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CPT code 36584: PICC replacement, complete, with imaging2026 Medicare rate & RVUs in Washington, DC area

Report complete replacement of a PICC when imaging guidance and the associated radiological supervision and interpretation are performed as part of the service.

CMS RVU26DEffective Oct 1, 2026One payment locality2.1K Medicare services in 2024

In Washington, DC area, Medicare pays $357.25 for 36584 in the office and $54.68 when it’s performed in a hospital or facility.

$357.25Office (non-facility)
$54.68Hospital or facility
+16.1%vs the national office rate ($307.62)

Check a contract rate as a % of Medicare · 36584 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 36584 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 36584 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 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.

How Washington, DC area compares for 36584

Across 109 of 109 payment localities, the office rate for 36584 runs from $268.26 in Arkansas to $426.68 in San Benito County, CA. Washington, DC area pays $357.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

36584 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$357.25
  2. Los Angeles, CA · California$356.11−$1.14
  3. Miami, FL · Florida$325.09−$32.16
  4. Chicago, IL · Illinois$314.84−$42.41
  5. Manhattan, NY · New York$355.47−$1.78
  6. Alaska · Alaska$342.39−$14.86
  7. Alabama · Alabama$272.71−$84.54

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

Every other payment area

36584 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$268.26$47.63
ArizonaArizona$298.81$49.92
Bakersfield, CACalifornia$332.03$50.52
Chico, CACalifornia$331.64$50.12
El Centro, CACalifornia$331.66$50.15
Fresno, CACalifornia$331.64$50.12
Hanford, CACalifornia$331.64$50.12
Madera, CACalifornia$331.64$50.12

36584 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.

$268.26

$379.16

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

View every state and territory as a table
36584 office rate range by state
State / territoryOffice rate rangeLocalities
AK$342.391
AL$272.711
AR$268.261
AZ$298.811
CA$331.64–$426.6829
CO$324.051
CT$329.661
DC$357.251
DE$304.211
FL$298.18–$325.093
GA$279.92–$312.842
GU$341.991
HI$341.991
IA$282.551
ID$284.201
IL$287.08–$318.384
IN$286.101
KS$280.111
KY$277.931
LA$277.06–$292.622
MA$321.37–$360.002
MD$310.83–$357.253
ME$284.84–$303.642
MI$285.20–$301.352
MN$312.231
MO$271.05–$294.953
MS$269.771
MT$307.611
NC$288.351
ND$305.041
NE$284.581
NH$317.911
NJ$333.91–$352.652
NM$286.571
NV$307.161
NY$293.12–$363.785
OH$284.671
OK$278.381
OR$305.28–$336.462
PA$285.72–$320.002
PR$310.461
RI$316.611
SC$286.891
SD$304.741
TN$281.571
TX$283.54–$322.538
UT$291.331
VA$301.85–$357.252
VI$310.461
VT$302.841
WA$321.10–$368.762
WI$293.521
WV$274.881
WY$306.491

See 36584 in every payment locality

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

Office or facility?

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.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,526

Code
36584
Physician work
1.17
Practice expense
7.91
Malpractice
0.13

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 36584 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.17× 1.0541.2332
Practice expense7.91× 1.1789.3180
Malpractice0.13× 1.1130.1447
Total RVUs10.6959
Conversion factor× 33.4009

Office rate, Washington, DC area$357.25

Office: (1.17 × 1.054 + 7.91 × 1.178 + 0.13 × 1.113) × $33.4009 = $357.25

Facility: (1.17 × 1.054 + 0.22 × 1.178 + 0.13 × 1.113) × $33.4009 = $54.68

Open 36584 in the RVU calculator

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

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 36584

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

Codes related to 36584
CodeHow it relatesOffice range, Washington, DC area
Used instead
36585Device replacement, ported peripheral access deviceComplete PICC replacement without imaging guidance.$1,737.99
36573PICC insertion, age 5+, imaging includedPICC insertion with imaging for a patient age five years or older, rather than replacement.$423.58
36572PICC insertion, younger than 5, imaging guidedPICC insertion with imaging for a patient younger than five years, rather than replacement.$421.85
36569PICC insertion, age 5 or older, no imagingPICC insertion without imaging for a patient age five years or older.No office rate
36568PICC insertion, under 5, no imagingPICC insertion without imaging for a patient younger than five years.No office rate
36580Central catheter replacement, non-tunneled, same accessComplete replacement of a non-tunneled centrally inserted catheter, not a PICC.$221.73

How 36584 has changed in Washington, DC area

36584 · Office / nonfacility

$357.25

Effective 2026-10-01

The base rate is $2.47 higher than on 2025-10-01, moving from $354.78 to $357.25 (0.7%).

