FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

36420 Venous cutdown Medicare reimbursement rates in Michigan

Surgical venous access by cutdown in an infant younger than one year, reported when incision and vein exposure are needed for venipuncture. Compare 36420 office and facility rates across CMS payment localities in Michigan.

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 36420 in Michigan?

Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$46.66–$51.41

2 of 2 localities have a supported rate.

Lowest: Rest Of Michigan

Highest: Detroit

A spread of $4.75 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 36420 in your payment locality →

Vascular access

About 36420: Infant venous cutdown procedure

Surgical venous access by cutdown in an infant younger than one year, reported when incision and vein exposure are needed for venipuncture.

This service provides venous access in an infant younger than one year by making an incision and exposing a vein for needle or catheter entry. It is used when access is needed but a percutaneous puncture is not the approach performed. Physicians or other qualified practitioners may perform the procedure in settings such as a hospital or emergency department, including for infants who need urgent vascular access.

Report the code only when the patient is under one year old and the documented technique involves surgical exposure of a vein, rather than needle puncture through intact skin. The record should support the infant’s age, the clinical need for access, and the cutdown technique performed. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard multiple procedure reduction.

CMS billing rules for 36420

Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.

Where the value comes from

  • Work RVU0.98 · 71%
  • Practice expense (office) RVU0.16 · 12%
  • Malpractice RVU0.24 · 17%

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.

36420 compared with similar codes

Office rates for Michigan, from the same CMS release.

36425

Venous cutdown

Age 1 year or older

No office rate

Both describe venous access by cutdown; choose based on age. Code 36420 is for patients under one year, while 36425 is for patients one year or older.

36405

Scalp venipuncture

Younger than 3 years

$22.97–$24.04

Code 36405 is percutaneous venipuncture at a scalp vein in a child under three. Code 36420 requires an incision to expose a vein and is limited to infants under one year.

36415

Coll venous bld venipuncture

No office rate

Code 36415 is for routine venous blood collection. Code 36420 describes surgical venous access in an infant, not an ordinary blood draw.

Compare 36420 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.

2 of 2 payment localities

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

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.

Explore fee-sheet early access →

36420 billing questions

How does this code differ from percutaneous venipuncture codes?

This code describes access using an incision to expose a vein in an infant under one year. Codes such as 36400, 36405, and 36406 describe needle venipuncture without a cutdown.

Does the patient’s age determine whether to use this code or 36425?

Yes. Use 36420 for a patient younger than one year and 36425 for a patient who is one year or older, when a venous cutdown is performed.

What documentation supports reporting a cutdown?

Document the patient’s age, the need for venous access, and that an incision was made to expose the vein for access. A record of needle puncture alone does not support this code.

How does the multiple procedure reduction affect this service?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

Can this code be used for routine blood collection?

No. This code represents surgical venous access by cutdown in an infant, not routine venous blood collection such as a standard blood draw.

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 36420PPRRVU2026_Oct_nonQPP.csv, line 4,473 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet