No office rate
Choose 36260 for initial pump implantation; use 36261 when revising a pump already in place.
On this page
CMS RVU26D · Effective 2026-10-01
36260 Pump insertion Medicare reimbursement rates in Kansas
Reports surgical placement of an implantable infusion pump and its catheter, commonly used to deliver regional chemotherapy through the hepatic arterial circulation. Compare 36260 office and facility rates across CMS payment localities in Kansas.
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 36260 in Kansas?
Kansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$568.99
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
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.
Vascular surgery
About 36260: Implantable infusion pump insertion
Reports surgical placement of an implantable infusion pump and its catheter, commonly used to deliver regional chemotherapy through the hepatic arterial circulation.
A surgeon implants a pump, typically in a subcutaneous abdominal pocket, and places its catheter into the arterial circulation for regional drug delivery. A common use is hepatic arterial infusion chemotherapy for liver-dominant malignancy, including colorectal cancer metastatic to the liver. Surgical oncologists and vascular or general surgeons usually perform the procedure in a hospital operating room.
Report 36260 for initial pump implantation, supported by the operative report documenting the pump placement and catheter route. Catheter placement integral to the pump insertion is included. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is not appropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 36260
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.66 · 51%
- Practice expense (office) RVU6.72 · 35%
- Malpractice RVU2.58 · 14%
110
Medicare services in 2024 · #4807 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.
36260 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
36262 reports removal of an implanted infusion pump, not its initial placement.
No office rate
62362 is for a pump delivering medication intrathecally or epidurally; 36260 is associated with arterial infusion, such as hepatic arterial chemotherapy.
Compare 36260 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.
1 of 1 payment localities
Kansas →
Office / nonfacility
Unavailable
Facility
$568.99
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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 36260 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
4,463
- Code
- 36260
- Physician work
- 9.66
- Practice expense
- 6.72
- Malpractice
- 2.58
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.66 | × 1.000 | 9.6600 |
| Practice expense | 6.72 | × 0.904 | 6.0749 |
| Malpractice | 2.58 | × 0.504 | 1.3003 |
| Total RVUs | 17.0352 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$568.99
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.66 | 1 |
| Practice expense | 6.72 | 0.904 |
| Malpractice | 2.58 | 0.504 |
(9.66 × 1 + 6.72 × 0.904 + 2.58 × 0.504) × $33.4009 = $568.99
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.
36260 billing questions
When should 36260 be reported instead of 36261?
Use 36260 for initial implantation of the infusion pump. Code 36261 describes revision of an already implanted pump.
Is catheter placement separately reported with the pump insertion?
Catheter placement integral to establishing the pump's infusion route is included in 36260. The operative report should document the pump and catheter placement.
Is modifier 50 appropriate for bilateral pump insertion?
No. Modifier 50 is not appropriate for this descriptor and anatomy.
How does the 90-day global period affect postoperative visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What happens when 36260 is performed with another procedure?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures performed in the same session are paid at 50%.
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.
4,46036252,,Ins cath ren art 1st bilat,A,,6.57,32.17,,1.22,,1.48,40.22,9.27,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46136253,,Ins cath ren art 2nd+ unilat,A,,7.12,48.81,,1.13,,0.88,56.81,9.13,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46236254,,Ins cath ren art 2nd+ bilat,A,,7.70,47.75,,1.42,,1.73,57.18,10.85,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46336260,,Insertion of infusion pump,A,,9.66,6.72,NA,6.72,,2.58,18.96,18.96,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46436261,,Revision of infusion pump,A,,5.49,5.25,NA,5.25,,1.46,12.20,12.20,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46536262,,Removal of infusion pump,A,,4.01,4.38,NA,4.38,,1.08,9.47,9.47,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46636299,,Unlisted px vascular njx,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958