{
    "code": "36561",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/36561/2023/A",
    "release_specific_url": "https://localishealth.com/cpt/36561/2023/D",
    "description": "Placement of an implanted port: a small reservoir with a tough silicone top is buried in a pocket under the skin, usually on the upper chest, and joined to a catheter that is tunneled beneath the skin and threaded into a large central vein near the heart. Nurses use it by pushing a special needle through the skin into the reservoir, so nothing dangles outside the body between treatments and the patient can shower and swim normally. This entry covers the port and its catheter placed together as one device, in patients aged five and older.",
    "answer": {
        "question": "How much did Medicare pay for CPT 36561 in Q4 2023?",
        "text": "Medicare paid $1,005.09 for CPT 36561 in the office (non-facility) setting and $332.43 in a facility under the Q4 2023 Physician Fee Schedule, effective October 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2023, when it decreased 5.2%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2023,
        "quarter": "D",
        "label": "Q4 2023",
        "effective": "October 1 – December 31, 2023",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 1005.09,
        "facility": 332.43,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 5.79,
        "practice_expense_non_facility": 22.93,
        "practice_expense_facility": 3.08,
        "malpractice": 0.94
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.8872,
    "source": {
        "label": "Physician relative value file (Q4 2023)",
        "cms_url": "https://www.cms.gov/files/zip/rvu23d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2023/D",
        "file": "PPRRVU23_OCT.csv",
        "row": 9710,
        "sha256": "6558dc4fa634f462f996db05a7e6af5cbe365e93e508b8e24d1cbfb1f610dcbd"
    },
    "modified_at": "2026-08-04T03:13:13+00:00"
}