FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

36558 in Merced

Office / nonfacility

$839.41

Base rate per service

Facility setting

$231.00

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 36558: Tunneled central venous catheter insertion

Reports placement of a tunneled central venous catheter without an implanted port or pump in a patient age 5 years or older.

This service places a central venous catheter through a subcutaneous tunnel, with the catheter entering a central vein and exiting at a separate skin site. It is used when a patient needs longer-term venous access, such as for extended infusion therapy or repeated treatment. Surgeons and interventional radiologists commonly perform the procedure in a hospital operating room or interventional suite; it may also be performed in another appropriate procedural setting.

Report 36558 for a patient age 5 years or older when the catheter is tunneled and no subcutaneous port or pump is implanted. The record should support the patient’s age, the need for central access, and the tunneled catheter placement. CMS assigns a 10-day global period, including related postoperative visits during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are reduced. 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 36558

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 RVU4.48 · 19%
  • Practice expense (office) RVU18.46 · 78%
  • Malpractice RVU0.64 · 3%

88.2K

Medicare services in 2024 · #599 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.

36558 compared with similar codes

Office rates for Merced, from the same CMS release.

36557

Tunneled catheter

Under age five, no port

$1,346.86

Choose 36557 for a tunneled catheter without a port or pump in a patient younger than 5 years; 36558 is for age 5 years or older.

36561

Port placement

Age five or older

$1,022.35

Choose 36561 when placement includes a subcutaneous port. 36558 is for a tunneled catheter without a port or pump.

36556

Central line insertion

Age 5 years or older

$251.83

36556 describes central venous catheter placement without tunneling in a patient age 5 years or older; 36558 requires a tunneled catheter.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 36558 is $841.27—$1.86 higher than the $839.41 rate in Merced. Both use the same code, release and participation basis.

36558 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $839.41

  2. Bakersfield

    $841.27

    $1.86 higher than Merced

  3. Chico

    $839.41

    The same base rate than Merced

  4. El Centro

    $839.52

    $0.11 higher than Merced

  5. Fresno

    $839.41

    The same base rate than Merced

  6. Hanford-Corcoran

    $839.41

    The same base rate than Merced

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

    $899.38

    $59.97 higher than Merced

Other payment areas listed in California 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, 36558 ranges from $690.29 in Arkansas to $1066.66 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

  • Madera

    California · 36558

    Office

    $839.41

    Facility

    $231.00

    The same base rate than Merced for the office setting.

  • Modesto

    California · 36558

    Office

    $839.41

    Facility

    $231.00

    The same base rate than Merced for the office setting.

  • Napa

    California · 36558

    Office

    $982.58

    Facility

    $250.92

    $143.17 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36558

    Office

    $895.94

    Facility

    $239.79

    $56.53 higher than Merced for the office setting.

  • Redding

    California · 36558

    Office

    $839.41

    Facility

    $231.00

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 36558

    Office

    $839.41

    Facility

    $231.00

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36558

    Office

    $846.34

    Facility

    $237.92

    $6.93 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36558

    Office

    $883.56

    Facility

    $237.96

    $44.15 higher than Merced for the office setting.

  • Salinas

    California · 36558

    Office

    $880.35

    Facility

    $236.96

    $40.94 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36558

    Office

    $903.14

    Facility

    $239.21

    $63.73 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36558

    Office

    $1043.04

    Facility

    $260.32

    $203.63 higher than Merced for the office setting.

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

    California · 36558

    Office

    $1042.32

    Facility

    $259.59

    $202.91 higher than Merced for the office setting.

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

    California · 36558

    Office

    $1066.66

    Facility

    $266.18

    $227.25 higher than Merced for the office setting.

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

    California · 36558

    Office

    $1063.69

    Facility

    $263.20

    $224.28 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36558

    Office

    $865.92

    Facility

    $233.64

    $26.51 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 36558

    Office

    $913.38

    Facility

    $238.91

    $73.97 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 36558

    Office

    $884.22

    Facility

    $236.94

    $44.81 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 36558

    Office

    $922.74

    Facility

    $241.05

    $83.33 higher than Merced for the office setting.

  • Stockton

    California · 36558

    Office

    $839.41

    Facility

    $231.00

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 36558

    Office

    $981.53

    Facility

    $249.88

    $142.12 higher than Merced for the office setting.

