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

Insertion of a peripherally placed central venous access device in a child younger than five, with imaging guidance included in the service.

CMS RVU26DEffective Oct 1, 2026One payment locality

In New Mexico, Medicare pays $1,481.28 for 36570 in the office and $318.62 when it’s performed in a hospital or facility.

$1,481.28Office (non-facility)
$318.62Hospital or facility
−6.6%vs the national office rate ($1,586.54)

Check a contract rate as a % of Medicare · 36570 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 36570 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 36570 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 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.

How New Mexico compares for 36570

Across 109 of 109 payment localities, the office rate for 36570 runs from $1,371.01 in Arkansas to $2,192.32 in San Benito County, CA. New Mexico pays $1,481.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

36570 in New Mexico vs other payment areas
  1. New Mexico · this page$1,481.28
  2. Los Angeles, CA · California$1,830.20+$348.92
  3. Washington, DC area · District of Columbia$1,845.43+$364.15
  4. Miami, FL · Florida$1,710.87+$229.59
  5. Chicago, IL · Illinois$1,652.11+$170.83
  6. Manhattan, NY · New York$1,846.10+$364.82
  7. Alaska · Alaska$1,739.19+$257.91

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

Every other payment area

36570 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,395.29$285.88
ArkansasArkansas$1,371.01$281.89
ArizonaArizona$1,537.50$308.90
Bakersfield, CACalifornia$1,704.41$314.79
Chico, CACalifornia$1,700.83$311.22
El Centro, CACalifornia$1,701.06$311.44
Fresno, CACalifornia$1,700.83$311.22
Hanford, CACalifornia$1,700.83$311.22

36570 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.

$1,371.01

$1,946.58

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
36570 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,739.191
AL$1,395.291
AR$1,371.011
AZ$1,537.501
CA$1,700.83–$2,192.3229
CO$1,666.861
CT$1,705.131
DC$1,845.431
DE$1,566.381
FL$1,548.35–$1,710.873
GA$1,446.49–$1,617.982
GU$1,756.321
HI$1,756.321
IA$1,442.811
ID$1,453.071
IL$1,491.86–$1,659.154
IN$1,463.281
KS$1,432.431
KY$1,430.051
LA$1,426.46–$1,511.412
MA$1,653.10–$1,855.382
MD$1,601.07–$1,845.433
ME$1,459.69–$1,557.772
MI$1,472.58–$1,568.862
MN$1,595.171
MO$1,395.53–$1,520.593
MS$1,383.711
MT$1,586.451
NC$1,478.331
ND$1,560.161
NE$1,452.981
NH$1,637.401
NJ$1,724.08–$1,820.172
NM$1,481.281
NV$1,580.501
NY$1,504.56–$1,895.285
OH$1,467.211
OK$1,429.431
OR$1,567.85–$1,730.542
PA$1,471.29–$1,654.522
PR$1,601.011
RI$1,630.311
SC$1,475.321
SD$1,557.051
TN$1,440.781
TX$1,459.57–$1,661.618
UT$1,499.461
VA$1,550.09–$1,845.432
VI$1,601.011
VT$1,550.841
WA$1,651.00–$1,899.032
WI$1,498.021
WV$1,425.461
WY$1,574.991

See 36570 in every payment locality

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

Office or facility?

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.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,515

Code
36570
Physician work
4.98
Practice expense
41.19
Malpractice
1.33

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 36570 in New Mexico
ComponentRVULocality factorAdjusted
Physician work4.98× 1.0004.9800
Practice expense41.19× 0.91737.7712
Malpractice1.33× 1.2011.5973
Total RVUs44.3486
Conversion factor× 33.4009

Office rate, New Mexico$1481.28

Office: (4.98 × 1 + 41.19 × 0.917 + 1.33 × 1.201) × $33.4009 = $1481.28

Facility: (4.98 × 1 + 3.23 × 0.917 + 1.33 × 1.201) × $33.4009 = $318.62

Open 36570 in the RVU calculator

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

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share 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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

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).

