Billing code 36560: Central venous portMedicare rate & RVUs

Reports placement of a tunneled central venous access device with an implanted port for a patient younger than five years.

CMS RVU26DEffective Oct 1, 2026109 payment localities15 Medicare services in 2024

Medicare pays $1,343.38 for 36560 nationally in the office and $364.40 in a hospital or facility. Local office rates run $1,163.67–$1,824.34.

Medicare rate · 36560

Central venous port

Swap in your local Medicare rate.

Work RVUs
5.89
Total RVUs
40.22
Global days
010

National rate · 2026

$1,343.38

Office setting, before claim adjustments.

See every locality for 36560 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 36560 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 36560 covers

Select this code when the patient is younger than five on the procedure date and the device includes a subcutaneous port. Documentation should establish the patient’s age, tunneled central venous placement, and port implantation; a tunneled catheter without a port or a non-tunneled catheter is coded differently. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in one session, Medicare pays the highest-valued procedure in full and other procedures at 50%. A bilateral procedure reported with modifier 50 is paid at 150%. 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.

Where 36560 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$1163.67 to $1824.34

$1163.67$1494.01$1824.34
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

36560 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$1,183.85$327.24
Alaska*$1,489.33$446.71
Arizona$1,301.91$353.28
Arkansas$1,163.67$322.72
Atlanta$1,372.02$377.38
Austin$1,401.26$365.50
Bakersfield$1,431.66$358.70
Baltimore/Surr. Cntys$1,438.84$388.39
Beaumont$1,241.18$350.31
Brazoria$1,323.57$353.40

36560 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.

$1,163.67

$1,625.89

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

View every state and territory as a table
36560 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,489.331
AL$1,183.851
AR$1,163.671
AZ$1,301.911
CA$1,427.44–$1,824.3429
CO$1,404.291
CT$1,442.591
DC$1,554.701
DE$1,325.941
FL$1,321.62–$1,468.433
GA$1,235.28–$1,372.022
GU$1,471.211
HI$1,471.211
IA$1,218.761
ID$1,228.211
IL$1,277.71–$1,418.144
IN$1,236.551
KS$1,212.331
KY$1,217.471
LA$1,215.35–$1,285.962
MA$1,393.88–$1,557.962
MD$1,354.18–$1,554.703
ME$1,236.03–$1,314.192
MI$1,254.95–$1,341.062
MN$1,338.201
MO$1,191.02–$1,290.973
MS$1,177.601
MT$1,343.281
NC$1,251.141
ND$1,312.241
NE$1,226.511
NH$1,381.691
NJ$1,457.01–$1,534.422
NM$1,263.101
NV$1,335.721
NY$1,273.10–$1,607.725
OH$1,248.611
OK$1,214.611
OR$1,323.43–$1,454.572
PA$1,250.77–$1,401.912
PR$1,354.631
RI$1,377.571
SC$1,252.361
SD$1,308.561
TN$1,219.531
TX$1,241.18–$1,401.268
UT$1,272.381
VA$1,309.37–$1,554.702
VI$1,354.631
VT$1,306.541
WA$1,391.40–$1,592.012
WI$1,261.141
WV$1,222.641
WY$1,329.751

How the 36560 rate is calculated

Each of 36560’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 · 36560

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 5.89Practice expense 32.76Malpractice 1.57

40.2200 adjusted RVUs×$33.4009 conversion factor=$1,343.38

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 36560

36560 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 36560

Central venous port

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 · 36560

Central venous port

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

36560 without 50 · national office

$1,343.38

Central venous port

36560-50 · Bilateral: 150%

$2,015.07

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

36560 compared with similar codes

Compare codes

36560 vs 36561 vs 36557 vs 36555: national Medicare rates

Swap in your local Medicare rate.

  • 36560
    Central venous port · 5.89 wRVU
    $1,343.38
  • 36561
    Port placement · 5.65 wRVU
    $962.61−$380.77
  • 36557
    Tunneled catheter · 4.77 wRVU
    $1,262.22−$81.16
  • 36555
    Central line insertion · 1.88 wRVU
    $213.43−$1,129.95

How to choose

36561Port placement
Both codes include a tunneled central venous device with a subcutaneous port. Choose 36560 for a patient younger than five and 36561 for a patient five or older.
36557Tunneled catheter
Choose 36557 for a patient younger than five when the tunneled catheter has no subcutaneous port or pump. A port-equipped device is reported with 36560.
36555Central line insertion
36555 describes non-tunneled central venous catheter placement in a patient younger than five. Use 36560 when the catheter is tunneled and connected to an implanted port.

36560 billing questions

Does 36560 include the implanted port?

Yes. The code covers placement of the tunneled central venous catheter and its subcutaneous port as one service.

When should 36561 be used instead?

Use 36561 for the corresponding tunneled central venous access device with a subcutaneous port when the patient is five years or older.

How does 36560 differ from 36557?

Both are for patients younger than five and involve tunneled central venous access, but 36560 includes a subcutaneous port; 36557 is for a catheter without a port or pump.

Are related postoperative visits separately reported during the global period?

Related postoperative visits during the 10-day global period are included in the procedure payment.

How are other procedures in the same session paid?

Medicare pays the highest-valued procedure in full and other procedures at 50%. Modifier 50 applies to a bilateral procedure, and assistant-at-surgery payment requires medical-necessity documentation.

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 36560PPRRVU2026_Oct_nonQPP.csv, line 4,508 (RVU26D)

Open CMS sourceHow we calculate rates

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