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CMS RVU26D · Effective 2026-10-01

36565 in Delaware

Office / nonfacility

$849.66

Base rate per service

Facility setting

$308.79

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.

Central venous access

About 36565: Two tunneled central venous catheters without a port

Reports placement of two tunneled central venous catheters without a port or pump in a patient age five years or older.

This service places two catheters through a subcutaneous tunnel into central venous access, without an implanted port or infusion pump. It is used when the patient needs two separate catheter pathways for ongoing access, such as for complex infusion or dialysis needs. A surgeon or interventional radiologist typically performs the insertion in a hospital or other procedural setting. The code is for patients age five years or older; the number of catheters and the absence of a port or pump distinguish it from related insertion services.

Report one unit for the insertion service involving both catheters, rather than a separate unit for each catheter. The procedure note should identify the patient’s age, the two catheters placed, their tunneled route, and that no port or pump was implanted. CMS assigns a 10-day global period, so related postoperative visits during those 10 days are included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 36565

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 procedure with modifier 50 is paid at 150%.
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 RVU5.65 · 22%
  • Practice expense (office) RVU18.89 · 73%
  • Malpractice RVU1.22 · 5%

516

Medicare services in 2024 · #3538 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.

36565 compared with similar codes

Office rates for Delaware, from the same CMS release.

36558

Tunneled catheter

Age 5 years or older

$778.78

Choose 36558 for one tunneled catheter without a port or pump in a patient age five years or older. Choose 36565 when two catheters are placed.

36557

Tunneled catheter

Under age five, no port

$1,245.98

36557 is the related single-catheter service for a patient younger than five years. This code describes two catheters for a patient age five years or older.

36566

Tunneled catheter

Two catheters, age 5+

$4,352.65

Both involve two-catheter placement, but 36566 includes a subcutaneous port. This code is for placement without a port or pump.

36556

Central line insertion

Age 5 years or older

$235.25

36556 describes central catheter insertion without a subcutaneous tunnel for a patient age five years or older. This code covers tunneled placement of two catheters.

The same code, a different location

How does Delaware compare?

36565 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $849.66

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $969.92

    $120.26 higher than Delaware

  3. Dc + Md/Va Suburbs

    $987.51

    $137.85 higher than Delaware

  4. Miami

    $948.58

    $98.92 higher than Delaware

  5. Chicago

    $917.65

    $67.99 higher than Delaware

  6. Manhattan

    $998.58

    $148.92 higher than Delaware

  7. Alaska*

    $977.48

    $127.82 higher than Delaware

Other payment areas listed in Delaware 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, 36565 ranges from $751.68 in Arkansas to $1141.14 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

  • Alabama

    Alabama · 36565

    Office

    $763.85

    Facility

    $284.84

    $85.81 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 36565

    Office

    $751.68

    Facility

    $281.43

    $97.98 lower than Delaware for the office setting.

  • Arizona

    Arizona · 36565

    Office

    $834.98

    Facility

    $304.51

    $14.68 lower than Delaware for the office setting.

  • Bakersfield

    California · 36565

    Office

    $908.63

    Facility

    $308.64

    $58.97 higher than Delaware for the office setting.

  • Chico

    California · 36565

    Office

    $905.28

    Facility

    $305.28

    $55.62 higher than Delaware for the office setting.

  • El Centro

    California · 36565

    Office

    $905.48

    Facility

    $305.49

    $55.82 higher than Delaware for the office setting.

  • Fresno

    California · 36565

    Office

    $905.28

    Facility

    $305.28

    $55.62 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 36565

    Office

    $905.28

    Facility

    $305.28

    $55.62 higher than Delaware for the office setting.

  • Madera

    California · 36565

    Office

    $905.28

    Facility

    $305.28

    $55.62 higher than Delaware for the office setting.

  • Merced

    California · 36565

    Office

    $905.28

    Facility

    $305.28

    $55.62 higher than Delaware for the office setting.

  • Modesto

    California · 36565

    Office

    $905.28

    Facility

    $305.28

    $55.62 higher than Delaware for the office setting.

  • Napa

    California · 36565

    Office

    $1052.89

    Facility

    $331.36

    $203.23 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36565

    Office

    $965.16

    Facility

    $318.09

    $115.50 higher than Delaware for the office setting.

  • Redding

    California · 36565

    Office

    $905.28

    Facility

    $305.28

    $55.62 higher than Delaware for the office setting.

  • Rest Of California

    California · 36565

    Office

    $905.28

    Facility

    $305.28

    $55.62 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36565

    Office

    $918.38

    Facility

    $318.39

    $68.72 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36565

    Office

    $951.14

    Facility

    $314.46

    $101.48 higher than Delaware for the office setting.

  • Salinas

    California · 36565

    Office

    $947.67

    Facility

    $313.19

    $98.01 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36565

    Office

    $971.07

    Facility

    $316.33

    $121.41 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36565

    Office

    $1114.98

    Facility

    $343.09

    $265.32 higher than Delaware for the office setting.

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

    California · 36565

    Office

    $1113.59

    Facility

    $341.70

    $263.93 higher than Delaware for the office setting.

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

    California · 36565

    Office

    $1141.14

    Facility

    $351.73

    $291.48 higher than Delaware for the office setting.

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

    California · 36565

    Office

    $1135.47

    Facility

    $346.06

    $285.81 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36565

    Office

    $932.41

    Facility

    $308.87

    $82.75 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 36565

    Office

    $981.12

    Facility

    $315.97

    $131.46 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 36565

    Office

    $951.52

    Facility

    $313.20

    $101.86 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 36565

    Office

    $991.02

    Facility

    $318.76

    $141.36 higher than Delaware for the office setting.

  • Stockton

    California · 36565

    Office

    $905.28

    Facility

    $305.28

    $55.62 higher than Delaware for the office setting.

  • Vallejo

    California · 36565

    Office

    $1050.89

    Facility

    $329.36

    $201.23 higher than Delaware for the office setting.

  • Visalia

    California · 36565

    Office

    $905.28

    Facility

    $305.28

    $55.62 higher than Delaware for the office setting.

  • Yuba City

    California · 36565

    Office

    $905.28

    Facility

    $305.28

    $55.62 higher than Delaware for the office setting.

  • Colorado

    Colorado · 36565

    Office

    $894.13

    Facility

    $311.65

    $44.47 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 36565

    Office

    $921.32

    Facility

    $331.73

    $71.66 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 36565

    Office

    $901.53

    Facility

    $346.98

    $51.87 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 36565

    Office

    $853.14

    Facility

    $329.79

    $3.48 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 36565

    Office

    $879.26

    Facility

    $323.06

    $29.60 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 36565

    Office

    $800.09

    Facility

    $311.77

    $49.57 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 36565

    Office

    $929.69

    Facility

    $307.25

    $80.03 higher than Delaware for the office setting.

  • Iowa

    Iowa · 36565

    Office

    $782.21

    Facility

    $281.30

    $67.45 lower than Delaware for the office setting.

  • Idaho

    Idaho · 36565

    Office

    $788.46

    Facility

    $284.81

    $61.20 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 36565

    Office

    $851.25

    Facility

    $347.61

    $1.59 higher than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 36565

    Office

    $828.46

    Facility

    $328.64

    $21.20 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 36565

    Office

    $910.22

    Facility

    $348.00

    $60.56 higher than Delaware for the office setting.

  • Indiana

    Indiana · 36565

    Office

    $793.40

    Facility

    $285.93

    $56.26 lower than Delaware for the office setting.

  • Kansas

    Kansas · 36565

    Office

    $779.63

    Facility

    $284.74

    $70.03 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 36565

    Office

    $786.91

    Facility

    $300.23

    $62.75 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 36565

    Office

    $828.72

    Facility

    $313.58

    $20.94 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 36565

    Office

    $786.14

    Facility

    $301.65

    $63.52 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 36565

    Office

    $986.07

    Facility

    $332.42

    $136.41 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36565

    Office

    $888.59

    Facility

    $312.14

    $38.93 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36565

    Office

    $919.14

    Facility

    $331.74

    $69.48 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 36565

    Office

    $866.52

    Facility

    $312.51

    $16.86 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 36565

    Office

    $794.53

    Facility

    $290.88

    $55.13 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 36565

    Office

    $839.69

    Facility

    $297.18

    $9.97 lower than Delaware for the office setting.

  • Detroit

    Michigan · 36565

    Office

    $866.28

    Facility

    $338.00

    $16.62 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 36565

    Office

    $810.77

    Facility

    $310.96

    $38.89 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 36565

    Office

    $850.02

    Facility

    $286.70

    $0.36 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 36565

    Office

    $820.98

    Facility

    $306.94

    $28.68 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 36565

    Office

    $830.20

    Facility

    $309.04

    $19.46 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 36565

    Office

    $772.28

    Facility

    $300.38

    $77.38 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 36565

    Office

    $762.07

    Facility

    $290.72

    $87.59 lower than Delaware for the office setting.

  • Montana**

    Montana · 36565

    Office

    $860.33

    Facility

    $312.88

    $10.67 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 36565

    Office

    $803.42

    Facility

    $292.66

    $46.24 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 36565

    Office

    $836.20

    Facility

    $288.76

    $13.46 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 36565

    Office

    $786.48

    Facility

    $281.19

    $63.18 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 36565

    Office

    $881.18

    Facility

    $311.30

    $31.52 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 36565

    Office

    $976.02

    Facility

    $340.99

    $126.36 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 36565

    Office

    $929.96

    Facility

    $332.15

    $80.30 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 36565

    Office

    $816.23

    Facility

    $314.23

    $33.43 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 36565

    Office

    $854.23

    Facility

    $306.24

    $4.57 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36565

    Office

    $1026.66

    Facility

    $375.75

    $177.00 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36565

    Office

    $937.40

    Facility

    $337.95

    $87.74 higher than Delaware for the office setting.

  • Queens

    New York · 36565

    Office

    $1005.33

    Facility

    $358.25

    $155.67 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 36565

    Office

    $816.76

    Facility

    $296.69

    $32.90 lower than Delaware for the office setting.

  • Ohio

    Ohio · 36565

    Office

    $805.84

    Facility

    $306.03

    $43.82 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 36565

    Office

    $783.81

    Facility

    $294.94

    $65.85 lower than Delaware for the office setting.

  • Portland

    Oregon · 36565

    Office

    $923.03

    Facility

    $314.82

    $73.37 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 36565

    Office

    $845.78

    Facility

    $300.53

    $3.88 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36565

    Office

    $897.54

    Facility

    $327.65

    $47.88 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36565

    Office

    $806.43

    Facility

    $303.88

    $43.23 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 36565

    Office

    $866.74

    Facility

    $313.27

    $17.08 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 36565

    Office

    $880.41

    Facility

    $314.91

    $30.75 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 36565

    Office

    $806.34

    Facility

    $300.51

    $43.32 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 36565

    Office

    $833.35

    Facility

    $285.91

    $16.31 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 36565

    Office

    $784.12

    Facility

    $286.50

    $65.54 lower than Delaware for the office setting.

  • Austin

    Texas · 36565

    Office

    $892.73

    Facility

    $313.54

    $43.07 higher than Delaware for the office setting.

  • Beaumont

    Texas · 36565

    Office

    $800.73

    Facility

    $302.56

    $48.93 lower than Delaware for the office setting.

  • Brazoria

    Texas · 36565

    Office

    $847.27

    Facility

    $304.76

    $2.39 lower than Delaware for the office setting.

  • Dallas

    Texas · 36565

    Office

    $853.80

    Facility

    $308.54

    $4.14 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 36565

    Office

    $848.02

    Facility

    $308.24

    $1.64 lower than Delaware for the office setting.

  • Galveston

    Texas · 36565

    Office

    $850.49

    Facility

    $306.88

    $0.83 higher than Delaware for the office setting.

  • Houston

    Texas · 36565

    Office

    $872.82

    Facility

    $329.21

    $23.16 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 36565

    Office

    $824.28

    Facility

    $304.76

    $25.38 lower than Delaware for the office setting.

  • Utah

    Utah · 36565

    Office

    $818.39

    Facility

    $303.80

    $31.27 lower than Delaware for the office setting.

  • Virginia

    Virginia · 36565

    Office

    $837.70

    Facility

    $299.57

    $11.96 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36565

    Office

    $866.74

    Facility

    $313.27

    $17.08 higher than Delaware for the office setting.

  • Vermont

    Vermont · 36565

    Office

    $833.97

    Facility

    $292.00

    $15.69 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 36565

    Office

    $886.56

    Facility

    $310.11

    $36.90 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 36565

    Office

    $1005.61

    Facility

    $333.90

    $155.95 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 36565

    Office

    $805.71

    Facility

    $281.26

    $43.95 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 36565

    Office

    $795.32

    Facility

    $319.59

    $54.34 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 36565

    Office

    $849.81

    Facility

    $302.37

    $0.15 higher than Delaware for the office setting.

See how rates vary across the country

36565 · 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.

$751.68

$1,023.21

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$977.481
AL$763.851
AR$751.681
AZ$834.981
CA$905.28–$1,141.1429
CO$894.131
CT$921.321
DC$987.511
DE$849.661
FL$853.14–$948.583
GA$800.09–$879.262
GU$929.691
HI$929.691
IA$782.211
ID$788.461
IL$828.46–$917.654
IN$793.401
KS$779.631
KY$786.911
LA$786.14–$828.722
MA$888.59–$986.072
MD$866.52–$987.513
ME$794.53–$839.692
MI$810.77–$866.282
MN$850.021
MO$772.28–$830.203
MS$762.071
MT$860.331
NC$803.421
ND$836.201
NE$786.481
NH$881.181
NJ$929.96–$976.022
NM$816.231
NV$854.231
NY$816.76–$1,026.665
OH$805.841
OK$783.811
OR$845.78–$923.032
PA$806.43–$897.542
PR$866.741
RI$880.411
SC$806.341
SD$833.351
TN$784.121
TX$800.73–$892.738
UT$818.391
VA$837.70–$987.512
VI$866.741
VT$833.971
WA$886.56–$1,005.612
WI$805.711
WV$795.321
WY$849.811

Explore 36565 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 Delaware →

Why are the office and facility amounts different?

For 36565 in Delaware, the physician’s office rate is $849.66 and the facility-setting rate is $308.79: a difference of $540.87.

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 36565 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$934.63

$849.66 × 110% = $934.63

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 36565 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

4,511

Code
36565
Physician work
5.65
Practice expense
18.89
Malpractice
1.22

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 36565 in Delaware
ComponentRVULocality factorAdjusted
Physician work5.65× 1.0055.6782
Practice expense18.89× 0.98818.6633
Malpractice1.22× 0.8991.0968
Total RVUs25.4383
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$849.66

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

Open 36565 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.651.005
Practice expense18.890.988
Malpractice1.220.899

(5.65 × 1.005 + 18.89 × 0.988 + 1.22 × 0.899) × $33.4009 = $849.66

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.651.005
Practice expense2.50.988
Malpractice1.220.899

(5.65 × 1.005 + 2.5 × 0.988 + 1.22 × 0.899) × $33.4009 = $308.79

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

36565 · Office / nonfacility

$849.66

Effective 2026-10-01

The base rate is $84.53 higher than on 2025-10-01, moving from $765.13 to $849.66 (11.0%).

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

    $765.13changed to$849.66

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.79 changed to 5.65
    • Practice expense RVU 16.76 changed to 18.89
    • Malpractice RVU 1.25 changed to 1.22
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $765.13

    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$849.66$308.79RVU26D
2026-07-01$849.66$308.79RVU26C
2026-04-01$849.66$308.79RVU26B
2026-01-01$849.66$308.79RVU26A
2025-10-01$765.13$323.29RVU25D
2025-07-01$765.13$323.29RVU25C
2025-04-01$765.13$323.29RVU25B
2025-01-01$765.13$323.29RVU25A

36565 billing questions

How does this differ from 36558?

This code is for a patient age five years or older who needs two tunneled catheters without a port or pump. 36558 describes the corresponding single-catheter service.

Can I report one unit for each catheter?

No. The service is reported once for the insertion involving two catheters; do not report a separate unit for each catheter.

When is 36566 a better fit?

Use 36566 when the two-catheter insertion includes a subcutaneous port. This code describes two catheters without a port or pump.

Are related postoperative visits separately payable during the global period?

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

Can an assistant or another surgeon be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. CMS does not permit co-surgeon or team-surgery reporting for this code.

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 36565PPRRVU2026_Oct_nonQPP.csv, line 4,511 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet