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

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, 2026One payment locality1.5K Medicare services in 2024

In Washington, DC area, Medicare pays $1,556.89 for 36571 in the office and $323.38 when it’s performed in a hospital or facility.

$1,556.89Office (non-facility)
$323.38Hospital or facility
+16.1%vs the national office rate ($1,341.05)

Check a contract rate as a % of Medicare · 36571 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 36571 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 36571 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 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.

How Washington, DC area compares for 36571

Across 109 of 109 payment localities, the office rate for 36571 runs from $1,163.02 in Arkansas to $1,846.41 in San Benito County, CA. Washington, DC area pays $1,556.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

36571 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$1,556.89
  2. Los Angeles, CA · California$1,544.38−$12.51
  3. Miami, FL · Florida$1,442.42−$114.47
  4. Chicago, IL · Illinois$1,394.19−$162.70
  5. Manhattan, NY · New York$1,557.21+$0.32
  6. Alaska · Alaska$1,481.91−$74.98
  7. Alabama · Alabama$1,183.08−$373.81

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

36571 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$1,163.02$263.55
ArizonaArizona$1,300.57$285.91
Bakersfield, CACalifornia$1,439.63$291.98
Chico, CACalifornia$1,436.68$289.04
El Centro, CACalifornia$1,436.86$289.22
Fresno, CACalifornia$1,436.68$289.04
Hanford, CACalifornia$1,436.68$289.04
Madera, CACalifornia$1,436.68$289.04

36571 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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

See 36571 in every payment locality

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.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,516

Code
36571
Physician work
4.96
Practice expense
34.12
Malpractice
1.07

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 36571 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work4.96× 1.0545.2278
Practice expense34.12× 1.17840.1934
Malpractice1.07× 1.1131.1909
Total RVUs46.6121
Conversion factor× 33.4009

Office rate, Washington, DC area$1556.89

Office: (4.96 × 1.054 + 34.12 × 1.178 + 1.07 × 1.113) × $33.4009 = $1556.89

Facility: (4.96 × 1.054 + 2.77 × 1.178 + 1.07 × 1.113) × $33.4009 = $323.38

Open 36571 in the RVU calculator

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

Codes related to 36571

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

Codes related to 36571
CodeHow it relatesOffice range, Washington, DC area
Same family
36570PIVAD insertion, younger than 5 yearsSibling code for this device placement in patients younger than five.$1,845.43
Used instead
36569PICC insertion, age 5 or older, no imagingPICC placement for patients age five or older when performed without imaging guidance.No office rate
36573PICC insertion, age 5+, imaging includedPICC placement with imaging guidance for patients age five or older.$423.58
36561Port placement, age five or olderProvides central access through placement of a tunneled catheter with an implanted port.$1,108.50

How 36571 has changed in Washington, DC area

36571 · Office / nonfacility

$1556.89

Effective 2026-10-01

The base rate is $207.29 higher than on 2025-10-01, moving from $1349.60 to $1556.89 (15.4%).

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

    $1349.60changed to$1556.89

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.09 changed to 4.96
    • Practice expense RVU 29.47 changed to 34.12
    • Malpractice RVU 1.04 changed to 1.07
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1441.22changed to$1349.60

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 30.77 changed to 29.47
    • Malpractice RVU 1.06 changed to 1.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1417.69changed to$1441.22

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1539.91changed to$1417.69

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 31.97 changed to 30.77
    • Malpractice RVU 1.02 changed to 1.06
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $1674.48changed to$1539.91

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 33.75 changed to 31.97
    • Malpractice RVU 1.01 changed to 1.02
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1719.81changed to$1674.48

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 34.50 changed to 33.75
    • Malpractice RVU 0.99 changed to 1.01

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1602.99changed to$1719.81

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 30.99 changed to 34.50
    • Malpractice RVU 0.97 changed to 0.99
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1530.75changed to$1602.99

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 29.83 changed to 30.99
    • Malpractice RVU 0.96 changed to 0.97
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1481.34changed to$1530.75

