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CMS RVU26D · Effective 2026-10-01

36576 in Wyoming**

Office / nonfacility

$349.43

Base rate per service

Facility setting

$165.73

Base rate per service

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.

Vascular access

About 36576: Repair of implanted venous port or pump

Repair of an existing central venous access device with an implanted port or pump, reported when the device is repaired rather than replaced.

This service repairs an existing central venous access device that includes a subcutaneous port or pump. A surgeon or interventional radiologist may perform the repair when a device used for ongoing infusion therapy has a damaged component or connection. The distinction is that the implanted port or pump remains part of the device being repaired, rather than the entire device being replaced.

The procedure record should identify the port or pump, the defect found, and what was repaired. Select 36575 instead when the repaired central venous catheter has no implanted port or pump; use the appropriate replacement code when a catheter component or the complete device is replaced. Medicare assigns this repair a 10-day global period, which includes related postoperative visits. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. An assistant surgeon is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.

CMS billing rules for 36576

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 RVU2.92 · 28%
  • Practice expense (office) RVU7.12 · 67%
  • Malpractice RVU0.57 · 5%

229

Medicare services in 2024 · #4205 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.

36576 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

36575

Catheter repair

Tunneled, without port or pump

$147.02

Choose 36575 when the repaired catheter has no implanted port or pump. Choose 36576 when the device being repaired includes one.

36578

Catheter replacement

Younger than 5 years

$430.57

36578 describes replacement of the catheter component while the implanted port or pump is retained. 36576 describes repair of the existing device.

36582

Device replacement

With port or pump

$850.53

36582 describes complete replacement of a tunneled device with an implanted port. Report 36576 when the existing device is repaired instead.

The same code, a different location

How does Wyoming** compare?

36576 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $349.43

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $395.51

    $46.08 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $404.13

    $54.70 higher than Wyoming**

  4. Miami

    $393.24

    $43.81 higher than Wyoming**

  5. Chicago

    $380.91

    $31.48 higher than Wyoming**

  6. Manhattan

    $410.31

    $60.88 higher than Wyoming**

  7. Alaska*

    $410.06

    $60.63 higher than Wyoming**

Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 36576 ranges from $311.62 in Arkansas to $461.39 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 36576

    Office

    $316.39

    Facility

    $155.65

    $33.04 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 36576

    Office

    $311.62

    Facility

    $153.82

    $37.81 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 36576

    Office

    $344.27

    Facility

    $166.26

    $5.16 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 36576

    Office

    $371.62

    Facility

    $170.28

    $22.19 higher than Wyoming** for the office setting.

  • Chico

    California · 36576

    Office

    $370.04

    Facility

    $168.70

    $20.61 higher than Wyoming** for the office setting.

  • El Centro

    California · 36576

    Office

    $370.13

    Facility

    $168.79

    $20.70 higher than Wyoming** for the office setting.

  • Fresno

    California · 36576

    Office

    $370.04

    Facility

    $168.70

    $20.61 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 36576

    Office

    $370.04

    Facility

    $168.70

    $20.61 higher than Wyoming** for the office setting.

  • Madera

    California · 36576

    Office

    $370.04

    Facility

    $168.70

    $20.61 higher than Wyoming** for the office setting.

  • Merced

    California · 36576

    Office

    $370.04

    Facility

    $168.70

    $20.61 higher than Wyoming** for the office setting.

  • Modesto

    California · 36576

    Office

    $370.04

    Facility

    $168.70

    $20.61 higher than Wyoming** for the office setting.

  • Napa

    California · 36576

    Office

    $426.79

    Facility

    $184.66

    $77.36 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36576

    Office

    $393.22

    Facility

    $176.08

    $43.79 higher than Wyoming** for the office setting.

  • Redding

    California · 36576

    Office

    $370.04

    Facility

    $168.70

    $20.61 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 36576

    Office

    $370.04

    Facility

    $168.70

    $20.61 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36576

    Office

    $376.17

    Facility

    $174.83

    $26.74 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36576

    Office

    $387.82

    Facility

    $174.18

    $38.39 higher than Wyoming** for the office setting.

  • Salinas

    California · 36576

    Office

    $386.39

    Facility

    $173.47

    $36.96 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36576

    Office

    $395.20

    Facility

    $175.49

    $45.77 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36576

    Office

    $450.85

    Facility

    $191.83

    $101.42 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 36576

    Office

    $450.21

    Facility

    $191.18

    $100.78 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 36576

    Office

    $461.39

    Facility

    $196.49

    $111.96 higher than Wyoming** for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 36576

    Office

    $458.75

    Facility

    $193.84

    $109.32 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36576

    Office

    $380.26

    Facility

    $171.02

    $30.83 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 36576

    Office

    $398.73

    Facility

    $175.53

    $49.30 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 36576

    Office

    $387.76

    Facility

    $173.56

    $38.33 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 36576

    Office

    $402.70

    Facility

    $177.11

    $53.27 higher than Wyoming** for the office setting.

  • Stockton

    California · 36576

    Office

    $370.04

    Facility

    $168.70

    $20.61 higher than Wyoming** for the office setting.

  • Vallejo

    California · 36576

    Office

    $425.85

    Facility

    $183.73

    $76.42 higher than Wyoming** for the office setting.

  • Visalia

    California · 36576

    Office

    $370.04

    Facility

    $168.70

    $20.61 higher than Wyoming** for the office setting.

  • Yuba City

    California · 36576

    Office

    $370.04

    Facility

    $168.70

    $20.61 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 36576

    Office

    $366.60

    Facility

    $171.14

    $17.17 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 36576

    Office

    $378.64

    Facility

    $180.79

    $29.21 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 36576

    Office

    $350.09

    Facility

    $168.59

    $0.66 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 36576

    Office

    $372.86

    Facility

    $186.77

    $23.43 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 36576

    Office

    $353.50

    Facility

    $177.87

    $4.07 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 36576

    Office

    $362.31

    Facility

    $175.66

    $12.88 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 36576

    Office

    $332.35

    Facility

    $168.49

    $17.08 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 36576

    Office

    $378.95

    Facility

    $170.08

    $29.52 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 36576

    Office

    $322.69

    Facility

    $154.60

    $26.74 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 36576

    Office

    $325.33

    Facility

    $156.32

    $24.10 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 36576

    Office

    $354.66

    Facility

    $185.65

    $5.23 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 36576

    Office

    $344.41

    Facility

    $176.69

    $5.02 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 36576

    Office

    $376.18

    Facility

    $187.52

    $26.75 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 36576

    Office

    $327.24

    Facility

    $156.94

    $22.19 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 36576

    Office

    $322.11

    Facility

    $156.04

    $27.32 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 36576

    Office

    $326.37

    Facility

    $163.05

    $23.06 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 36576

    Office

    $342.94

    Facility

    $170.08

    $6.49 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 36576

    Office

    $326.24

    Facility

    $163.66

    $23.19 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 36576

    Office

    $402.42

    Facility

    $183.08

    $52.99 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36576

    Office

    $364.68

    Facility

    $171.24

    $15.25 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36576

    Office

    $377.82

    Facility

    $180.70

    $28.39 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 36576

    Office

    $356.65

    Facility

    $170.74

    $7.22 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 36576

    Office

    $328.16

    Facility

    $159.15

    $21.27 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 36576

    Office

    $345.22

    Facility

    $163.17

    $4.21 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 36576

    Office

    $359.12

    Facility

    $181.85

    $9.69 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 36576

    Office

    $336.15

    Facility

    $168.43

    $13.28 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 36576

    Office

    $347.88

    Facility

    $158.84

    $1.55 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 36576

    Office

    $339.44

    Facility

    $166.94

    $9.99 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 36576

    Office

    $343.01

    Facility

    $168.12

    $6.42 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 36576

    Office

    $321.07

    Facility

    $162.72

    $28.36 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 36576

    Office

    $316.36

    Facility

    $158.19

    $33.07 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 36576

    Office

    $354.35

    Facility

    $170.64

    $4.92 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 36576

    Office

    $331.58

    Facility

    $160.18

    $17.85 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 36576

    Office

    $343.07

    Facility

    $159.37

    $6.36 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 36576

    Office

    $324.23

    Facility

    $154.67

    $25.20 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 36576

    Office

    $361.75

    Facility

    $170.52

    $12.32 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 36576

    Office

    $399.87

    Facility

    $186.78

    $50.44 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 36576

    Office

    $382.01

    Facility

    $181.40

    $32.58 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 36576

    Office

    $338.47

    Facility

    $170.01

    $10.96 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 36576

    Office

    $351.44

    Facility

    $167.55

    $2.01 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36576

    Office

    $421.89

    Facility

    $203.46

    $72.46 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36576

    Office

    $385.36

    Facility

    $184.21

    $35.93 higher than Wyoming** for the office setting.

  • Queens

    New York · 36576

    Office

    $412.32

    Facility

    $195.18

    $62.89 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 36576

    Office

    $336.84

    Facility

    $162.32

    $12.59 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 36576

    Office

    $333.85

    Facility

    $166.12

    $15.58 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 36576

    Office

    $324.69

    Facility

    $160.64

    $24.74 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 36576

    Office

    $377.47

    Facility

    $173.37

    $28.04 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 36576

    Office

    $347.78

    Facility

    $164.81

    $1.65 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36576

    Office

    $369.56

    Facility

    $178.33

    $20.13 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36576

    Office

    $333.84

    Facility

    $165.19

    $15.59 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 36576

    Office

    $356.71

    Facility

    $170.99

    $7.28 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 36576

    Office

    $362.03

    Facility

    $172.26

    $12.60 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 36576

    Office

    $333.45

    Facility

    $163.71

    $15.98 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 36576

    Office

    $341.74

    Facility

    $158.04

    $7.69 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 36576

    Office

    $323.93

    Facility

    $156.94

    $25.50 lower than Wyoming** for the office setting.

