CPT code 36573: PICC insertion, age 5+, imaging included2026 Medicare rate & RVUs in Washington, DC area
Reports placement of a peripherally inserted central catheter in a patient age five or older when imaging guidance and related interpretation are included.
In Washington, DC area, Medicare pays $423.58 for 36573 in the office and $77.72 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36573 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 36573 covers
This service covers placing a peripherally inserted central catheter (PICC) in a patient who is at least five years old. The catheter enters through a peripheral vein, commonly in the arm, and is advanced so its tip reaches central circulation. Clinicians use PICCs when longer-term vascular access is needed, such as for infusion therapy or other ongoing treatment. The code includes imaging guidance, image documentation, and associated radiological supervision and interpretation for the placement.
Report it for initial PICC insertion when the patient meets the age threshold and imaging is used as part of the service. Documentation should support the patient’s age, the insertion, the imaging performed, and catheter tip position. Choose the non-imaging code 36569 when the PICC is inserted without imaging. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; 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 36573
Across 109 of 109 payment localities, the office rate for 36573 runs from $319.92 in Arkansas to $503.54 in San Benito County, CA. Washington, DC area pays $423.58. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$423.58
- Los Angeles, CA · California$421.68−$1.90
- Miami, FL · Florida$387.41−$36.17
- Chicago, IL · Illinois$375.44−$48.14
- Manhattan, NY · New York$422.11−$1.47
- Alaska · Alaska$410.54−$13.04
- Alabama · Alabama$325.10−$98.48
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $319.92 | $67.72 |
| ArizonaArizona | $355.44 | $70.95 |
| Bakersfield, CACalifornia | $393.65 | $71.87 |
| Chico, CACalifornia | $393.10 | $71.32 |
| El Centro, CACalifornia | $393.13 | $71.36 |
| Fresno, CACalifornia | $393.10 | $71.32 |
| Hanford, CACalifornia | $393.10 | $71.32 |
| Madera, CACalifornia | $393.10 | $71.32 |
| Merced, CACalifornia | $393.10 | $71.32 |
| Modesto, CACalifornia | $393.10 | $71.32 |
| Napa, CACalifornia | $463.04 | $76.08 |
| Oxnard, CACalifornia | $420.41 | $73.38 |
| Redding, CACalifornia | $393.10 | $71.32 |
| Rest of CaliforniaCalifornia | $393.10 | $71.32 |
| Riverside, CACalifornia | $395.07 | $73.29 |
| Sacramento, CACalifornia | $414.54 | $73.09 |
| Salinas, CACalifornia | $413.05 | $72.77 |
| San Diego, CACalifornia | $424.29 | $73.15 |
| Marin County, CACalifornia | $492.51 | $78.54 |
| San Francisco, CACalifornia | $492.31 | $78.34 |
| San Benito County, CACalifornia | $503.54 | $80.18 |
| Santa Clara County, CACalifornia | $502.71 | $79.34 |
| San Luis Obispo, CACalifornia | $406.19 | $71.78 |
| Santa Cruz, CACalifornia | $429.54 | $72.82 |
| Santa Maria, CACalifornia | $415.01 | $72.68 |
| Santa Rosa, CACalifornia | $433.99 | $73.46 |
| Stockton, CACalifornia | $393.10 | $71.32 |
| Vallejo, CACalifornia | $462.74 | $75.79 |
| Visalia, CACalifornia | $393.10 | $71.32 |
| Yuba City, CACalifornia | $393.10 | $71.32 |
| ColoradoColorado | $384.56 | $72.18 |
| ConnecticutConnecticut | $391.54 | $75.34 |
| DelawareDelaware | $361.76 | $71.69 |
| Fort Lauderdale, FLFlorida | $374.55 | $77.14 |
| Rest of FloridaFlorida | $355.38 | $74.70 |
| Atlanta, GAGeorgia | $371.98 | $73.69 |
| Rest of GeorgiaGeorgia | $334.03 | $72.15 |
| Hawaii, Guam, HIHawaii | $404.90 | $71.08 |
| IowaIowa | $336.25 | $67.61 |
| IdahoIdaho | $338.23 | $68.12 |
| East St. Louis, ILIllinois | $347.49 | $77.39 |
| Rest of IllinoisIllinois | $342.65 | $74.60 |
| Suburban Chicago, ILIllinois | $378.98 | $77.46 |
| IndianaIndiana | $340.44 | $68.28 |
| KansasKansas | $333.55 | $68.14 |
| KentuckyKentucky | $331.45 | $70.45 |
| New Orleans, LALouisiana | $348.60 | $72.33 |
| Rest of LouisianaLouisiana | $330.49 | $70.66 |
| Metropolitan Boston, MAMassachusetts | $426.38 | $75.83 |
| Rest of MassachusettsMassachusetts | $381.53 | $72.38 |
| Baltimore area, MDMaryland | $390.26 | $75.24 |
| Rest of MarylandMaryland | $369.45 | $72.34 |
| Rest of MaineMaine | $339.12 | $69.02 |
| Southern Maine, MEMaine | $360.78 | $69.83 |
| Detroit, MIMichigan | $359.21 | $75.90 |
| Rest of MichiganMichigan | $340.04 | $71.99 |
| MinnesotaMinnesota | $370.33 | $68.22 |
| Metropolitan Kansas City, MOMissouri | $347.04 | $71.36 |
| Metropolitan St. Louis, MOMissouri | $351.15 | $71.64 |
| Rest of MissouriMissouri | $323.59 | $70.51 |
| MississippiMississippi | $321.88 | $69.09 |
| MontanaMontana | $365.73 | $72.13 |
| North CarolinaNorth Carolina | $343.18 | $69.26 |
| North DakotaNorth Dakota | $362.17 | $68.57 |
| NebraskaNebraska | $338.57 | $67.58 |
| New HampshireNew Hampshire | $377.46 | $71.83 |
| Northern New JerseyNew Jersey | $418.33 | $77.76 |
| Rest of New JerseyNew Jersey | $396.53 | $75.93 |
| New MexicoNew Mexico | $341.69 | $72.47 |
| NevadaNevada | $365.04 | $71.15 |
| NYC suburbs and Long Island, NYNew York | $431.95 | $82.87 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $398.40 | $76.92 |
| Queens, NYNew York | $427.33 | $80.30 |
| Rest of New YorkNew York | $348.74 | $69.83 |
| OhioOhio | $339.32 | $71.26 |
| OklahomaOklahoma | $331.84 | $69.66 |
| Portland, OROregon | $398.86 | $72.68 |
| Rest of OregonOregon | $362.74 | $70.32 |
| Metropolitan Philadelphia, PAPennsylvania | $380.37 | $74.74 |
| Rest of PennsylvaniaPennsylvania | $340.46 | $70.94 |
| Puerto RicoPuerto Rico | $369.00 | $72.17 |
| Rhode IslandRhode Island | $376.19 | $72.90 |
| South CarolinaSouth Carolina | $341.71 | $70.43 |
| South DakotaSouth Dakota | $361.75 | $68.15 |
| TennesseeTennessee | $335.27 | $68.39 |
| Austin, TXTexas | $382.81 | $72.19 |
| Beaumont, TXTexas | $337.93 | $70.76 |
| Brazoria, TXTexas | $362.12 | $71.17 |
| Dallas, TXTexas | $364.17 | $71.75 |
| Fort Worth, TXTexas | $361.20 | $71.72 |
| Galveston, TXTexas | $363.02 | $71.48 |
| Houston, TXTexas | $366.31 | $74.78 |
| Rest of TexasTexas | $349.64 | $71.02 |
| UtahUtah | $346.87 | $70.89 |
| VirginiaVirginia | $358.80 | $70.20 |
| Virgin Islands, VIUnited States Virgin Islands | $369.00 | $72.17 |
| VermontVermont | $359.73 | $69.07 |
| Rest of WashingtonWashington | $381.15 | $72.00 |
| King County, WAWashington | $436.48 | $76.24 |
| WisconsinWisconsin | $348.80 | $67.54 |
| West VirginiaWest Virginia | $328.47 | $73.34 |
| WyomingWyoming | $364.18 | $70.58 |
36573 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.
