36584 Complicated replacement picc rs & i
Also known as: PICC replacement, image-guided PICC replacement, PICC exchange
Replacement of peripherally inserted central catheter (PICC), with imaging guidance.
In Plain Language
replacing a PICC line with ultrasound or x-ray guidance
Clinical Context
Used for PICC removal and reinsertion when line is infected, thrombosed, or malpositioned, with imaging confirmation.
RVU Breakdown
| Work RVU | 1.17 |
| Total RVU | 1.17 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.17, this code ranks in the 6th percentile among Surgery codes — 6.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 36584?
CPT 36584 (Complicated replacement picc rs & i) is a Surgery code. Replacement of peripherally inserted central catheter (PICC), with imaging guidance.
What is the wRVU value for CPT 36584?
The work RVU for CPT 36584 is 1.17. This code is primarily used by Interventional Radiology, Surgery, Intensive Care.
When is CPT 36584 used?
Used for PICC removal and reinsertion when line is infected, thrombosed, or malpositioned, with imaging confirmation.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.