  • Austin

    Texas · 36576

    Office

    $366.20

    Facility

    $171.84

    $16.77 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 36576

    Office

    $331.63

    Facility

    $164.46

    $17.80 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 36576

    Office

    $348.83

    Facility

    $166.78

    $0.60 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 36576

    Office

    $351.61

    Facility

    $168.64

    $2.18 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 36576

    Office

    $349.48

    Facility

    $168.34

    $0.05 higher than Wyoming** for the office setting.

  • Galveston

    Texas · 36576

    Office

    $350.22

    Facility

    $167.81

    $0.79 higher than Wyoming** for the office setting.

  • Houston

    Texas · 36576

    Office

    $360.66

    Facility

    $178.24

    $11.23 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 36576

    Office

    $340.41

    Facility

    $166.07

    $9.02 lower than Wyoming** for the office setting.

  • Utah

    Utah · 36576

    Office

    $338.17

    Facility

    $165.49

    $11.26 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 36576

    Office

    $344.74

    Facility

    $164.16

    $4.69 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36576

    Office

    $356.71

    Facility

    $170.99

    $7.28 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 36576

    Office

    $342.60

    Facility

    $160.73

    $6.83 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 36576

    Office

    $363.71

    Facility

    $170.26

    $14.28 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 36576

    Office

    $409.76

    Facility

    $184.35

    $60.33 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 36576

    Office

    $331.22

    Facility

    $155.23

    $18.21 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 36576

    Office

    $331.44

    Facility

    $171.80

    $17.99 lower than Wyoming** for the office setting.

See how rates vary across the country

36576 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$311.62

$415.72

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$410.061
AL$316.391
AR$311.621
AZ$344.271
CA$370.04–$461.3929
CO$366.601
CT$378.641
DC$404.131
DE$350.091
FL$353.50–$393.243
GA$332.35–$362.312
GU$378.951
HI$378.951
IA$322.691
ID$325.331
IL$344.41–$380.914
IN$327.241
KS$322.111
KY$326.371
LA$326.24–$342.942
MA$364.68–$402.422
MD$356.65–$404.133
ME$328.16–$345.222
MI$336.15–$359.122
MN$347.881
MO$321.07–$343.013
MS$316.361
MT$354.351
NC$331.581
ND$343.071
NE$324.231
NH$361.751
NJ$382.01–$399.872
NM$338.471
NV$351.441
NY$336.84–$421.895
OH$333.851
OK$324.691
OR$347.78–$377.472
PA$333.84–$369.562
PR$356.711
RI$362.031
SC$333.451
SD$341.741
TN$323.931
TX$331.63–$366.208
UT$338.171
VA$344.74–$404.132
VI$356.711
VT$342.601
WA$363.71–$409.762
WI$331.221
WV$331.441
WY$349.431

Explore 36576 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Wyoming →

Why are the office and facility amounts different?

For 36576 in Wyoming**, the physician’s office rate is $349.43 and the facility-setting rate is $165.73: a difference of $183.70.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 36576 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$384.37

$349.43 × 110% = $384.37

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 36576 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

4,520

Code
36576
Physician work
2.92
Practice expense
7.12
Malpractice
0.57

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 36576 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work2.92× 1.0002.9200
Practice expense7.12× 1.0007.1200
Malpractice0.57× 0.7400.4218
Total RVUs10.4618
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$349.43

Open 36576 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.921
Practice expense7.121
Malpractice0.570.74

(2.92 × 1 + 7.12 × 1 + 0.57 × 0.74) × $33.4009 = $349.43

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.921
Practice expense1.621
Malpractice0.570.74

(2.92 × 1 + 1.62 × 1 + 0.57 × 0.74) × $33.4009 = $165.73

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

36576 · Office / nonfacility

$349.43

Effective 2026-10-01

The base rate is $31.58 higher than on 2025-10-01, moving from $317.85 to $349.43 (9.9%).

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

    $317.85changed to$349.43

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.99 changed to 2.92
    • Practice expense RVU 6.43 changed to 7.12
    • Malpractice RVU 0.55 changed to 0.57
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $317.85

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$349.43$165.73RVU26D
2026-07-01$349.43$165.73RVU26C
2026-04-01$349.43$165.73RVU26B
2026-01-01$349.43$165.73RVU26A
2025-10-01$317.85$171.32RVU25D
2025-07-01$317.85$171.32RVU25C
2025-04-01$317.85$171.32RVU25B
2025-01-01$317.85$171.32RVU25A

36576 billing questions

How is 36576 different from 36575?

36576 is for repair of a central venous access device with an implanted port or pump. Use 36575 for repair of a catheter without either implanted component.

What if the catheter component is replaced instead of repaired?

A catheter-component replacement with the implanted port or pump retained is reported with the applicable replacement code, such as 36578, rather than 36576.

Are related visits after the repair separately reported?

Related postoperative visits during the 10-day global period are included in the procedure payment.

Can modifier 50 be used if more than one device is repaired?

No. Medicare's bilateral adjustment is inappropriate for 36576; modifier 50 should not be used.

What documentation supports an assistant surgeon?

The record must establish medical necessity for the assistant surgeon. Medicare does not permit co-surgeons or team surgery for this procedure.

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.

RVUs for 36576PPRRVU2026_Oct_nonQPP.csv, line 4,520 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet