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CPT code 36584: PICC replacement, complete, with imaging2026 Medicare rate & RVUs in Detroit, MI

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 Detroit, MI, Medicare pays $301.35 for 36584 in the office and $53.49 when it’s performed in a hospital or facility.

$301.35Office (non-facility)
$53.49Hospital or facility
−2.0%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 Detroit, MI
  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 Detroit, MI 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. Detroit, MI pays $301.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

36584 in Detroit, MI vs other payment areas
  1. Detroit, MI · this page$301.35
  2. Rest of Michigan · Michigan$285.20−$16.15
  3. Los Angeles, CA · California$356.11+$54.76
  4. Washington, DC area · District of Columbia$357.25+$55.90
  5. Miami, FL · Florida$325.09+$23.74
  6. Chicago, IL · Illinois$314.84+$13.49
  7. Manhattan, NY · New York$355.47+$54.12

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

Every other payment area

36584 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$342.39$68.84
AlabamaAlabama$272.71$47.97
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

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 Detroit, MI 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

64

Locality
Detroit, MI
Physician work
1.000
Practice expense
0.965
Malpractice
1.686
Office calculation for 36584 in Detroit, MI
ComponentRVULocality factorAdjusted
Physician work1.17× 1.0001.1700
Practice expense7.91× 0.9657.6331
Malpractice0.13× 1.6860.2192
Total RVUs9.0223
Conversion factor× 33.4009

Office rate, Detroit, MI$301.35

Office: (1.17 × 1 + 7.91 × 0.965 + 0.13 × 1.686) × $33.4009 = $301.35

Facility: (1.17 × 1 + 0.22 × 0.965 + 0.13 × 1.686) × $33.4009 = $53.49

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, Detroit, MI
Used instead
36585Device replacement, ported peripheral access deviceComplete PICC replacement without imaging guidance.$1,475.46
36573PICC insertion, age 5+, imaging includedPICC insertion with imaging for a patient age five years or older, rather than replacement.$359.21
36572PICC insertion, younger than 5, imaging guidedPICC insertion with imaging for a patient younger than five years, rather than replacement.$359.34
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.$192.13

How 36584 has changed in Detroit, MI

36584 · Office / nonfacility

$301.35

Effective 2026-10-01

The base rate is $0.27 lower than on 2025-10-01, moving from $301.62 to $301.35 (0.1%).

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

    $301.62changed to$301.35

    • 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 1.003 changed to 1.000
    • Practice expense GPCI 0.986 changed to 0.965
    • Malpractice GPCI 1.718 changed to 1.686

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $317.70changed to$301.62

    • 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

    $312.52changed to$317.70

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $333.86changed to$312.52

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.52 changed to 8.25
    • Work GPCI 1.000 changed to 1.003
    • Practice expense GPCI 0.992 changed to 0.986
    • Malpractice GPCI 1.670 changed to 1.718

  5. January 1, 2023

    RVU23A

    $353.39changed to$333.86

    • 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
    • Practice expense GPCI 0.997 changed to 0.992
    • Malpractice GPCI 1.622 changed to 1.670

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $369.63changed to$353.39

    • 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

    $358.44changed to$369.63

    • 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
    • Practice expense GPCI 0.993 changed to 0.997
    • Malpractice GPCI 1.657 changed to 1.622

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $351.84changed to$358.44

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.47 changed to 8.61
    • Practice expense GPCI 0.989 changed to 0.993
    • Malpractice GPCI 1.691 changed to 1.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $210.82changed to$351.84

    • 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

    $209.23changed to$210.82

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.50 changed to 4.52
    • Practice expense GPCI 0.992 changed to 0.989
    • Malpractice GPCI 1.510 changed to 1.691

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $209.42changed to$209.23

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.53 changed to 4.50
    • Practice expense GPCI 0.994 changed to 0.992
    • Malpractice GPCI 1.328 changed to 1.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $209.46changed to$209.42

