36585 Replace picvad catheter
Also known as: PICC port replacement, PICC-with-port replacement, peripheral port replacement
Replacement of peripherally inserted central catheter (PICC), with subcutaneous port; younger than 5 years of age.
In Plain Language
replacing a PICC with an implanted access port
Clinical Context
Used for replacement of non-functioning PICC-with-port systems in pediatric patients.
RVU Breakdown
| Work RVU | 4.48 |
| Total RVU | 4.48 |
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 4.48, this code ranks in the 30th percentile among Surgery codes — 1.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 36585?
CPT 36585 (Replace picvad catheter) is a Surgery code. Replacement of peripherally inserted central catheter (PICC), with subcutaneous port; younger than 5 years of age.
What is the wRVU value for CPT 36585?
The work RVU for CPT 36585 is 4.48. This code is primarily used by Pediatric Surgery, Oncology, Intensive Care. It has a 10-day global period.
When is CPT 36585 used?
Used for replacement of non-functioning PICC-with-port systems in pediatric patients.
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.