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

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 Rhode Island, Medicare pays $151.87 for 36575 in the office and $30.07 when it’s performed in a hospital or facility.

$151.87Office (non-facility)
$30.07Hospital or facility
+2.9%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 Rhode Island
  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 Rhode Island 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. Rhode Island pays $151.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

36575 in Rhode Island vs other payment areas
  1. Rhode Island · this page$151.87
  2. Los Angeles, CA · California$170.35+$18.48
  3. Washington, DC area · District of Columbia$171.07+$19.20
  4. Miami, FL · Florida$156.27+$4.40
  5. Chicago, IL · Illinois$151.43−$0.44
  6. Manhattan, NY · New York$170.41+$18.54
  7. Alaska · Alaska$165.47+$13.60

Other areas in Rhode Island 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 Rhode Island 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

92

Locality
Rhode Island
Physician work
1.019
Practice expense
1.033
Malpractice
0.892
Office calculation for 36575 in Rhode Island
ComponentRVULocality factorAdjusted
Physician work0.65× 1.0190.6623
Practice expense3.70× 1.0333.8221
Malpractice0.07× 0.8920.0624
Total RVUs4.5469
Conversion factor× 33.4009

Office rate, Rhode Island$151.87

Office: (0.65 × 1.019 + 3.7 × 1.033 + 0.07 × 0.892) × $33.4009 = $151.87

Facility: (0.65 × 1.019 + 0.17 × 1.033 + 0.07 × 0.892) × $33.4009 = $30.07

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 Rhode Island

36575 · Office / nonfacility

$151.87

Effective 2026-10-01

The base rate is $12.46 higher than on 2025-10-01, moving from $139.41 to $151.87 (8.9%).

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

    $139.41changed to$151.87

    • 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 1.025 changed to 1.019
    • Practice expense GPCI 1.039 changed to 1.033
    • Malpractice GPCI 0.849 changed to 0.892

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $147.27changed to$139.41

    • 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

    $144.87changed to$147.27

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $153.11changed to$144.87

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.61 changed to 3.54
    • Work GPCI 1.023 changed to 1.025
    • Practice expense GPCI 1.044 changed to 1.039
    • Malpractice GPCI 0.915 changed to 0.849
  5. January 1, 2023

    RVU23A

    $164.20changed to$153.11

    • 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 1.021 changed to 1.023
    • Practice expense GPCI 1.048 changed to 1.044
    • Malpractice GPCI 0.981 changed to 0.915

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $174.68changed to$164.20

    • 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

    $172.21changed to$174.68

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.81 changed to 4.04
    • Work GPCI 1.024 changed to 1.021
    • Practice expense GPCI 1.049 changed to 1.048
    • Malpractice GPCI 0.990 changed to 0.981

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $172.97changed to$172.21

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.83 changed to 3.81
    • Work GPCI 1.027 changed to 1.024
    • Practice expense GPCI 1.050 changed to 1.049
    • Malpractice GPCI 0.999 changed to 0.990

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $176.56changed to$172.97

    • 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

    $176.62changed to$176.56

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.95 changed to 3.93
    • Work GPCI 1.025 changed to 1.027
    • Practice expense GPCI 1.052 changed to 1.050
    • Malpractice GPCI 0.879 changed to 0.999

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $177.39changed to$176.62

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.99 changed to 3.95
    • Work GPCI 1.022 changed to 1.025
    • Practice expense GPCI 1.053 changed to 1.052
    • Malpractice GPCI 0.759 changed to 0.879

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $177.28changed to$177.39

    • 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

    $176.39changed to$177.28

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $176.97changed to$176.39

    • 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
    • Work GPCI 1.020 changed to 1.022
    • Malpractice GPCI 0.973 changed to 0.759

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$176.97

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$151.87$30.07RVU26D
2026-07-01$151.87$30.07RVU26C
2026-04-01$151.87$30.07RVU26B
2026-01-01$151.87$30.07RVU26A
2025-10-01$139.41$32.54RVU25D
2025-07-01$139.41$32.54RVU25C
2025-04-01$139.41$32.54RVU25B
2025-01-01$139.41$32.54RVU25A
2024-10-01$147.27$33.14RVU24D
2024-07-01$147.27$33.14RVU24C
2024-04-01$147.27$33.14RVU24B
2024-03-09$147.27$33.14RVU24AR
2024-01-01$144.87$32.60RVU24A
2023-10-01$153.11$33.89RVU23D
2023-07-01$153.11$33.89RVU23C
2023-04-01$153.11$33.89RVU23B
2023-01-01$153.11$33.89RVU23A
2022-10-01$164.20$35.09RVU22D
2022-07-01$164.20$35.09RVU22C
2022-04-01$164.20$35.09RVU22B
2022-01-01$164.20$35.09RVU22A
2021-10-01$174.68$35.73RVU21D
2021-07-01$174.68$35.73RVU21C
2021-04-01$174.68$35.73RVU21B
2021-01-01$174.68$35.73RVU21A
2020-10-01$172.21$37.44RVU20D
2020-07-01$172.21$37.44RVU20C
2020-04-01$172.21$37.44RVU20B
2020-01-01$172.21$37.44RVU20A
2019-10-01$172.97$37.50RVU19D
2019-07-01$172.97$37.50RVU19C
2019-04-01$172.97$37.50RVU19B
2019-01-01$172.97$37.50RVU19A
2018-10-01$176.56$37.46RVU18D
2018-07-01$176.56$37.46RVU18C
2018-04-01$176.56$37.46RVU18B
2018-01-01$176.56$37.46RVU18AR1
2017-10-01$176.62$36.92RVU17D
2017-07-01$176.62$36.92RVU17C
2017-04-01$176.62$36.92RVU17B
2017-01-01$176.62$36.92RVU17A
2016-10-01$177.39$36.76RVU16D
2016-07-01$177.39$36.76RVU16C
2016-04-01$177.39$36.76RVU16B
2016-01-01$177.39$36.76RVU16A
2015-10-01$177.28$36.90RVU15D
2015-07-01$177.28$36.90RVU15C
2015-04-01$176.39$36.71RVU15B
2015-01-01$176.39$36.71RVU15A
2014-10-01$176.97$37.77RVU14D
2014-07-01$176.97$37.77RVU14C
2014-04-01$176.97$37.77RVU14B
2014-01-01$176.97$37.77RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 36575 for an earlier date of service

Where the Rhode Island rate applies

Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.

  • Ashaway
  • Bradford
  • Carolina
  • Central Falls
  • Charlestown
  • Chepachet
  • Clayville
  • Cranston

Browse all communities in Rhode Island

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 Rhode IslandGPCI2026.csv, line 92 (RVU26D)

Open CMS sourceHow we calculate rates

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