$268.26–$426.68
Choose 36585 for a port-containing peripheral access device. Choose 36584 for complete replacement of a PICC without a subcutaneous port.
On this page
CMS RVU26D · Effective 2026-10-01
36585 Device replacement Medicare reimbursement rates
Reports complete replacement of a peripherally inserted central access device with a subcutaneous port, using the existing peripheral venous route. Compare 36585 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 36585?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$1289.99–$2067.12
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $777.13 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 36585 pays more and less
109 payment localities
$1289.99 to $2067.12
Vascular access
About 36585: Ported peripheral central access replacement
Reports complete replacement of a peripherally inserted central access device with a subcutaneous port, using the existing peripheral venous route.
This service replaces the complete port-containing device used for central venous access when the access enters through a peripheral vein. The replacement uses the existing venous route; it is distinct from exchanging a standard PICC or replacing a centrally inserted tunneled catheter. Vascular access specialists, interventional radiologists, and surgeons may perform it in a hospital or procedural setting, commonly when the existing device requires complete replacement.
Report the code when documentation identifies a port-containing peripheral access device and supports complete replacement through the existing venous route. The record should distinguish this device from a non-ported PICC and from a centrally inserted catheter. Related postoperative visits during the 10-day global period are included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 36585
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.48 · 10%
- Practice expense (office) RVU39.02 · 87%
- Malpractice RVU1.21 · 3%
55
Medicare services in 2024 · #5300 by national volume
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.
36585 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$660.90–$1,044.90
36581 is for replacing a tunneled catheter inserted centrally. This code concerns a port-containing device entering through a peripheral vein.
$750.19–$1,157.73
Both involve a port, but 36582 applies to a tunneled, centrally inserted device; this code applies to a port-containing peripheral access device.
$1,371.01–$2,192.32
36570 reports initial placement of a peripherally inserted central access device in a child younger than 5, without a port. This code reports replacement of a port-containing device.
See how rates vary across the country
36585 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$1,289.99
$1,834.69
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $1,634.74 | 1 |
| AL | $1,312.90 | 1 |
| AR | $1,289.99 | 1 |
| AZ | $1,447.13 | 1 |
| CA | $1,602.26–$2,067.12 | 29 |
| CO | $1,569.71 | 1 |
| CT | $1,605.19 | 1 |
| DC | $1,737.99 | 1 |
| DE | $1,474.38 | 1 |
| FL | $1,456.34–$1,608.58 | 3 |
| GA | $1,360.36–$1,522.78 | 2 |
| GU | $1,654.89 | 1 |
| HI | $1,654.89 | 1 |
| IA | $1,358.20 | 1 |
| ID | $1,367.79 | 1 |
| IL | $1,402.72–$1,560.79 | 4 |
| IN | $1,377.44 | 1 |
| KS | $1,348.19 | 1 |
| KY | $1,345.25 | 1 |
| LA | $1,341.78–$1,421.96 | 2 |
| MA | $1,556.62–$1,747.88 | 2 |
| MD | $1,507.18–$1,737.99 | 3 |
| ME | $1,373.81–$1,466.71 | 2 |
| MI | $1,385.18–$1,475.46 | 2 |
| MN | $1,502.70 | 1 |
| MO | $1,312.45–$1,430.88 | 3 |
| MS | $1,301.65 | 1 |
| MT | $1,493.27 | 1 |
| NC | $1,391.44 | 1 |
| ND | $1,469.35 | 1 |
| NE | $1,367.86 | 1 |
| NH | $1,541.74 | 1 |
| NJ | $1,623.16–$1,714.06 | 2 |
| NM | $1,393.30 | 1 |
| NV | $1,487.91 | 1 |
| NY | $1,416.19–$1,783.89 | 5 |
| OH | $1,380.29 | 1 |
| OK | $1,344.89 | 1 |
| OR | $1,476.14–$1,630.07 | 2 |
| PA | $1,384.26–$1,557.28 | 2 |
| PR | $1,507.08 | 1 |
| RI | $1,534.84 | 1 |
| SC | $1,388.24 | 1 |
| SD | $1,466.52 | 1 |
| TN | $1,356.04 | 1 |
| TX | $1,373.19–$1,564.64 | 8 |
| UT | $1,411.03 | 1 |
