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CMS RVU26D · Effective 2026-10-01

36563 in Beaumont

Office / nonfacility

$1078.32

Base rate per service

Facility setting

$330.00

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.

Vascular access

About 36563: Tunneled dual-catheter port placement

Reports placement of a tunneled central venous access device with subcutaneous port access requiring two catheters for long-term vascular access.

This service places a tunneled central venous access device with a subcutaneous port and two catheters. A surgeon or interventional radiologist typically performs the procedure in an operating room or procedural suite when the treatment plan requires two catheter pathways for ongoing access, such as for distinct infusion needs. The implanted port provides access through the skin after the insertion sites heal.

Select this code when the documented device configuration requires two catheters and includes a subcutaneous port; a single-catheter port or a tunneled catheter without a port is a different service. The operative report should establish the tunneled central placement, port configuration, and need for both catheters. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 36563

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU5.84 · 17%
  • Practice expense (office) RVU27.62 · 79%
  • Malpractice RVU1.41 · 4%

110

Medicare services in 2024 · #4808 by national volume

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.

36563 compared with similar codes

Office rates for Beaumont, from the same CMS release.

36561

Port placement

Age five or older

$893.57

Both involve tunneled central access with a subcutaneous port; choose 36563 when the device requires two catheters rather than one.

36558

Tunneled catheter

Age 5 years or older

$730.58

Code 36558 describes tunneled central catheter placement without a subcutaneous port for a patient age 5 or older. This code includes a port and requires two catheters.

36566

Tunneled catheter

Two catheters, age 5+

$4,028.26

Both describe tunneled central access requiring two catheters in a patient age 5 or older; 36566 is for a device without a subcutaneous port.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 36563 is $1213.22—$134.90 higher than the $1078.32 rate in Beaumont. Both use the same code, release and participation basis.

36563 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $1078.32

  2. Austin

    $1213.22

    $134.90 higher than Beaumont

  3. Brazoria

    $1147.59

    $69.27 higher than Beaumont

  4. Dallas

    $1156.07

    $77.75 higher than Beaumont

  5. Fort Worth

    $1147.45

    $69.13 higher than Beaumont

  6. Galveston

    $1151.69

    $73.37 higher than Beaumont

  7. Houston

    $1177.50

    $99.18 higher than Beaumont

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, 36563 ranges from $1011.77 in Arkansas to $1572.05 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 · 36563

    Office

    $1113.07

    Facility

    $332.68

    $34.75 higher than Beaumont for the office setting.

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

    California · 36563

    Office

    $1325.69

    Facility

    $352.87

    $247.37 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 36563

    Office

    $1344.76

    Facility

    $376.05

    $266.44 higher than Beaumont for the office setting.

  • Miami

    Florida · 36563

    Office

    $1274.52

    Facility

    $418.48

    $196.20 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 36563

    Office

    $1231.66

    Facility

    $405.21

    $153.34 higher than Beaumont for the office setting.

  • Manhattan

    New York · 36563

    Office

    $1354.22

    Facility

    $398.67

    $275.90 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 36563

    Office

    $1301.04

    Facility

    $425.26

    $222.72 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 36563

    Office

    $1028.93

    Facility

    $309.39

    $49.39 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 36563

    Office

    $1011.77

    Facility

    $305.39

    $66.55 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 36563

    Office

    $1129.31

    Facility

    $332.47

    $50.99 higher than Beaumont for the office setting.

  • Bakersfield

    California · 36563

    Office

    $1238.54

    Facility

    $337.27

    $160.22 higher than Beaumont for the office setting.

  • Chico

    California · 36563

    Office

    $1234.72

    Facility

    $333.44

    $156.40 higher than Beaumont for the office setting.

  • El Centro

    California · 36563

    Office

    $1234.95

    Facility

    $333.68

    $156.63 higher than Beaumont for the office setting.

  • Fresno

    California · 36563

    Office

    $1234.72

    Facility

    $333.44

    $156.40 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 36563

    Office

    $1234.72

    Facility

    $333.44

    $156.40 higher than Beaumont for the office setting.

  • Madera

    California · 36563

    Office

    $1234.72

    Facility

    $333.44

    $156.40 higher than Beaumont for the office setting.

  • Merced

    California · 36563

    Office

    $1234.72

    Facility

    $333.44

    $156.40 higher than Beaumont for the office setting.

  • Modesto

    California · 36563

    Office

    $1234.72

    Facility

    $333.44

    $156.40 higher than Beaumont for the office setting.

  • Napa

    California · 36563

    Office

    $1447.17

    Facility

    $363.34

    $368.85 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36563

    Office

    $1320.30

    Facility

    $348.30

    $241.98 higher than Beaumont for the office setting.

  • Redding

    California · 36563

    Office

    $1234.72

    Facility

    $333.44

    $156.40 higher than Beaumont for the office setting.

  • Rest Of California

    California · 36563

    Office

    $1234.72

    Facility

    $333.44

    $156.40 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36563

    Office

    $1249.84

    Facility

    $348.57

    $171.52 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36563

    Office

    $1300.23

    Facility

    $343.86

    $221.91 higher than Beaumont for the office setting.

  • Salinas

    California · 36563

    Office

    $1295.57

    Facility

    $342.49

    $217.25 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36563

    Office

    $1329.79

    Facility

    $346.28

    $251.47 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36563

    Office

    $1535.98

    Facility

    $376.49

    $457.66 higher than Beaumont for the office setting.

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

    California · 36563

    Office

    $1534.38

    Facility

    $374.89

    $456.06 higher than Beaumont for the office setting.

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

    California · 36563

    Office

    $1572.05

    Facility

    $386.25

    $493.73 higher than Beaumont for the office setting.

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

    California · 36563

    Office

    $1565.51

    Facility

    $379.71

    $487.19 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36563

    Office

    $1274.39

    Facility

    $337.75

    $196.07 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 36563

    Office

    $1345.28

    Facility

    $346.15

    $266.96 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 36563

    Office

    $1301.44

    Facility

    $342.60

    $223.12 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 36563

    Office

    $1359.03

    Facility

    $349.21

    $280.71 higher than Beaumont for the office setting.

  • Stockton

    California · 36563

    Office

    $1234.72

    Facility

    $333.44

    $156.40 higher than Beaumont for the office setting.

  • Vallejo

    California · 36563

    Office

    $1444.87

    Facility

    $361.03

    $366.55 higher than Beaumont for the office setting.

  • Visalia

    California · 36563

    Office

    $1234.72

    Facility

    $333.44

    $156.40 higher than Beaumont for the office setting.

  • Yuba City

    California · 36563

    Office

    $1234.72

    Facility

    $333.44

    $156.40 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 36563

    Office

    $1215.76

    Facility

    $340.80

    $137.44 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 36563

    Office

    $1249.52

    Facility

    $363.87

    $171.20 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 36563

    Office

    $1149.84

    Facility

    $337.38

    $71.52 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 36563

    Office

    $1214.74

    Facility

    $381.71

    $136.42 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 36563

    Office

    $1147.79

    Facility

    $361.64

    $69.47 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 36563

    Office

    $1189.50

    Facility

    $354.01

    $111.18 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 36563

    Office

    $1074.10

    Facility

    $340.58

    $4.22 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 36563

    Office

    $1271.25

    Facility

    $336.26

    $192.93 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 36563

    Office

    $1057.88

    Facility

    $305.44

    $20.44 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 36563

    Office

    $1066.07

    Facility

    $309.52

    $12.25 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 36563

    Office

    $1138.64

    Facility

    $382.10

    $60.32 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 36563

    Office

    $1110.94

    Facility

    $360.16

    $32.62 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 36563

    Office

    $1227.32

    Facility

    $382.79

    $149.00 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 36563

    Office

    $1073.14

    Facility

    $310.84

    $5.18 lower than Beaumont for the office setting.

  • Kansas

    Kansas · 36563

    Office

    $1052.77

    Facility

    $309.38

    $25.55 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 36563

    Office

    $1058.29

    Facility

    $327.23

    $20.03 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 36563

    Office

    $1116.66

    Facility

    $342.85

    $38.34 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 36563

    Office

    $1056.62

    Facility

    $328.86

    $21.70 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 36563

    Office

    $1346.48

    Facility

    $364.62

    $268.16 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36563

    Office

    $1207.14

    Facility

    $341.23

    $128.82 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36563

    Office

    $1246.32

    Facility

    $363.96

    $168.00 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 36563

    Office

    $1173.85

    Facility

    $341.65

    $95.53 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 36563

    Office

    $1073.08

    Facility

    $316.54

    $5.24 lower than Beaumont for the office setting.

  • Southern Maine

    Maine · 36563

    Office

    $1139.01

    Facility

    $324.08

    $60.69 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 36563

    Office

    $1164.71

    Facility

    $371.16

    $86.39 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 36563

    Office

    $1090.50

    Facility

    $339.72

    $12.18 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 36563

    Office

    $1158.29

    Facility

    $312.11

    $79.97 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 36563

    Office

    $1107.33

    Facility

    $335.16

    $29.01 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 36563

    Office

    $1120.50

    Facility

    $337.64

    $42.18 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 36563

    Office

    $1036.16

    Facility

    $327.31

    $42.16 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 36563

    Office

    $1024.17

    Facility

    $316.14

    $54.15 lower than Beaumont for the office setting.

  • Montana**

    Montana · 36563

    Office

    $1164.60

    Facility

    $342.27

    $86.28 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 36563

    Office

    $1085.88

    Facility

    $318.64

    $7.56 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 36563

    Office

    $1136.71

    Facility

    $314.38

    $58.39 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 36563

    Office

    $1064.36

    Facility

    $305.35

    $13.96 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 36563

    Office

    $1196.63

    Facility

    $340.58

    $118.31 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 36563

    Office

    $1327.79

    Facility

    $373.88

    $249.47 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 36563

    Office

    $1261.93

    Facility

    $363.95

    $183.61 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 36563

    Office

    $1097.59

    Facility

    $343.51

    $19.27 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 36563

    Office

    $1157.75

    Facility

    $334.59

    $79.43 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36563

    Office

    $1391.89

    Facility

    $414.14

    $313.57 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36563

    Office

    $1271.00

    Facility

    $370.55

    $192.68 higher than Beaumont for the office setting.

  • Queens

    New York · 36563

    Office

    $1365.89

    Facility

    $393.90

    $287.57 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 36563

    Office

    $1104.58

    Facility

    $323.36

    $26.26 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 36563

    Office

    $1084.81

    Facility

    $334.02

    $6.49 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 36563

    Office

    $1055.48

    Facility

    $321.14

    $22.84 lower than Beaumont for the office setting.

  • Portland

    Oregon · 36563

    Office

    $1258.16

    Facility

    $344.55

    $179.84 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 36563

    Office

    $1147.01

    Facility

    $327.97

    $68.69 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36563

    Office

    $1215.11

    Facility

    $359.07

    $136.79 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36563

    Office

    $1086.45

    Facility

    $331.55

    $8.13 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 36563

    Office

    $1174.13

    Facility

    $342.76

    $95.81 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 36563

    Office

    $1193.75

    Facility

    $344.29

    $115.43 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 36563

    Office

    $1087.51

    Facility

    $327.68

    $9.19 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 36563

    Office

    $1133.42

    Facility

    $311.09

    $55.10 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 36563

    Office

    $1058.93

    Facility

    $311.44

    $19.39 lower than Beaumont for the office setting.

  • Utah

    Utah · 36563

    Office

    $1104.53

    Facility

    $331.54

    $26.21 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 36563

    Office

    $1135.16

    Facility

    $326.81

    $56.84 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36563

    Office

    $1174.13

    Facility

    $342.76

    $95.81 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 36563

    Office

    $1132.20

    Facility

    $318.09

    $53.88 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 36563

    Office

    $1204.86

    Facility

    $338.95

    $126.54 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 36563

    Office

    $1375.24

    Facility

    $366.24

    $296.92 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 36563

    Office

    $1093.35

    Facility

    $305.56

    $15.03 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 36563

    Office

    $1064.14

    Facility

    $349.53

    $14.18 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 36563

    Office

    $1152.44

    Facility

    $330.11

    $74.12 higher than Beaumont for the office setting.

See how rates vary across the country

36563 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$1,011.77

$1,403.39

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,301.041
AL$1,028.931
AR$1,011.771
AZ$1,129.311
CA$1,234.72–$1,572.0529
CO$1,215.761
CT$1,249.521
DC$1,344.761
DE$1,149.841
FL$1,147.79–$1,274.523
GA$1,074.10–$1,189.502
GU$1,271.251
HI$1,271.251
IA$1,057.881
ID$1,066.071
IL$1,110.94–$1,231.664
IN$1,073.141
KS$1,052.771
KY$1,058.291
LA$1,056.62–$1,116.662
MA$1,207.14–$1,346.482
MD$1,173.85–$1,344.763
ME$1,073.08–$1,139.012
MI$1,090.50–$1,164.712
MN$1,158.291
MO$1,036.16–$1,120.503
MS$1,024.171
MT$1,164.601
NC$1,085.881
ND$1,136.711
NE$1,064.361
NH$1,196.631
NJ$1,261.93–$1,327.792
NM$1,097.591
NV$1,157.751
NY$1,104.58–$1,391.895
OH$1,084.811
OK$1,055.481
OR$1,147.01–$1,258.162
PA$1,086.45–$1,215.112
PR$1,174.131
RI$1,193.751
SC$1,087.511
SD$1,133.421
TN$1,058.931
TX$1,078.32–$1,213.228
UT$1,104.531
VA$1,135.16–$1,344.762
VI$1,174.131
VT$1,132.201
WA$1,204.86–$1,375.242
WI$1,093.351
WV$1,064.141
WY$1,152.441

Explore 36563 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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.

Why are the office and facility amounts different?

For 36563 in Beaumont, the physician’s office rate is $1078.32 and the facility-setting rate is $330.00: a difference of $748.32.

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 36563 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1186.15

$1078.32 × 110% = $1186.15

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.

Compare your contract offer →

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 36563 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

4,510

Code
36563
Physician work
5.84
Practice expense
27.62
Malpractice
1.41

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 36563 in Beaumont
ComponentRVULocality factorAdjusted
Physician work5.84× 1.0005.8400
Practice expense27.62× 0.91025.1342
Malpractice1.41× 0.9291.3099
Total RVUs32.2841
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$1078.32

Open 36563 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.841
Practice expense27.620.91
Malpractice1.410.929

(5.84 × 1 + 27.62 × 0.91 + 1.41 × 0.929) × $33.4009 = $1078.32

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.841
Practice expense30.91
Malpractice1.410.929

(5.84 × 1 + 3 × 0.91 + 1.41 × 0.929) × $33.4009 = $330.00

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

36563 · Office / nonfacility

$1078.32

Effective 2026-10-01

The base rate is $146.37 higher than on 2025-10-01, moving from $931.95 to $1078.32 (15.7%).

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

    $931.95changed to$1078.32

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.99 changed to 5.84
    • Practice expense RVU 23.92 changed to 27.62
    • Malpractice RVU 1.29 changed to 1.41
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $931.95

    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$1078.32$330.00RVU26D
2026-07-01$1078.32$330.00RVU26C
2026-04-01$1078.32$330.00RVU26B
2026-01-01$1078.32$330.00RVU26A
2025-10-01$931.95$336.38RVU25D
2025-07-01$931.95$336.38RVU25C
2025-04-01$931.95$336.38RVU25B
2025-01-01$931.95$336.38RVU25A

36563 billing questions

How does this differ from 36561?

This code is for a port device requiring two catheters. Code 36561 describes a tunneled port placement with a single catheter.

When should 36558 be considered instead?

Use 36558 for a tunneled central venous catheter without a subcutaneous port in a patient age 5 or older. The port and two-catheter configuration distinguish this service.

Are related postoperative visits separately payable during the global period?

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

Can modifier 50 be reported for two catheters?

No. The two-catheter device configuration is not a bilateral service, and modifier 50 is inappropriate.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.

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 36563PPRRVU2026_Oct_nonQPP.csv, line 4,510 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)