  • Visalia

    California · 36558

    Office

    $839.41

    Facility

    $231.00

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 36558

    Office

    $839.41

    Facility

    $231.00

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 36558

    Office

    $907.84

    Facility

    $253.91

    $68.43 higher than Merced for the office setting.

  • Miami

    Florida · 36558

    Office

    $845.56

    Facility

    $267.67

    $6.15 higher than Merced for the office setting.

  • Chicago

    Illinois · 36558

    Office

    $819.41

    Facility

    $261.51

    $20.00 lower than Merced for the office setting.

  • Manhattan

    New York · 36558

    Office

    $909.58

    Facility

    $264.53

    $70.17 higher than Merced for the office setting.

  • Alaska*

    Alaska · 36558

    Office

    $892.89

    Facility

    $301.68

    $53.48 higher than Merced for the office setting.

  • Alabama

    Alabama · 36558

    Office

    $701.24

    Facility

    $215.51

    $138.17 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 36558

    Office

    $690.29

    Facility

    $213.44

    $149.12 lower than Merced for the office setting.

  • Arizona

    Arizona · 36558

    Office

    $765.40

    Facility

    $227.49

    $74.01 lower than Merced for the office setting.

  • Colorado

    Colorado · 36558

    Office

    $824.17

    Facility

    $233.52

    $15.24 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 36558

    Office

    $842.55

    Facility

    $244.68

    $3.14 higher than Merced for the office setting.

  • Delaware

    Delaware · 36558

    Office

    $778.78

    Facility

    $230.32

    $60.63 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 36558

    Office

    $812.88

    Facility

    $250.54

    $26.53 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 36558

    Office

    $771.22

    Facility

    $240.52

    $68.19 lower than Merced for the office setting.

  • Atlanta

    Georgia · 36558

    Office

    $802.20

    Facility

    $238.20

    $37.21 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 36558

    Office

    $725.11

    Facility

    $229.94

    $114.30 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 36558

    Office

    $863.07

    Facility

    $231.89

    $23.66 higher than Merced for the office setting.

  • Iowa

    Iowa · 36558

    Office

    $722.29

    Facility

    $214.36

    $117.12 lower than Merced for the office setting.

  • Idaho

    Idaho · 36558

    Office

    $727.00

    Facility

    $216.29

    $112.41 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 36558

    Office

    $759.94

    Facility

    $249.23

    $79.47 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 36558

    Office

    $745.99

    Facility

    $239.16

    $93.42 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 36558

    Office

    $821.79

    Facility

    $251.68

    $17.62 lower than Merced for the office setting.

  • Indiana

    Indiana · 36558

    Office

    $731.60

    Facility

    $217.00

    $107.81 lower than Merced for the office setting.

  • Kansas

    Kansas · 36558

    Office

    $717.80

    Facility

    $215.97

    $121.61 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 36558

    Office

    $717.34

    Facility

    $223.83

    $122.07 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 36558

    Office

    $754.12

    Facility

    $231.75

    $85.29 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 36558

    Office

    $715.79

    Facility

    $224.50

    $123.62 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 36558

    Office

    $910.99

    Facility

    $248.18

    $71.58 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36558

    Office

    $818.33

    Facility

    $233.78

    $21.08 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36558

    Office

    $840.06

    Facility

    $244.42

    $0.65 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 36558

    Office

    $794.74

    Facility

    $232.95

    $44.67 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 36558

    Office

    $730.19

    Facility

    $219.47

    $109.22 lower than Merced for the office setting.

  • Southern Maine

    Maine · 36558

    Office

    $774.16

    Facility

    $224.03

    $65.25 lower than Merced for the office setting.

  • Detroit

    Michigan · 36558

    Office

    $780.68

    Facility

    $244.98

    $58.73 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 36558

    Office

    $736.71

    Facility

    $229.88

    $102.70 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 36558

    Office

    $790.42

    Facility

    $219.20

    $48.99 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 36558

    Office

    $749.49

    Facility

    $228.23

    $89.92 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 36558

    Office

    $758.04

    Facility

    $229.56

    $81.37 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 36558

    Office

    $701.95

    Facility

    $223.43

    $137.46 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 36558

    Office

    $696.31

    Facility

    $218.35

    $143.10 lower than Merced for the office setting.

  • Montana**

    Montana · 36558

    Office

    $787.55

    Facility

    $232.43

    $51.86 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 36558

    Office

    $738.57

    Facility

    $220.64

    $100.84 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 36558

    Office

    $774.90

    Facility

    $219.77

    $64.51 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 36558

    Office

    $726.82

    Facility

    $214.44

    $112.59 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 36558

    Office

    $810.20

    Facility

    $232.32

    $29.21 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 36558

    Office

    $897.13

    Facility

    $253.18

    $57.72 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 36558

    Office

    $852.38

    Facility

    $246.18

    $12.97 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 36558

    Office

    $740.71

    Facility

    $231.67

    $98.70 lower than Merced for the office setting.

  • Nevada**

    Nevada · 36558

    Office

    $784.64

    Facility

    $228.96

    $54.77 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36558

    Office

    $932.02

    Facility

    $271.98

    $92.61 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36558

    Office

    $857.39

    Facility

    $249.53

    $17.98 higher than Merced for the office setting.

  • Queens

    New York · 36558

    Office

    $918.84

    Facility

    $262.68

    $79.43 higher than Merced for the office setting.

  • Rest Of New York

    New York · 36558

    Office

    $750.42

    Facility

    $223.05

    $88.99 lower than Merced for the office setting.

  • Ohio

    Ohio · 36558

    Office

    $734.12

    Facility

    $227.29

    $105.29 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 36558

    Office

    $716.85

    Facility

    $221.13

    $122.56 lower than Merced for the office setting.

  • Portland

    Oregon · 36558

    Office

    $852.96

    Facility

    $236.21

    $13.55 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 36558

    Office

    $778.78

    Facility

    $225.88

    $60.63 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36558

    Office

    $819.69

    Facility

    $241.81

    $19.72 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36558

    Office

    $735.86

    Facility

    $226.26

    $103.55 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 36558

    Office

    $794.05

    Facility

    $232.83

    $45.36 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 36558

    Office

    $808.47

    Facility

    $235.03

    $30.94 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 36558

    Office

    $737.53

    Facility

    $224.59

    $101.88 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 36558

    Office

    $773.40

    Facility

    $218.28

    $66.01 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 36558

    Office

    $721.59

    Facility

    $216.98

    $117.82 lower than Merced for the office setting.

  • Austin

    Texas · 36558

    Office

    $821.22

    Facility

    $233.90

    $18.19 lower than Merced for the office setting.

  • Beaumont

    Texas · 36558

    Office

    $730.58

    Facility

    $225.42

    $108.83 lower than Merced for the office setting.

  • Brazoria

    Texas · 36558

    Office

    $778.54

    Facility

    $228.41

    $60.87 lower than Merced for the office setting.

  • Dallas

    Texas · 36558

    Office

    $783.44

    Facility

    $230.54

    $55.97 lower than Merced for the office setting.

  • Fort Worth

    Texas · 36558

    Office

    $777.55

    Facility

    $230.20

    $61.86 lower than Merced for the office setting.

  • Galveston

    Texas · 36558

    Office

    $780.80

    Facility

    $229.56

    $58.61 lower than Merced for the office setting.

  • Houston

    Texas · 36558

    Office

    $792.51

    Facility

    $241.27

    $46.90 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 36558

    Office

    $754.07

    Facility

    $227.26

    $85.34 lower than Merced for the office setting.

  • Utah

    Utah · 36558

    Office

    $748.42

    Facility

    $226.60

    $90.99 lower than Merced for the office setting.

  • Virginia

    Virginia · 36558

    Office

    $770.83

    Facility

    $225.14

    $68.58 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36558

    Office

    $794.05

    Facility

    $232.83

    $45.36 lower than Merced for the office setting.

  • Vermont

    Vermont · 36558

    Office

    $770.87

    Facility

    $221.30

    $68.54 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 36558

    Office

    $817.11

    Facility

    $232.56

    $22.30 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 36558

    Office

    $931.13

    Facility

    $249.99

    $91.72 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 36558

    Office

    $746.90

    Facility

    $215.10

    $92.51 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 36558

    Office

    $716.03

    Facility

    $233.63

    $123.38 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 36558

    Office

    $782.04

    Facility

    $226.91

    $57.37 lower than Merced for the office setting.

