheter in a child younger than 5, reported when insertion uses no imaging guidance.
In New Mexico, Medicare pays $85.06 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.
On this page 11 sections
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 New Mexico 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. New Mexico pays $85.06. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$85.06
- Los Angeles, CA · California$84.90−$0.16
- Washington, DC area · District of Columbia$89.66+$4.60
- Miami, FL · Florida$97.37+$12.31
- Chicago, IL · Illinois$95.60+$10.54
- Manhattan, NY · New York$94.36+$9.30
- Alaska · Alaska$114.75+$29.69
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $81.59 |
| Merced, CACalifornia | — | $81.59 |
| Modesto, CACalifornia | — | $81.59 |
| Napa, CACalifornia | — | $85.92 |
| Oxnard, CACalifornia | — | $83.64 |
| Redding, CACalifornia | — | $81.59 |
| Rest of CaliforniaCalifornia | — | $81.59 |
| Riverside, CACalifornia | — | $84.41 |
| Sacramento, CACalifornia | — | $83.32 |
| Salinas, CACalifornia | — | $82.95 |
| San Diego, CACalifornia | — | $83.17 |
| Marin County, CACalifornia | — | $88.28 |
| San Francisco, CACalifornia | — | $87.98 |
| San Benito County, CACalifornia | — | $90.18 |
| Santa Clara County, CACalifornia | — | $88.97 |
| San Luis Obispo, CACalifornia | — | $81.86 |
| Santa Cruz, CACalifornia | — | $82.62 |
| Santa Maria, CACalifornia | — | $82.79 |
| Santa Rosa, CACalifornia | — | $83.32 |
| Stockton, CACalifornia | — | $81.59 |
| Vallejo, CACalifornia | — | $85.49 |
| Visalia, CACalifornia | — | $81.59 |
| Yuba City, CACalifornia | — | $81.59 |
| ColoradoColorado | — | $83.17 |
| ConnecticutConnecticut | — | $87.52 |
| DelawareDelaware | — | $83.23 |
| Fort Lauderdale, FLFlorida | — | $90.94 |
| Rest of FloridaFlorida | — | $87.93 |
| Atlanta, GAGeorgia | — | $85.89 |
| Rest of GeorgiaGeorgia | — | $84.82 |
| Hawaii, Guam, HIHawaii | — | $81.05 |
| IowaIowa | — | $78.06 |
| IdahoIdaho | — | $78.75 |
| East St. Louis, ILIllinois | — | $92.13 |
| Rest of IllinoisIllinois | — | $88.17 |
| Suburban Chicago, ILIllinois | — | $91.19 |
| IndianaIndiana | — | $78.91 |
| KansasKansas | — | $78.92 |
| KentuckyKentucky | — | $82.39 |
| New Orleans, LALouisiana | — | $84.64 |
| Rest of LouisianaLouisiana | — | $82.74 |
| Metropolitan Boston, MAMassachusetts | — | $86.93 |
| Rest of MassachusettsMassachusetts | — | $83.51 |
| Baltimore area, MDMaryland | — | $87.46 |
| Rest of MarylandMaryland | — | $83.89 |
| Rest of MaineMaine | — | $80.05 |
| Southern Maine, MEMaine | — | $80.57 |
| Detroit, MIMichigan | — | $89.57 |
| Rest of MichiganMichigan | — | $84.40 |
| MinnesotaMinnesota | — | $77.91 |
| Metropolitan Kansas City, MOMissouri | — | $83.25 |
| Metropolitan St. Louis, MOMissouri | — | $83.55 |
| Rest of MissouriMissouri | — | $82.73 |
| MississippiMississippi | — | $80.69 |
| MontanaMontana | — | $83.82 |
| North CarolinaNorth Carolina | — | $80.28 |
| North DakotaNorth Dakota | — | $78.68 |
| NebraskaNebraska | — | $77.95 |
| New HampshireNew Hampshire | — | $83.01 |
| Northern New JerseyNew Jersey | — | $89.78 |
| Rest of New JerseyNew Jersey | — | $88.01 |
| NevadaNevada | — | $82.39 |
| NYC suburbs and Long Island, NYNew York | — | $96.88 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $89.36 |
| Queens, NYNew York | — | $93.23 |
| Rest of New YorkNew York | — | $80.94 |
| OhioOhio | — | $83.35 |
| OklahomaOklahoma | — | $81.22 |
| Portland, OROregon | — | $83.42 |
| Rest of OregonOregon | — | $81.23 |
| Metropolitan Philadelphia, PAPennsylvania | — | $87.01 |
| Rest of PennsylvaniaPennsylvania | — | $82.84 |
| Puerto RicoPuerto Rico | — | $83.78 |
| Rhode IslandRhode Island | — | $84.42 |
| South CarolinaSouth Carolina | — | $82.05 |
| South DakotaSouth Dakota | — | $78.07 |
| TennesseeTennessee | — | $79.24 |
| Austin, TXTexas | — | $83.35 |
| Beaumont, TXTexas | — | $82.65 |
| Brazoria, TXTexas | — | $82.42 |
| Dallas, TXTexas | — | $83.20 |
| Fort Worth, TXTexas | — | $83.25 |
| Galveston, TXTexas | — | $82.85 |
| Houston, TXTexas | — | $87.61 |
| Rest of TexasTexas | — | $82.67 |
| UtahUtah | — | $82.57 |
| VirginiaVirginia | — | $81.18 |
| Virgin Islands, VIUnited States Virgin Islands | — | $83.78 |
| VermontVermont | — | $79.48 |
| Rest of WashingtonWashington | — | $82.99 |
| King County, WAWashington | — | $87.13 |
| WisconsinWisconsin | — | $77.56 |
| West VirginiaWest Virginia | — | $86.75 |
| WyomingWyoming | — | $81.58 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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 New Mexico 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
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.06 | × 1.000 | 2.0600 |
| Practice expense | 0.19 | × 0.917 | 0.1742 |
| Malpractice | 0.26 | × 1.201 | 0.3123 |
| Total RVUs | 2.5465 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$85.06
Facility: (2.06 × 1 + 0.19 × 0.917 + 0.26 × 1.201) × $33.4009 = $85.06
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 36568 has changed in New Mexico
36568 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
January 1, 2019
RVU19A
$212.07changed 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.
January 1, 2018
RVU18AR1
$238.54changed to$212.07
- 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
- Practice expense GPCI 0.920 changed to 0.921
- Malpractice GPCI 1.204 changed to 1.247
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$289.36changed to$238.54
- 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
- Practice expense GPCI 0.919 changed to 0.920
- Malpractice GPCI 1.161 changed to 1.204
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$292.56changed to$289.36
- 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.
July 1, 2015
RVU15C
$291.10changed to$292.56
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$284.50changed to$291.10
- 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
- Practice expense GPCI 0.918 changed to 0.919
- Malpractice GPCI 1.079 changed to 1.161
Held through RVU15B.
January 1, 2014
RVU14A
$282.11changed to$284.50
- 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
- Practice expense GPCI 0.916 changed to 0.918
- Malpractice GPCI 0.997 changed to 1.079
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $282.11
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $85.06 | RVU26D |
| 2026-07-01 | Not available in this setting | $85.06 | RVU26C |
| 2026-04-01 | Not available in this setting | $85.06 | RVU26B |
| 2026-01-01 | Not available in this setting | $85.06 | RVU26A |
| 2025-10-01 | Not available in this setting | $88.89 | RVU25D |
| 2025-07-01 | Not available in this setting | $88.89 | RVU25C |
| 2025-04-01 | Not available in this setting | $88.89 | RVU25B |
| 2025-01-01 | Not available in this setting | $88.89 | RVU25A |
| 2024-10-01 | Not available in this setting | $90.27 | RVU24D |
| 2024-07-01 | Not available in this setting | $90.27 | RVU24C |
| 2024-04-01 | Not available in this setting | $90.27 | RVU24B |
| 2024-03-09 | Not available in this setting | $90.27 | RVU24AR |
| 2024-01-01 | Not available in this setting | $88.79 | RVU24A |
| 2023-10-01 | Not available in this setting | $92.10 | RVU23D |
| 2023-07-01 | Not available in this setting | $92.10 | RVU23C |
| 2023-04-01 | Not available in this setting | $92.10 | RVU23B |
| 2023-01-01 | Not available in this setting | $92.10 | RVU23A |
| 2022-10-01 | Not available in this setting | $92.35 | RVU22D |
| 2022-07-01 | Not available in this setting | $92.35 | RVU22C |
| 2022-04-01 | Not available in this setting | $92.35 | RVU22B |
| 2022-01-01 | Not available in this setting | $92.35 | RVU22A |
| 2021-10-01 | Not available in this setting | $92.80 | RVU21D |
| 2021-07-01 | Not available in this setting | $92.80 | RVU21C |
| 2021-04-01 | Not available in this setting | $92.80 | RVU21B |
| 2021-01-01 | Not available in this setting | $92.80 | RVU21A |
| 2020-10-01 | Not available in this setting | $97.09 | RVU20D |
| 2020-07-01 | Not available in this setting | $97.09 | RVU20C |
| 2020-04-01 | Not available in this setting | $97.09 | RVU20B |
| 2020-01-01 | Not available in this setting | $97.09 | RVU20A |
| 2019-10-01 | Not available in this setting | $96.08 | RVU19D |
| 2019-07-01 | Not available in this setting | $96.08 | RVU19C |
| 2019-04-01 | Not available in this setting | $96.08 | RVU19B |
| 2019-01-01 | Not available in this setting | $96.08 | RVU19A |
| 2018-10-01 | $212.07 | $77.13 | RVU18D |
| 2018-07-01 | $212.07 | $77.13 | RVU18C |
| 2018-04-01 | $212.07 | $77.13 | RVU18B |
| 2018-01-01 | $212.07 | $77.13 | RVU18AR1 |
| 2017-10-01 | $238.54 | $87.65 | RVU17D |
| 2017-07-01 | $238.54 | $87.65 | RVU17C |
| 2017-04-01 | $238.54 | $87.65 | RVU17B |
| 2017-01-01 | $238.54 | $87.65 | RVU17A |
| 2016-10-01 | $289.36 | $99.50 | RVU16D |
| 2016-07-01 | $289.36 | $99.50 | RVU16C |
| 2016-04-01 | $289.36 | $99.50 | RVU16B |
| 2016-01-01 | $289.36 | $99.50 | RVU16A |
| 2015-10-01 | $292.56 | $102.02 | RVU15D |
| 2015-07-01 | $292.56 | $102.02 | RVU15C |
| 2015-04-01 | $291.10 | $101.51 | RVU15B |
| 2015-01-01 | $291.10 | $101.51 | RVU15A |
| 2014-10-01 | $284.50 | $100.01 | RVU14D |
| 2014-07-01 | $284.50 | $100.01 | RVU14C |
| 2014-04-01 | $284.50 | $100.01 | RVU14B |
| 2014-01-01 | $284.50 | $100.01 | RVU14A |
| 2013-10-01 | $282.11 | $94.49 | RVU13D |
| 2013-07-01 | $282.11 | $94.49 | RVU13C |
| 2013-04-01 | $282.11 | $94.49 | RVU13B |
| 2013-01-01 | $282.11 | $94.49 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
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
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