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CMS RVU26D · Effective 2026-10-01

36406 in Austin

Office / nonfacility

$19.04

Base rate per service

Facility setting

$7.73

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Venipuncture

About 36406: Skilled venipuncture in a child under three

Physician- or qualified-practitioner venipuncture from a non-scalp, non-femoral or jugular vein in a child younger than three when skilled access is required.

This service is a venous puncture in a child younger than three that requires a physician’s or qualified health care professional’s skill. It covers access through a vein other than the scalp, femoral, or jugular sites represented by neighboring codes. Examples of other sites include peripheral veins in the hand, foot, or arm. It may be performed in a hospital, clinic, or other setting where the child needs a venous specimen or venous access for a clinical purpose.

Report the code for the skilled puncture, not for the laboratory test performed on the specimen. Documentation should identify the child’s age, the vein accessed, the clinical purpose, and the circumstances supporting the need for physician or qualified-practitioner skill. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction.

CMS billing rules for 36406

Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.

Where the value comes from

  • Work RVU0.18 · 33%
  • Practice expense (office) RVU0.36 · 65%
  • Malpractice RVU0.01 · 2%

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.

36406 compared with similar codes

Office rates for Austin, from the same CMS release.

36400

Venipuncture

Under age three, femoral or jugular

$28.17

Use 36400 for femoral or jugular access in a child younger than three. This code is for another vein.

36405

Scalp venipuncture

Younger than 3 years

$24.77

Use 36405 for scalp-vein access in a child younger than three. This code covers other venous sites.

36410

Skilled venipuncture

Age three or older

$19.69

Use 36410 for skilled venipuncture in a patient age three or older; this code is for children younger than three.

36415

Coll venous bld venipuncture

No office rate

Code 36415 represents routine venous blood collection. This code represents a pediatric puncture requiring physician or qualified-practitioner skill.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 36406 is $17.26—$1.78 lower than the $19.04 rate in Austin. Both use the same code, release and participation basis.

36406 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $19.04

  2. Beaumont

    $17.26

    $1.78 lower than Austin

  3. Brazoria

    $18.24

    $0.80 lower than Austin

  4. Dallas

    $18.33

    $0.71 lower than Austin

  5. Fort Worth

    $18.21

    $0.83 lower than Austin

  6. Galveston

    $18.28

    $0.76 lower than Austin

  7. Houston

    $18.46

    $0.58 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 36406 ranges from $16.51 in Arkansas to $24.19 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 36406

    Office

    $17.72

    Facility

    $7.58

    $1.32 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 36406

    Office

    $20.71

    Facility

    $8.06

    $1.67 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 36406

    Office

    $20.87

    Facility

    $8.28

    $1.83 higher than Austin for the office setting.

  • Miami

    Florida · 36406

    Office

    $19.37

    Facility

    $8.25

    $0.33 higher than Austin for the office setting.

  • Chicago

    Illinois · 36406

    Office

    $18.91

    Facility

    $8.16

    $0.13 lower than Austin for the office setting.

  • Manhattan

    New York · 36406

    Office

    $20.90

    Facility

    $8.48

    $1.86 higher than Austin for the office setting.

  • Alaska*

    Alaska · 36406

    Office

    $22.01

    Facility

    $10.63

    $2.97 higher than Austin for the office setting.

  • Alabama

    Alabama · 36406

    Office

    $16.72

    Facility

    $7.37

    $2.32 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 36406

    Office

    $16.51

    Facility

    $7.33

    $2.53 lower than Austin for the office setting.

  • Arizona

    Arizona · 36406

    Office

    $17.95

    Facility

    $7.59

    $1.09 lower than Austin for the office setting.

  • Bakersfield

    California · 36406

    Office

    $19.51

    Facility

    $7.79

    $0.47 higher than Austin for the office setting.

  • Chico

    California · 36406

    Office

    $19.47

    Facility

    $7.76

    $0.43 higher than Austin for the office setting.

  • El Centro

    California · 36406

    Office

    $19.47

    Facility

    $7.76

    $0.43 higher than Austin for the office setting.

  • Fresno

    California · 36406

    Office

    $19.47

    Facility

    $7.76

    $0.43 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 36406

    Office

    $19.47

    Facility

    $7.76

    $0.43 higher than Austin for the office setting.