    • 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

    $208.41changed to$209.46

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $211.18changed to$208.41

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.47 changed to 4.51
    • Work GPCI 1.010 changed to 1.000
    • Practice expense GPCI 1.009 changed to 0.994
    • Malpractice GPCI 1.571 changed to 1.328

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $216.28changed to$211.18

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.82 changed to 4.47
    • Work GPCI 1.022 changed to 1.010
    • Practice expense GPCI 1.023 changed to 1.009
    • Malpractice GPCI 1.814 changed to 1.571

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $216.28

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$301.35$53.49RVU26D
2026-07-01$301.35$53.49RVU26C
2026-04-01$301.35$53.49RVU26B
2026-01-01$301.35$53.49RVU26A
2025-10-01$301.62$59.23RVU25D
2025-07-01$301.62$59.23RVU25C
2025-04-01$301.62$59.23RVU25B
2025-01-01$301.62$59.23RVU25A
2024-10-01$317.70$59.73RVU24D
2024-07-01$317.70$59.73RVU24C
2024-04-01$317.70$59.73RVU24B
2024-03-09$317.70$59.73RVU24AR
2024-01-01$312.52$58.75RVU24A
2023-10-01$333.86$60.90RVU23D
2023-07-01$333.86$60.90RVU23C
2023-04-01$333.86$60.90RVU23B
2023-01-01$333.86$60.90RVU23A
2022-10-01$353.39$61.50RVU22D
2022-07-01$353.39$61.50RVU22C
2022-04-01$353.39$61.50RVU22B
2022-01-01$353.39$61.50RVU22A
2021-10-01$369.63$63.49RVU21D
2021-07-01$369.63$63.49RVU21C
2021-04-01$369.63$63.49RVU21B
2021-01-01$369.63$63.49RVU21A
2020-10-01$358.44$64.94RVU20D
2020-07-01$358.44$64.94RVU20C
2020-04-01$358.44$64.94RVU20B
2020-01-01$358.44$64.94RVU20A
2019-10-01$351.84$64.92RVU19D
2019-07-01$351.84$64.92RVU19C
2019-04-01$351.84$64.92RVU19B
2019-01-01$351.84$64.92RVU19A
2018-10-01$210.82$71.26RVU18D
2018-07-01$210.82$71.26RVU18C
2018-04-01$210.82$71.26RVU18B
2018-01-01$210.82$71.26RVU18AR1
2017-10-01$209.23$70.74RVU17D
2017-07-01$209.23$70.74RVU17C
2017-04-01$209.23$70.74RVU17B
2017-01-01$209.23$70.74RVU17A
2016-10-01$209.42$70.26RVU16D
2016-07-01$209.42$70.26RVU16C
2016-04-01$209.42$70.26RVU16B
2016-01-01$209.42$70.26RVU16A
2015-10-01$209.46$70.51RVU15D
2015-07-01$209.46$70.51RVU15C
2015-04-01$208.41$70.16RVU15B
2015-01-01$208.41$70.16RVU15A
2014-10-01$211.18$72.02RVU14D
2014-07-01$211.18$72.02RVU14C
2014-04-01$211.18$72.02RVU14B
2014-01-01$211.18$72.02RVU14A
2013-10-01$216.28$70.79RVU13D
2013-07-01$216.28$70.79RVU13C
2013-04-01$216.28$70.79RVU13B
2013-01-01$216.28$70.79RVU13AR

Price 36584 for an earlier date of service

Where the Detroit, MI rate applies

Detroit, MI is a Medicare payment area, not a city. Our Census mapping connects it to 98 cities and communities in Michigan. Some span more than one payment area; confirm with the service ZIP.

  • Detroit
  • Allen Park
  • Ann Arbor
  • Armada
  • Auburn Hills
  • Barton Hills
  • Belleville
  • Berkley

Browse all communities in Michigan

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 Detroit, MIGPCI2026.csv, line 64 (RVU26D)

Open CMS sourceHow we calculate rates

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