$1,191.02–$1,290.97
The device and port type are similar, but 36560 applies to patients younger than five. This code applies at age five or older.
On this page
CMS RVU26D · Effective 2026-10-01
36561 Port placement Medicare reimbursement rates in Missouri
Reports placement of a tunneled central venous catheter connected to an implanted port for patients age five or older needing ongoing vascular access. Compare 36561 office and facility rates across CMS payment localities in Missouri.
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 36561 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$859.37–$927.05
3 of 3 localities have a supported rate.
Facility setting
$288.14–$296.19
3 of 3 localities have a supported rate.
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.
Where 36561 pays more and less in Missouri
3 payment localities
$859.37 to $927.05
Vascular access
About 36561: Tunneled port placement, age five or older
Reports placement of a tunneled central venous catheter connected to an implanted port for patients age five or older needing ongoing vascular access.
This service places a central venous catheter through a tunnel under the skin and connects it to a port implanted beneath the skin. The port provides repeat access for treatments such as chemotherapy, long-term intravenous medication, or blood sampling. Surgeons and interventional radiologists commonly perform the procedure in hospital procedural settings and, in some cases, office settings. The patient must be at least five years old, and the device must include a subcutaneous port.
Report the code for initial placement, not for a non-tunneled line, a tunneled catheter without a port, or replacement of an existing device. The operative report should support the patient’s age, tunneled route, port placement, and reason for access. Imaging guidance used for placement is included in the procedure. CMS assigns a 10-day global period, including related postoperative visits during that period. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 for a bilateral procedure is paid at 150%. An assistant at surgery is paid only with documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 36561
- 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 RVU5.65 · 20%
- Practice expense (office) RVU22.22 · 77%
- Malpractice RVU0.95 · 3%
111.9K
Medicare services in 2024 · #525 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.
36561 compared with similar codes
Office rates for Missouri, from the same CMS release.
$701.95–$758.04
Both are for tunneled central venous access in patients age five or older. Choose 36558 when there is no subcutaneous port.
$213.74–$229.52
36556 reports non-tunneled central venous catheter placement. This code describes a tunneled catheter connected to an implanted port.
Compare 36561 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$916.61
Facility
$294.36
Metropolitan St. Louis →
Office / nonfacility
$927.05
Facility
$296.19
Rest Of Missouri →
Office / nonfacility
$859.37
Facility
$288.14
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36561 billing questions
How does this differ from 36560?
Both describe tunneled central venous access with a subcutaneous port. Use 36561 for a patient age five or older; 36560 is for a patient younger than five.
When is 36558 more appropriate?
Use 36558 for a tunneled central venous catheter in a patient age five or older when the device has no subcutaneous port. This code requires a port.
Can imaging guidance be billed separately?
Imaging guidance used to place the access device is included in this procedure and is not separately reported as guidance.
What documentation supports reporting this code?
Document the patient’s age, the tunneled catheter placement, the subcutaneous port, and the clinical need for ongoing central venous access.
How does CMS handle other procedures performed in the same session?
Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and other procedures at 50%. The 10-day global period includes related postoperative visits.
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.
4,50636557,,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
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