$779.38
Choose 36581 for a tunneled central venous catheter without a subcutaneous port or pump. Code 36582 is for a complete replacement system that includes a port or pump.
On this page
CMS RVU26D · Effective 2026-10-01
36582 Device replacement Medicare reimbursement rates in Rhode Island
Report complete replacement of a tunneled, centrally inserted venous access device with a subcutaneous port or pump through the same venous access. Compare 36582 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 36582 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
$879.85
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$261.56
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 36582: Tunneled central access device replacement
Report complete replacement of a tunneled, centrally inserted venous access device with a subcutaneous port or pump through the same venous access.
This service replaces the complete tunneled central venous access system, including its implanted subcutaneous port or pump, using the same venous access route. It is typically performed by an interventional radiologist or surgeon in a hospital or ambulatory procedure setting when the existing system needs replacement rather than repair. The code describes replacement of the device, not placement of a new device through a different access route.
Choose this code when the documentation supports a tunneled, centrally inserted system with a port or pump and complete replacement through the same access. Record the device type, reason for replacement, access route, and work performed; a repair of a damaged component is a different service. Related postoperative visits are included in the 10-day global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment requires documented medical necessity, and co-surgeons and team surgery are not permitted.
CMS billing rules for 36582
- 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 RVU4.87 · 19%
- Practice expense (office) RVU19.98 · 78%
- Malpractice RVU0.83 · 3%
1.1K
Medicare services in 2024 · #2895 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.
36582 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$151.87
Code 36575 is for repair of a central venous catheter without a port or pump. It does not describe complete replacement of the system.
$362.03
Code 36576 is for repair of a catheter system with a port or pump. Use 36582 when the complete tunneled system is replaced through the same venous access.
Compare 36582 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
$879.85
Facility
$261.56
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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 36582 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
4,524
- Code
- 36582
- Physician work
- 4.87
- Practice expense
- 19.98
- Malpractice
- 0.83
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.87 | × 1.019 | 4.9625 |
| Practice expense | 19.98 | × 1.033 | 20.6393 |
| Malpractice | 0.83 | × 0.892 | 0.7404 |
| Total RVUs | 26.3422 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$879.85
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.87 | 1.019 |
| Practice expense | 19.98 | 1.033 |
| Malpractice | 0.83 | 0.892 |
(4.87 × 1.019 + 19.98 × 1.033 + 0.83 × 0.892) × $33.4009 = $879.85
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.87 | 1.019 |
| Practice expense | 2.06 | 1.033 |
| Malpractice | 0.83 | 0.892 |
(4.87 × 1.019 + 2.06 × 1.033 + 0.83 × 0.892) × $33.4009 = $261.56
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.
36582 billing questions
How does this differ from 36581?
Use 36582 for complete replacement of a tunneled central access system with a subcutaneous port or pump. Code 36581 describes a tunneled central venous catheter without a port or pump.
Can a repair be reported as a replacement?
No. Repairing a catheter or device component is distinct from replacing the complete system; consider 36575 or 36576 when the service is a repair.
Is removal of the old system separately reported?
This code represents complete replacement through the same venous access. Do not separately report removal merely for removing the old system as part of that replacement.
Does the code have a postoperative global period?
Yes. Related postoperative visits during the 10-day global period are included.
Can modifier 50 or an assistant-at-surgery service be reported?
Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of medical necessity; 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.
4,52136578,,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
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
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