CPT code 36582: Device replacement, with port or pump2026 Medicare rate & RVUs

Medicare pays $857.74 for 36582 nationally in the office and $259.19 in a hospital or facility. Local office rates run $750.19–$1,157.73.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 36582 covers

This service replaces the complete tunneled central venous access system, including its implanted subcutaneous port or pump, using the same venous access route. It is typically performed by an interventional radiologist or surgeon in a hospital or ambulatory procedure setting when the existing system needs replacement rather than repair. The code describes replacement of the device, not placement of a new device through a different access route.

Choose this code when the documentation supports a tunneled, centrally inserted system with a port or pump and complete replacement through the same access. Record the device type, reason for replacement, access route, and work performed; a repair of a damaged component is a different service. Related postoperative visits are included in the 10-day global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment requires documented medical necessity, and 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 36582 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

36582 rates by state

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

How the 36582 rate is calculated

Each of 36582’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.

Payment rules and modifiers for 36582

36582 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

36582 compared with similar codes

How to choose

36581Catheter replacementTunneled, without port

Choose 36581 for a tunneled central venous catheter without a subcutaneous port or pump. Code 36582 is for a complete replacement system that includes a port or pump.

36575Catheter repairTunneled, without port or pump

Code 36575 is for repair of a central venous catheter without a port or pump. It does not describe complete replacement of the system.

36576Venous device repairWith implanted port or pump

Code 36576 is for repair of a catheter system with a port or pump. Use 36582 when the complete tunneled system is replaced through the same venous access.

Codes related to 36582

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

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

Open CMS sourceHow we calculate rates