CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 36566 RVU and Medicare Payment (2026)
Insert tunneled cv cath — 6.13 work RVU, about $4,405.58 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 6.13
- PE RVU (non-facility)
- 124.58
- PE RVU (facility)
- 2.68
- MP RVU
- 1.19
- Office payment
- $4,405.58
- Facility payment
- $334.01
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 36566 in a non-facility setting with national GPCI: (6.13 + 124.58 + 1.19) × $33.4009 ≈ $4,405.58. The same code in a facility setting pays about $334.01 because facility PE RVU (2.68) replaces office PE RVU.
What changes by locality
GPCI moves 36566 non-facility payment from $3,799.59 to $6,248.86 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 36566?
6.13. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 36566 in 2026?
About $4,405.58 non-facility ($334.01 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (6.13) and malpractice RVU stay fixed; only practice expense changes (124.58 office vs 2.68 facility). That is the entire office-vs-facility payment gap.