FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

36557 in Redding

Office / nonfacility

$1346.86

Base rate per service

Facility setting

$301.36

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 36557: Tunneled central venous catheter placement under age five

Report this code for tunneled central venous catheter placement in a child younger than five when the catheter has no subcutaneous port or pump.

This service places a central venous catheter through a subcutaneous tunnel, with the catheter exiting the skin and no implanted port or pump. It is commonly used for young children needing durable access for treatments such as chemotherapy, parenteral nutrition, or prolonged intravenous therapy. Surgeons and other qualified proceduralists may perform the placement in a hospital or surgical setting.

Select the code based on the patient’s age on the date of the procedure and whether the device is tunneled and lacks a port or pump. Documentation should identify the patient’s age, catheter type, tunneled route, and placement details. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 applies to a bilateral procedure, paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 36557

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 RVU4.77 · 13%
  • Practice expense (office) RVU31.74 · 84%
  • Malpractice RVU1.28 · 3%

20

Medicare services in 2024 · #5916 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.

36557 compared with similar codes

Office rates for Redding, from the same CMS release.

36558

Tunneled catheter

Age 5 years or older

$839.41

Both codes are for tunneled central catheters without a port or pump; 36557 is for children younger than five, while 36558 is for patients age five or older.

36560

Central venous port

Child younger than five

$1,427.44

Use 36560 for a tunneled central access device with a subcutaneous port in a patient younger than five. Code 36557 is for a catheter without a port or pump.

36555

Central line insertion

Under age 5

$225.97

Both are for patients younger than five, but 36555 describes a non-tunneled catheter; 36557 describes a tunneled catheter without a port or pump.

36556

Central line insertion

Age 5 years or older

$251.83

Code 36556 is for non-tunneled central catheter placement in patients age five or older. Code 36557 is for tunneled placement in patients younger than five.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 36557 is $1350.30—$3.44 higher than the $1346.86 rate in Redding. Both use the same code, release and participation basis.

36557 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $1346.86

  2. Bakersfield

    $1350.30

    $3.44 higher than Redding

  3. Chico

    $1346.86

    The same base rate than Redding

  4. El Centro

    $1347.08

    $0.22 higher than Redding

  5. Fresno

    $1346.86

    The same base rate than Redding

  6. Hanford-Corcoran

    $1346.86

    The same base rate than Redding

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

    $1448.39

    $101.53 higher than Redding

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, 36557 ranges from $1092.00 in Arkansas to $1728.49 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 · 36557

    Office

    $1346.86

    Facility

    $301.36

    The same base rate than Redding for the office setting.

  • Merced

    California · 36557

    Office

    $1346.86

    Facility

    $301.36

    The same base rate than Redding for the office setting.

  • Modesto

    California · 36557

    Office

    $1346.86

    Facility

    $301.36

    The same base rate than Redding for the office setting.

  • Napa

    California · 36557

    Office

    $1588.35

    Facility

    $331.07

    $241.49 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36557

    Office

    $1443.51

    Facility

    $315.96

    $96.65 higher than Redding for the office setting.

  • Rest Of California

    California · 36557

    Office

    $1346.86

    Facility

    $301.36

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36557

    Office

    $1360.58

    Facility

    $315.07

    $13.72 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36557

    Office

    $1420.92

    Facility

    $311.50

    $74.06 higher than Redding for the office setting.

  • Salinas

    California · 36557

    Office

    $1415.88

    Facility

    $310.28

    $69.02 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36557

    Office

    $1455.21

    Facility

    $314.31

    $108.35 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36557

    Office

    $1688.89

    Facility

    $343.84

    $342.03 higher than Redding for the office setting.

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

    California · 36557

    Office

    $1687.43

    Facility

    $342.39

    $340.57 higher than Redding for the office setting.

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

    California · 36557

    Office

    $1728.49

    Facility

    $352.93

    $381.63 higher than Redding for the office setting.

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

    California · 36557

    Office

    $1722.55

    Facility

    $346.98

    $375.69 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36557

    Office

    $1392.45

    Facility

    $305.93

    $45.59 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 36557

    Office

    $1473.66

    Facility

    $314.63

    $126.80 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 36557

    Office

    $1422.83

    Facility

    $310.55

    $75.97 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 36557

    Office

    $1488.88

    Facility

    $317.45

    $142.02 higher than Redding for the office setting.

  • Stockton

    California · 36557

    Office

    $1346.86

    Facility

    $301.36

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 36557

    Office

    $1586.25

    Facility

    $328.97

    $239.39 higher than Redding for the office setting.

  • Visalia

    California · 36557

    Office

    $1346.86

    Facility

    $301.36

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 36557

    Office

    $1346.86

    Facility

    $301.36

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 36557

    Office

    $1464.36

    Facility

    $340.63

    $117.50 higher than Redding for the office setting.

  • Miami

    Florida · 36557

    Office

    $1371.06

    Facility

    $378.01

    $24.20 higher than Redding for the office setting.

  • Chicago

    Illinois · 36557

    Office

    $1324.00

    Facility

    $365.30

    $22.86 lower than Redding for the office setting.

  • Manhattan

    New York · 36557

    Office

    $1469.21

    Facility

    $360.75

    $122.35 higher than Redding for the office setting.

  • Alaska*

    Alaska · 36557

    Office

    $1391.59

    Facility

    $375.66

    $44.73 higher than Redding for the office setting.

  • Alabama

    Alabama · 36557

    Office

    $1111.15

    Facility

    $276.46

    $235.71 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 36557

    Office

    $1092.00

    Facility

    $272.58

    $254.86 lower than Redding for the office setting.

  • Arizona

    Arizona · 36557

    Office

    $1223.20

    Facility

    $298.84

    $123.66 lower than Redding for the office setting.

  • Colorado

    Colorado · 36557

    Office

    $1322.62

    Facility

    $307.64

    $24.24 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 36557

    Office

    $1356.02

    Facility

    $328.63

    $9.16 higher than Redding for the office setting.

  • Delaware

    Delaware · 36557

    Office

    $1245.98

    Facility

    $303.49

    $100.88 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 36557

    Office

    $1310.55

    Facility

    $344.22

    $36.31 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 36557

    Office

    $1237.08

    Facility

    $325.12

    $109.78 lower than Redding for the office setting.

  • Atlanta

    Georgia · 36557

    Office

    $1288.25

    Facility

    $319.06

    $58.61 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 36557

    Office

    $1155.93

    Facility

    $305.03

    $190.93 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 36557

    Office

    $1389.46

    Facility

    $304.84

    $42.60 higher than Redding for the office setting.

  • Iowa

    Iowa · 36557

    Office

    $1146.33

    Facility

    $273.48

    $200.53 lower than Redding for the office setting.

  • Idaho

    Idaho · 36557

    Office

    $1154.88

    Facility

    $277.26

    $191.98 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 36557

    Office

    $1220.76

    Facility

    $343.14

    $126.10 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 36557

    Office

    $1194.06

    Facility

    $323.12

    $152.80 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 36557

    Office

    $1324.96

    Facility

    $345.28

    $21.90 lower than Redding for the office setting.

  • Indiana

    Indiana · 36557

    Office

    $1162.85

    Facility

    $278.56

    $184.01 lower than Redding for the office setting.

  • Kansas

    Kansas · 36557

    Office

    $1139.24

    Facility

    $276.89

    $207.62 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 36557

    Office

    $1140.91

    Facility

    $292.87

    $205.95 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 36557

    Office

    $1205.49

    Facility

    $307.84

    $141.37 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 36557

    Office

    $1138.51

    Facility

    $294.28

    $208.35 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 36557

    Office

    $1469.72

    Facility

    $330.73

    $122.86 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36557

    Office

    $1312.28

    Facility

    $307.79

    $34.58 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36557

    Office

    $1352.29

    Facility

    $328.73

    $5.43 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 36557

    Office

    $1273.03

    Facility

    $307.65

    $73.83 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 36557

    Office

    $1161.25

    Facility

    $283.63

    $185.61 lower than Redding for the office setting.

  • Southern Maine

    Maine · 36557

    Office

    $1236.90

    Facility

    $291.56

    $109.96 lower than Redding for the office setting.

  • Detroit

    Michigan · 36557

    Office

    $1254.44

    Facility

    $333.90

    $92.42 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 36557

    Office

    $1175.50

    Facility

    $304.56

    $171.36 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 36557

    Office

    $1262.87

    Facility

    $281.27

    $83.99 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 36557

    Office

    $1196.57

    Facility

    $300.83

    $150.29 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 36557

    Office

    $1211.42

    Facility

    $303.28

    $135.44 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 36557

    Office

    $1114.81

    Facility

    $292.52

    $232.05 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 36557

    Office

    $1103.70

    Facility

    $282.37

    $243.16 lower than Redding for the office setting.

  • Montana**

    Montana · 36557

    Office

    $1262.13

    Facility

    $308.20

    $84.73 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 36557

    Office

    $1175.76

    Facility

    $285.74

    $171.10 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 36557

    Office

    $1236.82

    Facility

    $282.89

    $110.04 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 36557

    Office

    $1154.00

    Facility

    $273.52

    $192.86 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 36557

    Office

    $1300.34

    Facility

    $307.30

    $46.52 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 36557

    Office

    $1444.79

    Facility

    $338.23

    $97.93 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 36557

    Office

    $1370.27

    Facility

    $328.58

    $23.41 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 36557

    Office

    $1182.82

    Facility

    $308.07

    $164.04 lower than Redding for the office setting.

  • Nevada**

    Nevada · 36557

    Office

    $1256.14

    Facility

    $301.26

    $90.72 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36557

    Office

    $1509.42

    Facility

    $375.20

    $162.56 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36557

    Office

    $1379.08

    Facility

    $334.53

    $32.22 higher than Redding for the office setting.

  • Queens

    New York · 36557

    Office

    $1484.26

    Facility

    $356.71

    $137.40 higher than Redding for the office setting.

  • Rest Of New York

    New York · 36557

    Office

    $1196.52

    Facility

    $290.28

    $150.34 lower than Redding for the office setting.

  • Ohio

    Ohio · 36557

    Office

    $1170.33

    Facility

    $299.39

    $176.53 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 36557

    Office

    $1139.25

    Facility

    $287.39

    $207.61 lower than Redding for the office setting.

  • Portland

    Oregon · 36557

    Office

    $1371.50

    Facility

    $311.68

    $24.64 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 36557

    Office

    $1245.28

    Facility

    $295.17

    $101.58 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36557

    Office

    $1316.81

    Facility

    $323.76

    $30.05 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36557

    Office

    $1172.94

    Facility

    $297.23

    $173.92 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 36557

    Office

    $1273.24

    Facility

    $308.82

    $73.62 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 36557

    Office

    $1295.61

    Facility

    $310.21

    $51.25 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 36557

    Office

    $1175.24

    Facility

    $293.81

    $171.62 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 36557

    Office

    $1233.83

    Facility

    $279.90

    $113.03 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 36557

    Office

    $1145.95

    Facility

    $278.83

    $200.91 lower than Redding for the office setting.

  • Austin

    Texas · 36557

    Office

    $1319.15

    Facility

    $309.90

    $27.71 lower than Redding for the office setting.

  • Beaumont

    Texas · 36557

    Office

    $1163.77

    Facility

    $295.70

    $183.09 lower than Redding for the office setting.

  • Brazoria

    Texas · 36557

    Office

    $1244.55

    Facility

    $299.20

    $102.31 lower than Redding for the office setting.

  • Dallas

    Texas · 36557

    Office

    $1253.34

    Facility

    $303.23

    $93.52 lower than Redding for the office setting.

  • Fort Worth

    Texas · 36557

    Office

    $1243.30

    Facility

    $302.72

    $103.56 lower than Redding for the office setting.

  • Galveston

    Texas · 36557

    Office

    $1248.72

    Facility

    $301.47

    $98.14 lower than Redding for the office setting.

  • Houston

    Texas · 36557

    Office

    $1272.15

    Facility

    $324.90

    $74.71 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 36557

    Office

    $1204.01

    Facility

    $298.73

    $142.85 lower than Redding for the office setting.

  • Utah

    Utah · 36557

    Office

    $1194.25

    Facility

    $297.56

    $152.61 lower than Redding for the office setting.

  • Virginia

    Virginia · 36557

    Office

    $1231.63

    Facility

    $293.92

    $115.23 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36557

    Office

    $1273.24

    Facility

    $308.82

    $73.62 lower than Redding for the office setting.

  • Vermont

    Vermont · 36557

    Office

    $1230.50

    Facility

    $286.11

    $116.36 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 36557

    Office

    $1310.26

    Facility

    $305.77

    $36.60 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 36557

    Office

    $1503.02

    Facility

    $332.54

    $156.16 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 36557

    Office

    $1188.11

    Facility

    $274.24

    $158.75 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 36557

    Office

    $1141.77

    Facility

    $312.80

    $205.09 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 36557

    Office

    $1251.10

    Facility

    $297.17

    $95.76 lower than Redding for the office setting.

See how rates vary across the country

36557 · 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.

$1,092.00

$1,537.68

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,391.591
AL$1,111.151
AR$1,092.001
AZ$1,223.201
CA$1,346.86–$1,728.4929
CO$1,322.621
CT$1,356.021
DC$1,464.361
DE$1,245.981
FL$1,237.08–$1,371.063
GA$1,155.93–$1,288.252
GU$1,389.461
HI$1,389.461
IA$1,146.331
ID$1,154.881
IL$1,194.06–$1,324.964
IN$1,162.851
KS$1,139.241
KY$1,140.911
LA$1,138.51–$1,205.492
MA$1,312.28–$1,469.722
MD$1,273.03–$1,464.363
ME$1,161.25–$1,236.902
MI$1,175.50–$1,254.442
MN$1,262.871
MO$1,114.81–$1,211.423
MS$1,103.701
MT$1,262.131
NC$1,175.761
ND$1,236.821
NE$1,154.001
NH$1,300.341
NJ$1,370.27–$1,444.792
NM$1,182.821
NV$1,256.141
NY$1,196.52–$1,509.425
OH$1,170.331
OK$1,139.251
OR$1,245.28–$1,371.502
PA$1,172.94–$1,316.812
PR$1,273.241
RI$1,295.611
SC$1,175.241
SD$1,233.831
TN$1,145.951
TX$1,163.77–$1,319.158
UT$1,194.251
VA$1,231.63–$1,464.362
VI$1,273.241
VT$1,230.501
WA$1,310.26–$1,503.022
WI$1,188.111
WV$1,141.771
WY$1,251.101

Explore 36557 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 36557 in Redding, the physician’s office rate is $1346.86 and the facility-setting rate is $301.36: a difference of $1045.50.

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 36557 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1481.55

$1346.86 × 110% = $1481.55

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 36557 in Redding.

PPRRVU2026_Oct_nonQPP.csv

4,506

Code
36557
Physician work
4.77
Practice expense
31.74
Malpractice
1.28

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 36557 in Redding
ComponentRVULocality factorAdjusted
Physician work4.77× 1.0174.8511
Practice expense31.74× 1.09634.7870
Malpractice1.28× 0.5360.6861
Total RVUs40.3242
Conversion factor× 33.4009

Office / nonfacility rate, Redding$1346.86

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

Open 36557 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.771.017
Practice expense31.741.096
Malpractice1.280.536

(4.77 × 1.017 + 31.74 × 1.096 + 1.28 × 0.536) × $33.4009 = $1346.86

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.771.017
Practice expense3.181.096
Malpractice1.280.536

(4.77 × 1.017 + 3.18 × 1.096 + 1.28 × 0.536) × $33.4009 = $301.36

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

36557 · Office / nonfacility

$1346.86

Effective 2026-10-01

The base rate is $210.84 higher than on 2025-10-01, moving from $1136.02 to $1346.86 (18.6%).

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

    $1136.02changed to$1346.86

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.89 changed to 4.77
    • Practice expense RVU 26.95 changed to 31.74
    • Malpractice RVU 1.26 changed to 1.28
    • 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: $1136.02

    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$1346.86$301.36RVU26D
2026-07-01$1346.86$301.36RVU26C
2026-04-01$1346.86$301.36RVU26B
2026-01-01$1346.86$301.36RVU26A
2025-10-01$1136.02$308.01RVU25D
2025-07-01$1136.02$308.01RVU25C
2025-04-01$1136.02$308.01RVU25B
2025-01-01$1136.02$308.01RVU25A

36557 billing questions

How does this code differ from 36558?

Both describe tunneled central venous catheter placement without a port or pump. Use 36557 for a patient younger than five and 36558 for a patient age five or older.

Can this code be used for an implanted port?

No. It describes a tunneled catheter without a subcutaneous port or pump; code selection changes when the implanted device includes a port.

What documentation supports reporting 36557?

Document the patient’s age on the procedure date, the tunneled catheter placement, and that the device has no subcutaneous port or pump.

Are related postoperative visits separately paid during the global period?

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

When is an assistant at surgery payable?

CMS allows assistant-at-surgery payment only when the record documents medical necessity. Co-surgeons and team surgery are not permitted for this code.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in that session are paid at 50%. For a bilateral procedure reported with modifier 50, CMS pays at 150%.

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 36557PPRRVU2026_Oct_nonQPP.csv, line 4,506 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet