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CMS RVU26D · Effective 2026-10-01

36573 in Modesto

Office / nonfacility

$393.10

Base rate per service

Facility setting

$71.32

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 36573: PICC insertion with imaging, age five or older

Reports placement of a peripherally inserted central catheter in a patient age five or older when imaging guidance and related interpretation are included.

This service covers placing a peripherally inserted central catheter (PICC) in a patient who is at least five years old. The catheter enters through a peripheral vein, commonly in the arm, and is advanced so its tip reaches central circulation. Clinicians use PICCs when longer-term vascular access is needed, such as for infusion therapy or other ongoing treatment. The code includes imaging guidance, image documentation, and associated radiological supervision and interpretation for the placement.

Report it for initial PICC insertion when the patient meets the age threshold and imaging is used as part of the service. Documentation should support the patient’s age, the insertion, the imaging performed, and catheter tip position. Choose the non-imaging code 36569 when the PICC is inserted without imaging. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 36573

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.66 · 15%
  • Practice expense (office) RVU9.11 · 83%
  • Malpractice RVU0.18 · 2%

42.2K

Medicare services in 2024 · #849 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.

36573 compared with similar codes

Office rates for Modesto, from the same CMS release.

36572

PICC insertion

Younger than 5, imaging guided

$390.97

Both include imaging guidance for PICC placement; 36572 is for patients younger than five, while 36573 is for patients age five or older.

36569

PICC insertion

Age 5 or older, no imaging

No office rate

Use 36569 for PICC insertion in a patient age five or older without imaging. Use 36573 when imaging guidance and related documentation and interpretation are included.

36556

Central line insertion

Age 5 years or older

$251.83

This code describes a non-tunneled central catheter inserted centrally, rather than a PICC advanced from a peripheral vein.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 36573 is $393.65—$0.55 higher than the $393.10 rate in Modesto. Both use the same code, release and participation basis.

36573 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $393.10

  2. Bakersfield

    $393.65

    $0.55 higher than Modesto

  3. Chico

    $393.10

    The same base rate than Modesto

  4. El Centro

    $393.13

    $0.03 higher than Modesto

  5. Fresno

    $393.10

    The same base rate than Modesto

  6. Hanford-Corcoran

    $393.10

    The same base rate than Modesto

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

    $421.68

    $28.58 higher than Modesto

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, 36573 ranges from $319.92 in Arkansas to $503.54 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 · 36573

    Office

    $393.10

    Facility

    $71.32

    The same base rate than Modesto for the office setting.

  • Merced

    California · 36573

    Office

    $393.10

    Facility

    $71.32

    The same base rate than Modesto for the office setting.

  • Napa

    California · 36573

    Office

    $463.04

    Facility

    $76.08

    $69.94 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36573

    Office

    $420.41

    Facility

    $73.38

    $27.31 higher than Modesto for the office setting.

  • Redding

    California · 36573

    Office

    $393.10

    Facility

    $71.32

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 36573

    Office

    $393.10

    Facility

    $71.32

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36573

    Office

    $395.07

    Facility

    $73.29

    $1.97 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36573

    Office

    $414.54

    Facility

    $73.09

    $21.44 higher than Modesto for the office setting.

  • Salinas

    California · 36573

    Office

    $413.05

    Facility

    $72.77

    $19.95 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36573

    Office

    $424.29

    Facility

    $73.15

    $31.19 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36573

    Office

    $492.51

    Facility

    $78.54

    $99.41 higher than Modesto for the office setting.

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

    California · 36573

    Office

    $492.31

    Facility

    $78.34

    $99.21 higher than Modesto for the office setting.

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

    California · 36573

    Office

    $503.54

    Facility

    $80.18

    $110.44 higher than Modesto for the office setting.

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

    California · 36573

    Office

    $502.71

    Facility

    $79.34

    $109.61 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36573

    Office

    $406.19

    Facility

    $71.78

    $13.09 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 36573

    Office

    $429.54

    Facility

    $72.82

    $36.44 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 36573

    Office

    $415.01

    Facility

    $72.68

    $21.91 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 36573

    Office

    $433.99

    Facility

    $73.46

    $40.89 higher than Modesto for the office setting.

  • Stockton

    California · 36573

    Office

    $393.10

    Facility

    $71.32

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 36573

    Office

    $462.74

    Facility

    $75.79

    $69.64 higher than Modesto for the office setting.

  • Visalia

    California · 36573

    Office

    $393.10

    Facility

    $71.32

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 36573

    Office

    $393.10

    Facility

    $71.32

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 36573

    Office

    $423.58

    Facility

    $77.72

    $30.48 higher than Modesto for the office setting.

  • Miami

    Florida · 36573

    Office

    $387.41

    Facility

    $81.78

    $5.69 lower than Modesto for the office setting.

  • Chicago

    Illinois · 36573

    Office

    $375.44

    Facility

    $80.37

    $17.66 lower than Modesto for the office setting.

  • Manhattan

    New York · 36573

    Office

    $422.11

    Facility

    $80.95

    $29.01 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 36573

    Office

    $410.54

    Facility

    $97.86

    $17.44 higher than Modesto for the office setting.

  • Alabama

    Alabama · 36573

    Office

    $325.10

    Facility

    $68.20

    $68.00 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 36573

    Office

    $319.92

    Facility

    $67.72

    $73.18 lower than Modesto for the office setting.

  • Arizona

    Arizona · 36573

    Office

    $355.44

    Facility

    $70.95

    $37.66 lower than Modesto for the office setting.

  • Colorado

    Colorado · 36573

    Office

    $384.56

    Facility

    $72.18

    $8.54 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 36573

    Office

    $391.54

    Facility

    $75.34

    $1.56 lower than Modesto for the office setting.

  • Delaware

    Delaware · 36573

    Office

    $361.76

    Facility

    $71.69

    $31.34 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 36573

    Office

    $374.55

    Facility

    $77.14

    $18.55 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 36573

    Office

    $355.38

    Facility

    $74.70

    $37.72 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 36573

    Office

    $371.98

    Facility

    $73.69

    $21.12 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 36573

    Office

    $334.03

    Facility

    $72.15

    $59.07 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 36573

    Office

    $404.90

    Facility

    $71.08

    $11.80 higher than Modesto for the office setting.

  • Iowa

    Iowa · 36573

    Office

    $336.25

    Facility

    $67.61

    $56.85 lower than Modesto for the office setting.

  • Idaho

    Idaho · 36573

    Office

    $338.23

    Facility

    $68.12

    $54.87 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 36573

    Office

    $347.49

    Facility

    $77.39

    $45.61 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 36573

    Office

    $342.65

    Facility

    $74.60

    $50.45 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 36573

    Office

    $378.98

    Facility

    $77.46

    $14.12 lower than Modesto for the office setting.

  • Indiana

    Indiana · 36573

    Office

    $340.44

    Facility

    $68.28

    $52.66 lower than Modesto for the office setting.

  • Kansas

    Kansas · 36573

    Office

    $333.55

    Facility

    $68.14

    $59.55 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 36573

    Office

    $331.45

    Facility

    $70.45

    $61.65 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 36573

    Office

    $348.60

    Facility

    $72.33

    $44.50 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 36573

    Office

    $330.49

    Facility

    $70.66

    $62.61 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 36573

    Office

    $426.38

    Facility

    $75.83

    $33.28 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36573

    Office

    $381.53

    Facility

    $72.38

    $11.57 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36573

    Office

    $390.26

    Facility

    $75.24

    $2.84 lower than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 36573

    Office

    $369.45

    Facility

    $72.34

    $23.65 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 36573

    Office

    $339.12

    Facility

    $69.02

    $53.98 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 36573

    Office

    $360.78

    Facility

    $69.83

    $32.32 lower than Modesto for the office setting.

  • Detroit

    Michigan · 36573

    Office

    $359.21

    Facility

    $75.90

    $33.89 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 36573

    Office

    $340.04

    Facility

    $71.99

    $53.06 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 36573

    Office

    $370.33

    Facility

    $68.22

    $22.77 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 36573

    Office

    $347.04

    Facility

    $71.36

    $46.06 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 36573

    Office

    $351.15

    Facility

    $71.64

    $41.95 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 36573

    Office

    $323.59

    Facility

    $70.51

    $69.51 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 36573

    Office

    $321.88

    Facility

    $69.09

    $71.22 lower than Modesto for the office setting.

  • Montana**

    Montana · 36573

    Office

    $365.73

    Facility

    $72.13

    $27.37 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 36573

    Office

    $343.18

    Facility

    $69.26

    $49.92 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 36573

    Office

    $362.17

    Facility

    $68.57

    $30.93 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 36573

    Office

    $338.57

    Facility

    $67.58

    $54.53 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 36573

    Office

    $377.46

    Facility

    $71.83

    $15.64 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 36573

    Office

    $418.33

    Facility

    $77.76

    $25.23 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 36573

    Office

    $396.53

    Facility

    $75.93

    $3.43 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 36573

    Office

    $341.69

    Facility

    $72.47

    $51.41 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 36573

    Office

    $365.04

    Facility

    $71.15

    $28.06 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36573

    Office

    $431.95

    Facility

    $82.87

    $38.85 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36573

    Office

    $398.40

    Facility

    $76.92

    $5.30 higher than Modesto for the office setting.

  • Queens

    New York · 36573

    Office

    $427.33

    Facility

    $80.30

    $34.23 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 36573

    Office

    $348.74

    Facility

    $69.83

    $44.36 lower than Modesto for the office setting.

  • Ohio

    Ohio · 36573

    Office

    $339.32

    Facility

    $71.26

    $53.78 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 36573

    Office

    $331.84

    Facility

    $69.66

    $61.26 lower than Modesto for the office setting.

  • Portland

    Oregon · 36573

    Office

    $398.86

    Facility

    $72.68

    $5.76 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 36573

    Office

    $362.74

    Facility

    $70.32

    $30.36 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36573

    Office

    $380.37

    Facility

    $74.74

    $12.73 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36573

    Office

    $340.46

    Facility

    $70.94

    $52.64 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 36573

    Office

    $369.00

    Facility

    $72.17

    $24.10 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 36573

    Office

    $376.19

    Facility

    $72.90

    $16.91 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 36573

    Office

    $341.71

    Facility

    $70.43

    $51.39 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 36573

    Office

    $361.75

    Facility

    $68.15

    $31.35 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 36573

    Office

    $335.27

    Facility

    $68.39

    $57.83 lower than Modesto for the office setting.

  • Austin

    Texas · 36573

    Office

    $382.81

    Facility

    $72.19

    $10.29 lower than Modesto for the office setting.

  • Beaumont

    Texas · 36573

    Office

    $337.93

    Facility

    $70.76

    $55.17 lower than Modesto for the office setting.

  • Brazoria

    Texas · 36573

    Office

    $362.12

    Facility

    $71.17

    $30.98 lower than Modesto for the office setting.

  • Dallas

    Texas · 36573

    Office

    $364.17

    Facility

    $71.75

    $28.93 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 36573

    Office

    $361.20

    Facility

    $71.72

    $31.90 lower than Modesto for the office setting.

  • Galveston

    Texas · 36573

    Office

    $363.02

    Facility

    $71.48

    $30.08 lower than Modesto for the office setting.

  • Houston

    Texas · 36573

    Office

    $366.31

    Facility

    $74.78

    $26.79 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 36573

    Office

    $349.64

    Facility

    $71.02

    $43.46 lower than Modesto for the office setting.

  • Utah

    Utah · 36573

    Office

    $346.87

    Facility

    $70.89

    $46.23 lower than Modesto for the office setting.

  • Virginia

    Virginia · 36573

    Office

    $358.80

    Facility

    $70.20

    $34.30 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36573

    Office

    $369.00

    Facility

    $72.17

    $24.10 lower than Modesto for the office setting.

  • Vermont

    Vermont · 36573

    Office

    $359.73

    Facility

    $69.07

    $33.37 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 36573

    Office

    $381.15

    Facility

    $72.00

    $11.95 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 36573

    Office

    $436.48

    Facility

    $76.24

    $43.38 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 36573

    Office

    $348.80

    Facility

    $67.54

    $44.30 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 36573

    Office

    $328.47

    Facility

    $73.34

    $64.63 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 36573

    Office

    $364.18

    Facility

    $70.58

    $28.92 lower than Modesto for the office setting.

See how rates vary across the country

36573 · 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.

$319.92

$448.32

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$410.541
AL$325.101
AR$319.921
AZ$355.441
CA$393.10–$503.5429
CO$384.561
CT$391.541
DC$423.581
DE$361.761
FL$355.38–$387.413
GA$334.03–$371.982
GU$404.901
HI$404.901
IA$336.251
ID$338.231
IL$342.65–$378.984
IN$340.441
KS$333.551
KY$331.451
LA$330.49–$348.602
MA$381.53–$426.382
MD$369.45–$423.583
ME$339.12–$360.782
MI$340.04–$359.212
MN$370.331
MO$323.59–$351.153
MS$321.881
MT$365.731
NC$343.181
ND$362.171
NE$338.571
NH$377.461
NJ$396.53–$418.332
NM$341.691
NV$365.041
NY$348.74–$431.955
OH$339.321
OK$331.841
OR$362.74–$398.862
PA$340.46–$380.372
PR$369.001
RI$376.191
SC$341.711
SD$361.751
TN$335.271
TX$337.93–$382.818
UT$346.871
VA$358.80–$423.582
VI$369.001
VT$359.731
WA$381.15–$436.482
WI$348.801
WV$328.471
WY$364.181

Explore 36573 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 36573 in Modesto, the physician’s office rate is $393.10 and the facility-setting rate is $71.32: a difference of $321.78.

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 36573 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$432.41

$393.10 × 110% = $432.41

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 36573 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

4,518

Code
36573
Physician work
1.66
Practice expense
9.11
Malpractice
0.18

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 36573 in Modesto
ComponentRVULocality factorAdjusted
Physician work1.66× 1.0171.6882
Practice expense9.11× 1.0969.9846
Malpractice0.18× 0.5360.0965
Total RVUs11.7693
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$393.10

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

Open 36573 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.661.017
Practice expense9.111.096
Malpractice0.180.536

(1.66 × 1.017 + 9.11 × 1.096 + 0.18 × 0.536) × $33.4009 = $393.10

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.661.017
Practice expense0.321.096
Malpractice0.180.536

(1.66 × 1.017 + 0.32 × 1.096 + 0.18 × 0.536) × $33.4009 = $71.32

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

36573 · Office / nonfacility

$393.10

Effective 2026-10-01

The base rate is $12.18 higher than on 2025-10-01, moving from $380.92 to $393.10 (3.2%).

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

    $380.92changed to$393.10

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.70 changed to 1.66
    • Malpractice RVU 0.17 changed to 0.18
    • 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: $380.92

    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$393.10$71.32RVU26D
2026-07-01$393.10$71.32RVU26C
2026-04-01$393.10$71.32RVU26B
2026-01-01$393.10$71.32RVU26A
2025-10-01$380.92$79.70RVU25D
2025-07-01$380.92$79.70RVU25C
2025-04-01$380.92$79.70RVU25B
2025-01-01$380.92$79.70RVU25A

36573 billing questions

How does 36573 differ from 36569?

Both cover PICC insertion for patients age five or older. Use 36573 when imaging guidance, image documentation, and associated radiological supervision and interpretation are included; 36569 is for insertion without imaging.

Which age group qualifies for 36573?

The patient must be age five or older on the date of insertion. Code 36572 is the imaging-included counterpart for patients younger than five.

Can imaging guidance be billed separately?

Imaging guidance, image documentation, and associated radiological supervision and interpretation for the PICC placement are included in 36573.

Should modifier 50 be appended for two-arm access?

No. CMS identifies bilateral adjustment as inapplicable for this code, and modifier 50 is inappropriate.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 36573. Co-surgeons and team surgery are not permitted.

What is included in the global period?

The code has a 0-day global period. Same-day preoperative and postoperative care is included.

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 36573PPRRVU2026_Oct_nonQPP.csv, line 4,518 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet