$779.38
The replacement method and device type are the same; the age distinction separates the codes. Use 36578 for patients younger than five and 36581 for patients five and older.
On this page
CMS RVU26D · Effective 2026-10-01
36578 Catheter replacement Medicare reimbursement rates in Rhode Island
Reports complete replacement of a tunneled central venous catheter without a port or pump, using the same venous access, in a patient younger than five. Compare 36578 office and facility rates across CMS payment localities in Rhode Island.
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 36578 in Rhode Island?
Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$446.05
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$190.73
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
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 36578: Tunneled central catheter replacement under age five
Reports complete replacement of a tunneled central venous catheter without a port or pump, using the same venous access, in a patient younger than five.
This code covers complete replacement of a tunneled centrally inserted central venous catheter that has no implanted port or pump, when the patient is younger than five years and the existing venous access is used. It may describe exchange of a tunneled catheter such as a Broviac or Hickman line. A surgeon or interventional radiologist commonly performs the procedure in a hospital or other procedural setting. The key distinction is replacement through the same venous access, rather than placement at a new access site or replacement of a PICC or implanted port.
Report the code for the completed exchange, documenting the patient’s age, the catheter’s tunneled status and device type, and use of the same venous access. Related postoperative visits are included in the 10-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 36578
- 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 RVU3.21 · 25%
- Practice expense (office) RVU9.20 · 70%
- Malpractice RVU0.65 · 5%
115
Medicare services in 2024 · #4771 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.
36578 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$197.98
36580 is for replacement of a non-tunneled centrally inserted catheter. This code is for a tunneled catheter without a port or pump.
$879.85
36582 applies to replacement of a tunneled central access device with a subcutaneous port. This code is for a tunneled catheter without a port or pump.
$151.87
36575 describes repair of a tunneled catheter. Choose this code when the catheter is completely replaced through the same venous access.
Compare 36578 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.
1 of 1 payment localities
Rhode Island →
Office / nonfacility
$446.05
Facility
$190.73
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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 36578 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
4,521
- Code
- 36578
- Physician work
- 3.21
- Practice expense
- 9.20
- Malpractice
- 0.65
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.21 | × 1.019 | 3.2710 |
| Practice expense | 9.20 | × 1.033 | 9.5036 |
| Malpractice | 0.65 | × 0.892 | 0.5798 |
| Total RVUs | 13.3544 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$446.05
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.21 | 1.019 |
| Practice expense | 9.2 | 1.033 |
| Malpractice | 0.65 | 0.892 |
(3.21 × 1.019 + 9.2 × 1.033 + 0.65 × 0.892) × $33.4009 = $446.05
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.21 | 1.019 |
| Practice expense | 1.8 | 1.033 |
| Malpractice | 0.65 | 0.892 |
(3.21 × 1.019 + 1.8 × 1.033 + 0.65 × 0.892) × $33.4009 = $190.73
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.
36578 billing questions
Can this be reported for a new catheter placed at a different site?
No. This replacement code is for an exchange using the same venous access. A new-site placement is not the same-access replacement described by this code.
Is replacement of a catheter with an implanted port included?
No. This code is for a tunneled catheter without a subcutaneous port or pump. Replacement of a device with a port is represented by a different code.
When is repair more appropriate than replacement?
Use a repair code when the existing tunneled catheter is repaired rather than completely replaced. Document whether the service repaired the catheter or exchanged it.
What documentation supports reporting this code?
Document the patient’s age, that the catheter is tunneled and has no port or pump, that a complete replacement was performed, and that the same venous access was used.
Can modifier 50 or an assistant-at-surgery modifier be used?
Modifier 50 is inappropriate for this code. Assistant-at-surgery payment is available only when medical necessity is documented.
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.
4,51836573,,Insj picc rs&i 5 yr+,A,,1.66,9.11,,0.32,,0.18,10.95,2.16,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,51936575,,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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537