36000
No office ratePlace needle in vein
Use 36680 when the access needle enters a bone marrow cavity; 36000 describes introduction of a needle or catheter into a vein.
On this page
CMS RVU26D · Effective 2026-10-01
36680 Intraosseous access Medicare reimbursement rates in New Jersey
Reports placement of an intraosseous needle to establish access for infusion when urgent treatment requires access through the bone marrow cavity. Compare 36680 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 36680 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
No supported rate
Facility setting
$61.11–$62.53
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.
Vascular access
About 36680: Intraosseous needle placement for infusion
Reports placement of an intraosseous needle to establish access for infusion when urgent treatment requires access through the bone marrow cavity.
This service establishes intraosseous access by inserting a needle into a bone marrow cavity so fluids or medications can be delivered when urgent vascular access is needed. It is commonly performed by emergency physicians and other qualified clinicians in hospital emergency departments or other acute-care settings, such as when a patient in shock or cardiac arrest cannot be accessed promptly through a peripheral vein. The proximal tibia is a familiar access site; the actual bone and side should be documented.
Report the insertion, not each fluid or medication subsequently delivered through the access. The record should identify the clinical need, insertion site, and whether access was successfully established. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Do not use modifier 50 for this service. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 36680
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU1.17 · 68%
- Practice expense (office) RVU0.33 · 19%
- Malpractice RVU0.23 · 13%
2.9K
Medicare services in 2024 · #2192 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.
36680 compared with similar codes
Office rates for New Jersey, from the same CMS release.
$229.83–$241.00
36555 is for centrally inserted, non-tunneled central venous catheter placement in a patient younger than five, not intraosseous access.
$256.76–$269.62
36556 is for centrally inserted, non-tunneled central venous catheter placement in a patient age five or older; 36680 accesses the marrow cavity.
No office rate
36620 describes arterial catheter placement, commonly for arterial monitoring or sampling. It does not establish intraosseous infusion access.
Compare 36680 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
Unavailable
Facility
$62.53
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$61.11
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36680 billing questions
When should I report 36680 instead of peripheral IV access?
Report 36680 for needle placement into a bone marrow cavity to establish infusion access, commonly in an urgent situation when peripheral venous access is unavailable or inadequate. Ordinary access through a peripheral vein is not intraosseous placement.
Can the fluids or medications infused through the needle be reported as additional units of 36680?
No. The code reports insertion of the intraosseous needle, not each fluid or medication delivered through the established access.
What should the documentation identify?
Document the clinical reason for intraosseous access, the bone and side used, and whether placement successfully established access.
Should modifier 50 be appended for access on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this descriptor and anatomy.
How does the multiple-procedure reduction affect 36680?
For procedures performed in the same session, CMS pays the highest-valued procedure in full and subjects the other procedures to the standard 50% reduction.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted 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.
4,53936625,,Insertion catheter artery,A,,2.06,0.47,NA,0.47,,0.33,2.86,2.86,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54036640,,Insertion catheter artery,A,,2.05,0.83,NA,0.83,,0.14,3.02,3.02,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54136660,,Insertion catheter artery,A,,1.37,0.28,NA,0.28,,0.07,1.72,1.72,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54236680,,Insert needle bone cavity,A,,1.17,0.33,NA,0.33,,0.23,1.73,1.73,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54336800,,Insertion of cannula,A,,2.37,0.58,NA,0.58,,0.27,3.22,3.22,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54436810,,Insertion of cannula,A,,3.86,1.11,NA,1.11,,0.34,5.31,5.31,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54536815,,Insertion of cannula,A,,2.55,0.50,NA,0.50,,0.64,3.69,3.69,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00