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CPT code 36569: PICC insertion, age 5 or older, no imaging2026 Medicare rate & RVUs

Insertion of a peripherally inserted central catheter in a patient age five or older when imaging guidance is not used.

CMS RVU26DEffective Oct 1, 2026109 payment localities6.5K Medicare services in 2024

Medicare pays $86.17 for 36569 nationally in a facility.

Medicare rate · 36569

PICC insertion, age 5 or older, no imaging

Office or facility?

Work RVUs
1.85
Total RVUs
2.58
Global days
000

National rate · 2026

$86.17

Facility setting, before claim adjustments.

See every locality for 36569 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 36569 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 36569 covers

A clinician advances a peripherally inserted catheter through an arm vein, commonly the basilic, brachial, or cephalic vein, with the catheter tip positioned in central venous circulation. This service is for patients age five or older when placement is performed without imaging guidance. Common clinical uses include prolonged intravenous antibiotic treatment, chemotherapy, parenteral nutrition, or repeated infusions. Placement may occur in a hospital, outpatient setting, or at the bedside by a qualified clinician.

Report this code for the insertion episode when the patient is at least five years old and imaging guidance is not used. The record should support the patient’s age, catheter placement, access site, and absence of imaging guidance. Use 36573 for an age-five-or-older patient when imaging guidance is used; 36568 is the no-imaging code for a patient younger than five. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. Assistant-at-surgery services are not paid, and 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.

Where 36569 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

36569 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$79.72
AlaskaUnavailable$112.99
ArizonaUnavailable$84.17
ArkansasUnavailable$78.94
Atlanta, GAUnavailable$88.79
Austin, TXUnavailable$85.82
Bakersfield, CAUnavailable$84.32
Baltimore area, MDUnavailable$90.75
Beaumont, TXUnavailable$84.19
Brazoria, TXUnavailable$84.12

36569 rates by state

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

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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
36569 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

How the 36569 rate is calculated

Each of 36569’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 · 36569

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.85

1.85 RVUs× 1.000 GPCI

Practice expense0.40

0.40 RVUs× 1.000 GPCI

Malpractice0.33

0.33 RVUs× 1.000 GPCI

Adjusted RVUs

2.5800

Conversion factor

$33.4009

Medicare rate

$86.17

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

Payment rules and modifiers for 36569

The CMS indicators that decide how 36569 is paid alongside other services.

CMS payment indicators · 36569

PICC insertion, age 5 or older, 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.

36569 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 36569

    PICC insertion, age 5 or older, no imaging1.85 wRVU

    Not priced

  • 36568

    PICC insertion, under 5, no imaging2.06 wRVU

    Not priced

  • 36573

    PICC insertion, age 5+, imaging included1.66 wRVU

    $365.74

  • 36572

    PICC insertion, younger than 5, imaging guided1.77 wRVU

    $364.74

How to choose

36568PICC insertionUnder 5, no imaging
Both describe PICC insertion without imaging guidance. Choose 36568 for a patient younger than five and 36569 for a patient age five or older.
36573PICC insertionAge 5+, imaging included
Both are for PICC insertion in patients age five or older. The distinguishing factor is imaging guidance: 36573 is used when it is used; 36569 is used when it is not.
36572PICC insertionYounger than 5, imaging guided
This is the imaging-guided PICC insertion code for patients younger than five. Code 36569 is for patients age five or older and placement without imaging guidance.

Codes related to 36569

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

Codes related to 36569
CodeHow it relatesNational office range
Same family
36568PICC insertion, under 5, no imagingNo-imaging PICC insertion for a patient younger than five.No office rate
36573PICC insertion, age 5+, imaging includedPICC insertion with imaging guidance for a patient age five or older.$319.92–$503.54
36572PICC insertion, younger than 5, imaging guidedPICC insertion with imaging guidance for a patient younger than five.$319.12–$499.67

36569 billing questions

When should 36569 be reported instead of 36573?

For a patient age five or older, report 36569 when PICC insertion is performed without imaging guidance. Use 36573 when imaging guidance is used.

How does age affect code selection?

For PICC insertion without imaging guidance, 36569 is for patients age five or older; 36568 is for patients younger than five.

What documentation supports 36569?

Document the patient’s age, the PICC insertion and access site, and that imaging guidance was not used.

Can modifier 50 be appended for bilateral placement?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant-at-surgery or co-surgeon be reported?

CMS does not pay for an assistant at surgery for this service, and co-surgeons and team surgery are 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 36569PPRRVU2026_Oct_nonQPP.csv, line 4,514 (RVU26D)

Open CMS sourceHow we calculate rates

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