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CPT code 36580: Central catheter replacement, non-tunneled, same access2026 Medicare rate & RVUs in Vermont

Reports complete replacement of a non-tunneled central venous catheter through the same venous access when continued central access is needed.

CMS RVU26DEffective Oct 1, 2026One payment locality1.6K Medicare services in 2024

In Vermont, Medicare pays $188.64 for 36580 in the office and $54.39 when it’s performed in a hospital or facility.

$188.64Office (non-facility)
$54.39Hospital or facility
−2.3%vs the national office rate ($193.06)

Check a contract rate as a % of Medicare · 36580 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 36580 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 36580 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 36580 covers

This service replaces a non-tunneled, centrally inserted venous catheter through the existing venous access, rather than establishing access at a new site. It is commonly performed in a hospital by an interventional radiologist, surgeon, or other qualified proceduralist when a short-term central line needs complete replacement, such as because it is malfunctioning or damaged. The replacement catheter remains a central venous device; this code is not for a tunneled catheter, a PICC, or a device with an implanted port or pump.

Report the service when documentation identifies the existing line as non-tunneled, supports complete catheter replacement, and shows that the same venous access was used. The code has a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. Medicare does not pay for an assistant at surgery; co-surgeons and team surgery are not permitted for this code.

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 Vermont compares for 36580

Across 109 of 109 payment localities, the office rate for 36580 runs from $169.80 in Arkansas to $258.75 in San Benito County, CA. Vermont pays $188.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

36580 in Vermont vs other payment areas
  1. Vermont · this page$188.64
  2. Los Angeles, CA · California$219.20+$30.56
  3. Washington, DC area · District of Columbia$221.73+$33.09
  4. Miami, FL · Florida$208.17+$19.53
  5. Chicago, IL · Illinois$201.86+$13.22
  6. Manhattan, NY · New York$222.69+$34.05
  7. Alaska · Alaska$221.11+$32.47

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

Every other payment area

36580 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$172.41$53.75
ArkansasArkansas$169.80$53.31
ArizonaArizona$187.72$56.31
Bakersfield, CACalifornia$205.37$56.74
Chico, CACalifornia$204.85$56.22
El Centro, CACalifornia$204.88$56.25
Fresno, CACalifornia$204.85$56.22
Hanford, CACalifornia$204.85$56.22

36580 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.

$169.80

$231.80

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

View every state and territory as a table
36580 office rate range by state
State / territoryOffice rate rangeLocalities
AK$221.111
AL$172.411
AR$169.801
AZ$187.721
CA$204.85–$258.7529
CO$201.491
CT$206.291
DC$221.731
DE$190.931
FL$189.73–$208.173
GA$178.63–$196.702
GU$210.291
HI$210.291
IA$177.171
ID$178.351
IL$183.89–$201.894
IN$179.431
KS$176.221
KY$176.531
LA$176.21–$185.362
MA$200.17–$222.142
MD$194.72–$221.733
ME$179.24–$189.542
MI$181.28–$192.132
MN$193.011
MO$172.99–$186.143
MS$171.431
MT$193.051
NC$181.221
ND$189.491
NE$178.211
NH$198.221
NJ$208.63–$219.252
NM$182.291
NV$192.201
NY$184.06–$228.225
OH$180.551
OK$176.281
OR$190.69–$208.222
PA$180.89–$200.902
PR$194.551
RI$197.981
SC$181.191
SD$189.071
TN$177.141
TX$179.64–$200.838
UT$183.791
VA$188.84–$221.732
VI$194.551
VT$188.641
WA$199.82–$226.852
WI$182.841
WV$176.751
WY$191.491

See 36580 in every payment locality

How the 36580 rate is calculated

Each of 36580’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 · 36580

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.28

1.28 RVUs× 1.000 GPCI

Practice expense4.32

4.32 RVUs× 1.000 GPCI

Malpractice0.18

0.18 RVUs× 1.000 GPCI

Adjusted RVUs

5.7800

Conversion factor

$33.4009

Medicare rate

$193.06

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

The exact Vermont inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,522

Code
36580
Physician work
1.28
Practice expense
4.32
Malpractice
0.18

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 36580 in Vermont
ComponentRVULocality factorAdjusted
Physician work1.28× 1.0001.2800
Practice expense4.32× 0.9904.2768
Malpractice0.18× 0.5060.0911
Total RVUs5.6479
Conversion factor× 33.4009

Office rate, Vermont$188.64

Office: (1.28 × 1 + 4.32 × 0.99 + 0.18 × 0.506) × $33.4009 = $188.64

Facility: (1.28 × 1 + 0.26 × 0.99 + 0.18 × 0.506) × $33.4009 = $54.39

Open 36580 in the RVU calculator

Payment rules and modifiers for 36580

The CMS indicators that decide how 36580 is paid alongside other services.

CMS payment indicators · 36580

Central catheter replacement, non-tunneled, same access

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

Codes related to 36580

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

Codes related to 36580
CodeHow it relatesOffice range, Vermont
Same family
36578Catheter replacement, younger than 5 yearsReplacement code for a tunneled central venous catheter, rather than a non-tunneled catheter.$422.42
36581Catheter replacement, tunneled, without portReplacement code for a tunneled central venous catheter through the same access.$744.39
36582Device replacement, with port or pumpRelated complete replacement code for a tunneled central venous access device with a port.$837.37
36583Catheter replacement, tunneled central venousRelated complete replacement code for a tunneled central venous access device with a pump.$1,229.07
36584PICC replacement, complete, with imagingComplete replacement code for a PICC, a peripheral-inserted central catheter.$302.84

How 36580 has changed in Vermont

36580 · Office / nonfacility

$188.64

Effective 2026-10-01

The base rate is $15.43 higher than on 2025-10-01, moving from $173.21 to $188.64 (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

    $173.21changed to$188.64

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.31 changed to 1.28
    • Practice expense RVU 3.99 changed to 4.32
    • Malpractice RVU 0.16 changed to 0.18
    • Practice expense GPCI 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $182.06changed to$173.21

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.10 changed to 3.99
    • Malpractice RVU 0.17 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $179.09changed to$182.06

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $190.62changed to$179.09

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.23 changed to 4.10
    • Malpractice RVU 0.18 changed to 0.17
    • Practice expense GPCI 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518

  5. January 1, 2023

    RVU23A

    $199.02changed to$190.62

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.34 changed to 4.23
    • Malpractice RVU 0.17 changed to 0.18
    • Practice expense GPCI 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $215.99changed to$199.02

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.79 changed to 4.34
    • Malpractice RVU 0.15 changed to 0.17

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $223.59changed to$215.99

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.76 changed to 4.79
    • Practice expense GPCI 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $221.25changed to$223.59

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.67 changed to 4.76
    • Practice expense GPCI 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $219.55changed to$221.25

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.63 changed to 4.67

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $217.56changed to$219.55

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.61 changed to 4.63
    • Practice expense GPCI 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $218.44changed to$217.56

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.67 changed to 4.61
    • Practice expense GPCI 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $219.11changed to$218.44

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.66 changed to 4.67
    • Malpractice RVU 0.16 changed to 0.15

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $218.02changed to$219.11

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $216.74changed to$218.02

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.62 changed to 4.66
    • Malpractice RVU 0.15 changed to 0.16
    • Practice expense GPCI 1.006 changed to 1.004
    • Malpractice GPCI 0.618 changed to 0.682

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$216.74

    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$188.64$54.39RVU26D
2026-07-01$188.64$54.39RVU26C
2026-04-01$188.64$54.39RVU26B
2026-01-01$188.64$54.39RVU26A
2025-10-01$173.21$59.19RVU25D
2025-07-01$173.21$59.19RVU25C
2025-04-01$173.21$59.19RVU25B
2025-01-01$173.21$59.19RVU25A
2024-10-01$182.06$60.75RVU24D
2024-07-01$182.06$60.75RVU24C
2024-04-01$182.06$60.75RVU24B
2024-03-09$182.06$60.75RVU24AR
2024-01-01$179.09$59.76RVU24A
2023-10-01$190.62$62.57RVU23D
2023-07-01$190.62$62.57RVU23C
2023-04-01$190.62$62.57RVU23B
2023-01-01$190.62$62.57RVU23A
2022-10-01$199.02$63.92RVU22D
2022-07-01$199.02$63.92RVU22C
2022-04-01$199.02$63.92RVU22B
2022-01-01$199.02$63.92RVU22A
2021-10-01$215.99$64.41RVU21D
2021-07-01$215.99$64.41RVU21C
2021-04-01$215.99$64.41RVU21B
2021-01-01$215.99$64.41RVU21A
2020-10-01$223.59$66.80RVU20D
2020-07-01$223.59$66.80RVU20C
2020-04-01$223.59$66.80RVU20B
2020-01-01$223.59$66.80RVU20A
2019-10-01$221.25$67.25RVU19D
2019-07-01$221.25$67.25RVU19C
2019-04-01$221.25$67.25RVU19B
2019-01-01$221.25$67.25RVU19A
2018-10-01$219.55$67.18RVU18D
2018-07-01$219.55$67.18RVU18C
2018-04-01$219.55$67.18RVU18B
2018-01-01$219.55$67.18RVU18AR1
2017-10-01$217.56$67.49RVU17D
2017-07-01$217.56$67.49RVU17C
2017-04-01$217.56$67.49RVU17B
2017-01-01$217.56$67.49RVU17A
2016-10-01$218.44$67.82RVU16D
2016-07-01$218.44$67.82RVU16C
2016-04-01$218.44$67.82RVU16B
2016-01-01$218.44$67.82RVU16A
2015-10-01$219.11$68.31RVU15D
2015-07-01$219.11$68.31RVU15C
2015-04-01$218.02$67.97RVU15B
2015-01-01$218.02$67.97RVU15A
2014-10-01$216.74$67.91RVU14D
2014-07-01$216.74$67.91RVU14C
2014-04-01$216.74$67.91RVU14B
2014-01-01$216.74$67.91RVU14A
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 36580 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

36580 billing questions

How does 36580 differ from 36581?

36580 is for complete replacement of a non-tunneled central venous catheter through the same access. 36581 is the related replacement code for a tunneled catheter.

Can 36580 be used when the new catheter is placed at a different site?

No. The code describes replacement through the same venous access; documentation should establish that the existing access was used.

Is a repair reported as a replacement?

No. 36580 represents complete catheter replacement, not repair of an existing catheter. The record should support replacement of the catheter rather than correction of a limited defect.

What documentation supports 36580?

Document that the catheter was non-tunneled and centrally inserted, that the replacement was complete, and that the same venous access was used. Include the clinical reason the line required replacement.

What global-period and modifier rules affect this code?

The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate; Medicare also does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

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 36580PPRRVU2026_Oct_nonQPP.csv, line 4,522 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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