CPT 36010
Global XXX ActivePlace catheter in vein
CPT 36010 Billing & Documentation Guide
CPT code 36010 (Place catheter in vein) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.13, a non-facility practice expense RVU of 12.8, and a malpractice RVU of 0.41, a total non-facility RVU of 15.34 and facility RVU of 2.85. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $530.51, though rates vary from $445.45 to $702.81 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36010, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 36010 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 36010 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 36010
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.13 | 2.13 |
| Practice Expense RVU | 12.8 | 0.31 |
| Malpractice RVU | 0.41 | 0.41 |
| Total RVU | 15.34 | 2.85 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36010
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $587.01 | $93.37 | $548.27 - $702.81 | 29 |
| Florida | $526.76 | $108.19 | $500.45 - $550.84 | 3 |
| Georgia | $495.51 | $97.51 | $468.83 - $522.18 | 2 |
| Illinois | $510.66 | $107.57 | $482.88 - $534.98 | 4 |
| Michigan | $491.87 | $100.14 | $476.94 - $506.8 | 2 |
| North Carolina | $478.78 | $89.56 | $478.78 - $478.78 | 1 |
| New York | $570.09 | $104.69 | $486.93 - $609.46 | 5 |
| Ohio | $475.28 | $94.4 | $475.28 - $475.28 | 1 |
| Pennsylvania | $505.19 | $96.57 | $476.56 - $533.82 | 2 |
| Texas | $505.16 | $94.45 | $472.92 - $535.75 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 36010
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36010 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0921T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0922T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 35201 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 35206 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 35226 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 35231 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 35236 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 35256 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 36010
What does CPT code 36010 mean? +
CPT code 36010 represents: Place catheter in vein. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of XXX.
What is the Medicare reimbursement for CPT 36010? +
The 2026 Medicare national average non-facility payment for CPT 36010 is $530.51. Rates range from $445.45 to $702.81 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36010? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 36010? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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