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.
In Montana, Medicare pays $86.15 for 36569 in a facility. There’s no office rate.
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.
On this page 11 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.
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.
- Montana · this page$86.15
- Los Angeles, CA · California$87.45+$1.30
- Washington, DC area · District of Columbia$93.13+$6.98
- Miami, FL · Florida$103.58+$17.43
- Chicago, IL · Illinois$100.95+$14.80
- Manhattan, NY · New York$98.75+$12.60
- Alaska · Alaska$112.99+$26.84
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $83.39 |
| Merced, CACalifornia | — | $83.39 |
| Modesto, CACalifornia | — | $83.39 |
| Napa, CACalifornia | — | $88.89 |
| Oxnard, CACalifornia | — | $86.18 |
| Redding, CACalifornia | — | $83.39 |
| Rest of CaliforniaCalifornia | — | $83.39 |
| Riverside, CACalifornia | — | $86.95 |
| Sacramento, CACalifornia | — | $85.46 |
| Salinas, CACalifornia | — | $85.10 |
| San Diego, CACalifornia | — | $85.60 |
| Marin County, CACalifornia | — | $91.56 |
| San Francisco, CACalifornia | — | $91.18 |
| San Benito County, CACalifornia | — | $93.76 |
| Santa Clara County, CACalifornia | — | $92.23 |
| San Luis Obispo, CACalifornia | — | $83.97 |
| Santa Cruz, CACalifornia | — | $85.23 |
| Santa Maria, CACalifornia | — | $85.01 |
| Santa Rosa, CACalifornia | — | $85.96 |
| Stockton, CACalifornia | — | $83.39 |
| Vallejo, CACalifornia | — | $88.35 |
| Visalia, CACalifornia | — | $83.39 |
| Yuba City, CACalifornia | — | $83.39 |
| ColoradoColorado | — | $85.36 |
| ConnecticutConnecticut | — | $90.75 |
| DelawareDelaware | — | $85.21 |
| Fort Lauderdale, FLFlorida | — | $95.25 |
| Rest of FloridaFlorida | — | $91.13 |
| Atlanta, GAGeorgia | — | $88.79 |
| Rest of GeorgiaGeorgia | — | $86.85 |
| Hawaii, Guam, HIHawaii | — | $83.36 |
| IowaIowa | — | $78.39 |
| IdahoIdaho | — | $79.30 |
| East St. Louis, ILIllinois | — | $96.28 |
| Rest of IllinoisIllinois | — | $91.22 |
| Suburban Chicago, ILIllinois | — | $95.48 |
| IndianaIndiana | — | $79.53 |
| KansasKansas | — | $79.42 |
| KentuckyKentucky | — | $83.75 |
| New Orleans, LALouisiana | — | $86.89 |
| Rest of LouisianaLouisiana | — | $84.17 |
| Metropolitan Boston, MAMassachusetts | — | $90.09 |
| Rest of MassachusettsMassachusetts | — | $85.63 |
| Baltimore area, MDMaryland | — | $90.75 |
| Rest of MarylandMaryland | — | $86.05 |
| Rest of MaineMaine | — | $80.94 |
| Southern Maine, MEMaine | — | $81.99 |
| Detroit, MIMichigan | — | $93.27 |
| Rest of MichiganMichigan | — | $86.43 |
| MinnesotaMinnesota | — | $78.80 |
| Metropolitan Kansas City, MOMissouri | — | $85.11 |
| Metropolitan St. Louis, MOMissouri | — | $85.56 |
| Rest of MissouriMissouri | — | $84.04 |
| MississippiMississippi | — | $81.44 |
| North CarolinaNorth Carolina | — | $81.30 |
| North DakotaNorth Dakota | — | $79.63 |
| NebraskaNebraska | — | $78.29 |
| New HampshireNew Hampshire | — | $85.34 |
| Northern New JerseyNew Jersey | — | $92.95 |
| Rest of New JerseyNew Jersey | — | $90.94 |
| New MexicoNew Mexico | — | $87.28 |
| NevadaNevada | — | $84.35 |
| NYC suburbs and Long Island, NYNew York | — | $102.10 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $92.54 |
| Queens, NYNew York | — | $97.43 |
| Rest of New YorkNew York | — | $82.23 |
| OhioOhio | — | $85.10 |
| OklahomaOklahoma | — | $82.29 |
| Portland, OROregon | — | $85.82 |
| Rest of OregonOregon | — | $82.85 |
| Metropolitan Philadelphia, PAPennsylvania | — | $89.96 |
| Rest of PennsylvaniaPennsylvania | — | $84.47 |
| Puerto RicoPuerto Rico | — | $86.16 |
| Rhode IslandRhode Island | — | $86.60 |
| South CarolinaSouth Carolina | — | $83.51 |
| South DakotaSouth Dakota | — | $78.86 |
| TennesseeTennessee | — | $79.86 |
| Austin, TXTexas | — | $85.82 |
| Beaumont, TXTexas | — | $84.19 |
| Brazoria, TXTexas | — | $84.12 |
| Dallas, TXTexas | — | $85.11 |
| Fort Worth, TXTexas | — | $85.12 |
| Galveston, TXTexas | — | $84.68 |
| Houston, TXTexas | — | $90.72 |
| Rest of TexasTexas | — | $84.42 |
| UtahUtah | — | $84.25 |
| VirginiaVirginia | — | $82.71 |
| Virgin Islands, VIUnited States Virgin Islands | — | $86.16 |
| VermontVermont | — | $80.60 |
| Rest of WashingtonWashington | — | $85.05 |
| King County, WAWashington | — | $90.28 |
| WisconsinWisconsin | — | $77.99 |
| West VirginiaWest Virginia | — | $89.17 |
| WyomingWyoming | — | $83.31 |
36569 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 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.
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.85 | × 1.000 | 1.8500 |
| Practice expense | 0.40 | × 1.000 | 0.4000 |
| Malpractice | 0.33 | × 0.998 | 0.3293 |
| Total RVUs | 2.5793 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$86.15
Facility: (1.85 × 1 + 0.4 × 1 + 0.33 × 0.998) × $33.4009 = $86.15
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. |
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.
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
$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.
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.
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.
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.
July 1, 2015
RVU15C
$255.95changed to$257.23
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
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.
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.
January 1, 2013
RVU13AR
Earliest loaded release: $253.76
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $86.15 | RVU26D |
| 2026-07-01 | Not available in this setting | $86.15 | RVU26C |
| 2026-04-01 | Not available in this setting | $86.15 | RVU26B |
| 2026-01-01 | Not available in this setting | $86.15 | RVU26A |
| 2025-10-01 | Not available in this setting | $90.69 | RVU25D |
| 2025-07-01 | Not available in this setting | $90.69 | RVU25C |
| 2025-04-01 | Not available in this setting | $90.69 | RVU25B |
| 2025-01-01 | Not available in this setting | $90.69 | RVU25A |
| 2024-10-01 | Not available in this setting | $92.66 | RVU24D |
| 2024-07-01 | Not available in this setting | $92.66 | RVU24C |
| 2024-04-01 | Not available in this setting | $92.66 | RVU24B |
| 2024-03-09 | Not available in this setting | $92.66 | RVU24AR |
| 2024-01-01 | Not available in this setting | $91.15 | RVU24A |
| 2023-10-01 | Not available in this setting | $93.00 | RVU23D |
| 2023-07-01 | Not available in this setting | $93.00 | RVU23C |
| 2023-04-01 | Not available in this setting | $93.00 | RVU23B |
| 2023-01-01 | Not available in this setting | $93.00 | RVU23A |
| 2022-10-01 | Not available in this setting | $94.63 | RVU22D |
| 2022-07-01 | Not available in this setting | $94.63 | RVU22C |
| 2022-04-01 | Not available in this setting | $94.63 | RVU22B |
| 2022-01-01 | Not available in this setting | $94.63 | RVU22A |
| 2021-10-01 | Not available in this setting | $94.74 | RVU21D |
| 2021-07-01 | Not available in this setting | $94.74 | RVU21C |
| 2021-04-01 | Not available in this setting | $94.74 | RVU21B |
| 2021-01-01 | Not available in this setting | $94.74 | RVU21A |
| 2020-10-01 | Not available in this setting | $100.50 | RVU20D |
| 2020-07-01 | Not available in this setting | $100.50 | RVU20C |
| 2020-04-01 | Not available in this setting | $100.50 | RVU20B |
| 2020-01-01 | Not available in this setting | $100.50 | RVU20A |
| 2019-10-01 | Not available in this setting | $101.89 | RVU19D |
| 2019-07-01 | Not available in this setting | $101.89 | RVU19C |
| 2019-04-01 | Not available in this setting | $101.89 | RVU19B |
| 2019-01-01 | Not available in this setting | $101.89 | RVU19A |
| 2018-10-01 | $256.48 | $91.97 | RVU18D |
| 2018-07-01 | $256.48 | $91.97 | RVU18C |
| 2018-04-01 | $256.48 | $91.97 | RVU18B |
| 2018-01-01 | $256.48 | $91.97 | RVU18AR1 |
| 2017-10-01 | $257.27 | $97.57 | RVU17D |
| 2017-07-01 | $257.27 | $97.57 | RVU17C |
| 2017-04-01 | $257.27 | $97.57 | RVU17B |
| 2017-01-01 | $257.27 | $97.57 | RVU17A |
| 2016-10-01 | $256.58 | $96.18 | RVU16D |
| 2016-07-01 | $256.58 | $96.18 | RVU16C |
| 2016-04-01 | $256.58 | $96.18 | RVU16B |
| 2016-01-01 | $256.58 | $96.18 | RVU16A |
| 2015-10-01 | $257.23 | $96.96 | RVU15D |
| 2015-07-01 | $257.23 | $96.96 | RVU15C |
| 2015-04-01 | $255.95 | $96.48 | RVU15B |
| 2015-01-01 | $255.95 | $96.48 | RVU15A |
| 2014-10-01 | $253.56 | $96.29 | RVU14D |
| 2014-07-01 | $253.56 | $96.29 | RVU14C |
| 2014-04-01 | $253.56 | $96.29 | RVU14B |
| 2014-01-01 | $253.56 | $96.29 | RVU14A |
| 2013-10-01 | $253.76 | $91.81 | RVU13D |
| 2013-07-01 | $253.76 | $91.81 | RVU13C |
| 2013-04-01 | $253.76 | $91.81 | RVU13B |
| 2013-01-01 | $253.76 | $91.81 | RVU13AR |
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
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
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