CPT code 36571: Central access placement, age 5 years or older2026 Medicare rate & RVUs

Reports placement of a peripherally inserted central venous access device in a patient age five or older, including imaging guidance and related imaging services.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.5K Medicare services in 2024

Medicare pays $1,341.05 for 36571 nationally in the office and $293.93 in a hospital or facility. Local office rates run $1,163.02–$1,846.41.

Medicare rate · 36571

Central access placement, age 5 years or older

Office or facility?

Work RVUs
4.96
Total RVUs
40.15
Global days
010

National rate · 2026

$1,341.05

Office setting, before claim adjustments.

See every locality for 36571 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 36571 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 36571 covers

This service places a peripherally inserted central venous access device without a subcutaneous port or pump, with its catheter advanced from a peripheral vein to central venous access. It is commonly used when a patient needs ongoing intravenous medication, infusion therapy, or another form of central access. The procedure may be performed in a hospital or other setting equipped for vascular access placement and imaging.

Report this code for a patient age five or older when the device and placement meet the code definition. The code includes imaging guidance, image documentation, and radiological supervision and interpretation when performed; do not separately report those included imaging services for the placement. Related postoperative visits for 10 days are included in the global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 results in payment at 150% for a bilateral procedure. Assistant-at-surgery payment requires documentation of medical necessity; 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 36571 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$1163.02 to $1846.41

$1163.02$1504.72$1846.41
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

36571 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$1,183.08$266.85
Alaska$1,481.91$366.73
Arizona$1,300.57$285.91
Arkansas$1,163.02$263.55
Atlanta, GA$1,366.96$303.09
Austin, TX$1,403.40$295.55
Bakersfield, CA$1,439.63$291.98
Baltimore area, MD$1,435.36$311.80
Beaumont, TX$1,235.94$283.06
Brazoria, TX$1,324.25$286.56

36571 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.

$1,163.02

$1,641.55

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

View every state and territory as a table
36571 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,481.911
AL$1,183.081
AR$1,163.021
AZ$1,300.571
CA$1,436.68–$1,846.4129
CO$1,408.141
CT$1,439.621
DC$1,556.891
DE$1,324.591
FL$1,308.88–$1,442.423
GA$1,224.83–$1,366.962
GU$1,482.131
HI$1,482.131
IA$1,222.631
ID$1,231.041
IL$1,262.02–$1,400.574
IN$1,239.481
KS$1,213.911
KY$1,211.511
LA$1,208.49–$1,278.672
MA$1,396.84–$1,565.002
MD$1,353.45–$1,556.893
ME$1,236.37–$1,317.602
MI$1,246.51–$1,325.682
MN$1,348.941
MO$1,182.85–$1,286.413
MS$1,173.311
MT$1,340.971
NC$1,251.791
ND$1,319.821
NE$1,231.061
NH$1,383.301
NJ$1,455.99–$1,536.262
NM$1,253.641
NV$1,336.221
NY$1,273.45–$1,597.675
OH$1,242.181
OK$1,211.141
OR$1,325.87–$1,461.052
PA$1,245.63–$1,397.652
PR$1,353.051
RI$1,377.941
SC$1,249.071
SD$1,317.321
TN$1,220.791
TX$1,235.94–$1,403.408
UT$1,269.021
VA$1,311.17–$1,556.892
VI$1,353.051
VT$1,311.991
WA$1,395.06–$1,601.492
WI$1,268.451
WV$1,207.161
WY$1,331.751

How the 36571 rate is calculated

Each of 36571’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 · 36571

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.96

4.96 RVUs× 1.000 GPCI

Practice expense34.12

34.12 RVUs× 1.000 GPCI

Malpractice1.07

1.07 RVUs× 1.000 GPCI

Adjusted RVUs

40.1500

Conversion factor

$33.4009

Medicare rate

$1,341.05

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 36571

36571 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 36571

Central access placement, age 5 years or older

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 · 36571

Central access placement, age 5 years or older

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

36571 without 50 · national office

$1,341.05

Central access placement, age 5 years or older

36571-50 · Bilateral: 150%

$2,011.58

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

36571 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 36571

    Central access placement, age 5 years or older4.96 wRVU

    $1,341.05

  • 36570

    PIVAD insertion, younger than 5 years4.98 wRVU

    $1,586.54+$245.49

  • 36569

    PICC insertion, age 5 or older, no imaging1.85 wRVU

    Not priced

  • 36573

    PICC insertion, age 5+, imaging included1.66 wRVU

    $365.74−$975.31

  • 36561

    Port placement, age five or older5.65 wRVU

    $962.61−$378.44

How to choose

36570PIVAD insertionYounger than 5 years
Choose 36570 for the same type of peripherally inserted central access device placement when the patient is younger than five; 36571 is for age five or older.
36569PICC insertionAge 5 or older, no imaging
This is PICC placement for a patient age five or older without imaging guidance. 36571 describes peripherally inserted central access device placement and includes imaging guidance and related imaging services when performed.
36573PICC insertionAge 5+, imaging included
This is the imaging-guided PICC code for patients age five or older. Distinguish it from 36571 by the device and service definition documented for the placement.
36561Port placementAge five or older
This places a tunneled central venous catheter with an implanted port; 36571 places a peripherally inserted device without a port or pump.

36571 billing questions

How does this code differ from 36570?

Both describe placement of a peripherally inserted central venous access device, but 36570 is for patients younger than five. Use 36571 for patients age five or older.

Can imaging guidance or image documentation be billed separately?

No. Imaging guidance, image documentation, and radiological supervision and interpretation when performed are included in 36571.

What supports reporting 36571?

Document the patient's age, the device placed, the placement approach, and the procedure performed. The record should also support any imaging guidance used.

Does the code include postoperative visits?

Related postoperative visits during the 10-day global period are included.

When can an assistant-at-surgery service be paid?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.

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 36571PPRRVU2026_Oct_nonQPP.csv, line 4,516 (RVU26D)

Open CMS sourceHow we calculate rates

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