No office rate
Both codes describe PICC placement without imaging guidance. Choose 36568 for patients younger than 5 and 36569 for patients age 5 or older.
On this page
CMS RVU26D · Effective 2026-10-01
36568 PICC insertion Medicare reimbursement rates in Kentucky
Placement of a peripherally inserted central catheter in a child younger than 5, reported when insertion uses no imaging guidance. Compare 36568 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 36568 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
No supported rate
Facility setting
$82.39
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 36568: Pediatric PICC insertion without imaging
Placement of a peripherally inserted central catheter in a child younger than 5, reported when insertion uses no imaging guidance.
Code 36568 represents placement of a peripherally inserted central catheter in a child younger than 5, with the catheter advanced from a peripheral vein into central circulation and no imaging guidance used. Pediatric hospitalists, intensivists, surgeons, and other clinicians trained in vascular access may perform the placement at the bedside or in a procedure setting for therapies such as prolonged intravenous antibiotics or parenteral nutrition. This is not a tunneled catheter or a PICC with a subcutaneous port.
Choose the code based on the patient’s age on the procedure date and whether imaging guidance is used. Document the patient’s age, catheter route and placement, and whether imaging guidance was used. CMS assigns 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; co-surgeons and team surgery are not permitted.
CMS billing rules for 36568
- 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 RVU2.06 · 82%
- Practice expense (office) RVU0.19 · 8%
- Malpractice RVU0.26 · 10%
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.
36568 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$331.01
This is the imaging-guided PICC insertion code for a child younger than 5. Use 36568 when imaging guidance is not used.
$196.85
This describes non-tunneled central venous catheter insertion in a patient younger than 5, not placement of a PICC through a peripheral vein.
$1,430.05
This describes PICC insertion with a subcutaneous port in a child younger than 5; 36568 is for PICC placement without that port.
Compare 36568 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
Unavailable
Facility
$82.39
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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 36568 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
4,513
- Code
- 36568
- Physician work
- 2.06
- Practice expense
- 0.19
- Malpractice
- 0.26
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.06 | × 1.000 | 2.0600 |
| Practice expense | 0.19 | × 0.889 | 0.1689 |
| Malpractice | 0.26 | × 0.915 | 0.2379 |
| Total RVUs | 2.4668 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$82.39
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.06 | 1 |
| Practice expense | 0.19 | 0.889 |
| Malpractice | 0.26 | 0.915 |
(2.06 × 1 + 0.19 × 0.889 + 0.26 × 0.915) × $33.4009 = $82.39
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.
36568 billing questions
When should 36572 be reported instead?
Report 36572 for PICC insertion in a child younger than 5 when imaging guidance is used. Code 36568 is for placement without imaging guidance.
How does 36568 differ from 36569?
Both describe PICC placement without imaging guidance. Use 36568 for a child younger than 5 and 36569 for a patient age 5 or older.
What documentation supports 36568?
Document the patient’s age on the procedure date, the PICC placement and catheter route, and whether imaging guidance was used.
Can modifier 50 be used for bilateral placement?
No. Modifier 50 is inappropriate for this code.
Is an assistant at surgery paid for this service?
No. Medicare does not pay an assistant at surgery for 36568; co-surgeons and team surgery are also 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.
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
4,51136565,,Insert tunneled cv cath,A,,5.65,18.89,,2.50,,1.22,25.76,9.37,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,51236566,,Insert tunneled cv cath,A,,6.13,124.58,,2.68,,1.19,131.90,10.00,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,51336568,,Insj picc <5 yr w/o imaging,A,,2.06,0.19,NA,0.19,,0.26,2.51,2.51,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,51436569,,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
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