CPT code 36572: PICC insertion, younger than 5, imaging guided2026 Medicare rate & RVUs in Missouri
Reports placement of a peripherally inserted central catheter in a child younger than 5 when imaging guidance is used for catheter insertion.
Medicare pays $323.39–$350.44 for 36572 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. 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 36572 covers
This service covers placement of a peripherally inserted central catheter (PICC) in a patient younger than 5 years, using imaging guidance to direct placement and confirm catheter position. A PICC enters through a peripheral vein, commonly in the arm, and is advanced to a central venous location for therapies such as prolonged intravenous medication or nutrition. The procedure is commonly performed in a hospital by a physician or other qualified practitioner involved in pediatric vascular access, including interventional radiology teams.
Select this code when the patient is younger than 5 and imaging guidance is used; age 5 or older falls under a different code. The record should support the patient’s age, the PICC placement, and use of imaging guidance. The code includes the imaging guidance and associated radiological supervision, interpretation, and documentation. It has a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery for this procedure, and 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 36572 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$323.39 to $350.44
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $346.37 | $72.89 |
| Metropolitan St. Louis, MO | $350.44 | $73.16 |
| Rest of Missouri | $323.39 | $72.32 |
How the 36572 rate is calculated
Each of 36572’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 · 36572
RVUs × geographic indexes × conversion factor
Work1.77
1.77 RVUs× 1.000 GPCI
Practice expense8.93
8.93 RVUs× 1.000 GPCI
Malpractice0.22
0.22 RVUs× 1.000 GPCI
Adjusted RVUs
10.9200
Conversion factor
$33.4009
Medicare rate
$364.74
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36572
The CMS indicators that decide how 36572 is paid alongside other services.
CMS payment indicators · 36572
PICC insertion, younger than 5, imaging guided
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
36572 compared with similar codes
Compare codes · National
36572 vs 36568 vs 36573: Medicare rates
How to choose
- 36568PICC insertionUnder 5, no imaging
- Both apply to PICC placement in children younger than 5. Choose 36572 when imaging guidance is used and 36568 when it is not.
- 36573PICC insertionAge 5+, imaging included
- This is the age 5-or-older counterpart for imaging-guided PICC placement. Use 36572 for patients younger than 5.
36572 billing questions
How does this code differ from 36568?
Both describe PICC placement in a child younger than 5. Use 36572 when imaging guidance is used; 36568 describes placement without imaging guidance.
When should 36573 be reported instead?
Use 36573 for imaging-guided PICC placement when the patient is age 5 or older. The age threshold distinguishes it from 36572.
Is imaging guidance reported separately?
Imaging guidance, radiological supervision and interpretation, and documentation are included in this code. Do not treat those elements as separate services under this code.
Can modifier 50 be used if both arms are involved?
No. CMS identifies bilateral adjustment as inappropriate for this service, so modifier 50 is not appropriate.
What are the assistant and co-surgeon rules?
Medicare does not pay an assistant at surgery for 36572. Co-surgeons and team surgery are not permitted.
What does the 0-day global period mean?
Same-day preoperative and postoperative care is included in the procedure. The code has no days of postoperative global care after the date of service.
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
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