CPT code 36576: Venous device repair, with implanted port or pump2026 Medicare rate & RVUs in California
Repair of an existing central venous access device with an implanted port or pump, reported when the device is repaired rather than replaced.
Medicare pays $370.04–$461.39 for 36576 in the office in California, from Chico, CA to San Benito County, CA. 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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On this page 9 sections
What 36576 covers
This service repairs an existing central venous access device that includes a subcutaneous port or pump. A surgeon or interventional radiologist may perform the repair when a device used for ongoing infusion therapy has a damaged component or connection. The distinction is that the implanted port or pump remains part of the device being repaired, rather than the entire device being replaced.
The procedure record should identify the port or pump, the defect found, and what was repaired. Select 36575 instead when the repaired central venous catheter has no implanted port or pump; use the appropriate replacement code when a catheter component or the complete device is replaced. Medicare assigns this repair a 10-day global period, which includes related postoperative visits. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. An assistant surgeon is paid only when medical necessity is documented; 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 36576 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$370.04 to $461.39
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $371.62 | $170.28 |
| Chico, CA | $370.04 | $168.70 |
| El Centro, CA | $370.13 | $168.79 |
| Fresno, CA | $370.04 | $168.70 |
| Hanford, CA | $370.04 | $168.70 |
| Los Angeles, CA | $395.51 | $178.18 |
| Madera, CA | $370.04 | $168.70 |
| Marin County, CA | $450.85 | $191.83 |
| Merced, CA | $370.04 | $168.70 |
| Modesto, CA | $370.04 | $168.70 |
| Napa, CA | $426.79 | $184.66 |
| Oxnard, CA | $393.22 | $176.08 |
| Redding, CA | $370.04 | $168.70 |
| Rest of California | $370.04 | $168.70 |
| Riverside, CA | $376.17 | $174.83 |
| Sacramento, CA | $387.82 | $174.18 |
| Salinas, CA | $386.39 | $173.47 |
| San Benito County, CA | $461.39 | $196.49 |
| San Diego, CA | $395.20 | $175.49 |
| San Francisco, CA | $450.21 | $191.18 |
| San Luis Obispo, CA | $380.26 | $171.02 |
| Santa Clara County, CA | $458.75 | $193.84 |
| Santa Cruz, CA | $398.73 | $175.53 |
| Santa Maria, CA | $387.76 | $173.56 |
| Santa Rosa, CA | $402.70 | $177.11 |
| Stockton, CA | $370.04 | $168.70 |
| Vallejo, CA | $425.85 | $183.73 |
| Visalia, CA | $370.04 | $168.70 |
| Yuba City, CA | $370.04 | $168.70 |
How the 36576 rate is calculated
Each of 36576’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 · 36576
RVUs × geographic indexes × conversion factor
Work2.92
2.92 RVUs× 1.000 GPCI
Practice expense7.12
7.12 RVUs× 1.000 GPCI
Malpractice0.57
0.57 RVUs× 1.000 GPCI
Adjusted RVUs
10.6100
Conversion factor
$33.4009
Medicare rate
$354.38
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36576
36576 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 36576
Venous device repair, with implanted port or pump
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are 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. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 36576
Venous device repair, with implanted port or pump
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
36576 without 51 · national office
$354.38
Venous device repair, with implanted port or pump
36576-51 · Second procedure: 50%
$177.19
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%).
36576 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 36575Catheter repairTunneled, without port or pump
- Choose 36575 when the repaired catheter has no implanted port or pump. Choose 36576 when the device being repaired includes one.
- 36578Catheter replacementYounger than 5 years
- 36578 describes replacement of the catheter component while the implanted port or pump is retained. 36576 describes repair of the existing device.
- 36582Device replacementWith port or pump
- 36582 describes complete replacement of a tunneled device with an implanted port. Report 36576 when the existing device is repaired instead.
36576 billing questions
How is 36576 different from 36575?
36576 is for repair of a central venous access device with an implanted port or pump. Use 36575 for repair of a catheter without either implanted component.
What if the catheter component is replaced instead of repaired?
A catheter-component replacement with the implanted port or pump retained is reported with the applicable replacement code, such as 36578, rather than 36576.
Are related visits after the repair separately reported?
Related postoperative visits during the 10-day global period are included in the procedure payment.
Can modifier 50 be used if more than one device is repaired?
No. Medicare's bilateral adjustment is inappropriate for 36576; modifier 50 should not be used.
What documentation supports an assistant surgeon?
The record must establish medical necessity for the assistant surgeon. Medicare does not permit co-surgeons or team surgery for this procedure.
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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