{
    "code": "36556",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/36556/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/36556/2020/D",
    "description": "Placement of a central venous catheter through the skin into a large vein, most often the internal jugular in the neck, the subclavian under the collarbone, or the femoral vein in the groin, with the catheter tip advanced to sit in a large vein close to the heart. Non-tunneled means the line enters at the puncture site and goes straight in, with no length of catheter buried under the skin and no implanted reservoir, which makes it fast to place and suited to short-term use. This entry applies to patients aged five and older.",
    "answer": {
        "question": "How much did Medicare pay for CPT 36556 in Q4 2020?",
        "text": "Medicare paid $219.42 for CPT 36556 in the office (non-facility) setting and $88.78 in a facility under the Q4 2020 Physician Fee Schedule, effective October 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2020, when it increased 1.6%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "D",
        "label": "Q4 2020",
        "effective": "October 1 – December 31, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 219.42,
        "facility": 88.78,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.75,
        "practice_expense_non_facility": 4.11,
        "practice_expense_facility": 0.49,
        "malpractice": 0.22
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0896,
    "source": {
        "label": "Physician relative value file (Q4 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20d-updated-11232020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/D",
        "file": "PPRRVU20_OCT.csv",
        "row": 8988,
        "sha256": "504fd19a9bc1d2eeebb290adac2d7de6c56d4e86cde7532df1862fe42494d319"
    },
    "modified_at": "2026-08-04T03:10:00+00:00"
}