$701.37–$746.82
Choose 36581 for complete replacement of a tunneled central venous catheter through the same access; 36580 is for a non-tunneled catheter.
On this page
CMS RVU26D · Effective 2026-10-01
36580 Central catheter replacement Medicare reimbursement rates in Maine
Reports complete replacement of a non-tunneled central venous catheter through the same venous access when continued central access is needed. Compare 36580 office and facility rates across CMS payment localities in Maine.
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 36580 in Maine?
Maine 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
$179.24–$189.54
2 of 2 localities have a supported rate.
Facility setting
$54.48–$55.15
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 36580: Non-tunneled central catheter replacement
Reports complete replacement of a non-tunneled central venous catheter through the same venous access when continued central access is needed.
This service replaces a non-tunneled, centrally inserted venous catheter through the existing venous access, rather than establishing access at a new site. It is commonly performed in a hospital by an interventional radiologist, surgeon, or other qualified proceduralist when a short-term central line needs complete replacement, such as because it is malfunctioning or damaged. The replacement catheter remains a central venous device; this code is not for a tunneled catheter, a PICC, or a device with an implanted port or pump.
Report the service when documentation identifies the existing line as non-tunneled, supports complete catheter replacement, and shows that the same venous access was used. The code has a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. Medicare does not pay for an assistant at surgery; co-surgeons and team surgery are not permitted for this code.
CMS billing rules for 36580
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.28 · 22%
- Practice expense (office) RVU4.32 · 75%
- Malpractice RVU0.18 · 3%
1.6K
Medicare services in 2024 · #2629 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.
36580 compared with similar codes
Office rates for Maine, from the same CMS release.
$284.84–$303.64
36584 is for complete replacement of a PICC. 36580 is for a non-tunneled catheter inserted centrally, not a peripheral-inserted catheter.
$136.86–$145.66
36575 describes repair of a central venous catheter; use 36580 when the documented service is complete replacement of a non-tunneled catheter.
Compare 36580 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
Rest Of Maine →
Office / nonfacility
$179.24
Facility
$54.48
Southern Maine →
Office / nonfacility
$189.54
Facility
$55.15
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36580 billing questions
How does 36580 differ from 36581?
36580 is for complete replacement of a non-tunneled central venous catheter through the same access. 36581 is the related replacement code for a tunneled catheter.
Can 36580 be used when the new catheter is placed at a different site?
No. The code describes replacement through the same venous access; documentation should establish that the existing access was used.
Is a repair reported as a replacement?
No. 36580 represents complete catheter replacement, not repair of an existing catheter. The record should support replacement of the catheter rather than correction of a limited defect.
What documentation supports 36580?
Document that the catheter was non-tunneled and centrally inserted, that the replacement was complete, and that the same venous access was used. Include the clinical reason the line required replacement.
What global-period and modifier rules affect this code?
The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate; Medicare also does not pay an assistant at surgery, and 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.
4,51936575,,Repair tunneled cv cath,A,,0.65,3.70,,0.17,,0.07,4.42,0.89,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,52036576,,Repair tunneled cv cath,A,,2.92,7.12,,1.62,,0.57,10.61,5.11,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,52136578,,Replace tunneled cv cath,A,,3.21,9.20,,1.80,,0.65,13.06,5.66,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,52236580,,Replace cvad cath,A,,1.28,4.32,,0.26,,0.18,5.78,1.72,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,52336581,,Replace tunneled cv cath,A,,3.15,19.11,,1.35,,0.43,22.69,4.93,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,52436582,,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