$1,140.91
Choose 36557 for a tunneled catheter without a port or pump in a patient younger than 5 years; 36558 is for age 5 years or older.
On this page
CMS RVU26D · Effective 2026-10-01
36558 Tunneled catheter Medicare reimbursement rates in Kentucky
Reports placement of a tunneled central venous catheter without an implanted port or pump in a patient age 5 years or older. Compare 36558 office and facility rates across CMS payment localities in Kentucky.
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 36558 in Kentucky?
Kentucky 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
$717.34
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$223.83
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 36558: Tunneled central venous catheter insertion
Reports placement of a tunneled central venous catheter without an implanted port or pump in a patient age 5 years or older.
This service places a central venous catheter through a subcutaneous tunnel, with the catheter entering a central vein and exiting at a separate skin site. It is used when a patient needs longer-term venous access, such as for extended infusion therapy or repeated treatment. Surgeons and interventional radiologists commonly perform the procedure in a hospital operating room or interventional suite; it may also be performed in another appropriate procedural setting.
Report 36558 for a patient age 5 years or older when the catheter is tunneled and no subcutaneous port or pump is implanted. The record should support the patient’s age, the need for central access, and the tunneled catheter placement. CMS assigns a 10-day global period, including related postoperative visits during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are reduced. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 36558
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 procedure with modifier 50 is paid at 150%.
- 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 RVU4.48 · 19%
- Practice expense (office) RVU18.46 · 78%
- Malpractice RVU0.64 · 3%
88.2K
Medicare services in 2024 · #599 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.
36558 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$877.54
Choose 36561 when placement includes a subcutaneous port. 36558 is for a tunneled catheter without a port or pump.
$217.96
36556 describes central venous catheter placement without tunneling in a patient age 5 years or older; 36558 requires a tunneled catheter.
Compare 36558 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
Kentucky →
Office / nonfacility
$717.34
Facility
$223.83
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 36558 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
4,507
- Code
- 36558
- Physician work
- 4.48
- Practice expense
- 18.46
- Malpractice
- 0.64
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.48 | × 1.000 | 4.4800 |
| Practice expense | 18.46 | × 0.889 | 16.4109 |
| Malpractice | 0.64 | × 0.915 | 0.5856 |
| Total RVUs | 21.4765 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$717.34
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.48 | 1 |
| Practice expense | 18.46 | 0.889 |
| Malpractice | 0.64 | 0.915 |
(4.48 × 1 + 18.46 × 0.889 + 0.64 × 0.915) × $33.4009 = $717.34
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.48 | 1 |
| Practice expense | 1.84 | 0.889 |
| Malpractice | 0.64 | 0.915 |
(4.48 × 1 + 1.84 × 0.889 + 0.64 × 0.915) × $33.4009 = $223.83
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.
36558 billing questions
How does 36558 differ from 36557?
Both report a tunneled central venous catheter without a port or pump. 36558 is for patients age 5 years or older; 36557 is for younger patients.
When should 36561 be considered instead?
Use 36561 when the tunneled catheter is placed with a subcutaneous port in a patient age 5 years or older. Code 36558 describes a catheter without an implanted port or pump.
Can tunneling be reported separately from catheter insertion?
No separate service is represented by the tunnel itself here; 36558 reports placement of the tunneled catheter.
What postoperative care is included?
Related postoperative visits during the 10-day global period are included in the procedure payment.
How does CMS handle multiple procedures in the same session?
CMS pays the highest-valued procedure in full and reduces the other procedures to 50% when they are performed in the same session.
What documentation supports an assistant-at-surgery claim?
The record must document medical necessity for the assistant. CMS does not permit co-surgeons or team surgery for this code.
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.
4,50436555,,Insert non-tunnel cv cath,A,,1.88,4.35,,0.33,,0.16,6.39,2.37,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,50536556,,Insert non-tunnel cv cath,A,,1.71,5.18,,0.38,,0.23,7.12,2.32,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,50636557,,Insert tunneled cv cath,A,,4.77,31.74,,3.18,,1.28,37.79,9.23,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,50736558,,Insert tunneled cv cath,A,,4.48,18.46,,1.84,,0.64,23.58,6.96,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,50836560,,Insert tunneled cv cath,A,,5.89,32.76,,3.45,,1.57,40.22,10.91,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,50936561,,Insert tunneled cv cath,A,,5.65,22.22,,2.38,,0.95,28.82,8.98,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,51036563,,Insert tunneled cv cath,A,,5.84,27.62,,3.00,,1.41,34.87,10.25,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631