Both codes describe catheter repair, but 36575 is for a tunneled catheter without a subcutaneous port or pump. Select 36576 for its specified device configuration.
On this page
CMS RVU26D · Effective 2026-10-01
36575 Catheter repair Medicare reimbursement rates in Georgia
Reports repair of a damaged tunneled central venous catheter without a subcutaneous port or pump when the existing catheter can be restored rather than replaced. Compare 36575 office and facility rates across CMS payment localities in Georgia.
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 36575 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$134.73–$150.14
2 of 2 localities have a supported rate.
Facility setting
$29.56–$30.35
2 of 2 localities have a supported rate.
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.
Vascular access
About 36575: Repair tunneled central venous catheter
Reports repair of a damaged tunneled central venous catheter without a subcutaneous port or pump when the existing catheter can be restored rather than replaced.
This service addresses damage to an existing tunneled central venous catheter, such as a leak or break in an accessible catheter segment, when repair can restore function without replacing the device. It is commonly performed by a physician or other qualified practitioner in a hospital or outpatient setting, including interventional radiology, surgery, or vascular-access services. The catheter remains in place; this is not a new tunneled catheter insertion or a removal service.
Report 36575 for a tunneled catheter without a subcutaneous port or pump. Documentation should identify the catheter, the defect, the repair performed, and why repair rather than replacement was appropriate. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% 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 36575
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU0.65 · 15%
- Practice expense (office) RVU3.70 · 84%
- Malpractice RVU0.07 · 2%
508
Medicare services in 2024 · #3550 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.
36575 compared with similar codes
Office rates for Georgia, from the same CMS release.
36575 restores a damaged existing catheter. 36578 is considered when the tunneled catheter is replaced rather than repaired.
36581 describes replacement of a tunneled central venous access device; 36575 describes repair of the existing catheter.
36589 reports removal of a tunneled central venous catheter. It does not describe repairing a catheter that remains in place.
Compare 36575 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$150.14
Facility
$30.35
Rest Of Georgia →
Office / nonfacility
$134.73
Facility
$29.56
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36575 billing questions
How is 36575 different from 36576?
36575 is for repair of a tunneled catheter without a subcutaneous port or pump. Use the paired repair code 36576 for the device configuration specified by that code.
When should repair be reported instead of replacement?
Report repair when the existing tunneled catheter is restored. If the catheter is replaced, consider the applicable replacement code, such as 36578 or 36581, based on the device and procedure.
What documentation supports 36575?
Record the catheter type and location, the damage found, the repair performed, and the clinical basis for retaining the existing catheter rather than replacing it.
Can an assistant-at-surgery be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.
How does the multiple-procedure rule affect payment?
For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
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.
