CPT code 36584: PICC replacement, complete, with imaging2026 Medicare rate & RVUs
Report complete replacement of a PICC when imaging guidance and the associated radiological supervision and interpretation are performed as part of the service.
Medicare pays $307.62 for 36584 nationally in the office and $50.77 in a hospital or facility. Local office rates run $268.26–$426.68.
Medicare rate · 36584
PICC replacement, complete, with imaging
- Work RVUs
- 1.17
- Total RVUs
- 9.21
- Global days
- 000
National rate · 2026
$307.62
Office setting, before claim adjustments.
See every locality for 36584 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 36584 covers
This service replaces an existing peripherally inserted central catheter (PICC) in its entirety. A physician or other qualified practitioner may perform the exchange in a hospital, procedure room, or other setting where imaging guidance is available. It is used when an existing PICC requires replacement, rather than a limited repair or repositioning. Imaging guidance, image documentation, and associated radiological supervision and interpretation are included when performed.
Report 36584 for complete PICC replacement with imaging guidance; the record should support that the existing PICC was replaced and document the imaging performed. Do not separately report the imaging guidance or its associated interpretation included in the service. The code has a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and co-surgeon and team-surgery billing 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 36584 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$268.26 to $426.68
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $272.71 | $47.97 |
| Alaska | $342.39 | $68.84 |
| Arizona | $298.81 | $49.92 |
| Arkansas | $268.26 | $47.63 |
| Atlanta, GA | $312.84 | $51.88 |
| Austin, TX | $322.53 | $50.78 |
| Bakersfield, CA | $332.03 | $50.52 |
| Baltimore area, MD | $328.56 | $52.96 |
| Beaumont, TX | $283.54 | $49.80 |
| Brazoria, TX | $304.60 | $50.06 |
| Chicago, IL | $314.84 | $56.70 |
| Chico, CA | $331.64 | $50.12 |
| Colorado | $324.05 | $50.76 |
| Connecticut | $329.66 | $53.03 |
| Dallas, TX | $306.30 | $50.48 |
| Delaware | $304.21 | $50.44 |
| Detroit, MI | $301.35 | $53.49 |
| East St. Louis, IL | $290.89 | $54.58 |
| El Centro, CA | $331.66 | $50.15 |
| Fort Lauderdale, FL | $314.57 | $54.37 |
| Fort Worth, TX | $303.72 | $50.46 |
| Fresno, CA | $331.64 | $50.12 |
| Galveston, TX | $305.34 | $50.28 |
| Hanford, CA | $331.64 | $50.12 |
| Hawaii, Guam, HI | $341.99 | $49.95 |
| Houston, TX | $307.72 | $52.66 |
| Idaho | $284.20 | $47.89 |
| Indiana | $286.10 | $48.00 |
| Iowa | $282.55 | $47.53 |
| Kansas | $280.11 | $47.91 |
| Kentucky | $277.93 | $49.58 |
| King County, WA | $368.76 | $53.60 |
| Los Angeles, CA | $356.11 | $52.26 |
| Madera, CA | $331.64 | $50.12 |
| Manhattan, NY | $355.47 | $57.01 |
| Marin County, CA | $417.31 | $55.15 |
| Merced, CA | $331.64 | $50.12 |
| Metropolitan Boston, MA | $360.00 | $53.32 |
| Metropolitan Kansas City, MO | $291.41 | $50.22 |
| Metropolitan Philadelphia, PA | $320.00 | $52.61 |
| Metropolitan St. Louis, MO | $294.95 | $50.43 |
| Miami, FL | $325.09 | $57.71 |
| Minnesota | $312.23 | $47.93 |
| Mississippi | $269.77 | $48.61 |
| Modesto, CA | $331.64 | $50.12 |
| Montana | $307.61 | $50.76 |
| Napa, CA | $391.96 | $53.43 |
| Nebraska | $284.58 | $47.50 |
| Nevada | $307.16 | $50.05 |
| New Hampshire | $317.91 | $50.53 |
| New Mexico | $286.57 | $51.03 |
| New Orleans, LA | $292.62 | $50.93 |
| North Carolina | $288.35 | $48.71 |
| North Dakota | $305.04 | $48.19 |
| Northern New Jersey | $352.65 | $54.70 |
| NYC suburbs and Long Island, NY | $363.78 | $58.38 |
| Ohio | $284.67 | $50.16 |
| Oklahoma | $278.38 | $49.01 |
| Oxnard, CA | $355.16 | $51.56 |
| Portland, OR | $336.46 | $51.10 |
| Poughkeepsie and northern NYC suburbs, NY | $335.39 | $54.14 |
| Puerto Rico | $310.46 | $50.79 |
| Queens, NY | $360.13 | $56.53 |
| Redding, CA | $331.64 | $50.12 |
| Rest of California | $331.64 | $50.12 |
| Rest of Florida | $298.18 | $52.63 |
| Rest of Georgia | $279.92 | $50.81 |
| Rest of Illinois | $287.08 | $52.57 |
| Rest of Louisiana | $277.06 | $49.74 |
| Rest of Maine | $284.84 | $48.54 |
| Rest of Maryland | $310.83 | $50.89 |
| Rest of Massachusetts | $321.37 | $50.90 |
| Rest of Michigan | $285.20 | $50.69 |
| Rest of Missouri | $271.05 | $49.64 |
| Rest of New Jersey | $333.91 | $53.43 |
| Rest of New York | $293.12 | $49.11 |
| Rest of Oregon | $305.28 | $49.45 |
| Rest of Pennsylvania | $285.72 | $49.93 |
| Rest of Texas | $293.73 | $49.97 |
| Rest of Washington | $321.10 | $50.63 |
| Rhode Island | $316.61 | $51.29 |
| Riverside, CA | $333.05 | $51.54 |
| Sacramento, CA | $350.08 | $51.36 |
| Salinas, CA | $348.83 | $51.13 |
| San Benito County, CA | $426.68 | $56.30 |
| San Diego, CA | $358.59 | $51.39 |
| San Francisco, CA | $417.16 | $55.00 |
| San Luis Obispo, CA | $343.00 | $50.44 |
| Santa Clara County, CA | $426.08 | $55.70 |
| Santa Cruz, CA | $363.23 | $51.16 |
| Santa Maria, CA | $350.56 | $51.07 |
| Santa Rosa, CA | $367.02 | $51.60 |
| South Carolina | $286.89 | $49.56 |
| South Dakota | $304.74 | $47.89 |
| Southern Maine, ME | $303.64 | $49.10 |
| Stockton, CA | $331.64 | $50.12 |
| Suburban Chicago, IL | $318.38 | $54.59 |
| Tennessee | $281.57 | $48.09 |
| Utah | $291.33 | $49.89 |
| Vallejo, CA | $391.75 | $53.22 |
| Vermont | $302.84 | $48.55 |
| Virgin Islands, VI | $310.46 | $50.79 |
| Virginia | $301.85 | $49.37 |
| Visalia, CA | $331.64 | $50.12 |
| Washington, DC area | $357.25 | $54.68 |
| West Virginia | $274.88 | $51.68 |
| Wisconsin | $293.52 | $47.46 |
| Wyoming | $306.49 | $49.64 |
| Yuba City, CA | $331.64 | $50.12 |
36584 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$268.26
$379.16
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $342.39 | 1 |
| AL | $272.71 | 1 |
| AR | $268.26 | 1 |
| AZ | $298.81 | 1 |
| CA | $331.64–$426.68 | 29 |
| CO | $324.05 | 1 |
| CT | $329.66 | 1 |
| DC | $357.25 | 1 |
| DE | $304.21 | 1 |
| FL | $298.18–$325.09 | 3 |
| GA | $279.92–$312.84 | 2 |
| GU | $341.99 | 1 |
| HI | $341.99 | 1 |
| IA | $282.55 | 1 |
| ID | $284.20 | 1 |
| IL | $287.08–$318.38 | 4 |
| IN | $286.10 | 1 |
| KS | $280.11 | 1 |
| KY | $277.93 | 1 |
| LA | $277.06–$292.62 | 2 |
| MA | $321.37–$360.00 | 2 |
| MD | $310.83–$357.25 | 3 |
| ME | $284.84–$303.64 | 2 |
| MI | $285.20–$301.35 | 2 |
| MN | $312.23 | 1 |
| MO | $271.05–$294.95 | 3 |
| MS | $269.77 | 1 |
| MT | $307.61 | 1 |
| NC | $288.35 | 1 |
| ND | $305.04 | 1 |
| NE | $284.58 | 1 |
| NH | $317.91 | 1 |
| NJ | $333.91–$352.65 | 2 |
| NM | $286.57 | 1 |
| NV | $307.16 | 1 |
| NY | $293.12–$363.78 | 5 |
| OH | $284.67 | 1 |
| OK | $278.38 | 1 |
| OR | $305.28–$336.46 | 2 |
| PA | $285.72–$320.00 | 2 |
| PR | $310.46 | 1 |
| RI | $316.61 | 1 |
| SC | $286.89 | 1 |
| SD | $304.74 | 1 |
| TN | $281.57 | 1 |
| TX | $283.54–$322.53 | 8 |
| UT | $291.33 | 1 |
| VA | $301.85–$357.25 | 2 |
| VI | $310.46 | 1 |
| VT | $302.84 | 1 |
| WA | $321.10–$368.76 | 2 |
| WI | $293.52 | 1 |
| WV | $274.88 | 1 |
| WY | $306.49 | 1 |
How the 36584 rate is calculated
Each of 36584’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 · 36584
RVUs × geographic indexes × conversion factor
Work1.17
1.17 RVUs× 1.000 GPCI
Practice expense7.91
7.91 RVUs× 1.000 GPCI
Malpractice0.13
0.13 RVUs× 1.000 GPCI
Adjusted RVUs
9.2100
Conversion factor
$33.4009
Medicare rate
$307.62
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36584
The CMS indicators that decide how 36584 is paid alongside other services.
CMS payment indicators · 36584
PICC replacement, complete, with imaging
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
36584 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 36585Device replacementPorted peripheral access device
- Use 36584 when complete PICC replacement includes imaging guidance. Use 36585 for complete PICC replacement without imaging guidance.
- 36573PICC insertionAge 5+, imaging included
- 36573 describes initial PICC insertion with imaging for a patient age five years or older. 36584 describes replacement of an existing PICC.
- 36580Central catheter replacementNon-tunneled, same access
- 36580 is for complete replacement of a non-tunneled centrally inserted central venous catheter. 36584 is specific to PICC replacement with imaging.
36584 billing questions
How does 36584 differ from 36585?
36584 is for complete PICC replacement with imaging guidance. 36585 is the corresponding replacement service without imaging guidance.
Can imaging guidance or interpretation be billed separately?
Imaging guidance, image documentation, and associated radiological supervision and interpretation are included when performed as part of 36584.
Can modifier 50 be used for replacement of two PICCs?
No. Bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Is an assistant at surgery payable for 36584?
No. Medicare's statutory restriction prevents payment for an assistant at surgery for this code; co-surgeons and team surgery are also not permitted.
What documentation supports reporting 36584?
Document complete replacement of the PICC and the imaging guidance performed. The record should distinguish replacement from a repair, repositioning, or new PICC insertion.
What does the 0-day global period include?
Same-day preoperative and postoperative care is included in 36584.
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
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