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CMS RVU26D · Effective 2026-10-01

36510 Umbilical catheter Medicare reimbursement rates in Florida

Reports catheter placement through a newborn’s umbilical vein for diagnostic or therapeutic access, rather than a peripherally or centrally inserted catheter. Compare 36510 office and facility rates across CMS payment localities in Florida.

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.

What does Medicare pay for 36510 in Florida?

Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.

Office / nonfacility

$85.22–$91.73

3 of 3 localities have a supported rate.

Lowest: Rest Of Florida

Highest: Miami

A spread of $6.51 per service.

Facility setting

$45.94–$48.97

3 of 3 localities have a supported rate.

Lowest: Rest Of Florida

Highest: Miami

A spread of $3.03 per service.

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 36510 in your payment locality →

Where 36510 pays more and less in Florida

3 payment localities

$85.22 to $91.73

$85.22$88.47$91.73
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

Vascular access

About 36510: Newborn umbilical vein catheterization

Reports catheter placement through a newborn’s umbilical vein for diagnostic or therapeutic access, rather than a peripherally or centrally inserted catheter.

A clinician places a catheter through the umbilical vein of a newborn to obtain vascular access for diagnosis or treatment. The service is typically performed in a hospital newborn or neonatal intensive care setting, such as when a newborn needs access for medication, fluids, blood sampling, or other indicated therapy. The report should identify the newborn, the umbilical venous route, the reason for catheterization, and the procedure performed.

This code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures, including this one when lower-valued, are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 36510

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
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 RVU1.06 · 41%
  • Practice expense (office) RVU1.45 · 56%
  • Malpractice RVU0.07 · 3%

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.

36510 compared with similar codes

Office rates for Florida, from the same CMS release.

36555

Central line insertion

Under age 5

$209.73–$227.56

Use 36510 for catheterization through a newborn’s umbilical vein. Code 36555 describes non-tunneled central venous catheter insertion by a central route.

36568

PICC insertion

Under 5, no imaging

No office rate

Code 36568 is for PICC insertion without imaging guidance in a patient younger than five; 36510 is for newborn umbilical venous access.

36569

PICC insertion

Age 5 or older, no imaging

No office rate

Code 36569 describes PICC insertion without imaging guidance in a patient five or older, not catheterization through a newborn’s umbilical vein.

Compare 36510 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

3 of 3 payment localities

Office and facility base rates · shared scale starting at $0

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36510 billing questions

When should this code be chosen instead of a PICC insertion code?

Use this code when the catheter is placed through a newborn’s umbilical vein. PICC codes describe peripherally inserted central catheters, not umbilical access.

Does the 0-day global period include same-day care?

Yes. Same-day preoperative and postoperative care is included in the 0-day global period.

Should modifier 50 be appended for catheterization on both sides?

No. Modifier 50 is inappropriate for this service.

How is this code affected when other procedures occur in the same session?

The highest-valued procedure is paid in full; other procedures are subject to the standard 50% multiple-procedure reduction.

When is assistant-at-surgery payment allowed?

Only when the record documents medical necessity for the assistant. Co-surgeons and team surgery are not permitted.

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 36510PPRRVU2026_Oct_nonQPP.csv, line 4,497 (RVU26D)