$1,377.94
This is the age-based sibling code for PIVAD insertion without a port or pump. Use 36571 when the patient is five or older; 36570 is for patients younger than five.
On this page
CMS RVU26D · Effective 2026-10-01
36570 PIVAD insertion Medicare reimbursement rates in Rhode Island
Insertion of a peripherally placed central venous access device in a child younger than five, with imaging guidance included in the service. Compare 36570 office and facility rates across CMS payment localities in Rhode Island.
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 36570 in Rhode Island?
Rhode Island 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
$1630.31
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$320.57
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 36570: PIVAD insertion in a child under five
Insertion of a peripherally placed central venous access device in a child younger than five, with imaging guidance included in the service.
Code 36570 describes placement of a peripherally inserted central venous access device (PIVAD) without a subcutaneous port or pump in a patient younger than five. The service establishes central venous access through a peripheral vein, commonly for ongoing intravenous therapy such as chemotherapy, parenteral nutrition, or prolonged antibiotics. A qualified procedural clinician may perform it in a hospital or another setting equipped for vascular access. Imaging guidance and its radiological supervision and interpretation are included in this insertion service.
Select this code for the specified PIVAD and age group, not solely because a child receives a PICC; document the device placed, patient age, and insertion details. Related postoperative visits during the 10-day global period are included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 36570
- 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 RVU4.98 · 10%
- Practice expense (office) RVU41.19 · 87%
- Malpractice RVU1.33 · 3%
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.
36570 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
Both apply to patients younger than five, but 36568 is for PICC insertion without imaging guidance. Code 36570 describes PIVAD insertion and includes imaging guidance.
$374.91
Both include imaging guidance for patients younger than five. Choose 36572 for PICC insertion and 36570 for PIVAD insertion.
Compare 36570 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
Rhode Island →
Office / nonfacility
$1630.31
Facility
$320.57
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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 36570 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
4,515
- Code
- 36570
- Physician work
- 4.98
- Practice expense
- 41.19
- Malpractice
- 1.33
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.98 | × 1.019 | 5.0746 |
| Practice expense | 41.19 | × 1.033 | 42.5493 |
| Malpractice | 1.33 | × 0.892 | 1.1864 |
| Total RVUs | 48.8102 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$1630.31
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.98 | 1.019 |
| Practice expense | 41.19 | 1.033 |
| Malpractice | 1.33 | 0.892 |
(4.98 × 1.019 + 41.19 × 1.033 + 1.33 × 0.892) × $33.4009 = $1630.31
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.98 | 1.019 |
| Practice expense | 3.23 | 1.033 |
| Malpractice | 1.33 | 0.892 |
(4.98 × 1.019 + 3.23 × 1.033 + 1.33 × 0.892) × $33.4009 = $320.57
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.
36570 billing questions
How does 36570 differ from 36571?
Both describe PIVAD insertion without a subcutaneous port or pump. Use 36570 for a patient younger than five; 36571 is for a patient five or older.
Is imaging guidance separately reported?
Imaging guidance and radiological supervision and interpretation are included in 36570. They are not separately reported as components of this insertion service.
When would 36568 or 36572 be considered instead?
Those codes describe PICC insertion in a patient younger than five, rather than the PIVAD service represented by 36570. Code 36568 is for insertion without imaging guidance; 36572 includes imaging guidance.
What documentation supports 36570?
The record should identify the PIVAD placed, confirm that the patient was younger than five, and describe the insertion. Document medical necessity if an assistant at surgery is involved.
How are bilateral insertions and other same-session procedures handled?
Bilateral reporting with modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
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.
4,51236566,,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
4,51636571,,Insert picvad cath,A,,4.96,34.12,,2.77,,1.07,40.15,8.80,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,51736572,,Insj picc rs&i <5 yr,A,,1.77,8.93,,0.21,,0.22,10.92,2.20,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,51836573,,Insj picc rs&i 5 yr+,A,,1.66,9.11,,0.32,,0.18,10.95,2.16,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537