No office rate
Both apply to PICC placement in children younger than 5. Choose 36572 when imaging guidance is used and 36568 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
36572 PICC insertion Medicare reimbursement rates in Kansas
Reports placement of a peripherally inserted central catheter in a child younger than 5 when imaging guidance is used for catheter insertion. Compare 36572 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 36572 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
$332.46
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$69.16
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 access
About 36572: Pediatric PICC placement with imaging guidance
Reports placement of a peripherally inserted central catheter in a child younger than 5 when imaging guidance is used for catheter insertion.
This service covers placement of a peripherally inserted central catheter (PICC) in a patient younger than 5 years, using imaging guidance to direct placement and confirm catheter position. A PICC enters through a peripheral vein, commonly in the arm, and is advanced to a central venous location for therapies such as prolonged intravenous medication or nutrition. The procedure is commonly performed in a hospital by a physician or other qualified practitioner involved in pediatric vascular access, including interventional radiology teams.
Select this code when the patient is younger than 5 and imaging guidance is used; age 5 or older falls under a different code. The record should support the patient’s age, the PICC placement, and use of imaging guidance. The code includes the imaging guidance and associated radiological supervision, interpretation, and documentation. It has a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery for this procedure, and co-surgeons and team surgery are not permitted.
CMS billing rules for 36572
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- 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 RVU1.77 · 16%
- Practice expense (office) RVU8.93 · 82%
- Malpractice RVU0.22 · 2%
64
Medicare services in 2024 · #5199 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.
36572 compared with similar codes
Office rates for Kansas, from the same CMS release.
$333.55
This is the age 5-or-older counterpart for imaging-guided PICC placement. Use 36572 for patients younger than 5.
Compare 36572 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
$332.46
Facility
$69.16
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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 36572 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
4,517
- Code
- 36572
- Physician work
- 1.77
- Practice expense
- 8.93
- Malpractice
- 0.22
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.77 | × 1.000 | 1.7700 |
| Practice expense | 8.93 | × 0.904 | 8.0727 |
| Malpractice | 0.22 | × 0.504 | 0.1109 |
| Total RVUs | 9.9536 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$332.46
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.77 | 1 |
| Practice expense | 8.93 | 0.904 |
| Malpractice | 0.22 | 0.504 |
(1.77 × 1 + 8.93 × 0.904 + 0.22 × 0.504) × $33.4009 = $332.46
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.77 | 1 |
| Practice expense | 0.21 | 0.904 |
| Malpractice | 0.22 | 0.504 |
(1.77 × 1 + 0.21 × 0.904 + 0.22 × 0.504) × $33.4009 = $69.16
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.
36572 billing questions
How does this code differ from 36568?
Both describe PICC placement in a child younger than 5. Use 36572 when imaging guidance is used; 36568 describes placement without imaging guidance.
When should 36573 be reported instead?
Use 36573 for imaging-guided PICC placement when the patient is age 5 or older. The age threshold distinguishes it from 36572.
Is imaging guidance reported separately?
Imaging guidance, radiological supervision and interpretation, and documentation are included in this code. Do not treat those elements as separate services under this code.
Can modifier 50 be used if both arms are involved?
No. CMS identifies bilateral adjustment as inappropriate for this service, so modifier 50 is not appropriate.
What are the assistant and co-surgeon rules?
Medicare does not pay an assistant at surgery for 36572. Co-surgeons and team surgery are not permitted.
What does the 0-day global period mean?
Same-day preoperative and postoperative care is included in the procedure. The code has no days of postoperative global care after the date of service.
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.
4,51436569,,Insj picc 5 yr+ w/o imaging,A,,1.85,0.40,NA,0.40,,0.33,2.58,2.58,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,51536570,,Insert picvad cath,A,,4.98,41.19,,3.23,,1.33,47.50,9.54,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,51636571,,Insert picvad cath,A,,4.96,34.12,,2.77,,1.07,40.15,8.80,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,51736572,,Insj picc rs&i <5 yr,A,,1.77,8.93,,0.21,,0.22,10.92,2.20,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,51836573,,Insj picc rs&i 5 yr+,A,,1.66,9.11,,0.32,,0.18,10.95,2.16,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,51936575,,Repair tunneled cv cath,A,,0.65,3.70,,0.17,,0.07,4.42,0.89,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,52036576,,Repair tunneled cv cath,A,,2.92,7.12,,1.62,,0.57,10.61,5.11,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,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