$784.64
Use 36558 for one tunneled catheter without a port or pump in a patient age five or older. Use 36566 when two catheters are inserted.
On this page
CMS RVU26D · Effective 2026-10-01
36566 Tunneled catheter Medicare reimbursement rates in Nevada
Reports placement of two tunneled central venous catheters without a port or pump in a patient who is at least five years old. Compare 36566 office and facility rates across CMS payment localities in Nevada.
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 36566 in Nevada?
Nevada 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
$4403.10
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$327.46
1 of 1 localities have a supported rate.
Payment area: Nevada**
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 36566: Tunneled central catheter insertion, two catheters
Reports placement of two tunneled central venous catheters without a port or pump in a patient who is at least five years old.
This service covers placement of two tunneled central venous catheters without an implanted port or pump in a patient age five years or older. The operator establishes central venous access and creates a subcutaneous tunnel for each catheter. Surgeons and interventional radiologists commonly perform the procedure in a hospital or other procedural setting for patients needing ongoing central access, such as for repeated infusions or other long-term therapy. The code describes two catheters, not a single catheter with two lumens.
Select this code when the record supports the patient’s age, two catheter placements, tunneled route, and absence of a port or pump. Document the indication, access and tunneling performed, and final 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 subject to the standard 50% reduction. 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 36566
- 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 RVU6.13 · 5%
- Practice expense (office) RVU124.58 · 94%
- Malpractice RVU1.19 · 1%
204
Medicare services in 2024 · #4314 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.
36566 compared with similar codes
Office rates for Nevada, from the same CMS release.
$854.23
Both describe two tunneled catheters without a port or pump; 36565 is for patients younger than five, while 36566 is for patients age five or older.
$1,157.75
36563 describes two tunneled catheters with a subcutaneous port. 36566 describes two tunneled catheters without a port or pump.
$236.70
36556 is for non-tunneled central catheter insertion in a patient age five or older. 36566 requires tunneled placement of two catheters.
Compare 36566 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
Nevada** →
Office / nonfacility
$4403.10
Facility
$327.46
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 36566 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
4,512
- Code
- 36566
- Physician work
- 6.13
- Practice expense
- 124.58
- Malpractice
- 1.19
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.13 | × 1.000 | 6.1300 |
| Practice expense | 124.58 | × 1.001 | 124.7046 |
| Malpractice | 1.19 | × 0.833 | 0.9913 |
| Total RVUs | 131.8258 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$4403.10
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.13 | 1 |
| Practice expense | 124.58 | 1.001 |
| Malpractice | 1.19 | 0.833 |
(6.13 × 1 + 124.58 × 1.001 + 1.19 × 0.833) × $33.4009 = $4403.10
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.13 | 1 |
| Practice expense | 2.68 | 1.001 |
| Malpractice | 1.19 | 0.833 |
(6.13 × 1 + 2.68 × 1.001 + 1.19 × 0.833) × $33.4009 = $327.46
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.
36566 billing questions
Does this code describe a double-lumen catheter?
No. It describes placement of two catheters. A single catheter does not become two catheters because it has multiple lumens.
How does this differ from 36558?
Both describe tunneled central venous catheter placement without a port or pump in patients age five or older. 36566 is for two catheters; 36558 is for one.
Can this be reported when a subcutaneous port is placed?
No. This code is for tunneled catheters without a port or pump. Port placement belongs to the applicable port-insertion code.
What documentation supports reporting two catheters?
The procedure note should establish that two separate catheters were inserted and tunneled, rather than one catheter with multiple lumens.
What postoperative care is included?
Related postoperative visits during the 10-day global period are included in the procedure payment.
When is assistant-at-surgery payment allowed?
CMS allows assistant-at-surgery payment only when the record documents medical necessity.
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.
4,50936561,,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
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
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097