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CPT code 36583: Catheter replacement, tunneled central venous2026 Medicare rate & RVUs in Washington, DC area

Reports complete replacement of a tunneled central venous catheter through the same access, commonly when an existing long-term line requires exchange.

CMS RVU26DEffective Oct 1, 2026One payment locality18 Medicare services in 2024

In Washington, DC area, Medicare pays $1,462.53 for 36583 in the office and $348.25 when it’s performed in a hospital or facility.

$1,462.53Office (non-facility)
$348.25Hospital or facility
+16.0%vs the national office rate ($1,261.22)

Check a contract rate as a % of Medicare · 36583 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 36583 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 36583 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 36583 covers

This service replaces a tunneled central venous catheter through the existing venous access. It is used for long-term central access, such as a tunneled catheter used for dialysis, chemotherapy, or prolonged infusion, when the existing catheter needs complete exchange. Interventional radiologists, surgeons, and other qualified physicians typically perform the procedure in a hospital or ambulatory procedural setting. The service concerns a tunneled catheter, not a port-based device or a PICC.

Report the code when the physician completes an exchange through the same access, rather than simply repairing the existing catheter or establishing new access. Documentation should identify the catheter, the reason for exchange, the access used, and the replacement performed. The code has a 10-day global period, which includes related postoperative visits during that 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% multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; 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 Washington, DC area compares for 36583

Across 109 of 109 payment localities, the office rate for 36583 runs from $1,091.46 in Arkansas to $1,724.59 in San Benito County, CA. Washington, DC area pays $1,462.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

36583 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$1,462.53
  2. Los Angeles, CA · California$1,446.02−$16.51
  3. Miami, FL · Florida$1,371.31−$91.22
  4. Chicago, IL · Illinois$1,324.30−$138.23
  5. Manhattan, NY · New York$1,468.02+$5.49
  6. Alaska · Alaska$1,392.05−$70.48
  7. Alabama · Alabama$1,110.55−$351.98

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

36583 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$1,091.46$278.92
ArizonaArizona$1,222.26$305.67
Bakersfield, CACalifornia$1,348.36$311.64
Chico, CACalifornia$1,344.84$308.11
El Centro, CACalifornia$1,345.05$308.33
Fresno, CACalifornia$1,344.84$308.11
Hanford, CACalifornia$1,344.84$308.11
Madera, CACalifornia$1,344.84$308.11

36583 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.

$1,091.46

$1,534.72

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

View every state and territory as a table
36583 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,392.051
AL$1,110.551
AR$1,091.461
AZ$1,222.261
CA$1,344.84–$1,724.5929
CO$1,321.031
CT$1,354.801
DC$1,462.531
DE$1,244.981
FL$1,236.87–$1,371.313
GA$1,155.84–$1,287.362
GU$1,387.121
HI$1,387.121
IA$1,145.291
ID$1,153.881
IL$1,194.20–$1,324.594
IN$1,161.821
KS$1,138.381
KY$1,140.561
LA$1,138.23–$1,205.012
MA$1,310.79–$1,467.502
MD$1,271.91–$1,462.533
ME$1,160.40–$1,235.592
MI$1,175.21–$1,254.362
MN$1,260.961
MO$1,114.70–$1,210.743
MS$1,103.371
MT$1,261.131
NC$1,174.841
ND$1,235.231
NE$1,152.891
NH$1,298.941
NJ$1,368.94–$1,443.082
NM$1,182.581
NV$1,254.961
NY$1,195.55–$1,508.325
OH$1,169.921
OK$1,138.741
OR$1,244.01–$1,369.582
PA$1,172.43–$1,315.812
PR$1,272.151
RI$1,294.371
SC$1,174.591
SD$1,232.161
TN$1,145.091
TX$1,163.30–$1,317.668
UT$1,193.551
VA$1,230.45–$1,462.532
VI$1,272.151
VT$1,229.071
WA$1,308.73–$1,500.552
WI$1,186.691
WV$1,142.071
WY$1,249.841

See 36583 in every payment locality

How the 36583 rate is calculated

Each of 36583’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 · 36583

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.91

4.91 RVUs× 1.000 GPCI

Practice expense31.54

31.54 RVUs× 1.000 GPCI

Malpractice1.31

1.31 RVUs× 1.000 GPCI

Adjusted RVUs

37.7600

Conversion factor

$33.4009

Medicare rate

$1,261.22

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,525

Code
36583
Physician work
4.91
Practice expense
31.54
Malpractice
1.31

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 36583 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work4.91× 1.0545.1751
Practice expense31.54× 1.17837.1541
Malpractice1.31× 1.1131.4580
Total RVUs43.7873
Conversion factor× 33.4009

Office rate, Washington, DC area$1462.53

Office: (4.91 × 1.054 + 31.54 × 1.178 + 1.31 × 1.113) × $33.4009 = $1462.53

Facility: (4.91 × 1.054 + 3.22 × 1.178 + 1.31 × 1.113) × $33.4009 = $348.25

Open 36583 in the RVU calculator

Payment rules and modifiers for 36583

36583 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 36583

Catheter replacement, tunneled central venous

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 · 36583

Catheter replacement, tunneled central venous

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

36583 without 51 · national office

$1,261.22

Catheter replacement, tunneled central venous

36583-51 · Second procedure: 50%

$630.61

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 36583

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

Codes related to 36583
CodeHow it relatesOffice range, Washington, DC area
Same family
36581Catheter replacement, tunneled, without portRelated complete replacement code for a tunneled central venous catheter.$878.79
36582Device replacement, with port or pumpReplacement code for a tunneled central venous access device with a subcutaneous port.$988.44
Used instead
36575Catheter repair, tunneled, without port or pumpRepair of a tunneled catheter when the device is repaired rather than completely exchanged.$171.07
36576Venous device repair, with implanted port or pumpRepair code for a tunneled device with a port or pump, rather than complete replacement.$404.13
36566Tunneled catheter, two catheters, age 5+Insertion of a tunneled catheter when new access is established instead of exchanging through the same access.$5,161.80
36580Central catheter replacement, non-tunneled, same accessComplete replacement code for a non-tunneled centrally inserted catheter.$221.73

How 36583 has changed in Washington, DC area

36583 · Office / nonfacility

$1462.53

Effective 2026-10-01

The base rate is $218.94 higher than on 2025-10-01, moving from $1243.59 to $1462.53 (17.6%).

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

    $1243.59changed to$1462.53

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.04 changed to 4.91
    • Practice expense RVU 26.52 changed to 31.54
    • Malpractice RVU 1.29 changed to 1.31
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1320.24changed to$1243.59

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 27.54 changed to 26.52

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1298.69changed to$1320.24

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1403.32changed to$1298.69

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 28.45 changed to 27.54
    • Malpractice RVU 1.26 changed to 1.29
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $1511.95changed to$1403.32

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 29.71 changed to 28.45
    • Malpractice RVU 1.28 changed to 1.26
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1608.95changed to$1511.95

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 31.70 changed to 29.71
    • Malpractice RVU 1.25 changed to 1.28

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1560.22changed to$1608.95

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 29.78 changed to 31.70
    • Malpractice RVU 1.24 changed to 1.25
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1532.87changed to$1560.22

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 29.65 changed to 29.78
    • Malpractice RVU 1.22 changed to 1.24
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. July 1, 2019

    RVU19C

    $1532.41changed to$1532.87

    • Malpractice RVU 1.21 changed to 1.22

    Held through RVU19D.

  10. January 1, 2019

    RVU19A

    $1537.26changed to$1532.41

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 29.79 changed to 29.65
    • Malpractice RVU 1.22 changed to 1.21

    Held through RVU19B.

  11. January 1, 2018

    RVU18AR1

    $1507.49changed to$1537.26

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 29.22 changed to 29.79
    • Malpractice RVU 1.19 changed to 1.22
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $1655.62changed to$1507.49

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 5.29 changed to 5.04
    • Practice expense RVU 32.39 changed to 29.22
    • Malpractice RVU 1.29 changed to 1.19
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $1659.81changed to$1655.62

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 32.37 changed to 32.39
    • Malpractice RVU 1.27 changed to 1.29

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $1651.55changed to$1659.81

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $1626.93changed to$1651.55

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 32.07 changed to 32.37
    • Malpractice RVU 1.09 changed to 1.27
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $1723.61changed to$1626.93

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 36.58 changed to 32.07
    • Malpractice RVU 1.14 changed to 1.09
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $1723.61

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,462.53$348.25RVU26D
2026-07-01$1,462.53$348.25RVU26C
2026-04-01$1,462.53$348.25RVU26B
2026-01-01$1,462.53$348.25RVU26A
2025-10-01$1,243.59$359.48RVU25D
2025-07-01$1,243.59$359.48RVU25C
2025-04-01$1,243.59$359.48RVU25B
2025-01-01$1,243.59$359.48RVU25A
2024-10-01$1,320.24$366.76RVU24D
2024-07-01$1,320.24$366.76RVU24C
2024-04-01$1,320.24$366.76RVU24B
2024-03-09$1,320.24$366.76RVU24AR
2024-01-01$1,298.69$360.77RVU24A
2023-10-01$1,403.32$375.67RVU23D
2023-07-01$1,403.32$375.67RVU23C
2023-04-01$1,403.32$375.67RVU23B
2023-01-01$1,403.32$375.67RVU23A
2022-10-01$1,511.95$389.15RVU22D
2022-07-01$1,511.95$389.15RVU22C
2022-04-01$1,511.95$389.15RVU22B
2022-01-01$1,511.95$389.15RVU22A
2021-10-01$1,608.95$388.43RVU21D
2021-07-01$1,608.95$388.43RVU21C
2021-04-01$1,608.95$388.43RVU21B
2021-01-01$1,608.95$388.43RVU21A
2020-10-01$1,560.22$390.28RVU20D
2020-07-01$1,560.22$390.28RVU20C
2020-04-01$1,560.22$390.28RVU20B
2020-01-01$1,560.22$390.28RVU20A
2019-10-01$1,532.87$383.79RVU19D
2019-07-01$1,532.87$383.79RVU19C
2019-04-01$1,532.41$383.33RVU19B
2019-01-01$1,532.41$383.33RVU19A
2018-10-01$1,537.26$382.93RVU18D
2018-07-01$1,537.26$382.93RVU18C
2018-04-01$1,537.26$382.93RVU18B
2018-01-01$1,537.26$382.93RVU18AR1
2017-10-01$1,507.49$380.07RVU17D
2017-07-01$1,507.49$380.07RVU17C
2017-04-01$1,507.49$380.07RVU17B
2017-01-01$1,507.49$380.07RVU17A
2016-10-01$1,655.62$399.27RVU16D
2016-07-01$1,655.62$399.27RVU16C
2016-04-01$1,655.62$399.27RVU16B
2016-01-01$1,655.62$399.27RVU16A
2015-10-01$1,659.81$399.35RVU15D
2015-07-01$1,659.81$399.35RVU15C
2015-04-01$1,651.55$397.37RVU15B
2015-01-01$1,651.55$397.37RVU15A
2014-10-01$1,626.93$387.26RVU14D
2014-07-01$1,626.93$387.26RVU14C
2014-04-01$1,626.93$387.26RVU14B
2014-01-01$1,626.93$387.26RVU14A
2013-10-01$1,723.61$381.81RVU13D
2013-07-01$1,723.61$381.81RVU13C
2013-04-01$1,723.61$381.81RVU13B
2013-01-01$1,723.61$381.81RVU13AR

Price 36583 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

36583 billing questions

How does this differ from 36581 or 36582?

Choose among the tunneled-catheter replacement codes based on the specific device and service described by the applicable code. Code 36582 is for replacement of a tunneled device with a subcutaneous port; confirm the distinction between 36581 and 36583 in the current code descriptor.

Can catheter removal be billed separately during the exchange?

This code represents a complete replacement through the same access, rather than a standalone removal followed by a separately coded insertion. The record should support that a complete exchange was performed.

When is repair more appropriate than replacement?

Use a repair code when the existing tunneled catheter is repaired rather than completely exchanged. Codes 36575 and 36576 distinguish repair services by device type.

Does modifier 50 apply if two catheters are replaced?

No. CMS identifies bilateral adjustment as inappropriate for this code. Document each service performed and apply the multiple procedure rule when procedures are performed in the same session.

What postoperative care is included?

Related postoperative visits during the 10-day global period are included in the procedure's payment.

When may an assistant-at-surgery be paid?

Assistant-at-surgery payment is available only when the record documents 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 36583PPRRVU2026_Oct_nonQPP.csv, line 4,525 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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