CPT code 36575: Catheter repair, tunneled, without port or pump2026 Medicare rate & RVUs in Connecticut

Reports repair of a damaged tunneled central venous catheter without a subcutaneous port or pump when the existing catheter can be restored rather than replaced.

CMS RVU26DEffective Oct 1, 2026One payment locality508 Medicare services in 2024

In Connecticut, Medicare pays $158.07 for 36575 in the office and $31.09 when it’s performed in a hospital or facility.

$158.07Office (non-facility)
$31.09Hospital or facility
+7.1%vs the national office rate ($147.63)

Check a contract rate as a % of Medicare · 36575 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 36575 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 36575 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 36575 covers

This service addresses damage to an existing tunneled central venous catheter, such as a leak or break in an accessible catheter segment, when repair can restore function without replacing the device. It is commonly performed by a physician or other qualified practitioner in a hospital or outpatient setting, including interventional radiology, surgery, or vascular-access services. The catheter remains in place; this is not a new tunneled catheter insertion or a removal service.

Report 36575 for a tunneled catheter without a subcutaneous port or pump. Documentation should identify the catheter, the defect, the repair performed, and why repair rather than replacement was appropriate. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

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.

How Connecticut compares for 36575

Across 109 of 109 payment localities, the office rate for 36575 runs from $129.07 in Arkansas to $203.56 in San Benito County, CA. Connecticut pays $158.07. The RVUs are the same everywhere; the geographic indexes change the dollars.

36575 in Connecticut vs other payment areas
  1. Connecticut · this page$158.07
  2. Los Angeles, CA · California$170.35+$12.28
  3. Washington, DC area · District of Columbia$171.07+$13.00
  4. Miami, FL · Florida$156.27−$1.80
  5. Chicago, IL · Illinois$151.43−$6.64
  6. Manhattan, NY · New York$170.41+$12.34
  7. Alaska · Alaska$165.47+$7.40

Other areas in Connecticut first, then benchmark localities. Bars start at $0.

Every other payment area

36575 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$131.17$28.00
ArkansasArkansas$129.07$27.79
ArizonaArizona$143.46$29.21
Bakersfield, CACalifornia$158.99$29.77
Chico, CACalifornia$158.78$29.56
El Centro, CACalifornia$158.79$29.57
Fresno, CACalifornia$158.78$29.56
Hanford, CACalifornia$158.78$29.56

36575 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$129.07

$181.17

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
36575 office rate range by state
State / territoryOffice rate rangeLocalities
AK$165.471
AL$131.171
AR$129.071
AZ$143.461
CA$158.78–$203.5629
CO$155.291
CT$158.071
DC$171.071
DE$146.021
FL$143.37–$156.273
GA$134.73–$150.142
GU$163.581
HI$163.581
IA$135.721
ID$136.511
IL$138.20–$152.934
IN$137.411
KS$134.611
KY$133.721
LA$133.32–$140.662
MA$154.05–$172.242
MD$149.14–$171.073
ME$136.86–$145.662
MI$137.18–$144.912
MN$149.571
MO$130.52–$141.703
MS$129.841
MT$147.631
NC$138.511
ND$146.241
NE$136.661
NH$152.411
NJ$160.10–$168.932
NM$137.841
NV$147.371
NY$140.76–$174.385
OH$136.901
OK$133.891
OR$146.44–$161.102
PA$137.37–$153.542
PR$148.961
RI$151.871
SC$137.891
SD$146.081
TN$135.301
TX$136.34–$154.588
UT$139.981
VA$144.84–$171.072
VI$148.961
VT$145.241
WA$153.91–$176.342
WI$140.821
WV$132.451
WY$147.021

See 36575 in every payment locality

How the 36575 rate is calculated

Each of 36575’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 36575

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.65

0.65 RVUs× 1.000 GPCI

Practice expense3.70

3.70 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

4.4200

Conversion factor

$33.4009

Medicare rate

$147.63

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,519

Code
36575
Physician work
0.65
Practice expense
3.70
Malpractice
0.07

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 36575 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.65× 1.0200.6630
Practice expense3.70× 1.0773.9849
Malpractice0.07× 1.2100.0847
Total RVUs4.7326
Conversion factor× 33.4009

Office rate, Connecticut$158.07

Office: (0.65 × 1.02 + 3.7 × 1.077 + 0.07 × 1.21) × $33.4009 = $158.07

Facility: (0.65 × 1.02 + 0.17 × 1.077 + 0.07 × 1.21) × $33.4009 = $31.09

Open 36575 in the RVU calculator

Payment rules and modifiers for 36575

The CMS indicators that decide how 36575 is paid alongside other services.

CMS payment indicators · 36575

Catheter repair, tunneled, without port or pump

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

36575 without 51 · national office

$147.63

Catheter repair, tunneled, without port or pump

36575-51 · Second procedure: 50%

$73.82

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 36575 has changed in Connecticut

36575 · Office / nonfacility

$158.07

Effective 2026-10-01

The base rate is $12.14 higher than on 2025-10-01, moving from $145.93 to $158.07 (8.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $145.93changed to$158.07

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.67 changed to 0.65
    • Practice expense RVU 3.43 changed to 3.70
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $154.17changed to$145.93

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.54 changed to 3.43

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $151.65changed to$154.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $160.73changed to$151.65

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.61 changed to 3.54
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207
  5. January 1, 2023

    RVU23A

    $173.12changed to$160.73

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.80 changed to 3.61
    • Malpractice RVU 0.08 changed to 0.07
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $184.21changed to$173.12

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.04 changed to 3.80
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $181.47changed to$184.21

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.81 changed to 4.04
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $182.21changed to$181.47

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.83 changed to 3.81
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $186.02changed to$182.21

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.93 changed to 3.83

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $186.96changed to$186.02

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.95 changed to 3.93
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $188.68changed to$186.96

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.99 changed to 3.95
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $188.55changed to$188.68

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.97 changed to 3.99

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $187.62changed to$188.55

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $186.91changed to$187.62

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.95 changed to 3.97
    • Malpractice RVU 0.10 changed to 0.09
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $194.85changed to$186.91

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.43 changed to 3.95
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $194.85

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$158.07$31.09RVU26D
2026-07-01$158.07$31.09RVU26C
2026-04-01$158.07$31.09RVU26B
2026-01-01$158.07$31.09RVU26A
2025-10-01$145.93$33.70RVU25D
2025-07-01$145.93$33.70RVU25C
2025-04-01$145.93$33.70RVU25B
2025-01-01$145.93$33.70RVU25A
2024-10-01$154.17$34.32RVU24D
2024-07-01$154.17$34.32RVU24C
2024-04-01$154.17$34.32RVU24B
2024-03-09$154.17$34.32RVU24AR
2024-01-01$151.65$33.76RVU24A
2023-10-01$160.73$34.89RVU23D
2023-07-01$160.73$34.89RVU23C
2023-04-01$160.73$34.89RVU23B
2023-01-01$160.73$34.89RVU23A
2022-10-01$173.12$35.88RVU22D
2022-07-01$173.12$35.88RVU22C
2022-04-01$173.12$35.88RVU22B
2022-01-01$173.12$35.88RVU22A
2021-10-01$184.21$36.51RVU21D
2021-07-01$184.21$36.51RVU21C
2021-04-01$184.21$36.51RVU21B
2021-01-01$184.21$36.51RVU21A
2020-10-01$181.47$38.48RVU20D
2020-07-01$181.47$38.48RVU20C
2020-04-01$181.47$38.48RVU20B
2020-01-01$181.47$38.48RVU20A
2019-10-01$182.21$38.74RVU19D
2019-07-01$182.21$38.74RVU19C
2019-04-01$182.21$38.74RVU19B
2019-01-01$182.21$38.74RVU19A
2018-10-01$186.02$38.70RVU18D
2018-07-01$186.02$38.70RVU18C
2018-04-01$186.02$38.70RVU18B
2018-01-01$186.02$38.70RVU18AR1
2017-10-01$186.96$38.64RVU17D
2017-07-01$186.96$38.64RVU17C
2017-04-01$186.96$38.64RVU17B
2017-01-01$186.96$38.64RVU17A
2016-10-01$188.68$38.97RVU16D
2016-07-01$188.68$38.97RVU16C
2016-04-01$188.68$38.97RVU16B
2016-01-01$188.68$38.97RVU16A
2015-10-01$188.55$39.11RVU15D
2015-07-01$188.55$39.11RVU15C
2015-04-01$187.62$38.92RVU15B
2015-01-01$187.62$38.92RVU15A
2014-10-01$186.91$39.39RVU14D
2014-07-01$186.91$39.39RVU14C
2014-04-01$186.91$39.39RVU14B
2014-01-01$186.91$39.39RVU14A
2013-10-01$194.85$38.12RVU13D
2013-07-01$194.85$38.12RVU13C
2013-04-01$194.85$38.12RVU13B
2013-01-01$194.85$38.12RVU13AR

Price 36575 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

36575 billing questions

How is 36575 different from 36576?

36575 is for repair of a tunneled catheter without a subcutaneous port or pump. Use the paired repair code 36576 for the device configuration specified by that code.

When should repair be reported instead of replacement?

Report repair when the existing tunneled catheter is restored. If the catheter is replaced, consider the applicable replacement code, such as 36578 or 36581, based on the device and procedure.

What documentation supports 36575?

Record the catheter type and location, the damage found, the repair performed, and the clinical basis for retaining the existing catheter rather than replacing it.

Can an assistant-at-surgery be reported?

Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.

How does the multiple-procedure rule affect payment?

For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 36575PPRRVU2026_Oct_nonQPP.csv, line 4,519 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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