See how rates vary across the country

36558 · 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.

$690.29

$953.04

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$892.891
AL$701.241
AR$690.291
AZ$765.401
CA$839.41–$1,066.6629
CO$824.171
CT$842.551
DC$907.841
DE$778.781
FL$771.22–$845.563
GA$725.11–$802.202
GU$863.071
HI$863.071
IA$722.291
ID$727.001
IL$745.99–$821.794
IN$731.601
KS$717.801
KY$717.341
LA$715.79–$754.122
MA$818.33–$910.992
MD$794.74–$907.843
ME$730.19–$774.162
MI$736.71–$780.682
MN$790.421
MO$701.95–$758.043
MS$696.311
MT$787.551
NC$738.571
ND$774.901
NE$726.821
NH$810.201
NJ$852.38–$897.132
NM$740.711
NV$784.641
NY$750.42–$932.025
OH$734.121
OK$716.851
OR$778.78–$852.962
PA$735.86–$819.692
PR$794.051
RI$808.471
SC$737.531
SD$773.401
TN$721.591
TX$730.58–$821.228
UT$748.421
VA$770.83–$907.842
VI$794.051
VT$770.871
WA$817.11–$931.132
WI$746.901
WV$716.031
WY$782.041

Explore 36558 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 36558 in Merced, the physician’s office rate is $839.41 and the facility-setting rate is $231.00: a difference of $608.41.

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 36558 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$923.35

$839.41 × 110% = $923.35

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 36558 in Merced.

PPRRVU2026_Oct_nonQPP.csv

4,507

Code
36558
Physician work
4.48
Practice expense
18.46
Malpractice
0.64

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 36558 in Merced
ComponentRVULocality factorAdjusted
Physician work4.48× 1.0174.5562
Practice expense18.46× 1.09620.2322
Malpractice0.64× 0.5360.3430
Total RVUs25.1314
Conversion factor× 33.4009

Office / nonfacility rate, Merced$839.41

Open 36558 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.481.017
Practice expense18.461.096
Malpractice0.640.536

(4.48 × 1.017 + 18.46 × 1.096 + 0.64 × 0.536) × $33.4009 = $839.41

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.481.017
Practice expense1.841.096
Malpractice0.640.536

(4.48 × 1.017 + 1.84 × 1.096 + 0.64 × 0.536) × $33.4009 = $231.00

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

36558 · Office / nonfacility

$839.41

Effective 2026-10-01

The base rate is $28.34 higher than on 2025-10-01, moving from $811.07 to $839.41 (3.5%).

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

    $811.07changed to$839.41

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.59 changed to 4.48
    • Practice expense RVU 18.36 changed to 18.46
    • Malpractice RVU 0.63 changed to 0.64
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $811.07

    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$839.41$231.00RVU26D
2026-07-01$839.41$231.00RVU26C
2026-04-01$839.41$231.00RVU26B
2026-01-01$839.41$231.00RVU26A
2025-10-01$811.07$248.93RVU25D
2025-07-01$811.07$248.93RVU25C
2025-04-01$811.07$248.93RVU25B
2025-01-01$811.07$248.93RVU25A

36558 billing questions

How does 36558 differ from 36557?

Both report a tunneled central venous catheter without a port or pump. 36558 is for patients age 5 years or older; 36557 is for younger patients.

When should 36561 be considered instead?

Use 36561 when the tunneled catheter is placed with a subcutaneous port in a patient age 5 years or older. Code 36558 describes a catheter without an implanted port or pump.

Can tunneling be reported separately from catheter insertion?

No separate service is represented by the tunnel itself here; 36558 reports placement of the tunneled catheter.

What postoperative care is included?

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

How does CMS handle multiple procedures in the same session?

CMS pays the highest-valued procedure in full and reduces the other procedures to 50% when they are performed in the same session.

What documentation supports an assistant-at-surgery claim?

The record must document medical necessity for the assistant. CMS does not permit co-surgeons or team surgery 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 36558PPRRVU2026_Oct_nonQPP.csv, line 4,507 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet