CPT code 36582: Device replacement2026 Medicare rate & RVUs in Utah

Report complete replacement of a tunneled, centrally inserted venous access device with a subcutaneous port or pump through the same venous access.

CMS RVU26DEffective Oct 1, 20261 payment locality1.1K Medicare services in 2024

Medicare pays $814.87 for 36582 in the office in Utah (Utah). Which amount applies depends on the service address.

$814.87Office (non-facility)
$252.23Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 36582 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 36582 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 36582 covers

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.

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 in Utah

36582 office and facility rates by payment locality
Payment localityOfficeFacility
Utah$814.87$252.23

How the 36582 rate is calculated

Each of 36582’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 36582

RVUs × geographic indexes × conversion factor

Work4.87

4.87 RVUs× 1.000 GPCI

Practice expense19.98

19.98 RVUs× 1.000 GPCI

Malpractice0.83

0.83 RVUs× 1.000 GPCI

Adjusted RVUs

25.6800

Conversion factor

$33.4009

Medicare rate

$857.74

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 36582

36582 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 36582

Device replacement

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 36582

Device replacement

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

36582 without 51 · national office

$857.74

Device replacement

36582-51 · Second procedure: 50%

$428.87

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

36582 compared with similar codes

Compare codes · National

4 codes, side by side

  • 36582

    Device replacement4.87 wRVU

    $857.74

  • 36581

    Catheter replacement3.15 wRVU

    $757.87−$99.87

  • 36575

    Catheter repair0.65 wRVU

    $147.63−$710.11

  • 36576

    Venous device repair2.92 wRVU

    $354.38−$503.36

How to choose

36581Catheter replacement
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.
36575Catheter repair
Code 36575 is for repair of a central venous catheter without a port or pump. It does not describe complete replacement of the system.
36576Venous device repair
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.

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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 36582PPRRVU2026_Oct_nonQPP.csv, line 4,524 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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