CPT code 36572: PICC insertion, younger than 5, imaging guided2026 Medicare rate & RVUs in New Mexico

Reports placement of a peripherally inserted central catheter in a child younger than 5 when imaging guidance is used for catheter insertion.

CMS RVU26DEffective Oct 1, 2026One payment locality64 Medicare services in 2024

In New Mexico, Medicare pays $341.46 for 36572 in the office and $74.38 when it’s performed in a hospital or facility.

$341.46Office (non-facility)
$74.38Hospital or facility
−6.4%vs the national office rate ($364.74)

Check a contract rate as a % of Medicare · 36572 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 36572 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 36572 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 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.

How New Mexico compares for 36572

Across 109 of 109 payment localities, the office rate for 36572 runs from $319.12 in Arkansas to $499.67 in San Benito County, CA. New Mexico pays $341.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

36572 in New Mexico vs other payment areas
  1. New Mexico · this page$341.46
  2. Los Angeles, CA · California$419.28+$77.82
  3. Washington, DC area · District of Columbia$421.85+$80.39
  4. Miami, FL · Florida$388.20+$46.74
  5. Chicago, IL · Illinois$376.16+$34.70
  6. Manhattan, NY · New York$421.15+$79.69
  7. Alaska · Alaska$410.39+$68.93

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

Every other payment area

36572 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$324.26$69.42
ArkansasArkansas$319.12$68.93
ArizonaArizona$354.43$72.21
Bakersfield, CACalifornia$391.62$72.41
Chico, CACalifornia$390.97$71.75
El Centro, CACalifornia$391.00$71.79
Fresno, CACalifornia$390.97$71.75
Hanford, CACalifornia$390.97$71.75

36572 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$319.12

$445.32

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

View every state and territory as a table
36572 office rate range by state
State / territoryOffice rate rangeLocalities
AK$410.391
AL$324.261
AR$319.121
AZ$354.431
CA$390.97–$499.6729
CO$382.931
CT$390.431
DC$421.851
DE$360.711
FL$355.31–$388.203
GA$333.94–$371.162
GU$402.511
HI$402.511
IA$334.951
ID$337.001
IL$342.93–$378.884
IN$339.191
KS$332.461
KY$331.011
LA$330.13–$348.142
MA$380.00–$424.222
MD$368.31–$421.853
ME$338.10–$359.342
MI$339.74–$359.342
MN$368.211
MO$323.39–$350.443
MS$321.361
MT$364.721
NC$342.101
ND$360.371
NE$337.201
NH$376.051
NJ$395.26–$416.692
NM$341.461
NV$363.811
NY$347.64–$431.195
OH$338.851
OK$331.181
OR$361.36–$396.912
PA$339.88–$379.452
PR$367.911
RI$374.911
SC$340.971
SD$359.861
TN$334.191
TX$337.37–$381.328
UT$346.091
VA$357.51–$421.852
VI$367.911
VT$358.131
WA$379.56–$434.062
WI$347.131
WV$328.831
WY$362.831

See 36572 in every payment locality

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

Office or facility?

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.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,517

Code
36572
Physician work
1.77
Practice expense
8.93
Malpractice
0.22

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 36572 in New Mexico
ComponentRVULocality factorAdjusted
Physician work1.77× 1.0001.7700
Practice expense8.93× 0.9178.1888
Malpractice0.22× 1.2010.2642
Total RVUs10.2230
Conversion factor× 33.4009

Office rate, New Mexico$341.46

Office: (1.77 × 1 + 8.93 × 0.917 + 0.22 × 1.201) × $33.4009 = $341.46

Facility: (1.77 × 1 + 0.21 × 0.917 + 0.22 × 1.201) × $33.4009 = $74.38

Open 36572 in the RVU calculator

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

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 36572 has changed in New Mexico

36572 · Office / nonfacility

$341.46

Effective 2026-10-01

The base rate is $12.85 higher than on 2025-10-01, moving from $328.61 to $341.46 (3.9%).

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

    $328.61changed to$341.46

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.82 changed to 1.77
    • Practice expense RVU 8.90 changed to 8.93
    • 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

    $340.67changed to$328.61

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.97 changed to 8.90
    • Malpractice RVU 0.23 changed to 0.22

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $335.11changed to$340.67

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $353.43changed to$335.11

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.26 changed to 8.97
    • Malpractice RVU 0.22 changed to 0.23
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $364.38changed to$353.43

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.46 changed to 9.26
    • Malpractice RVU 0.20 changed to 0.22
    • 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

    $425.27changed to$364.38

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 11.35 changed to 9.46
    • Malpractice RVU 0.17 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $412.04changed to$425.27

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 10.37 changed to 11.35
    • Malpractice RVU 0.15 changed to 0.17
    • 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

    $402.05changed to$412.04

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.92 changed to 10.37
    • Malpractice RVU 0.16 changed to 0.15
    • 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

    No ratechanged to$402.05

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$341.46$74.38RVU26D
2026-07-01$341.46$74.38RVU26C
2026-04-01$341.46$74.38RVU26B
2026-01-01$341.46$74.38RVU26A
2025-10-01$328.61$77.78RVU25D
2025-07-01$328.61$77.78RVU25C
2025-04-01$328.61$77.78RVU25B
2025-01-01$328.61$77.78RVU25A
2024-10-01$340.67$79.53RVU24D
2024-07-01$340.67$79.53RVU24C
2024-04-01$340.67$79.53RVU24B
2024-03-09$340.67$79.53RVU24AR
2024-01-01$335.11$78.23RVU24A
2023-10-01$353.43$80.78RVU23D
2023-07-01$353.43$80.78RVU23C
2023-04-01$353.43$80.78RVU23B
2023-01-01$353.43$80.78RVU23A
2022-10-01$364.38$81.29RVU22D
2022-07-01$364.38$81.29RVU22C
2022-04-01$364.38$81.29RVU22B
2022-01-01$364.38$81.29RVU22A
2021-10-01$425.27$90.74RVU21D
2021-07-01$425.27$90.74RVU21C
2021-04-01$425.27$90.74RVU21B
2021-01-01$425.27$90.74RVU21A
2020-10-01$412.04$93.52RVU20D
2020-07-01$412.04$93.52RVU20C
2020-04-01$412.04$93.52RVU20B
2020-01-01$412.04$93.52RVU20A
2019-10-01$402.05$95.02RVU19D
2019-07-01$402.05$95.02RVU19C
2019-04-01$402.05$95.02RVU19B
2019-01-01$402.05$95.02RVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 36572 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

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

Show the CMS file lines behind this rate
RVUs for 36572PPRRVU2026_Oct_nonQPP.csv, line 4,517 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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