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 28.74 changed to 29.83
    • Malpractice RVU 0.95 changed to 0.96

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1465.17changed to$1481.34

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 28.43 changed to 28.74
    • Malpractice RVU 0.97 changed to 0.95
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1577.45changed to$1465.17

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 5.34 changed to 5.09
    • Practice expense RVU 30.80 changed to 28.43
    • Malpractice RVU 1.04 changed to 0.97
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1586.61changed to$1577.45

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 30.88 changed to 30.80

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1578.71changed to$1586.61

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1562.49changed to$1578.71

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 30.64 changed to 30.88
    • Malpractice RVU 0.98 changed to 1.04
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1620.52changed to$1562.49

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 34.12 changed to 30.64
    • Malpractice RVU 1.02 changed to 0.98
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1620.52

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,556.89$323.38RVU26D
2026-07-01$1,556.89$323.38RVU26C
2026-04-01$1,556.89$323.38RVU26B
2026-01-01$1,556.89$323.38RVU26A
2025-10-01$1,349.60$336.32RVU25D
2025-07-01$1,349.60$336.32RVU25C
2025-04-01$1,349.60$336.32RVU25B
2025-01-01$1,349.60$336.32RVU25A
2024-10-01$1,441.22$344.89RVU24D
2024-07-01$1,441.22$344.89RVU24C
2024-04-01$1,441.22$344.89RVU24B
2024-03-09$1,441.22$344.89RVU24AR
2024-01-01$1,417.69$339.27RVU24A
2023-10-01$1,539.91$353.46RVU23D
2023-07-01$1,539.91$353.46RVU23C
2023-04-01$1,539.91$353.46RVU23B
2023-01-01$1,539.91$353.46RVU23A
2022-10-01$1,674.48$366.05RVU22D
2022-07-01$1,674.48$366.05RVU22C
2022-04-01$1,674.48$366.05RVU22B
2022-01-01$1,674.48$366.05RVU22A
2021-10-01$1,719.81$366.02RVU21D
2021-07-01$1,719.81$366.02RVU21C
2021-04-01$1,719.81$366.02RVU21B
2021-01-01$1,719.81$366.02RVU21A
2020-10-01$1,602.99$368.28RVU20D
2020-07-01$1,602.99$368.28RVU20C
2020-04-01$1,602.99$368.28RVU20B
2020-01-01$1,602.99$368.28RVU20A
2019-10-01$1,530.75$363.43RVU19D
2019-07-01$1,530.75$363.43RVU19C
2019-04-01$1,530.75$363.43RVU19B
2019-01-01$1,530.75$363.43RVU19A
2018-10-01$1,481.34$362.15RVU18D
2018-07-01$1,481.34$362.15RVU18C
2018-04-01$1,481.34$362.15RVU18B
2018-01-01$1,481.34$362.15RVU18AR1
2017-10-01$1,465.17$361.97RVU17D
2017-07-01$1,465.17$361.97RVU17C
2017-04-01$1,465.17$361.97RVU17B
2017-01-01$1,465.17$361.97RVU17A
2016-10-01$1,577.45$378.47RVU16D
2016-07-01$1,577.45$378.47RVU16C
2016-04-01$1,577.45$378.47RVU16B
2016-01-01$1,577.45$378.47RVU16A
2015-10-01$1,586.61$380.27RVU15D
2015-07-01$1,586.61$380.27RVU15C
2015-04-01$1,578.71$378.38RVU15B
2015-01-01$1,578.71$378.38RVU15A
2014-10-01$1,562.49$373.20RVU14D
2014-07-01$1,562.49$373.20RVU14C
2014-04-01$1,562.49$373.20RVU14B
2014-01-01$1,562.49$373.20RVU14A
2013-10-01$1,620.52$364.71RVU13D
2013-07-01$1,620.52$364.71RVU13C
2013-04-01$1,620.52$364.71RVU13B
2013-01-01$1,620.52$364.71RVU13AR

Price 36571 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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