$23.87
Use 36405 for skilled scalp vein access in a child younger than three; 36400 identifies femoral or jugular access.
On this page
CMS RVU26D · Effective 2026-10-01
36400 Venipuncture Medicare reimbursement rates in Wyoming
Reports skilled femoral or jugular venipuncture to obtain a blood specimen from a child younger than three when this access is required. Compare 36400 office and facility rates across CMS payment localities in Wyoming.
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 36400 in Wyoming?
Wyoming 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
$27.22
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$15.52
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Venipuncture
About 36400: Infant femoral or jugular venipuncture
Reports skilled femoral or jugular venipuncture to obtain a blood specimen from a child younger than three when this access is required.
This service captures a difficult venous blood draw from the femoral or jugular vein in a child younger than three when access requires a physician’s or qualified health care professional’s skill. It is typically used to obtain a diagnostic blood specimen when routine peripheral access is not suitable. The code describes venipuncture, not placement of a central venous catheter or surgical venous cutdown. Documentation should identify the child’s age, access site, and circumstances supporting skilled access.
Select the code by both age and vein: scalp vein access and access through another vein in this age group have separate codes, while skilled venipuncture in an older patient falls under a different code. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies a 50% payment reduction to the others.
CMS billing rules for 36400
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU0.37 · 45%
- Practice expense (office) RVU0.43 · 52%
- Malpractice RVU0.02 · 2%
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.
36400 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$18.28
Use 36406 for skilled access through a vein other than the femoral, jugular, or scalp vein in a child younger than three.
$18.86
Use 36410 for skilled venipuncture in a patient age three or older; 36400 is limited to children younger than three with femoral or jugular access.
36415
No office rateColl venous bld venipuncture
Use 36415 for routine venous blood collection. 36400 identifies skilled femoral or jugular access in a child younger than three.
Compare 36400 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
Wyoming** →
Office / nonfacility
$27.22
Facility
$15.52
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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 36400 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
4,467
- Code
- 36400
- Physician work
- 0.37
- Practice expense
- 0.43
- Malpractice
- 0.02
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.37 | × 1.000 | 0.3700 |
| Practice expense | 0.43 | × 1.000 | 0.4300 |
| Malpractice | 0.02 | × 0.740 | 0.0148 |
| Total RVUs | 0.8148 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$27.22
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.37 | 1 |
| Practice expense | 0.43 | 1 |
| Malpractice | 0.02 | 0.74 |
(0.37 × 1 + 0.43 × 1 + 0.02 × 0.74) × $33.4009 = $27.22
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.37 | 1 |
| Practice expense | 0.08 | 1 |
| Malpractice | 0.02 | 0.74 |
(0.37 × 1 + 0.08 × 1 + 0.02 × 0.74) × $33.4009 = $15.52
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.
36400 billing questions
When is 36400 appropriate instead of routine venipuncture?
Use it for a skilled femoral or jugular blood draw in a child younger than three. Routine venous collection is represented by 36415.
How does 36400 differ from 36405 and 36406?
The venipuncture site distinguishes these codes: 36400 is for femoral or jugular access, 36405 for scalp access, and 36406 for another vein in a child younger than three.
Does 36400 describe central venous catheter placement?
No. It describes venipuncture for a blood specimen, not placement of a central venous catheter.
How does the multiple procedure reduction affect 36400?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.
What documentation supports reporting 36400?
Document the child’s age, femoral or jugular access site, and the clinical circumstances requiring skilled venipuncture.
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.
4,46436261,,Revision of infusion pump,A,,5.49,5.25,NA,5.25,,1.46,12.20,12.20,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46536262,,Removal of infusion pump,A,,4.01,4.38,NA,4.38,,1.08,9.47,9.47,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46636299,,Unlisted px vascular njx,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46736400,,Vnpnxr<3yrs phy/qhp fem/jug,A,,0.37,0.43,,0.08,,0.02,0.82,0.47,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46836405,,Vnpnxr<3yrs phy/qhp scalp vn,A,,0.30,0.40,,0.06,,0.02,0.72,0.38,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46936406,,Vnpnxr<3yrs phy/qhp other vn,A,,0.18,0.36,,0.04,,0.01,0.55,0.23,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,47036410,,Vnpnxr 3yr/> phy/qhp dx/ther,A,,0.18,0.37,,0.04,,0.02,0.57,0.24,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,