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

Report complete replacement of a tunneled, centrally inserted venous access device with a subcutaneous port or pump through the same venous access.

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

In Arizona, Medicare pays $833.06 for 36582 in the office and $253.07 when it’s performed in a hospital or facility.

$833.06Office (non-facility)
$253.07Hospital or facility
−2.9%vs the national office rate ($857.74)

Check a contract rate as a % of Medicare · 36582 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 36582 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arizona
  2. What 36582 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 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.

How Arizona compares for 36582

Across 109 of 109 payment localities, the office rate for 36582 runs from $750.19 in Arkansas to $1,157.73 in San Benito County, CA. Arizona pays $833.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

36582 in Arizona vs other payment areas
  1. Arizona · this page$833.06
  2. Los Angeles, CA · California$977.21+$144.15
  3. Washington, DC area · District of Columbia$988.44+$155.38
  4. Miami, FL · Florida$927.48+$94.42
  5. Chicago, IL · Illinois$898.11+$65.05
  6. Manhattan, NY · New York$992.50+$159.44
  7. Alaska · Alaska$970.00+$136.94

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

Every other payment area

36582 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$762.28$238.56
ArkansasArkansas$750.19$236.04
Bakersfield, CACalifornia$914.05$258.05
Chico, CACalifornia$911.70$255.70
El Centro, CACalifornia$911.84$255.84
Fresno, CACalifornia$911.70$255.70
Hanford, CACalifornia$911.70$255.70
Madera, CACalifornia$911.70$255.70

36582 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.

$750.19

$1,034.72

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

View every state and territory as a table
36582 office rate range by state
State / territoryOffice rate rangeLocalities
AK$970.001
AL$762.281
AR$750.191
AZ$833.061
CA$911.70–$1,157.7329
CO$896.331
CT$918.201
DC$988.441
DE$847.741
FL$842.32–$927.483
GA$790.98–$874.472
GU$937.491
HI$937.491
IA$784.291
ID$789.741
IL$815.28–$898.294
IN$794.771
KS$779.921
KY$781.301
LA$779.83–$822.132
MA$890.08–$990.822
MD$865.10–$988.443
ME$793.87–$841.502
MI$803.25–$853.402
MN$857.571
MO$764.92–$825.763
MS$757.741
MT$857.681
NC$803.011
ND$841.271
NE$789.111
NH$881.631
NJ$928.33–$976.642
NM$807.921
NV$853.771
NY$816.13–$1,018.035
OH$799.901
OK$780.151
OR$846.83–$927.322
PA$801.49–$893.372
PR$864.661
RI$879.851
SC$802.861
SD$839.331
TN$784.171
TX$795.71–$893.618
UT$814.871
VA$838.24–$988.442
VI$864.661
VT$837.371
WA$888.59–$1,012.282
WI$810.521
WV$782.261
WY$850.531

See 36582 in every payment locality

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.

How the rate is built · 36582

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.87

4.87 RVUs× 1.000 GPCI

Practice expense19.98

19.98 RVUs× 1.000 GPCI

Malpractice0.83

0.83 RVUs× 1.000 GPCI

Adjusted RVUs

25.6800

Conversion factor

$33.4009

Medicare rate

$857.74

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

The exact Arizona inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,524

Code
36582
Physician work
4.87
Practice expense
19.98
Malpractice
0.83

GPCI2026.csv

6

Locality
Arizona
Physician work
1.000
Practice expense
0.969
Malpractice
0.856
Office calculation for 36582 in Arizona
ComponentRVULocality factorAdjusted
Physician work4.87× 1.0004.8700
Practice expense19.98× 0.96919.3606
Malpractice0.83× 0.8560.7105
Total RVUs24.9411
Conversion factor× 33.4009

Office rate, Arizona$833.06

Office: (4.87 × 1 + 19.98 × 0.969 + 0.83 × 0.856) × $33.4009 = $833.06

Facility: (4.87 × 1 + 2.06 × 0.969 + 0.83 × 0.856) × $33.4009 = $253.07

Open 36582 in the RVU calculator

Payment rules and modifiers for 36582

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

CMS payment indicators · 36582

Device replacement, with 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 · 36582

Device replacement, with 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

36582 without 51 · national office

$857.74

Device replacement, with port or pump

36582-51 · Second procedure: 50%

$428.87

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 36582

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

Codes related to 36582
CodeHow it relatesOffice range, Arizona
Used instead
36581Catheter replacement, tunneled, without portComplete replacement of a tunneled central catheter without a subcutaneous port or pump.$736.01
36580Central catheter replacement, non-tunneled, same accessComplete replacement of a centrally inserted access device without a subcutaneous port or pump.$187.72
36575Catheter repair, tunneled, without port or pumpRepair of a tunneled or non-tunneled central venous catheter without a port or pump.$143.46
36576Venous device repair, with implanted port or pumpRepair of a tunneled or non-tunneled central venous catheter with a port or pump.$344.27
36566Tunneled catheter, two catheters, age 5+Insertion of a tunneled central venous access device when a new device is placed rather than replacing one.$4,270.86

How 36582 has changed in Arizona

36582 · Office / nonfacility

$833.06

Effective 2026-10-01

The base rate is $42.53 higher than on 2025-10-01, moving from $790.53 to $833.06 (5.4%).

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

    $790.53changed to$833.06

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.99 changed to 4.87
    • Practice expense RVU 19.23 changed to 19.98
    • Malpractice RVU 0.82 changed to 0.83
    • Practice expense GPCI 0.975 changed to 0.969
    • Malpractice GPCI 0.854 changed to 0.856

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $835.44changed to$790.53

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 19.87 changed to 19.23
    • Malpractice RVU 0.86 changed to 0.82

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $821.80changed to$835.44

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $868.95changed to$821.80

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 20.70 changed to 19.87
    • Malpractice RVU 0.84 changed to 0.86
    • Practice expense GPCI 0.963 changed to 0.975
    • Malpractice GPCI 0.855 changed to 0.854

  5. January 1, 2023

    RVU23A

    $909.39changed to$868.95

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 21.61 changed to 20.70
    • Malpractice RVU 0.86 changed to 0.84
    • Practice expense GPCI 0.951 changed to 0.963
    • Malpractice GPCI 0.857 changed to 0.855

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $969.52changed to$909.39

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 23.24 changed to 21.61
    • Malpractice RVU 0.81 changed to 0.86

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $983.39changed to$969.52

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 22.44 changed to 23.24
    • Malpractice RVU 0.82 changed to 0.81
    • Practice expense GPCI 0.961 changed to 0.951
    • Malpractice GPCI 0.846 changed to 0.857

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $993.29changed to$983.39

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 22.55 changed to 22.44
    • Malpractice RVU 0.81 changed to 0.82
    • Practice expense GPCI 0.971 changed to 0.961
    • Malpractice GPCI 0.834 changed to 0.846

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $997.80changed to$993.29

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 22.71 changed to 22.55

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1012.05changed to$997.80

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 22.81 changed to 22.71
    • Malpractice RVU 0.84 changed to 0.81
    • Practice expense GPCI 0.986 changed to 0.971
    • Malpractice GPCI 0.856 changed to 0.834

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1120.61changed to$1012.05

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 5.24 changed to 4.99
    • Practice expense RVU 25.26 changed to 22.81
    • Malpractice RVU 0.91 changed to 0.84
    • Practice expense GPCI 1.000 changed to 0.986
    • Malpractice GPCI 0.877 changed to 0.856

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1119.49changed to$1120.61

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 25.09 changed to 25.26
    • Malpractice RVU 0.94 changed to 0.91

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1113.92changed to$1119.49

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1117.49changed to$1113.92

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 25.44 changed to 25.09
    • Malpractice RVU 0.84 changed to 0.94
    • Practice expense GPCI 0.989 changed to 1.000
    • Malpractice GPCI 0.946 changed to 0.877

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1144.68changed to$1117.49

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 28.13 changed to 25.44
    • Malpractice RVU 0.88 changed to 0.84
    • Practice expense GPCI 0.978 changed to 0.989
    • Malpractice GPCI 1.015 changed to 0.946

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1144.68

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$833.06$253.07RVU26D
2026-07-01$833.06$253.07RVU26C
2026-04-01$833.06$253.07RVU26B
2026-01-01$833.06$253.07RVU26A
2025-10-01$790.53$269.53RVU25D
2025-07-01$790.53$269.53RVU25C
2025-04-01$790.53$269.53RVU25B
2025-01-01$790.53$269.53RVU25A
2024-10-01$835.44$275.91RVU24D
2024-07-01$835.44$275.91RVU24C
2024-04-01$835.44$275.91RVU24B
2024-03-09$835.44$275.91RVU24AR
2024-01-01$821.80$271.41RVU24A
2023-10-01$868.95$279.59RVU23D
2023-07-01$868.95$279.59RVU23C
2023-04-01$868.95$279.59RVU23B
2023-01-01$868.95$279.59RVU23A
2022-10-01$909.39$284.42RVU22D
2022-07-01$909.39$284.42RVU22C
2022-04-01$909.39$284.42RVU22B
2022-01-01$909.39$284.42RVU22A
2021-10-01$969.52$285.28RVU21D
2021-07-01$969.52$285.28RVU21C
2021-04-01$969.52$285.28RVU21B
2021-01-01$969.52$285.28RVU21A
2020-10-01$983.39$294.95RVU20D
2020-07-01$983.39$294.95RVU20C
2020-04-01$983.39$294.95RVU20B
2020-01-01$983.39$294.95RVU20A
2019-10-01$993.29$294.47RVU19D
2019-07-01$993.29$294.47RVU19C
2019-04-01$993.29$294.47RVU19B
2019-01-01$993.29$294.47RVU19A
2018-10-01$997.80$294.49RVU18D
2018-07-01$997.80$294.49RVU18C
2018-04-01$997.80$294.49RVU18B
2018-01-01$997.80$294.49RVU18AR1
2017-10-01$1,012.05$297.60RVU17D
2017-07-01$1,012.05$297.60RVU17C
2017-04-01$1,012.05$297.60RVU17B
2017-01-01$1,012.05$297.60RVU17A
2016-10-01$1,120.61$314.65RVU16D
2016-07-01$1,120.61$314.65RVU16C
2016-04-01$1,120.61$314.65RVU16B
2016-01-01$1,120.61$314.65RVU16A
2015-10-01$1,119.49$316.01RVU15D
2015-07-01$1,119.49$316.01RVU15C
2015-04-01$1,113.92$314.44RVU15B
2015-01-01$1,113.92$314.44RVU15A
2014-10-01$1,117.49$315.02RVU14D
2014-07-01$1,117.49$315.02RVU14C
2014-04-01$1,117.49$315.02RVU14B
2014-01-01$1,117.49$315.02RVU14A
2013-10-01$1,144.68$309.82RVU13D
2013-07-01$1,144.68$309.82RVU13C
2013-04-01$1,144.68$309.82RVU13B
2013-01-01$1,144.68$309.82RVU13AR

Price 36582 for an earlier date of service

Where the Arizona rate applies

Arizona is a Medicare payment area, not a city. Our Census mapping connects it to 467 cities and communities in Arizona. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Arizona

36582 billing questions

How does this differ from 36581?

Use 36582 for complete replacement of a tunneled central access system with a subcutaneous port or pump. Code 36581 describes a tunneled central venous catheter without a port or pump.

Can a repair be reported as a replacement?

No. Repairing a catheter or device component is distinct from replacing the complete system; consider 36575 or 36576 when the service is a repair.

Is removal of the old system separately reported?

This code represents complete replacement through the same venous access. Do not separately report removal merely for removing the old system as part of that replacement.

Does the code have a postoperative global period?

Yes. Related postoperative visits during the 10-day global period are included.

Can modifier 50 or an assistant-at-surgery service be reported?

Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of medical necessity; 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 36582PPRRVU2026_Oct_nonQPP.csv, line 4,524 (RVU26D)
Geographic factors for ArizonaGPCI2026.csv, line 6 (RVU26D)

Open CMS sourceHow we calculate rates

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