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

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 Vermont, Medicare pays $1,311.99 for 36571 in the office and $275.35 when it’s performed in a hospital or facility.

$1,311.99Office (non-facility)
$275.35Hospital or facility
−2.2%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 Vermont
  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 Vermont 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. Vermont pays $1,311.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

36571 in Vermont vs other payment areas
  1. Vermont · this page$1,311.99
  2. Los Angeles, CA · California$1,544.38+$232.39
  3. Washington, DC area · District of Columbia$1,556.89+$244.90
  4. Miami, FL · Florida$1,442.42+$130.43
  5. Chicago, IL · Illinois$1,394.19+$82.20
  6. Manhattan, NY · New York$1,557.21+$245.22
  7. Alaska · Alaska$1,481.91+$169.92

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

Every other payment area

36571 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,183.08$266.85
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

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 Vermont 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

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 36571 in Vermont
ComponentRVULocality factorAdjusted
Physician work4.96× 1.0004.9600
Practice expense34.12× 0.99033.7788
Malpractice1.07× 0.5060.5414
Total RVUs39.2802
Conversion factor× 33.4009

Office rate, Vermont$1311.99

Office: (4.96 × 1 + 34.12 × 0.99 + 1.07 × 0.506) × $33.4009 = $1311.99

Facility: (4.96 × 1 + 2.77 × 0.99 + 1.07 × 0.506) × $33.4009 = $275.35

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, Vermont
Same family
36570PIVAD insertion, younger than 5 yearsSibling code for this device placement in patients younger than five.$1,550.84
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.$359.73
36561Port placement, age five or olderProvides central access through placement of a tunneled catheter with an implanted port.$939.52

How 36571 has changed in Vermont

36571 · Office / nonfacility

$1311.99

Effective 2026-10-01

The base rate is $183.34 higher than on 2025-10-01, moving from $1128.65 to $1311.99 (16.2%).

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

    $1128.65changed to$1311.99

    • 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
    • Practice expense GPCI 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1204.80changed to$1128.65

    • 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

    $1185.13changed to$1204.80

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1271.38changed to$1185.13

    • 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
    • Practice expense GPCI 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518

  5. January 1, 2023

    RVU23A

    $1365.16changed to$1271.38

    • 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
    • Practice expense GPCI 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1402.28changed to$1365.16

    • 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

    $1331.43changed to$1402.28

    • 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
    • Practice expense GPCI 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1295.20changed to$1331.43

    • 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
    • Practice expense GPCI 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1253.73changed to$1295.20

    • 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

    $1235.44changed to$1253.73

    • 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
    • Practice expense GPCI 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1323.77changed to$1235.44

    • 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
    • Practice expense GPCI 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1331.44changed to$1323.77

    • 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

    $1324.81changed to$1331.44

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1317.19changed to$1324.81

    • 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
    • Practice expense GPCI 1.006 changed to 1.004
    • Malpractice GPCI 0.618 changed to 0.682

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$1317.19

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,311.99$275.35RVU26D
2026-07-01$1,311.99$275.35RVU26C
2026-04-01$1,311.99$275.35RVU26B
2026-01-01$1,311.99$275.35RVU26A
2025-10-01$1,128.65$284.53RVU25D
2025-07-01$1,128.65$284.53RVU25C
2025-04-01$1,128.65$284.53RVU25B
2025-01-01$1,128.65$284.53RVU25A
2024-10-01$1,204.80$291.50RVU24D
2024-07-01$1,204.80$291.50RVU24C
2024-04-01$1,204.80$291.50RVU24B
2024-03-09$1,204.80$291.50RVU24AR
2024-01-01$1,185.13$286.74RVU24A
2023-10-01$1,271.38$297.00RVU23D
2023-07-01$1,271.38$297.00RVU23C
2023-04-01$1,271.38$297.00RVU23B
2023-01-01$1,271.38$297.00RVU23A
2022-10-01$1,365.16$305.50RVU22D
2022-07-01$1,365.16$305.50RVU22C
2022-04-01$1,365.16$305.50RVU22B
2022-01-01$1,365.16$305.50RVU22A
2021-10-01$1,402.28$305.89RVU21D
2021-07-01$1,402.28$305.89RVU21C
2021-04-01$1,402.28$305.89RVU21B
2021-01-01$1,402.28$305.89RVU21A
2020-10-01$1,331.43$312.11RVU20D
2020-07-01$1,331.43$312.11RVU20C
2020-04-01$1,331.43$312.11RVU20B
2020-01-01$1,331.43$312.11RVU20A
2019-10-01$1,295.20$311.93RVU19D
2019-07-01$1,295.20$311.93RVU19C
2019-04-01$1,295.20$311.93RVU19B
2019-01-01$1,295.20$311.93RVU19A
2018-10-01$1,253.73$311.01RVU18D
2018-07-01$1,253.73$311.01RVU18C
2018-04-01$1,253.73$311.01RVU18B
2018-01-01$1,253.73$311.01RVU18AR1
2017-10-01$1,235.44$310.76RVU17D
2017-07-01$1,235.44$310.76RVU17C
2017-04-01$1,235.44$310.76RVU17B
2017-01-01$1,235.44$310.76RVU17A
2016-10-01$1,323.77$324.79RVU16D
2016-07-01$1,323.77$324.79RVU16C
2016-04-01$1,323.77$324.79RVU16B
2016-01-01$1,323.77$324.79RVU16A
2015-10-01$1,331.44$326.33RVU15D
2015-07-01$1,331.44$326.33RVU15C
2015-04-01$1,324.81$324.70RVU15B
2015-01-01$1,324.81$324.70RVU15A
2014-10-01$1,317.19$321.82RVU14D
2014-07-01$1,317.19$321.82RVU14C
2014-04-01$1,317.19$321.82RVU14B
2014-01-01$1,317.19$321.82RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 36571 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

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 VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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