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See a sample rate comparisonCPT 36580 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Replace Catheter In Large Vein, Surgical Replacement Of A Thin Tube (Catheter) In A Major Vein. The Catheter May Have A Port Or Pump Attached To It For Delivering Fluids Or Medications.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $193.06 national non-facility rate (2026) · View Medicare rates for 36580 |
| Medicaid Fee Schedule | $154.91 median of the 8 states in the free preview · View Medicaid rates for 36580 |
National average reimbursement for CPT 36580 by major payers:
$247.55
$307.19
$316.93
$127.73
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CPT 36580
5 of 25 sample ratesHigher to lower in this preview
Deaconess Hospital, Inc, <Unavail>
Deaconess Hospital Inc
$3,853.00Published rateAdvanced Surgery Center Of Northern Louisiana LLC
Advanced Surgery Center Of Northern Louisiana, LLC
$953.00Published rateRegional Plastic Surgery Center PA, Regional Plastic Surgery Center - Sherman
Regional Plastic Surgery Associates, P.A.
$550.00Published rateThe Endoscopy Center, Inc.
The Endoscopy Center Inc
$450.00Published rateThe Surgical Center Of Greater Annapolis, Inc.
The Surgical Center Of Greater Annapolis Inc
$192.00Published rate
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See a sample payer proposalCPT 36580 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36580 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 36580 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 36578-CPT | Moderate | Replace Catheter In Large Vein, Surgical Replacement Of A Thin Tube (Catheter) In A Major Vein. The Catheter May Have A Port Or Pump Attached To It For Delivering Fluids Or Medications. |
| 36580-CPT | Moderate | Replace Catheter In Large Vein, Surgical Replacement Of A Thin Tube (Catheter) In A Major Vein. The Catheter May Have A Port Or Pump Attached To It For Delivering Fluids Or Medications. |
| 36581-CPT | Moderate | Place Catheter In Large Vein, Surgery To Embed A Thin Tube (Catheter) Into A Major Vein Next To The Heart. The Catheter May Have A Port Or Pump Attached To It For Fluids Or Medications. |
| 36582-CPT | High | Place Catheter In Large Vein, Surgery To Embed A Thin Tube (Catheter) Into A Major Vein Next To The Heart. The Catheter May Have A Port Or Pump Attached To It For Fluids Or Medications. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36580. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36580 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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