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CMS RVU26D · Effective 2026-10-01

36561 in Redding

Office / nonfacility

$1022.35

Base rate per service

Facility setting

$296.06

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 36561: Tunneled port placement, age five or older

Reports placement of a tunneled central venous catheter connected to an implanted port for patients age five or older needing ongoing vascular access.

This service places a central venous catheter through a tunnel under the skin and connects it to a port implanted beneath the skin. The port provides repeat access for treatments such as chemotherapy, long-term intravenous medication, or blood sampling. Surgeons and interventional radiologists commonly perform the procedure in hospital procedural settings and, in some cases, office settings. The patient must be at least five years old, and the device must include a subcutaneous port.

Report the code for initial placement, not for a non-tunneled line, a tunneled catheter without a port, or replacement of an existing device. The operative report should support the patient’s age, tunneled route, port placement, and reason for access. Imaging guidance used for placement is included in the procedure. CMS assigns a 10-day global period, including related postoperative visits during that period. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 for a bilateral procedure is paid at 150%. An assistant at surgery is paid only with documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 36561

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 · 20%
  • Practice expense (office) RVU22.22 · 77%
  • Malpractice RVU0.95 · 3%

111.9K

Medicare services in 2024 · #525 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.

36561 compared with similar codes

Office rates for Redding, from the same CMS release.

36560

Central venous port

Child younger than five

$1,427.44

The device and port type are similar, but 36560 applies to patients younger than five. This code applies at age five or older.

36558

Tunneled catheter

Age 5 years or older

$839.41

Both are for tunneled central venous access in patients age five or older. Choose 36558 when there is no subcutaneous port.

36556

Central line insertion

Age 5 years or older

$251.83

36556 reports non-tunneled central venous catheter placement. This code describes a tunneled catheter connected to an implanted port.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 36561 is $1025.04—$2.69 higher than the $1022.35 rate in Redding. Both use the same code, release and participation basis.

36561 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $1022.35

  2. Bakersfield

    $1025.04

    $2.69 higher than Redding

  3. Chico

    $1022.35

    The same base rate than Redding

  4. El Centro

    $1022.51

    $0.16 higher than Redding

  5. Fresno

    $1022.35

    The same base rate than Redding

  6. Hanford-Corcoran

    $1022.35

    The same base rate than Redding

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

    $1095.51

    $73.16 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, 36561 ranges from $842.58 in Arkansas to $1296.69 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 · 36561

    Office

    $1022.35

    Facility

    $296.06

    The same base rate than Redding for the office setting.

  • Merced

    California · 36561

    Office

    $1022.35

    Facility

    $296.06

    The same base rate than Redding for the office setting.

  • Modesto

    California · 36561

    Office

    $1022.35

    Facility

    $296.06

    The same base rate than Redding for the office setting.

  • Napa

    California · 36561

    Office

    $1194.90

    Facility

    $321.50

    $172.55 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36561

    Office

    $1091.01

    Facility

    $307.73

    $68.66 higher than Redding for the office setting.

  • Rest Of California

    California · 36561

    Office

    $1022.35

    Facility

    $296.06

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36561

    Office

    $1032.59

    Facility

    $306.30

    $10.24 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36561

    Office

    $1075.66

    Facility

    $304.97

    $53.31 higher than Redding for the office setting.

  • Salinas

    California · 36561

    Office

    $1071.75

    Facility

    $303.71

    $49.40 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36561

    Office

    $1099.21

    Facility

    $306.65

    $76.86 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36561

    Office

    $1267.66

    Facility

    $333.29

    $245.31 higher than Redding for the office setting.

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

    California · 36561

    Office

    $1266.59

    Facility

    $332.22

    $244.24 higher than Redding for the office setting.

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

    California · 36561

    Office

    $1296.69

    Facility

    $341.11

    $274.34 higher than Redding for the office setting.

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

    California · 36561

    Office

    $1292.28

    Facility

    $336.70

    $269.93 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36561

    Office

    $1054.26

    Facility

    $299.47

    $31.91 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 36561

    Office

    $1111.42

    Facility

    $306.27

    $89.07 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 36561

    Office

    $1076.37

    Facility

    $303.70

    $54.02 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 36561

    Office

    $1122.77

    Facility

    $309.00

    $100.42 higher than Redding for the office setting.

  • Stockton

    California · 36561

    Office

    $1022.35

    Facility

    $296.06

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 36561

    Office

    $1193.35

    Facility

    $319.94

    $171.00 higher than Redding for the office setting.

  • Visalia

    California · 36561

    Office

    $1022.35

    Facility

    $296.06

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 36561

    Office

    $1022.35

    Facility

    $296.06

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 36561

    Office

    $1108.50

    Facility

    $327.87

    $86.15 higher than Redding for the office setting.

  • Miami

    Florida · 36561

    Office

    $1041.56

    Facility

    $351.72

    $19.21 higher than Redding for the office setting.

  • Chicago

    Illinois · 36561

    Office

    $1008.74

    Facility

    $342.75

    $13.61 lower than Redding for the office setting.

  • Manhattan

    New York · 36561

    Office

    $1113.52

    Facility

    $343.49

    $91.17 higher than Redding for the office setting.

  • Alaska*

    Alaska · 36561

    Office

    $1090.97

    Facility

    $385.22

    $68.62 higher than Redding for the office setting.

  • Alabama

    Alabama · 36561

    Office

    $856.07

    Facility

    $276.23

    $166.28 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 36561

    Office

    $842.58

    Facility

    $273.34

    $179.77 lower than Redding for the office setting.

  • Arizona

    Arizona · 36561

    Office

    $935.04

    Facility

    $292.91

    $87.31 lower than Redding for the office setting.

  • Colorado

    Colorado · 36561

    Office

    $1005.43

    Facility

    $300.34

    $16.92 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 36561

    Office

    $1030.20

    Facility

    $316.50

    $7.85 higher than Redding for the office setting.

  • Delaware

    Delaware · 36561

    Office

    $951.45

    Facility

    $296.72

    $70.90 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 36561

    Office

    $997.90

    Facility

    $326.61

    $24.45 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 36561

    Office

    $945.92

    Facility

    $312.40

    $76.43 lower than Redding for the office setting.

  • Atlanta

    Georgia · 36561

    Office

    $981.43

    Facility

    $308.16

    $40.92 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 36561

    Office

    $888.55

    Facility

    $297.45

    $133.80 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 36561

    Office

    $1050.93

    Facility

    $297.47

    $28.58 higher than Redding for the office setting.

  • Iowa

    Iowa · 36561

    Office

    $880.40

    Facility

    $274.05

    $141.95 lower than Redding for the office setting.

  • Idaho

    Idaho · 36561

    Office

    $886.52

    Facility

    $276.86

    $135.83 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 36561

    Office

    $935.42

    Facility

    $325.76

    $86.93 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 36561

    Office

    $915.91

    Facility

    $310.89

    $106.44 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 36561

    Office

    $1008.47

    Facility

    $327.90

    $13.88 lower than Redding for the office setting.

  • Indiana

    Indiana · 36561

    Office

    $892.13

    Facility

    $277.83

    $130.22 lower than Redding for the office setting.

  • Kansas

    Kansas · 36561

    Office

    $875.63

    Facility

    $276.57

    $146.72 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 36561

    Office

    $877.54

    Facility

    $288.42

    $144.81 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 36561

    Office

    $923.14

    Facility

    $299.57

    $99.21 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 36561

    Office

    $875.93

    Facility

    $289.47

    $146.42 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 36561

    Office

    $1110.84

    Facility

    $319.61

    $88.49 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36561

    Office

    $998.53

    Facility

    $300.73

    $23.82 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36561

    Office

    $1027.33

    Facility

    $316.28

    $4.98 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 36561

    Office

    $970.81

    Facility

    $300.18

    $51.54 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 36561

    Office

    $891.25

    Facility

    $281.59

    $131.10 lower than Redding for the office setting.

  • Southern Maine

    Maine · 36561

    Office

    $944.23

    Facility

    $287.52

    $78.12 lower than Redding for the office setting.

  • Detroit

    Michigan · 36561

    Office

    $958.41

    Facility

    $318.93

    $63.94 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 36561

    Office

    $902.14

    Facility

    $297.12

    $120.21 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 36561

    Office

    $961.80

    Facility

    $279.91

    $60.55 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 36561

    Office

    $916.61

    Facility

    $294.36

    $105.74 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 36561

    Office

    $927.05

    Facility

    $296.19

    $95.30 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 36561

    Office

    $859.37

    Facility

    $288.14

    $162.98 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 36561

    Office

    $851.17

    Facility

    $280.61

    $171.18 lower than Redding for the office setting.

  • Montana**

    Montana · 36561

    Office

    $962.55

    Facility

    $299.88

    $59.80 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 36561

    Office

    $901.43

    Facility

    $283.16

    $120.92 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 36561

    Office

    $943.77

    Facility

    $281.09

    $78.58 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 36561

    Office

    $885.73

    Facility

    $274.08

    $136.62 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 36561

    Office

    $989.08

    Facility

    $299.23

    $33.27 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 36561

    Office

    $1095.41

    Facility

    $326.71

    $73.06 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 36561

    Office

    $1041.52

    Facility

    $317.88

    $19.17 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 36561

    Office

    $907.39

    Facility

    $299.72

    $114.96 lower than Redding for the office setting.

  • Nevada**

    Nevada · 36561

    Office

    $958.06

    Facility

    $294.72

    $64.29 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36561

    Office

    $1142.15

    Facility

    $354.24

    $119.80 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36561

    Office

    $1048.28

    Facility

    $322.65

    $25.93 higher than Redding for the office setting.

  • Queens

    New York · 36561

    Office

    $1123.79

    Facility

    $340.51

    $101.44 higher than Redding for the office setting.

  • Rest Of New York

    New York · 36561

    Office

    $916.08

    Facility

    $286.54

    $106.27 lower than Redding for the office setting.

  • Ohio

    Ohio · 36561

    Office

    $898.30

    Facility

    $293.28

    $124.05 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 36561

    Office

    $876.13

    Facility

    $284.36

    $146.22 lower than Redding for the office setting.

  • Portland

    Oregon · 36561

    Office

    $1039.89

    Facility

    $303.66

    $17.54 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 36561

    Office

    $950.22

    Facility

    $290.20

    $72.13 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36561

    Office

    $1002.56

    Facility

    $312.72

    $19.79 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36561

    Office

    $900.01

    Facility

    $291.68

    $122.34 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 36561

    Office

    $970.30

    Facility

    $300.34

    $52.05 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 36561

    Office

    $987.26

    Facility

    $302.72

    $35.09 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 36561

    Office

    $901.45

    Facility

    $289.14

    $120.90 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 36561

    Office

    $941.54

    Facility

    $278.87

    $80.81 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 36561

    Office

    $880.39

    Facility

    $278.01

    $141.96 lower than Redding for the office setting.

  • Austin

    Texas · 36561

    Office

    $1002.42

    Facility

    $301.31

    $19.93 lower than Redding for the office setting.

  • Beaumont

    Texas · 36561

    Office

    $893.57

    Facility

    $290.53

    $128.78 lower than Redding for the office setting.

  • Brazoria

    Texas · 36561

    Office

    $950.46

    Facility

    $293.75

    $71.89 lower than Redding for the office setting.

  • Dallas

    Texas · 36561

    Office

    $956.84

    Facility

    $296.81

    $65.51 lower than Redding for the office setting.

  • Fort Worth

    Texas · 36561

    Office

    $949.83

    Facility

    $296.43

    $72.52 lower than Redding for the office setting.

  • Galveston

    Texas · 36561

    Office

    $953.47

    Facility

    $295.44

    $68.88 lower than Redding for the office setting.

  • Houston

    Texas · 36561

    Office

    $970.86

    Facility

    $312.82

    $51.49 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 36561

    Office

    $921.69

    Facility

    $292.81

    $100.66 lower than Redding for the office setting.

  • Utah

    Utah · 36561

    Office

    $914.85

    Facility

    $291.93

    $107.50 lower than Redding for the office setting.

  • Virginia

    Virginia · 36561

    Office

    $940.67

    Facility

    $289.26

    $81.68 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36561

    Office

    $970.30

    Facility

    $300.34

    $52.05 lower than Redding for the office setting.

  • Vermont

    Vermont · 36561

    Office

    $939.52

    Facility

    $283.47

    $82.83 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 36561

    Office

    $996.82

    Facility

    $299.02

    $25.53 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 36561

    Office

    $1134.72

    Facility

    $321.61

    $112.37 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 36561

    Office

    $909.49

    Facility

    $274.64

    $112.86 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 36561

    Office

    $879.07

    Facility

    $303.20

    $143.28 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 36561

    Office

    $954.36

    Facility

    $291.69

    $67.99 lower than Redding for the office setting.

See how rates vary across the country

36561 · 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.

$842.58

$1,159.52

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,090.971
AL$856.071
AR$842.581
AZ$935.041
CA$1,022.35–$1,296.6929
CO$1,005.431
CT$1,030.201
DC$1,108.501
DE$951.451
FL$945.92–$1,041.563
GA$888.55–$981.432
GU$1,050.931
HI$1,050.931
IA$880.401
ID$886.521
IL$915.91–$1,008.744
IN$892.131
KS$875.631
KY$877.541
LA$875.93–$923.142
MA$998.53–$1,110.842
MD$970.81–$1,108.503
ME$891.25–$944.232
MI$902.14–$958.412
MN$961.801
MO$859.37–$927.053
MS$851.171
MT$962.551
NC$901.431
ND$943.771
NE$885.731
NH$989.081
NJ$1,041.52–$1,095.412
NM$907.391
NV$958.061
NY$916.08–$1,142.155
OH$898.301
OK$876.131
OR$950.22–$1,039.892
PA$900.01–$1,002.562
PR$970.301
RI$987.261
SC$901.451
SD$941.541
TN$880.391
TX$893.57–$1,002.428
UT$914.851
VA$940.67–$1,108.502
VI$970.301
VT$939.521
WA$996.82–$1,134.722
WI$909.491
WV$879.071
WY$954.361

Explore 36561 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 36561 in Redding, the physician’s office rate is $1022.35 and the facility-setting rate is $296.06: a difference of $726.29.

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 36561 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1124.59

$1022.35 × 110% = $1124.59

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.

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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 36561 in Redding.

PPRRVU2026_Oct_nonQPP.csv

4,509

Code
36561
Physician work
5.65
Practice expense
22.22
Malpractice
0.95

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 36561 in Redding
ComponentRVULocality factorAdjusted
Physician work5.65× 1.0175.7460
Practice expense22.22× 1.09624.3531
Malpractice0.95× 0.5360.5092
Total RVUs30.6084
Conversion factor× 33.4009

Office / nonfacility rate, Redding$1022.35

Open 36561 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.651.017
Practice expense22.221.096
Malpractice0.950.536

(5.65 × 1.017 + 22.22 × 1.096 + 0.95 × 0.536) × $33.4009 = $1022.35

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.651.017
Practice expense2.381.096
Malpractice0.950.536

(5.65 × 1.017 + 2.38 × 1.096 + 0.95 × 0.536) × $33.4009 = $296.06

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

36561 · Office / nonfacility

$1022.35

Effective 2026-10-01

The base rate is $69.44 higher than on 2025-10-01, moving from $952.91 to $1022.35 (7.3%).

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

    $952.91changed to$1022.35

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.79 changed to 5.65
    • Practice expense RVU 21.11 changed to 22.22
    • Malpractice RVU 0.92 changed to 0.95
    • 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: $952.91

    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$1022.35$296.06RVU26D
2026-07-01$1022.35$296.06RVU26C
2026-04-01$1022.35$296.06RVU26B
2026-01-01$1022.35$296.06RVU26A
2025-10-01$952.91$317.23RVU25D
2025-07-01$952.91$317.23RVU25C
2025-04-01$952.91$317.23RVU25B
2025-01-01$952.91$317.23RVU25A

36561 billing questions

How does this differ from 36560?

Both describe tunneled central venous access with a subcutaneous port. Use 36561 for a patient age five or older; 36560 is for a patient younger than five.

When is 36558 more appropriate?

Use 36558 for a tunneled central venous catheter in a patient age five or older when the device has no subcutaneous port. This code requires a port.

Can imaging guidance be billed separately?

Imaging guidance used to place the access device is included in this procedure and is not separately reported as guidance.

What documentation supports reporting this code?

Document the patient’s age, the tunneled catheter placement, the subcutaneous port, and the clinical need for ongoing central venous access.

How does CMS handle other procedures performed in the same session?

Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and other procedures at 50%. The 10-day global period includes related postoperative visits.

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 36561PPRRVU2026_Oct_nonQPP.csv, line 4,509 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet