36581 Replace tunneled cv catheter
Also known as: port replacement, portacath replacement, tunneled port replacement
Replacement of tunneled central venous catheter, with subcutaneous port; in jugular, innominate or subclavian vein.
In Plain Language
replacing an implanted central port
Clinical Context
Used for replacement of non-functioning tunneled port catheters in upper torso venous systems.
RVU Breakdown
| Work RVU | 3.15 |
| Total RVU | 3.15 |
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 3.15, 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 36581?
CPT 36581 (Replace tunneled cv catheter) is a Surgery code. Replacement of tunneled central venous catheter, with subcutaneous port; in jugular, innominate or subclavian vein.
What is the wRVU value for CPT 36581?
The work RVU for CPT 36581 is 3.15. This code is primarily used by Surgery, Oncology, Intensive Care. It has a 10-day global period.
When is CPT 36581 used?
Used for replacement of non-functioning tunneled port catheters in upper torso venous systems.
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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.