CPT code 36570: PIVAD insertion, younger than 5 years2026 Medicare rate & RVUs

Medicare pays $1,586.54 for 36570 nationally in the office and $318.64 in a hospital or facility. Local office rates run $1,371.01–$2,192.32.

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

What 36570 covers

Code 36570 describes placement of a peripherally inserted central venous access device (PIVAD) without a subcutaneous port or pump in a patient younger than five. The service establishes central venous access through a peripheral vein, commonly for ongoing intravenous therapy such as chemotherapy, parenteral nutrition, or prolonged antibiotics. A qualified procedural clinician may perform it in a hospital or another setting equipped for vascular access. Imaging guidance and its radiological supervision and interpretation are included in this insertion service.

Select this code for the specified PIVAD and age group, not solely because a child receives a PICC; document the device placed, patient age, and insertion details. Related postoperative visits during the 10-day global period are included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery is paid only when medical necessity is documented; 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 36570 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

36570 rates by state

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

How the 36570 rate is calculated

Each of 36570’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.

Payment rules and modifiers for 36570

36570 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

36570 compared with similar codes

How to choose

36571Central access placementAge 5 years or older

This is the age-based sibling code for PIVAD insertion without a port or pump. Use 36571 when the patient is five or older; 36570 is for patients younger than five.

36568PICC insertionUnder 5, no imaging

Both apply to patients younger than five, but 36568 is for PICC insertion without imaging guidance. Code 36570 describes PIVAD insertion and includes imaging guidance.

36572PICC insertionYounger than 5, imaging guided

Both include imaging guidance for patients younger than five. Choose 36572 for PICC insertion and 36570 for PIVAD insertion.

Codes related to 36570

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

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

Open CMS sourceHow we calculate rates