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

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

CMS RVU26DEffective Oct 1, 2026One payment locality6.5K Medicare services in 2024

In Montana, Medicare pays $86.15 for 36569 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$86.15Hospital or facility

Check a contract rate as a % of Medicare · 36569 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 36569 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 36569 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 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.

How Montana compares for 36569

Across 109 of 109 payment localities, the facility rate for 36569 runs from $77.99 in Wisconsin to $112.99 in Alaska. Montana pays $86.15. The RVUs are the same everywhere; the geographic indexes change the dollars.

36569 in Montana vs other payment areas
  1. Montana · this page$86.15
  2. Los Angeles, CA · California$87.45+$1.30
  3. Washington, DC area · District of Columbia$93.13+$6.98
  4. Miami, FL · Florida$103.58+$17.43
  5. Chicago, IL · Illinois$100.95+$14.80
  6. Manhattan, NY · New York$98.75+$12.60
  7. Alaska · Alaska$112.99+$26.84

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

Every other payment area

36569 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$79.72
ArkansasArkansas—$78.94
ArizonaArizona—$84.17
Bakersfield, CACalifornia—$84.32
Chico, CACalifornia—$83.39
El Centro, CACalifornia—$83.45
Fresno, CACalifornia—$83.39
Hanford, CACalifornia—$83.39

36569 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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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

See 36569 in every payment locality

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.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,514

Code
36569
Physician work
1.85
Practice expense
0.40
Malpractice
0.33

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 36569 in Montana
ComponentRVULocality factorAdjusted
Physician work1.85× 1.0001.8500
Practice expense0.40× 1.0000.4000
Malpractice0.33× 0.9980.3293
Total RVUs2.5793
Conversion factor× 33.4009

Facility rate, Montana$86.15

Facility: (1.85 × 1 + 0.4 × 1 + 0.33 × 0.998) × $33.4009 = $86.15

Open 36569 in the RVU calculator

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.

How 36569 has changed in Montana

36569 · 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

    $256.48changed 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

    $257.27changed to$256.48

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 1.82 changed to 1.70
    • Practice expense RVU 5.12 changed to 5.18
    • Malpractice RVU 0.16 changed to 0.15
    • Malpractice GPCI 1.429 changed to 1.631

    Held through RVU18B, RVU18C, RVU18D.

  3. January 1, 2017

    RVU17A

    $256.58changed to$257.27

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.15 changed to 5.12
    • Malpractice GPCI 1.226 changed to 1.429

    Held through RVU17B, RVU17C, RVU17D.

  4. January 1, 2016

    RVU16A

    $257.23changed to$256.58

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.13 changed to 5.15
    • Malpractice RVU 0.17 changed to 0.16

    Held through RVU16B, RVU16C, RVU16D.

  5. July 1, 2015

    RVU15C

    $255.95changed to$257.23

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  6. January 1, 2015

    RVU15A

    $253.56changed to$255.95

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.06 changed to 5.13
    • Malpractice GPCI 1.165 changed to 1.226

    Held through RVU15B.

  7. January 1, 2014

    RVU14A

    $253.76changed to$253.56

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.44 changed to 5.06
    • Malpractice RVU 0.18 changed to 0.17
    • Malpractice GPCI 1.103 changed to 1.165

    Held through RVU14B, RVU14C, RVU14D.

  8. January 1, 2013

    RVU13AR

    Earliest loaded release: $253.76

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$86.15RVU26D
2026-07-01Not available in this setting$86.15RVU26C
2026-04-01Not available in this setting$86.15RVU26B
2026-01-01Not available in this setting$86.15RVU26A
2025-10-01Not available in this setting$90.69RVU25D
2025-07-01Not available in this setting$90.69RVU25C
2025-04-01Not available in this setting$90.69RVU25B
2025-01-01Not available in this setting$90.69RVU25A
2024-10-01Not available in this setting$92.66RVU24D
2024-07-01Not available in this setting$92.66RVU24C
2024-04-01Not available in this setting$92.66RVU24B
2024-03-09Not available in this setting$92.66RVU24AR
2024-01-01Not available in this setting$91.15RVU24A
2023-10-01Not available in this setting$93.00RVU23D
2023-07-01Not available in this setting$93.00RVU23C
2023-04-01Not available in this setting$93.00RVU23B
2023-01-01Not available in this setting$93.00RVU23A
2022-10-01Not available in this setting$94.63RVU22D
2022-07-01Not available in this setting$94.63RVU22C
2022-04-01Not available in this setting$94.63RVU22B
2022-01-01Not available in this setting$94.63RVU22A
2021-10-01Not available in this setting$94.74RVU21D
2021-07-01Not available in this setting$94.74RVU21C
2021-04-01Not available in this setting$94.74RVU21B
2021-01-01Not available in this setting$94.74RVU21A
2020-10-01Not available in this setting$100.50RVU20D
2020-07-01Not available in this setting$100.50RVU20C
2020-04-01Not available in this setting$100.50RVU20B
2020-01-01Not available in this setting$100.50RVU20A
2019-10-01Not available in this setting$101.89RVU19D
2019-07-01Not available in this setting$101.89RVU19C
2019-04-01Not available in this setting$101.89RVU19B
2019-01-01Not available in this setting$101.89RVU19A
2018-10-01$256.48$91.97RVU18D
2018-07-01$256.48$91.97RVU18C
2018-04-01$256.48$91.97RVU18B
2018-01-01$256.48$91.97RVU18AR1
2017-10-01$257.27$97.57RVU17D
2017-07-01$257.27$97.57RVU17C
2017-04-01$257.27$97.57RVU17B
2017-01-01$257.27$97.57RVU17A
2016-10-01$256.58$96.18RVU16D
2016-07-01$256.58$96.18RVU16C
2016-04-01$256.58$96.18RVU16B
2016-01-01$256.58$96.18RVU16A
2015-10-01$257.23$96.96RVU15D
2015-07-01$257.23$96.96RVU15C
2015-04-01$255.95$96.48RVU15B
2015-01-01$255.95$96.48RVU15A
2014-10-01$253.56$96.29RVU14D
2014-07-01$253.56$96.29RVU14C
2014-04-01$253.56$96.29RVU14B
2014-01-01$253.56$96.29RVU14A
2013-10-01$253.76$91.81RVU13D
2013-07-01$253.76$91.81RVU13C
2013-04-01$253.76$91.81RVU13B
2013-01-01$253.76$91.81RVU13AR

Price 36569 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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