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

    $354.78changed to$357.25

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.20 changed to 1.17
    • Practice expense RVU 8.01 changed to 7.91
    • 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

    $374.24changed to$354.78

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.25 changed to 8.01
    • Malpractice RVU 0.12 changed to 0.13

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $368.13changed to$374.24

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $398.45changed to$368.13

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.52 changed to 8.25
    • 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

    $427.67changed to$398.45

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.86 changed to 8.52
    • Malpractice RVU 0.11 changed to 0.12
    • 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

    $447.21changed to$427.67

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.21 changed to 8.86
    • Malpractice RVU 0.13 changed to 0.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $429.90changed to$447.21

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.61 changed to 9.21
    • Malpractice RVU 0.11 changed to 0.13
    • 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

    $418.02changed to$429.90

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.47 changed to 8.61
    • 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. January 1, 2019

    RVU19A

    $246.21changed to$418.02

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.52 changed to 8.47

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $244.76changed to$246.21

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.50 changed to 4.52
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $245.64changed to$244.76

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.53 changed to 4.50
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $245.66changed to$245.64

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.51 changed to 4.53

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $244.44changed to$245.66

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $242.36changed to$244.44

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.47 changed to 4.51
    • 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.

  15. January 1, 2014

    RVU14A

    $243.52changed to$242.36

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.82 changed to 4.47
    • 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.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $243.52

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$357.25$54.68RVU26D
2026-07-01$357.25$54.68RVU26C
2026-04-01$357.25$54.68RVU26B
2026-01-01$357.25$54.68RVU26A
2025-10-01$354.78$61.75RVU25D
2025-07-01$354.78$61.75RVU25C
2025-04-01$354.78$61.75RVU25B
2025-01-01$354.78$61.75RVU25A
2024-10-01$374.24$62.36RVU24D
2024-07-01$374.24$62.36RVU24C
2024-04-01$374.24$62.36RVU24B
2024-03-09$374.24$62.36RVU24AR
2024-01-01$368.13$61.34RVU24A
2023-10-01$398.45$64.40RVU23D
2023-07-01$398.45$64.40RVU23C
2023-04-01$398.45$64.40RVU23B
2023-01-01$398.45$64.40RVU23A
2022-10-01$427.67$65.81RVU22D
2022-07-01$427.67$65.81RVU22C
2022-04-01$427.67$65.81RVU22B
2022-01-01$427.67$65.81RVU22A
2021-10-01$447.21$67.68RVU21D
2021-07-01$447.21$67.68RVU21C
2021-04-01$447.21$67.68RVU21B
2021-01-01$447.21$67.68RVU21A
2020-10-01$429.90$69.01RVU20D
2020-07-01$429.90$69.01RVU20C
2020-04-01$429.90$69.01RVU20B
2020-01-01$429.90$69.01RVU20A
2019-10-01$418.02$68.43RVU19D
2019-07-01$418.02$68.43RVU19C
2019-04-01$418.02$68.43RVU19B
2019-01-01$418.02$68.43RVU19A
2018-10-01$246.21$76.16RVU18D
2018-07-01$246.21$76.16RVU18C
2018-04-01$246.21$76.16RVU18B
2018-01-01$246.21$76.16RVU18AR1
2017-10-01$244.76$76.53RVU17D
2017-07-01$244.76$76.53RVU17C
2017-04-01$244.76$76.53RVU17B
2017-01-01$244.76$76.53RVU17A
2016-10-01$245.64$76.95RVU16D
2016-07-01$245.64$76.95RVU16C
2016-04-01$245.64$76.95RVU16B
2016-01-01$245.64$76.95RVU16A
2015-10-01$245.66$77.22RVU15D
2015-07-01$245.66$77.22RVU15C
2015-04-01$244.44$76.84RVU15B
2015-01-01$244.44$76.84RVU15A
2014-10-01$242.36$76.58RVU14D
2014-07-01$242.36$76.58RVU14C
2014-04-01$242.36$76.58RVU14B
2014-01-01$242.36$76.58RVU14A
2013-10-01$243.52$73.14RVU13D
2013-07-01$243.52$73.14RVU13C
2013-04-01$243.52$73.14RVU13B
2013-01-01$243.52$73.14RVU13AR

Price 36584 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

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
RVUs for 36584PPRRVU2026_Oct_nonQPP.csv, line 4,526 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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