| VA | $1,459.32–$1,737.99 | 2 |
| VI | $1,507.08 | 1 |
| VT | $1,460.36 | 1 |
| WA | $1,554.72–$1,789.29 | 2 |
| WI | $1,410.65 | 1 |
| WV | $1,340.04 | 1 |
| WY | $1,482.85 | 1 |
Compare 36585 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $1312.90 | Facility $263.40 |
| Alaska* | Office $1634.74 | Facility $357.35 |
| Arizona | Office $1447.13 | Facility $284.89 |
| Arkansas | Office $1289.99 | Facility $259.68 |
| Atlanta | Office $1522.78 | Facility $304.16 |
| Austin | Office $1564.64 | Facility $295.64 |
| Bakersfield | Office $1605.51 | Facility $290.94 |
| Baltimore/Surr. Cntys | Office $1600.47 | Facility $313.48 |
| Beaumont | Office $1373.19 | Facility $281.71 |
| Brazoria | Office $1473.93 | Facility $285.30 |
| Chicago | Office $1553.26 | Facility $347.83 |
| Chico | Office $1602.26 | Facility $287.69 |
| Colorado | Office $1569.71 | Facility $293.52 |
| Connecticut | Office $1605.19 | Facility $313.41 |
| Dallas | Office $1483.75 | Facility $289.12 |
| Dc + Md/Va Suburbs | Office $1737.99 | Facility $325.07 |
| Delaware | Office $1474.38 | Facility $289.35 |
| Detroit | Office $1475.46 | Facility $318.02 |
| East St. Louis | Office $1430.07 | Facility $326.60 |
| El Centro | Office $1602.46 | Facility $287.89 |
| Fort Lauderdale | Office $1542.95 | Facility $327.93 |
| Fort Worth | Office $1471.24 | Facility $288.61 |
| Fresno | Office $1602.26 | Facility $287.69 |
| Galveston | Office $1478.48 | Facility $287.45 |
| Hanford-Corcoran | Office $1602.26 | Facility $287.69 |
| Hawaii, Guam | Office $1654.89 | Facility $291.14 |
| Houston | Office $1500.62 | Facility $309.59 |
| Idaho | Office $1367.79 | Facility $264.32 |
| Indiana | Office $1377.44 | Facility $265.57 |
| Iowa | Office $1358.20 | Facility $260.73 |
| Kansas | Office $1348.19 | Facility $263.91 |
| Kentucky | Office $1345.25 | Facility $278.96 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $1724.41 | Facility $305.49 |
| Madera | Office $1602.26 | Facility $287.69 |
| Manhattan | Office $1737.75 | Facility $344.02 |
| Merced | Office $1602.26 | Facility $287.69 |
| Metropolitan Boston | Office $1747.88 | Facility $315.77 |
| Metropolitan Kansas City | Office $1412.92 | Facility $286.66 |
| Metropolitan Philadelphia | Office $1557.28 | Facility $308.68 |
| Metropolitan St. Louis | Office $1430.88 | Facility $289.02 |
| Miami | Office $1608.58 | Facility $359.98 |
| Minnesota | Office $1502.70 | Facility $268.49 |
| Mississippi | Office $1301.65 | Facility $268.94 |
| Modesto | Office $1602.26 | Facility $287.69 |
| Montana** | Office $1493.27 | Facility $293.85 |
| Napa | Office $1897.35 | Facility $316.50 |
| Nebraska | Office $1367.86 | Facility $260.79 |
| Nevada** | Office $1487.91 | Facility $287.28 |
| New Hampshire | Office $1541.74 | Facility $293.13 |
| New Mexico | Office $1393.30 | Facility $293.43 |
| New Orleans | Office $1421.96 | Facility $293.30 |
| North Carolina | Office $1391.44 | Facility $272.38 |
| North Dakota** | Office $1469.35 | Facility $269.92 |
| Northern Nj | Office $1714.06 | Facility $322.72 |
| Nyc Suburbs/Long Island | Office $1783.89 | Facility $357.77 |
| Ohio | Office $1380.29 | Facility $285.21 |
| Oklahoma | Office $1344.89 | Facility $273.80 |
| Oxnard-Thousand Oaks-Ventura | Office $1719.51 | Facility $301.79 |
| Portland | Office $1630.07 | Facility $297.51 |
| Poughkpsie/N Nyc Suburbs | Office $1632.39 | Facility $319.02 |
| Puerto Rico | Office $1507.08 | Facility $294.46 |
| Queens | Office $1758.00 | Facility $340.27 |
| Redding | Office $1602.26 | Facility $287.69 |
| Rest Of California | Office $1602.26 | Facility $287.69 |
| Rest Of Florida | Office $1456.34 | Facility $309.69 |
| Rest Of Georgia | Office $1360.36 | Facility $290.47 |
| Rest Of Illinois | Office $1402.72 | Facility $307.64 |
| Rest Of Louisiana | Office $1341.78 | Facility $280.28 |
| Rest Of Maine | Office $1373.81 | Facility $270.34 |
| Rest Of Maryland | Office $1507.18 | Facility $293.36 |
| Rest Of Massachusetts | Office $1556.62 | Facility $293.62 |
| Rest Of Michigan | Office $1385.18 | Facility $290.10 |
| Rest Of Missouri | Office $1312.45 | Facility $278.54 |
| Rest Of New Jersey | Office $1623.16 | Facility $313.39 |
| Rest Of New York | Office $1416.19 | Facility $276.73 |
| Rest Of Oregon | Office $1476.14 | Facility $281.51 |
| Rest Of Pennsylvania | Office $1384.26 | Facility $283.19 |
| Rest Of Texas | Office $1422.97 | Facility $284.71 |
| Rest Of Washington | Office $1554.72 | Facility $291.72 |
| Rhode Island | Office $1534.84 | Facility $295.83 |
| Riverside-San Bernardino-Ontario | Office $1615.22 | Facility $300.65 |
| Sacramento-Roseville-Folsom | Office $1692.43 | Facility $297.49 |
| Salinas | Office $1686.47 | Facility $296.33 |
| San Diego-Chula Vista-Carlsbad | Office $1734.78 | Facility $300.27 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $2020.06 | Facility $328.87 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $2018.69 | Facility $327.49 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $2067.12 | Facility $337.55 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $2061.50 | Facility $331.93 |
| San Luis Obispo-Paso Robles | Office $1658.30 | Facility $292.16 |
| Santa Cruz-Watsonville | Office $1757.95 | Facility $300.65 |
| Santa Maria-Santa Barbara | Office $1695.14 | Facility $296.61 |
| Santa Rosa-Petaluma | Office $1776.24 | Facility $303.35 |
| Seattle (King Cnty) | Office $1789.29 | Facility $317.59 |
| South Carolina | Office $1388.24 | Facility $279.97 |
| South Dakota** | Office $1466.52 | Facility $267.09 |
| Southern Maine | Office $1466.71 | Facility $278.08 |
| Stockton | Office $1602.26 | Facility $287.69 |
| Suburban Chicago | Office $1560.79 | Facility $328.98 |
| Tennessee | Office $1356.04 | Facility $265.76 |
| Utah | Office $1411.03 | Facility $283.57 |
| Vallejo | Office $1895.37 | Facility $314.52 |
| Vermont | Office $1460.36 | Facility $272.92 |
| Virgin Islands | Office $1507.08 | Facility $294.46 |
| Virginia | Office $1459.32 | Facility $280.28 |
| Visalia | Office $1602.26 | Facility $287.69 |
| West Virginia | Office $1340.04 | Facility $297.74 |
| Wisconsin | Office $1410.65 | Facility $261.60 |
| Wyoming** | Office $1482.85 | Facility $283.42 |
| Yuba City | Office $1602.26 | Facility $287.69 |
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36585 billing questions
How is this different from 36584?
This code is for complete replacement of a port-containing peripheral central access device. Code 36584 applies to complete replacement of a PICC without a subcutaneous port.
Can this code be used for a newly placed device?
No. It describes replacement of an existing port-containing device through the existing peripheral venous route, not initial placement.
Is the 10-day postoperative care separately reportable?
Related postoperative visits during the 10-day global period are included in this procedure's payment.
Should modifier 50 be appended for bilateral access?
No. The descriptor and anatomy make bilateral adjustment inappropriate for this code.
When is assistant-at-surgery payment allowed?
Only when medical necessity for the assistant is documented. 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,52436582,,Replace tunneled cv cath,A,,4.87,19.98,,2.06,,0.83,25.68,7.76,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,52536583,,Replace tunneled cv cath,A,,4.91,31.54,,3.22,,1.31,37.76,9.44,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,52636584,,Compl rplcmt picc rs&i,A,,1.17,7.91,,0.22,,0.13,9.21,1.52,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,52736585,,Replace picvad cath,A,,4.48,39.02,,3.11,,1.21,44.71,8.80,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,52836589,,Removal tunneled cv cath,A,,2.22,2.41,,1.18,,0.35,4.98,3.75,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,52936590,,Removal tunneled cv cath,A,,3.02,3.19,,1.62,,0.53,6.74,5.17,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,53036591,,Draw blood off venous device,T,,0.00,0.90,,0.90,NA,0.01,0.91,0.91,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00