$136.34–$154.58
Choose 36575 when the repaired catheter has no implanted port or pump. Choose 36576 when the device being repaired includes one.
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CMS RVU26D · Effective 2026-10-01
36576 Venous device repair Medicare reimbursement rates in Texas
Repair of an existing central venous access device with an implanted port or pump, reported when the device is repaired rather than replaced. Compare 36576 office and facility rates across CMS payment localities in Texas.
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 36576 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$331.63–$366.20
8 of 8 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.
Where 36576 pays more and less in Texas
8 payment localities
$331.63 to $366.20
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 Texas, from the same CMS release.
$407.02–$451.78
36578 describes replacement of the catheter component while the implanted port or pump is retained. 36576 describes repair of the existing device.
$795.71–$893.61
36582 describes complete replacement of a tunneled device with an implanted port. Report 36576 when the existing device is repaired instead.
Compare 36576 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $366.20 | Facility $171.84 |
| Beaumont | Office $331.63 | Facility $164.46 |
| Brazoria | Office $348.83 | Facility $166.78 |
| Dallas | Office $351.61 | Facility $168.64 |
| Fort Worth | Office $349.48 | Facility $168.34 |
| Galveston | Office $350.22 | Facility $167.81 |
| Houston | Office $360.66 | Facility $178.24 |
| Rest Of Texas | Office $340.41 | Facility $166.07 |
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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.
4,51736572,,Insj picc rs&i <5 yr,A,,1.77,8.93,,0.21,,0.22,10.92,2.20,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,51836573,,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