When to use modifier 50

How 36570 has changed in New Mexico

36570 · Office / nonfacility

$1481.28

Effective 2026-10-01

The base rate is $239.03 higher than on 2025-10-01, moving from $1242.25 to $1481.28 (19.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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, 2026

    RVU26A

    $1242.25changed to$1481.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.11 changed to 4.98
    • Practice expense RVU 34.99 changed to 41.19
    • Malpractice RVU 1.30 changed to 1.33
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1322.00changed to$1242.25

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 36.42 changed to 34.99
    • Malpractice RVU 1.31 changed to 1.30

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1300.43changed to$1322.00

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1374.99changed to$1300.43

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 37.66 changed to 36.42
    • Malpractice RVU 1.28 changed to 1.31
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $1450.26changed to$1374.99

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 39.39 changed to 37.66
    • Malpractice RVU 1.29 changed to 1.28
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1485.67changed to$1450.26

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 40.19 changed to 39.39
    • Malpractice RVU 1.25 changed to 1.29

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1417.25changed to$1485.67

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 35.96 changed to 40.19
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1386.01changed to$1417.25

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 34.53 changed to 35.96
    • Malpractice RVU 1.24 changed to 1.25
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1345.25changed to$1386.01

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 33.36 changed to 34.53
    • Malpractice RVU 1.23 changed to 1.24

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1182.71changed to$1345.25

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 29.01 changed to 33.36
    • Malpractice RVU 0.96 changed to 1.23
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1106.58changed to$1182.71

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 5.36 changed to 5.11
    • Practice expense RVU 27.04 changed to 29.01
    • Malpractice RVU 0.60 changed to 0.96
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1136.97changed to$1106.58

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 28.13 changed to 27.04
    • Malpractice RVU 0.37 changed to 0.60

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1131.32changed to$1136.97

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1122.42changed to$1131.32

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 27.74 changed to 28.13
    • Malpractice RVU 0.47 changed to 0.37
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1154.51changed to$1122.42

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 30.66 changed to 27.74
    • Malpractice RVU 0.49 changed to 0.47
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1154.51

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,481.28$318.62RVU26D
2026-07-01$1,481.28$318.62RVU26C
2026-04-01$1,481.28$318.62RVU26B
2026-01-01$1,481.28$318.62RVU26A
2025-10-01$1,242.25$320.60RVU25D
2025-07-01$1,242.25$320.60RVU25C
2025-04-01$1,242.25$320.60RVU25B
2025-01-01$1,242.25$320.60RVU25A
2024-10-01$1,322.00$328.20RVU24D
2024-07-01$1,322.00$328.20RVU24C
2024-04-01$1,322.00$328.20RVU24B
2024-03-09$1,322.00$328.20RVU24AR
2024-01-01$1,300.43$322.85RVU24A
2023-10-01$1,374.99$330.85RVU23D
2023-07-01$1,374.99$330.85RVU23C
2023-04-01$1,374.99$330.85RVU23B
2023-01-01$1,374.99$330.85RVU23A
2022-10-01$1,450.26$336.80RVU22D
2022-07-01$1,450.26$336.80RVU22C
2022-04-01$1,450.26$336.80RVU22B
2022-01-01$1,450.26$336.80RVU22A
2021-10-01$1,485.67$336.08RVU21D
2021-07-01$1,485.67$336.08RVU21C
2021-04-01$1,485.67$336.08RVU21B
2021-01-01$1,485.67$336.08RVU21A
2020-10-01$1,417.25$345.37RVU20D
2020-07-01$1,417.25$345.37RVU20C
2020-04-01$1,417.25$345.37RVU20B
2020-01-01$1,417.25$345.37RVU20A
2019-10-01$1,386.01$346.43RVU19D
2019-07-01$1,386.01$346.43RVU19C
2019-04-01$1,386.01$346.43RVU19B
2019-01-01$1,386.01$346.43RVU19A
2018-10-01$1,345.25$345.60RVU18D
2018-07-01$1,345.25$345.60RVU18C
2018-04-01$1,345.25$345.60RVU18B
2018-01-01$1,345.25$345.60RVU18AR1
2017-10-01$1,182.71$326.90RVU17D
2017-07-01$1,182.71$326.90RVU17C
2017-04-01$1,182.71$326.90RVU17B
2017-01-01$1,182.71$326.90RVU17A
2016-10-01$1,106.58$317.54RVU16D
2016-07-01$1,106.58$317.54RVU16C
2016-04-01$1,106.58$317.54RVU16B
2016-01-01$1,106.58$317.54RVU16A
2015-10-01$1,136.97$311.07RVU15D
2015-07-01$1,136.97$311.07RVU15C
2015-04-01$1,131.32$309.52RVU15B
2015-01-01$1,131.32$309.52RVU15A
2014-10-01$1,122.42$312.45RVU14D
2014-07-01$1,122.42$312.45RVU14C
2014-04-01$1,122.42$312.45RVU14B
2014-01-01$1,122.42$312.45RVU14A
2013-10-01$1,154.51$303.08RVU13D
2013-07-01$1,154.51$303.08RVU13C
2013-04-01$1,154.51$303.08RVU13B
2013-01-01$1,154.51$303.08RVU13AR

Price 36570 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

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
RVUs for 36570PPRRVU2026_Oct_nonQPP.csv, line 4,515 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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