CPT code 36569: PICC insertion, age 5 or older, no imaging2026 Medicare rate & RVUs in Missouri
Insertion of a peripherally inserted central catheter in a patient age five or older when imaging guidance is not used.
CMS doesn’t publish an office rate for 36569 in Missouri.
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
On this page 9 sections
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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $85.11 |
| Metropolitan St. Louis, MO | Unavailable | $85.56 |
| Rest of Missouri | Unavailable | $84.04 |
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
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
| 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. |
36569 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
Fee sheets · Coming soon
Put 36569 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist