$852.38–$897.13
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.
On this page
CMS RVU26D · Effective 2026-10-01
36565 Tunneled catheter Medicare reimbursement rates in New Jersey
Reports placement of two tunneled central venous catheters without a port or pump in a patient age five years or older. Compare 36565 office and facility rates across CMS payment localities in New Jersey.
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 36565 in New Jersey?
New Jersey 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
$929.96–$976.02
2 of 2 localities have a supported rate.
Facility setting
$332.15–$340.99
2 of 2 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.
Central venous access
About 36565: Two tunneled central venous catheters without a port
Reports placement of two tunneled central venous catheters without a port or pump in a patient age five years or older.
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.
CMS billing rules for 36565
- 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 · 22%
- Practice expense (office) RVU18.89 · 73%
- Malpractice RVU1.22 · 5%
516
Medicare services in 2024 · #3538 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.
36565 compared with similar codes
Office rates for New Jersey, from the same CMS release.
$1,370.27–$1,444.79
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.
$4,800.44–$5,086.95
Both involve two-catheter placement, but 36566 includes a subcutaneous port. This code is for placement without a port or pump.
$256.76–$269.62
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.
Compare 36565 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
Northern Nj →
Office / nonfacility
$976.02
Facility
$340.99
Rest Of New Jersey →
Office / nonfacility
$929.96
Facility
$332.15
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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 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.
4,50836560,,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
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