CPT code 36570: PIVAD insertion, younger than 5 years2026 Medicare rate & RVUs in Florida
Insertion of a peripherally placed central venous access device in a child younger than five, with imaging guidance included in the service.
Medicare pays $1,548.35–$1,710.87 for 36570 in the office in Florida, from Rest of Florida to Miami, FL. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$1548.35 to $1710.87
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | $1,640.32 | $355.94 |
| Miami, FL | $1,710.87 | $390.99 |
| Rest of Florida | $1,548.35 | $336.24 |
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.
How the rate is built · 36570
RVUs × geographic indexes × conversion factor
Work4.98
4.98 RVUs× 1.000 GPCI
Practice expense41.19
41.19 RVUs× 1.000 GPCI
Malpractice1.33
1.33 RVUs× 1.000 GPCI
Adjusted RVUs
47.5000
Conversion factor
$33.4009
Medicare rate
$1,586.54
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36570
36570 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 36570
PIVAD insertion, younger than 5 years
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 36570
PIVAD insertion, younger than 5 years
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
36570 without 50 · national office
$1,586.54
PIVAD insertion, younger than 5 years
36570-50 · Bilateral: 150%
$2,379.81
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
36570 compared with similar codes
Compare codes · National
4 codes, side by side
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.
36570 billing questions
How does 36570 differ from 36571?
Both describe PIVAD insertion without a subcutaneous port or pump. Use 36570 for a patient younger than five; 36571 is for a patient five or older.
Is imaging guidance separately reported?
Imaging guidance and radiological supervision and interpretation are included in 36570. They are not separately reported as components of this insertion service.
When would 36568 or 36572 be considered instead?
Those codes describe PICC insertion in a patient younger than five, rather than the PIVAD service represented by 36570. Code 36568 is for insertion without imaging guidance; 36572 includes imaging guidance.
What documentation supports 36570?
The record should identify the PIVAD placed, confirm that the patient was younger than five, and describe the insertion. Document medical necessity if an assistant at surgery is involved.
How are bilateral insertions and other same-session procedures handled?
Bilateral reporting with modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
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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