36578 Replace tunneled cv catheter
Also known as: catheter replacement, line replacement, central venous replacement
Replacement of tunneled or non-tunneled central venous catheter; at catheter tip, in jugular, innominate or subclavian vein.
In Plain Language
replacing a central catheter that is no longer working
Clinical Context
Used when tunneled or non-tunneled catheter is infected, thrombosed, or otherwise non-functional. Complete replacement may be preferable to repair.
RVU Breakdown
| Work RVU | 3.21 |
| Total RVU | 3.21 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 3.21, this code ranks in the 22nd percentile among Surgery codes — 2.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 36578?
CPT 36578 (Replace tunneled cv catheter) is a Surgery code. Replacement of tunneled or non-tunneled central venous catheter; at catheter tip, in jugular, innominate or subclavian vein.
What is the wRVU value for CPT 36578?
The work RVU for CPT 36578 is 3.21. This code is primarily used by Surgery, Interventional Radiology, Intensive Care. It has a 10-day global period.
When is CPT 36578 used?
Used when tunneled or non-tunneled catheter is infected, thrombosed, or otherwise non-functional. Complete replacement may be preferable to repair.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.