Billing code 36560: Central venous portMedicare rate & RVUs in Alaska

Reports placement of a tunneled central venous access device with an implanted port for a patient younger than five years.

CMS RVU26DEffective Oct 1, 20261 payment locality15 Medicare services in 2024

Medicare pays $1,489.33 for 36560 in the office in Alaska (Alaska*). Which amount applies depends on the service address.

$1,489.33Office (non-facility)
$446.71Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 36560 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Alaska
  2. What 36560 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 36560 covers

Select this code when the patient is younger than five on the procedure date and the device includes a subcutaneous port. Documentation should establish the patient’s age, tunneled central venous placement, and port implantation; a tunneled catheter without a port or a non-tunneled catheter is coded differently. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in one session, Medicare pays the highest-valued procedure in full and other procedures at 50%. A bilateral procedure reported with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

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.

36560 in Alaska*

36560 office and facility rates by payment locality
Payment localityOfficeFacility
Alaska*$1,489.33$446.71

How the 36560 rate is calculated

Each of 36560’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 36560

RVUs × geographic indexes × conversion factor

Work5.89

5.89 RVUs× 1.000 GPCI

Practice expense32.76

32.76 RVUs× 1.000 GPCI

Malpractice1.57

1.57 RVUs× 1.000 GPCI

Adjusted RVUs

40.2200

Conversion factor

$33.4009

Medicare rate

$1,343.38

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 36560

36560 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 36560

Central venous port

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 36560

Central venous port

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

36560 without 50 · national office

$1,343.38

Central venous port

36560-50 · Bilateral: 150%

$2,015.07

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

36560 compared with similar codes

Compare codes · National

4 codes, side by side

  • 36560

    Central venous port5.89 wRVU

    $1,343.38

  • 36561

    Port placement5.65 wRVU

    $962.61−$380.77

  • 36557

    Tunneled catheter4.77 wRVU

    $1,262.22−$81.16

  • 36555

    Central line insertion1.88 wRVU

    $213.43−$1,129.95

How to choose

36561Port placement
Both codes include a tunneled central venous device with a subcutaneous port. Choose 36560 for a patient younger than five and 36561 for a patient five or older.
36557Tunneled catheter
Choose 36557 for a patient younger than five when the tunneled catheter has no subcutaneous port or pump. A port-equipped device is reported with 36560.
36555Central line insertion
36555 describes non-tunneled central venous catheter placement in a patient younger than five. Use 36560 when the catheter is tunneled and connected to an implanted port.

36560 billing questions

Does 36560 include the implanted port?

Yes. The code covers placement of the tunneled central venous catheter and its subcutaneous port as one service.

When should 36561 be used instead?

Use 36561 for the corresponding tunneled central venous access device with a subcutaneous port when the patient is five years or older.

How does 36560 differ from 36557?

Both are for patients younger than five and involve tunneled central venous access, but 36560 includes a subcutaneous port; 36557 is for a catheter without a port or pump.

Are related postoperative visits separately reported during the global period?

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

How are other procedures in the same session paid?

Medicare pays the highest-valued procedure in full and other procedures at 50%. Modifier 50 applies to a bilateral procedure, and assistant-at-surgery payment requires medical-necessity documentation.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 36560PPRRVU2026_Oct_nonQPP.csv, line 4,508 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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