Billing code 36573: PICC insertionMedicare rate & RVUs in Alaska

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

CMS RVU26DEffective Oct 1, 20261 payment locality42.2K Medicare services in 2024

Medicare pays $410.54 for 36573 in the office in Alaska (Alaska*). Which amount applies depends on the service address.

$410.54Office (non-facility)
$97.86Hospital 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 36573 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Alaska
  2. What 36573 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 36573 covers

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.

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 in Alaska*

36573 office and facility rates by payment locality
Payment localityOfficeFacility
Alaska*$410.54$97.86

How the 36573 rate is calculated

Each of 36573’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 · 36573

RVUs × geographic indexes × conversion factor

Work1.66

1.66 RVUs× 1.000 GPCI

Practice expense9.11

9.11 RVUs× 1.000 GPCI

Malpractice0.18

0.18 RVUs× 1.000 GPCI

Adjusted RVUs

10.9500

Conversion factor

$33.4009

Medicare rate

$365.74

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

Payment rules and modifiers for 36573

The CMS indicators that decide how 36573 is paid alongside other services.

CMS payment indicators · 36573

PICC insertion

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

36573 compared with similar codes

Compare codes · National

4 codes, side by side

  • 36573

    PICC insertion1.66 wRVU

    $365.74

  • 36572

    PICC insertion1.77 wRVU

    $364.74−$1.00

  • 36569

    PICC insertion1.85 wRVU

    Not priced

  • 36556

    Central line insertion1.71 wRVU

    $237.81−$127.93

How to choose

36572PICC insertion
Both include imaging guidance for PICC placement; 36572 is for patients younger than five, while 36573 is for patients age five or older.
36569PICC insertion
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.
36556Central line insertion
This code describes a non-tunneled central catheter inserted centrally, rather than a PICC advanced from a peripheral vein.

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 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 36573PPRRVU2026_Oct_nonQPP.csv, line 4,518 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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