  • Madera

    California · 36406

    Office

    $19.47

    Facility

    $7.76

    $0.43 higher than Austin for the office setting.

  • Merced

    California · 36406

    Office

    $19.47

    Facility

    $7.76

    $0.43 higher than Austin for the office setting.

  • Modesto

    California · 36406

    Office

    $19.47

    Facility

    $7.76

    $0.43 higher than Austin for the office setting.

  • Napa

    California · 36406

    Office

    $22.41

    Facility

    $8.32

    $3.37 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36406

    Office

    $20.60

    Facility

    $7.97

    $1.56 higher than Austin for the office setting.

  • Redding

    California · 36406

    Office

    $19.47

    Facility

    $7.76

    $0.43 higher than Austin for the office setting.

  • Rest Of California

    California · 36406

    Office

    $19.47

    Facility

    $7.76

    $0.43 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36406

    Office

    $19.58

    Facility

    $7.87

    $0.54 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36406

    Office

    $20.39

    Facility

    $7.96

    $1.35 higher than Austin for the office setting.

  • Salinas

    California · 36406

    Office

    $20.31

    Facility

    $7.93

    $1.27 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36406

    Office

    $20.75

    Facility

    $7.97

    $1.71 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36406

    Office

    $23.69

    Facility

    $8.62

    $4.65 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 36406

    Office

    $23.68

    Facility

    $8.61

    $4.64 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 36406

    Office

    $24.19

    Facility

    $8.78

    $5.15 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 36406

    Office

    $24.15

    Facility

    $8.73

    $5.11 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36406

    Office

    $19.99

    Facility

    $7.82

    $0.95 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 36406

    Office

    $20.93

    Facility

    $7.94

    $1.89 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 36406

    Office

    $20.38

    Facility

    $7.92

    $1.34 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 36406

    Office

    $21.14

    Facility

    $8.01

    $2.10 higher than Austin for the office setting.

  • Stockton

    California · 36406

    Office

    $19.47

    Facility

    $7.76

    $0.43 higher than Austin for the office setting.

  • Vallejo

    California · 36406

    Office

    $22.39

    Facility

    $8.31

    $3.35 higher than Austin for the office setting.

  • Visalia

    California · 36406

    Office

    $19.47

    Facility

    $7.76

    $0.43 higher than Austin for the office setting.

  • Yuba City

    California · 36406

    Office

    $19.47

    Facility

    $7.76

    $0.43 higher than Austin for the office setting.

  • Colorado

    Colorado · 36406

    Office

    $19.14

    Facility

    $7.77

    $0.10 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 36406

    Office

    $19.49

    Facility

    $7.98

    $0.45 higher than Austin for the office setting.

  • Delaware

    Delaware · 36406

    Office

    $18.22

    Facility

    $7.66

    $0.82 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 36406

    Office

    $18.80

    Facility

    $7.97

    $0.24 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 36406

    Office

    $18.01

    Facility

    $7.79

    $1.03 lower than Austin for the office setting.

  • Atlanta

    Georgia · 36406

    Office

    $18.65

    Facility

    $7.79

    $0.39 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 36406

    Office

    $17.14

    Facility

    $7.60

    $1.90 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 36406

    Office

    $19.88

    Facility

    $7.72

    $0.84 higher than Austin for the office setting.

  • Iowa

    Iowa · 36406

    Office

    $17.15

    Facility

    $7.37

    $1.89 lower than Austin for the office setting.

  • Idaho

    Idaho · 36406

    Office

    $17.23

    Facility

    $7.40

    $1.81 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 36406

    Office

    $17.75

    Facility

    $7.91

    $1.29 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 36406

    Office

    $17.51

    Facility

    $7.75

    $1.53 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 36406

    Office

    $19.00

    Facility

    $8.02

    $0.04 lower than Austin for the office setting.

  • Indiana

    Indiana · 36406

    Office

    $17.32

    Facility

    $7.41

    $1.72 lower than Austin for the office setting.

  • Kansas

    Kansas · 36406

    Office

    $17.05

    Facility

    $7.39

    $1.99 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 36406

    Office

    $17.01

    Facility

    $7.51

    $2.03 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 36406

    Office

    $17.71

    Facility

    $7.65

    $1.33 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 36406

    Office

    $16.97

    Facility

    $7.51

    $2.07 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 36406

    Office

    $20.91

    Facility

    $8.15

    $1.87 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36406

    Office

    $19.04

    Facility

    $7.78

    The same base rate than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36406

    Office

    $19.42

    Facility

    $7.96

    $0.38 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 36406

    Office

    $18.55

    Facility

    $7.73

    $0.49 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 36406

    Office

    $17.28

    Facility

    $7.45

    $1.76 lower than Austin for the office setting.

  • Southern Maine

    Maine · 36406

    Office

    $18.14

    Facility

    $7.55

    $0.90 lower than Austin for the office setting.

  • Detroit

    Michigan · 36406

    Office

    $18.18

    Facility

    $7.86

    $0.86 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 36406

    Office

    $17.37

    Facility

    $7.61

    $1.67 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 36406

    Office

    $18.48

    Facility

    $7.49

    $0.56 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 36406

    Office

    $17.63

    Facility

    $7.59

    $1.41 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 36406

    Office

    $17.79

    Facility

    $7.62

    $1.25 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 36406

    Office

    $16.70

    Facility

    $7.49

    $2.34 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 36406

    Office

    $16.61

    Facility

    $7.41

    $2.43 lower than Austin for the office setting.

  • Montana**

    Montana · 36406

    Office

    $18.37

    Facility

    $7.68

    $0.67 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 36406

    Office

    $17.44

    Facility

    $7.47

    $1.60 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 36406

    Office

    $18.17

    Facility

    $7.48

    $0.87 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 36406

    Office

    $17.24

    Facility

    $7.37

    $1.80 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 36406

    Office

    $18.82

    Facility

    $7.70

    $0.22 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 36406

    Office

    $20.70

    Facility

    $8.30

    $1.66 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 36406

    Office

    $19.75

    Facility

    $8.08

    $0.71 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 36406

    Office

    $17.44

    Facility

    $7.64

    $1.60 lower than Austin for the office setting.

  • Nevada**

    Nevada · 36406

    Office

    $18.33

    Facility

    $7.63

    $0.71 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36406

    Office

    $21.31

    Facility

    $8.61

    $2.27 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36406

    Office

    $19.85

    Facility

    $8.15

    $0.81 higher than Austin for the office setting.

  • Queens

    New York · 36406

    Office

    $21.09

    Facility

    $8.46

    $2.05 higher than Austin for the office setting.

  • Rest Of New York

    New York · 36406

    Office

    $17.67

    Facility

    $7.52

    $1.37 lower than Austin for the office setting.

  • Ohio

    Ohio · 36406

    Office

    $17.33

    Facility

    $7.57

    $1.71 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 36406

    Office

    $17.01

    Facility

    $7.46

    $2.03 lower than Austin for the office setting.

  • Portland

    Oregon · 36406

    Office

    $19.72

    Facility

    $7.84

    $0.68 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 36406

    Office

    $18.22

    Facility

    $7.58

    $0.82 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36406

    Office

    $19.04

    Facility

    $7.91

    The same base rate than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36406

    Office

    $17.37

    Facility

    $7.55

    $1.67 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 36406

    Office

    $18.50

    Facility

    $7.69

    $0.54 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 36406

    Office

    $18.85

    Facility

    $7.80

    $0.19 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 36406

    Office

    $17.41

    Facility

    $7.53

    $1.63 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 36406

    Office

    $18.15

    Facility

    $7.46

    $0.89 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 36406

    Office

    $17.12

    Facility

    $7.41

    $1.92 lower than Austin for the office setting.

  • Utah

    Utah · 36406

    Office

    $17.61

    Facility

    $7.57

    $1.43 lower than Austin for the office setting.

  • Virginia

    Virginia · 36406

    Office

    $18.07

    Facility

    $7.56

    $0.97 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36406

    Office

    $18.50

    Facility

    $7.69

    $0.54 lower than Austin for the office setting.

  • Vermont

    Vermont · 36406

    Office

    $18.09

    Facility

    $7.50

    $0.95 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 36406

    Office

    $19.01

    Facility

    $7.75

    $0.03 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 36406

    Office

    $21.34

    Facility

    $8.22

    $2.30 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 36406

    Office

    $17.63

    Facility

    $7.39

    $1.41 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 36406

    Office

    $16.94

    Facility

    $7.65

    $2.10 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 36406

    Office

    $18.28

    Facility

    $7.60

    $0.76 lower than Austin for the office setting.

