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CPT code 36576: Venous device repair, with implanted port or pump2026 Medicare rate & RVUs in Puerto Rico

Repair of an existing central venous access device with an implanted port or pump, reported when the device is repaired rather than replaced.

CMS RVU26DEffective Oct 1, 2026One payment locality229 Medicare services in 2024

In Puerto Rico, Medicare pays $356.71 for 36576 in the office and $170.99 when it’s performed in a hospital or facility.

$356.71Office (non-facility)
$170.99Hospital or facility
+0.7%vs the national office rate ($354.38)

Check a contract rate as a % of Medicare · 36576 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 36576 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 36576 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 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.

How Puerto Rico compares for 36576

Across 109 of 109 payment localities, the office rate for 36576 runs from $311.62 in Arkansas to $461.39 in San Benito County, CA. Puerto Rico pays $356.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

36576 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$356.71
  2. Los Angeles, CA · California$395.51+$38.80
  3. Washington, DC area · District of Columbia$404.13+$47.42
  4. Miami, FL · Florida$393.24+$36.53
  5. Chicago, IL · Illinois$380.91+$24.20
  6. Manhattan, NY · New York$410.31+$53.60
  7. Alaska · Alaska$410.06+$53.35

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

Every other payment area

36576 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$316.39$155.65
ArkansasArkansas$311.62$153.82
ArizonaArizona$344.27$166.26
Bakersfield, CACalifornia$371.62$170.28
Chico, CACalifornia$370.04$168.70
El Centro, CACalifornia$370.13$168.79
Fresno, CACalifornia$370.04$168.70
Hanford, CACalifornia$370.04$168.70

36576 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$311.62

$415.72

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

View every state and territory as a table
36576 office rate range by state
State / territoryOffice rate rangeLocalities
AK$410.061
AL$316.391
AR$311.621
AZ$344.271
CA$370.04–$461.3929
CO$366.601
CT$378.641
DC$404.131
DE$350.091
FL$353.50–$393.243
GA$332.35–$362.312
GU$378.951
HI$378.951
IA$322.691
ID$325.331
IL$344.41–$380.914
IN$327.241
KS$322.111
KY$326.371
LA$326.24–$342.942
MA$364.68–$402.422
MD$356.65–$404.133
ME$328.16–$345.222
MI$336.15–$359.122
MN$347.881
MO$321.07–$343.013
MS$316.361
MT$354.351
NC$331.581
ND$343.071
NE$324.231
NH$361.751
NJ$382.01–$399.872
NM$338.471
NV$351.441
NY$336.84–$421.895
OH$333.851
OK$324.691
OR$347.78–$377.472
PA$333.84–$369.562
PR$356.711
RI$362.031
SC$333.451
SD$341.741
TN$323.931
TX$331.63–$366.208
UT$338.171
VA$344.74–$404.132
VI$356.711
VT$342.601
WA$363.71–$409.762
WI$331.221
WV$331.441
WY$349.431

See 36576 in every payment locality

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

Office or facility?

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.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,520

Code
36576
Physician work
2.92
Practice expense
7.12
Malpractice
0.57

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 36576 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work2.92× 1.0002.9200
Practice expense7.12× 1.0117.1983
Malpractice0.57× 0.9850.5614
Total RVUs10.6798
Conversion factor× 33.4009

Office rate, Puerto Rico$356.71

Office: (2.92 × 1 + 7.12 × 1.011 + 0.57 × 0.985) × $33.4009 = $356.71

Facility: (2.92 × 1 + 1.62 × 1.011 + 0.57 × 0.985) × $33.4009 = $170.99

Open 36576 in the RVU calculator

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

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are 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.
Split (54/55/56)0.10/0.80/0.10Share 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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

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%).

When to use modifier 51

Codes related to 36576

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 36576
CodeHow it relatesOffice range, Puerto Rico
Same family
36575Catheter repair, tunneled, without port or pumpRepair of a central venous catheter without an implanted port or pump.$148.96
Used instead
36578Catheter replacement, younger than 5 yearsReplaces the catheter component while retaining the implanted port or pump, rather than repairing it.$439.27
36582Device replacement, with port or pumpComplete replacement of a tunneled access device with an implanted port, rather than repair.$864.66
36583Catheter replacement, tunneled central venousComplete replacement of a tunneled access device with an implanted pump, rather than repair.$1,272.15

How 36576 has changed in Puerto Rico

36576 · Office / nonfacility

$356.71

Effective 2026-10-01

The base rate is $33.08 higher than on 2025-10-01, moving from $323.63 to $356.71 (10.2%).

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

    $323.63changed to$356.71

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.99 changed to 2.92
    • Practice expense RVU 6.43 changed to 7.12
    • Malpractice RVU 0.55 changed to 0.57
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $341.41changed to$323.63

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.66 changed to 6.43
    • Malpractice RVU 0.57 changed to 0.55

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $335.84changed to$341.41

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $353.31changed to$335.84

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.84 changed to 6.66
    • Malpractice RVU 0.55 changed to 0.57
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $351.75changed to$353.31

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $369.20changed to$351.75

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.06 changed to 6.84
    • Malpractice RVU 0.57 changed to 0.55
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $369.47changed to$369.20

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.01 changed to 7.06
    • Malpractice RVU 0.54 changed to 0.57

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $352.33changed to$369.47

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.17 changed to 7.01
    • Malpractice RVU 0.56 changed to 0.54
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $336.78changed to$352.33

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.77 changed to 6.17
    • Malpractice RVU 0.55 changed to 0.56
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $323.72changed to$336.78

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.42 changed to 5.77

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $286.41changed to$323.72

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.41 changed to 5.42
    • Malpractice RVU 0.56 changed to 0.55
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $305.51changed to$286.41

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 3.24 changed to 2.99
    • Practice expense RVU 7.25 changed to 5.41
    • Malpractice RVU 0.62 changed to 0.56
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $306.22changed to$305.51

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.23 changed to 7.25
    • Malpractice RVU 0.63 changed to 0.62

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $304.69changed to$306.22

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $301.77changed to$304.69

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.28 changed to 7.23
    • Malpractice RVU 0.54 changed to 0.63
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $299.98changed to$301.77

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.02 changed to 7.28
    • Malpractice RVU 0.56 changed to 0.54
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $299.98

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$356.71$170.99RVU26D
2026-07-01$356.71$170.99RVU26C
2026-04-01$356.71$170.99RVU26B
2026-01-01$356.71$170.99RVU26A
2025-10-01$323.63$176.07RVU25D
2025-07-01$323.63$176.07RVU25C
2025-04-01$323.63$176.07RVU25B
2025-01-01$323.63$176.07RVU25A
2024-10-01$341.41$180.85RVU24D
2024-07-01$341.41$180.85RVU24C
2024-04-01$341.41$180.85RVU24B
2024-03-09$341.41$180.85RVU24AR
2024-01-01$335.84$177.89RVU24A
2023-10-01$353.31$183.88RVU23D
2023-07-01$351.75$183.67RVU23C
2023-04-01$351.75$183.67RVU23B
2023-01-01$351.75$183.67RVU23A
2022-10-01$369.20$188.50RVU22D
2022-07-01$369.20$188.50RVU22C
2022-04-01$369.20$188.50RVU22B
2022-01-01$369.20$188.50RVU22A
2021-10-01$369.47$188.33RVU21D
2021-07-01$369.47$188.33RVU21C
2021-04-01$369.47$188.33RVU21B
2021-01-01$369.47$188.33RVU21A
2020-10-01$352.33$193.36RVU20D
2020-07-01$352.33$193.36RVU20C
2020-04-01$352.33$193.36RVU20B
2020-01-01$352.33$193.36RVU20A
2019-10-01$336.78$192.34RVU19D
2019-07-01$336.78$192.34RVU19C
2019-04-01$336.78$192.34RVU19B
2019-01-01$336.78$192.34RVU19A
2018-10-01$323.72$191.77RVU18D
2018-07-01$323.72$191.77RVU18C
2018-04-01$323.72$191.77RVU18B
2018-01-01$323.72$191.77RVU18AR1
2017-10-01$286.41$175.20RVU17D
2017-07-01$286.41$175.20RVU17C
2017-04-01$286.41$175.20RVU17B
2017-01-01$286.41$175.20RVU17A
2016-10-01$305.51$170.22RVU16D
2016-07-01$305.51$170.22RVU16C
2016-04-01$305.51$170.22RVU16B
2016-01-01$305.51$170.22RVU16A
2015-10-01$306.22$170.94RVU15D
2015-07-01$306.22$170.94RVU15C
2015-04-01$304.69$170.09RVU15B
2015-01-01$304.69$170.09RVU15A
2014-10-01$301.77$168.41RVU14D
2014-07-01$301.77$168.41RVU14C
2014-04-01$301.77$168.41RVU14B
2014-01-01$301.77$168.41RVU14A
2013-10-01$299.98$162.73RVU13D
2013-07-01$299.98$162.73RVU13C
2013-04-01$299.98$162.73RVU13B
2013-01-01$299.98$162.73RVU13AR

Price 36576 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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
RVUs for 36576PPRRVU2026_Oct_nonQPP.csv, line 4,520 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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