CPT code 36575: Catheter repair, tunneled, without port or pump2026 Medicare rate & RVUs in Illinois
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.
Medicare pays $138.20–$152.93 for 36575 in the office in Illinois, from Rest of Illinois to Suburban Chicago, IL. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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.
Where 36575 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$138.20 to $152.93
| Payment locality | Office | Facility |
|---|---|---|
| Chicago, IL | $151.43 | $32.93 |
| East St. Louis, IL | $140.12 | $31.64 |
| Rest of Illinois | $138.20 | $30.55 |
| Suburban Chicago, IL | $152.93 | $31.84 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
36575 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 36576Venous device repairWith implanted port or pump
- Both codes describe catheter repair, but 36575 is for a tunneled catheter without a subcutaneous port or pump. Select 36576 for its specified device configuration.
- 36578Catheter replacementYounger than 5 years
- 36575 restores a damaged existing catheter. 36578 is considered when the tunneled catheter is replaced rather than repaired.
- 36581Catheter replacementTunneled, without port
- 36581 describes replacement of a tunneled central venous access device; 36575 describes repair of the existing catheter.
- 36589Catheter removalTunneled catheter, no port
- 36589 reports removal of a tunneled central venous catheter. It does not describe repairing a catheter that remains in place.
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
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