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CPT code 36584: PICC replacement, complete, with imaging2026 Medicare rate & RVUs in North Carolina

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 North Carolina, Medicare pays $288.35 for 36584 in the office and $48.71 when it’s performed in a hospital or facility.

$288.35Office (non-facility)
$48.71Hospital or facility
−6.3%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 North Carolina
  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 North Carolina 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. North Carolina pays $288.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

36584 in North Carolina vs other payment areas
  1. North Carolina · this page$288.35
  2. Los Angeles, CA · California$356.11+$67.76
  3. Washington, DC area · District of Columbia$357.25+$68.90
  4. Miami, FL · Florida$325.09+$36.74
  5. Chicago, IL · Illinois$314.84+$26.49
  6. Manhattan, NY · New York$355.47+$67.12
  7. Alaska · Alaska$342.39+$54.04

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

Every other payment area

36584 in every other Medicare payment locality
Payment localityOfficeFacility
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
Hanford, 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 North Carolina 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

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 36584 in North Carolina
ComponentRVULocality factorAdjusted
Physician work1.17× 1.0001.1700
Practice expense7.91× 0.9337.3800
Malpractice0.13× 0.6390.0831
Total RVUs8.6331
Conversion factor× 33.4009

Office rate, North Carolina$288.35

Office: (1.17 × 1 + 7.91 × 0.933 + 0.13 × 0.639) × $33.4009 = $288.35

Facility: (1.17 × 1 + 0.22 × 0.933 + 0.13 × 0.639) × $33.4009 = $48.71

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, North Carolina
Used instead
36585Device replacement, ported peripheral access deviceComplete PICC replacement without imaging guidance.$1,391.44
36573PICC insertion, age 5+, imaging includedPICC insertion with imaging for a patient age five years or older, rather than replacement.$343.18
36572PICC insertion, younger than 5, imaging guidedPICC insertion with imaging for a patient younger than five years, rather than replacement.$342.10
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.$181.22

How 36584 has changed in North Carolina

36584 · Office / nonfacility

$288.35

Effective 2026-10-01

The base rate is $6.82 higher than on 2025-10-01, moving from $281.53 to $288.35 (2.4%).

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

    $281.53changed to$288.35

    • 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
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $296.90changed to$281.53

    • 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

    $292.06changed to$296.90

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $311.32changed to$292.06

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.52 changed to 8.25
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $329.18changed to$311.32

    • 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 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $343.81changed to$329.18

    • 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

    $335.29changed to$343.81

    • 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 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $330.19changed to$335.29

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.47 changed to 8.61
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $197.44changed to$330.19

    • 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

    $196.31changed to$197.44

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.50 changed to 4.52
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $196.83changed to$196.31

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.53 changed to 4.50
    • Practice expense GPCI 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $196.87changed to$196.83

    • 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

    $195.89changed to$196.87

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $194.63changed to$195.89

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.47 changed to 4.51
    • Practice expense GPCI 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $195.45changed to$194.63

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.82 changed to 4.47
    • Practice expense GPCI 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $195.45

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$288.35$48.71RVU26D
2026-07-01$288.35$48.71RVU26C
2026-04-01$288.35$48.71RVU26B
2026-01-01$288.35$48.71RVU26A
2025-10-01$281.53$53.89RVU25D
2025-07-01$281.53$53.89RVU25C
2025-04-01$281.53$53.89RVU25B
2025-01-01$281.53$53.89RVU25A
2024-10-01$296.90$54.62RVU24D
2024-07-01$296.90$54.62RVU24C
2024-04-01$296.90$54.62RVU24B
2024-03-09$296.90$54.62RVU24AR
2024-01-01$292.06$53.73RVU24A
2023-10-01$311.32$56.25RVU23D
2023-07-01$311.32$56.25RVU23C
2023-04-01$311.32$56.25RVU23B
2023-01-01$311.32$56.25RVU23A
2022-10-01$329.18$57.49RVU22D
2022-07-01$329.18$57.49RVU22C
2022-04-01$329.18$57.49RVU22B
2022-01-01$329.18$57.49RVU22A
2021-10-01$343.81$58.86RVU21D
2021-07-01$343.81$58.86RVU21C
2021-04-01$343.81$58.86RVU21B
2021-01-01$343.81$58.86RVU21A
2020-10-01$335.29$60.41RVU20D
2020-07-01$335.29$60.41RVU20C
2020-04-01$335.29$60.41RVU20B
2020-01-01$335.29$60.41RVU20A
2019-10-01$330.19$60.09RVU19D
2019-07-01$330.19$60.09RVU19C
2019-04-01$330.19$60.09RVU19B
2019-01-01$330.19$60.09RVU19A
2018-10-01$197.44$66.06RVU18D
2018-07-01$197.44$66.06RVU18C
2018-04-01$197.44$66.06RVU18B
2018-01-01$197.44$66.06RVU18AR1
2017-10-01$196.31$66.34RVU17D
2017-07-01$196.31$66.34RVU17C
2017-04-01$196.31$66.34RVU17B
2017-01-01$196.31$66.34RVU17A
2016-10-01$196.83$66.63RVU16D
2016-07-01$196.83$66.63RVU16C
2016-04-01$196.83$66.63RVU16B
2016-01-01$196.83$66.63RVU16A
2015-10-01$196.87$66.88RVU15D
2015-07-01$196.87$66.88RVU15C
2015-04-01$195.89$66.54RVU15B
2015-01-01$195.89$66.54RVU15A
2014-10-01$194.63$66.51RVU14D
2014-07-01$194.63$66.51RVU14C
2014-04-01$194.63$66.51RVU14B
2014-01-01$194.63$66.51RVU14A
2013-10-01$195.45$63.61RVU13D
2013-07-01$195.45$63.61RVU13C
2013-04-01$195.45$63.61RVU13B
2013-01-01$195.45$63.61RVU13AR

Price 36584 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

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 North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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