$319.92
$448.32
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $410.54 | 1 |
| AL | $325.10 | 1 |
| AR | $319.92 | 1 |
| AZ | $355.44 | 1 |
| CA | $393.10–$503.54 | 29 |
| CO | $384.56 | 1 |
| CT | $391.54 | 1 |
| DC | $423.58 | 1 |
| DE | $361.76 | 1 |
| FL | $355.38–$387.41 | 3 |
| GA | $334.03–$371.98 | 2 |
| GU | $404.90 | 1 |
| HI | $404.90 | 1 |
| IA | $336.25 | 1 |
| ID | $338.23 | 1 |
| IL | $342.65–$378.98 | 4 |
| IN | $340.44 | 1 |
| KS | $333.55 | 1 |
| KY | $331.45 | 1 |
| LA | $330.49–$348.60 | 2 |
| MA | $381.53–$426.38 | 2 |
| MD | $369.45–$423.58 | 3 |
| ME | $339.12–$360.78 | 2 |
| MI | $340.04–$359.21 | 2 |
| MN | $370.33 | 1 |
| MO | $323.59–$351.15 | 3 |
| MS | $321.88 | 1 |
| MT | $365.73 | 1 |
| NC | $343.18 | 1 |
| ND | $362.17 | 1 |
| NE | $338.57 | 1 |
| NH | $377.46 | 1 |
| NJ | $396.53–$418.33 | 2 |
| NM | $341.69 | 1 |
| NV | $365.04 | 1 |
| NY | $348.74–$431.95 | 5 |
| OH | $339.32 | 1 |
| OK | $331.84 | 1 |
| OR | $362.74–$398.86 | 2 |
| PA | $340.46–$380.37 | 2 |
| PR | $369.00 | 1 |
| RI | $376.19 | 1 |
| SC | $341.71 | 1 |
| SD | $361.75 | 1 |
| TN | $335.27 | 1 |
| TX | $337.93–$382.81 | 8 |
| UT | $346.87 | 1 |
| VA | $358.80–$423.58 | 2 |
| VI | $369.00 | 1 |
| VT | $359.73 | 1 |
| WA | $381.15–$436.48 | 2 |
| WI | $348.80 | 1 |
| WV | $328.47 | 1 |
| WY | $364.18 | 1 |
How the 36573 rate is calculated
Each of 36573’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 · 36573
RVUs × geographic indexes × conversion factor
Work1.66
1.66 RVUs× 1.000 GPCI
Practice expense9.11
9.11 RVUs× 1.000 GPCI
Malpractice0.18
0.18 RVUs× 1.000 GPCI
Adjusted RVUs
10.9500
Conversion factor
$33.4009
Medicare rate
$365.74
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
4,518
- Code
- 36573
- Physician work
- 1.66
- Practice expense
- 9.11
- Malpractice
- 0.18
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.66 | × 1.054 | 1.7496 |
| Practice expense | 9.11 | × 1.178 | 10.7316 |
| Malpractice | 0.18 | × 1.113 | 0.2003 |
| Total RVUs | 12.6816 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$423.58
Office: (1.66 × 1.054 + 9.11 × 1.178 + 0.18 × 1.113) × $33.4009 = $423.58
Facility: (1.66 × 1.054 + 0.32 × 1.178 + 0.18 × 1.113) × $33.4009 = $77.72
Payment rules and modifiers for 36573
The CMS indicators that decide how 36573 is paid alongside other services.
CMS payment indicators · 36573
PICC insertion, age 5+, imaging included
| 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. |
How 36573 has changed in Washington, DC area
36573 · Office / nonfacility
$423.58
Effective 2026-10-01
The base rate is $7.78 higher than on 2025-10-01, moving from $415.80 to $423.58 (1.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$415.80changed to$423.58
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.70 changed to 1.66
- Malpractice RVU 0.17 changed to 0.18
- 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.
January 1, 2025
RVU25A
$439.01changed to$415.80
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 9.39 changed to 9.11
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$431.84changed to$439.01
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$467.39changed to$431.84
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 9.70 changed to 9.39
- Malpractice RVU 0.18 changed to 0.17
- 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
January 1, 2023
RVU23A
$496.99changed to$467.39
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 9.96 changed to 9.70
- Malpractice RVU 0.20 changed to 0.18
- 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.
January 1, 2022
RVU22A
$514.02changed to$496.99
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 10.27 changed to 9.96
- Malpractice RVU 0.19 changed to 0.20
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$491.30changed to$514.02
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 9.49 changed to 10.27
- 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.
January 1, 2020
RVU20A
$476.94changed to$491.30
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 9.32 changed to 9.49
- Malpractice RVU 0.18 changed to 0.19
- 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.
January 1, 2019
RVU19A
No ratechanged to$476.94
Held through RVU19B, RVU19C, RVU19D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $423.58 | $77.72 | RVU26D |
| 2026-07-01 | $423.58 | $77.72 | RVU26C |
| 2026-04-01 | $423.58 | $77.72 | RVU26B |
| 2026-01-01 | $423.58 | $77.72 | RVU26A |
| 2025-10-01 | $415.80 | $87.29 | RVU25D |
| 2025-07-01 | $415.80 | $87.29 | RVU25C |
| 2025-04-01 | $415.80 | $87.29 | RVU25B |
| 2025-01-01 | $415.80 | $87.29 | RVU25A |
| 2024-10-01 | $439.01 | $89.04 | RVU24D |
| 2024-07-01 | $439.01 | $89.04 | RVU24C |
| 2024-04-01 | $439.01 | $89.04 | RVU24B |
| 2024-03-09 | $439.01 | $89.04 | RVU24AR |
| 2024-01-01 | $431.84 | $87.59 | RVU24A |
| 2023-10-01 | $467.39 | $92.62 | RVU23D |
| 2023-07-01 | $467.39 | $92.62 | RVU23C |
| 2023-04-01 | $467.39 | $92.62 | RVU23B |
| 2023-01-01 | $467.39 | $92.62 | RVU23A |
| 2022-10-01 | $496.99 | $94.92 | RVU22D |
| 2022-07-01 | $496.99 | $94.92 | RVU22C |
| 2022-04-01 | $496.99 | $94.92 | RVU22B |
| 2022-01-01 | $496.99 | $94.92 | RVU22A |
| 2021-10-01 | $514.02 | $95.25 | RVU21D |
| 2021-07-01 | $514.02 | $95.25 | RVU21C |
| 2021-04-01 | $514.02 | $95.25 | RVU21B |
| 2021-01-01 | $514.02 | $95.25 | RVU21A |
| 2020-10-01 | $491.30 | $97.79 | RVU20D |
| 2020-07-01 | $491.30 | $97.79 | RVU20C |
| 2020-04-01 | $491.30 | $97.79 | RVU20B |
| 2020-01-01 | $491.30 | $97.79 | RVU20A |
| 2019-10-01 | $476.94 | $96.96 | RVU19D |
| 2019-07-01 | $476.94 | $96.96 | RVU19C |
| 2019-04-01 | $476.94 | $96.96 | RVU19B |
| 2019-01-01 | $476.94 | $96.96 | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
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
36573 billing questions
How does 36573 differ from 36569?
Both cover PICC insertion for patients age five or older. Use 36573 when imaging guidance, image documentation, and associated radiological supervision and interpretation are included; 36569 is for insertion without imaging.
Which age group qualifies for 36573?
The patient must be age five or older on the date of insertion. Code 36572 is the imaging-included counterpart for patients younger than five.
Can imaging guidance be billed separately?
Imaging guidance, image documentation, and associated radiological supervision and interpretation for the PICC placement are included in 36573.
Should modifier 50 be appended for two-arm access?
No. CMS identifies bilateral adjustment as inapplicable for this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 36573. Co-surgeons and team surgery are not permitted.
What is included in the global period?
The code has a 0-day global period. Same-day preoperative and postoperative care is included.
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
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