See how rates vary across the country

36406 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$16.51

$22.01

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$22.011
AL$16.721
AR$16.511
AZ$17.951
CA$19.47–$24.1929
CO$19.141
CT$19.491
DC$20.871
DE$18.221
FL$18.01–$19.373
GA$17.14–$18.652
GU$19.881
HI$19.881
IA$17.151
ID$17.231
IL$17.51–$19.004
IN$17.321
KS$17.051
KY$17.011
LA$16.97–$17.712
MA$19.04–$20.912
MD$18.55–$20.873
ME$17.28–$18.142
MI$17.37–$18.182
MN$18.481
MO$16.70–$17.793
MS$16.611
MT$18.371
NC$17.441
ND$18.171
NE$17.241
NH$18.821
NJ$19.75–$20.702
NM$17.441
NV$18.331
NY$17.67–$21.315
OH$17.331
OK$17.011
OR$18.22–$19.722
PA$17.37–$19.042
PR$18.501
RI$18.851
SC$17.411
SD$18.151
TN$17.121
TX$17.26–$19.048
UT$17.611
VA$18.07–$20.872
VI$18.501
VT$18.091
WA$19.01–$21.342
WI$17.631
WV$16.941
WY$18.281

Explore 36406 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 36406 in Austin, the physician’s office rate is $19.04 and the facility-setting rate is $7.73: a difference of $11.31.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 36406 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$20.94

$19.04 × 110% = $20.94

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 36406 in Austin.

PPRRVU2026_Oct_nonQPP.csv

4,469

Code
36406
Physician work
0.18
Practice expense
0.36
Malpractice
0.01

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 36406 in Austin
ComponentRVULocality factorAdjusted
Physician work0.18× 1.0020.1804
Practice expense0.36× 1.0580.3809
Malpractice0.01× 0.8860.0089
Total RVUs0.5701
Conversion factor× 33.4009

Office / nonfacility rate, Austin$19.04

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 36406 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.181.002
Practice expense0.361.058
Malpractice0.010.886

(0.18 × 1.002 + 0.36 × 1.058 + 0.01 × 0.886) × $33.4009 = $19.04

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.181.002
Practice expense0.041.058
Malpractice0.010.886

(0.18 × 1.002 + 0.04 × 1.058 + 0.01 × 0.886) × $33.4009 = $7.73

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

36406 · Office / nonfacility

$19.04

Effective 2026-10-01

The base rate is $1.42 higher than on 2025-10-01, moving from $17.62 to $19.04 (8.1%).

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

    $17.62changed to$19.04

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.34 changed to 0.36
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $17.62

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$19.04$7.73RVU26D
2026-07-01$19.04$7.73RVU26C
2026-04-01$19.04$7.73RVU26B
2026-01-01$19.04$7.73RVU26A
2025-10-01$17.62$8.49RVU25D
2025-07-01$17.62$8.49RVU25C
2025-04-01$17.62$8.49RVU25B
2025-01-01$17.62$8.49RVU25A

36406 billing questions

How does this code differ from 36405 and 36400?

This code is for a vein other than the scalp, femoral, or jugular vein. Code 36405 is for scalp access, while 36400 is for femoral or jugular access in a child younger than three.

When is 36410 used instead?

Code 36410 is the related venipuncture code for a patient age three or older when physician or qualified-practitioner skill is required.

Does this code include laboratory testing?

No. It represents the skilled venipuncture; the laboratory analysis is a separate service.

Can routine staff-performed blood collection be reported with this code?

The code describes venipuncture requiring physician or qualified-practitioner skill. A routine collection without that skilled service does not fit this code.

How does the multiple-procedure reduction affect payment?

For multiple procedures in the same session, the highest-valued procedure is paid in full and the others are paid at 50% under the standard multiple-procedure reduction.

What should the record show?

Document the child’s age, the access site, the clinical purpose, and why the puncture required physician or qualified-practitioner skill.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 36406PPRRVU2026_Oct_nonQPP.csv, line 4,469 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet