CPT code 36565: Tunneled catheter2026 Medicare rate & RVUs in Nevada
Reports placement of two tunneled central venous catheters without a port or pump in a patient age five years or older.
Medicare pays $854.23 for 36565 in the office in Nevada (Nevada**). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 36565 covers
This service places two catheters through a subcutaneous tunnel into central venous access, without an implanted port or infusion pump. It is used when the patient needs two separate catheter pathways for ongoing access, such as for complex infusion or dialysis needs. A surgeon or interventional radiologist typically performs the insertion in a hospital or other procedural setting. The code is for patients age five years or older; the number of catheters and the absence of a port or pump distinguish it from related insertion services.
Report one unit for the insertion service involving both catheters, rather than a separate unit for each catheter. The procedure note should identify the patient’s age, the two catheters placed, their tunneled route, and that no port or pump was implanted. CMS assigns a 10-day global period, so related postoperative visits during those 10 days are included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. 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.
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.
36565 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | $854.23 | $306.24 |
How the 36565 rate is calculated
Each of 36565’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 36565
RVUs × geographic indexes × conversion factor
Work5.65
5.65 RVUs× 1.000 GPCI
Practice expense18.89
18.89 RVUs× 1.000 GPCI
Malpractice1.22
1.22 RVUs× 1.000 GPCI
Adjusted RVUs
25.7600
Conversion factor
$33.4009
Medicare rate
$860.41
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36565
36565 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 36565
Tunneled catheter
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 36565
Tunneled catheter
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
36565 without 50 · national office
$860.41
Tunneled catheter
36565-50 · Bilateral: 150%
$1,290.62
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
36565 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 36558Tunneled catheter
- Choose 36558 for one tunneled catheter without a port or pump in a patient age five years or older. Choose 36565 when two catheters are placed.
- 36557Tunneled catheter
- 36557 is the related single-catheter service for a patient younger than five years. This code describes two catheters for a patient age five years or older.
- 36566Tunneled catheter
- Both involve two-catheter placement, but 36566 includes a subcutaneous port. This code is for placement without a port or pump.
- 36556Central line insertion
- 36556 describes central catheter insertion without a subcutaneous tunnel for a patient age five years or older. This code covers tunneled placement of two catheters.
36565 billing questions
How does this differ from 36558?
This code is for a patient age five years or older who needs two tunneled catheters without a port or pump. 36558 describes the corresponding single-catheter service.
Can I report one unit for each catheter?
No. The service is reported once for the insertion involving two catheters; do not report a separate unit for each catheter.
When is 36566 a better fit?
Use 36566 when the two-catheter insertion includes a subcutaneous port. This code describes two catheters without a port or pump.
Are related postoperative visits separately payable during the global period?
Related postoperative visits during the 10-day global period are included in this procedure.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. CMS does not permit co-surgeon or team-surgery reporting 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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