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CPT code 36589: Catheter removal, tunneled catheter, no port2026 Medicare rate & RVUs in Washington, DC area

Removal of a tunneled central venous catheter without a subcutaneous port or pump, such as when access is no longer needed or the catheter is infected.

CMS RVU26DEffective Oct 1, 2026One payment locality66.7K Medicare services in 2024

In Washington, DC area, Medicare pays $185.99 for 36589 in the office and $137.59 when it’s performed in a hospital or facility.

$185.99Office (non-facility)
$137.59Hospital or facility
+11.8%vs the national office rate ($166.34)

Check a contract rate as a % of Medicare · 36589 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 36589 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 36589 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 36589 covers

This service removes a tunneled central venous catheter that has no implanted port or pump. A surgeon, interventional radiologist, or other qualified clinician typically frees the catheter cuff and withdraws the catheter through an incision at the exit site. Common situations include removal of a tunneled dialysis catheter after treatment ends, or removal of a tunneled line because of infection or malfunction. The procedure may take place in a hospital, ambulatory setting, or procedural suite.

Report this code when the service is removal alone; identify the catheter type and document the reason for removal and the work performed. For a complete catheter exchange, use the applicable replacement code rather than reporting removal alone. Medicare assigns a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Washington, DC area compares for 36589

Across 109 of 109 payment localities, the office rate for 36589 runs from $149.32 in Arkansas to $204.65 in San Benito County, CA. Washington, DC area pays $185.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

36589 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$185.99
  2. Los Angeles, CA · California$180.18−$5.81
  3. Miami, FL · Florida$187.51+$1.52
  4. Chicago, IL · Illinois$182.40−$3.59
  5. Manhattan, NY · New York$190.97+$4.98
  6. Alaska · Alaska$203.39+$17.40
  7. Alabama · Alabama$151.20−$34.79

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

36589 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$149.32$114.03
ArizonaArizona$162.16$122.35
Bakersfield, CACalifornia$170.90$125.87
Chico, CACalifornia$169.90$124.87
El Centro, CACalifornia$169.96$124.93
Fresno, CACalifornia$169.90$124.87
Hanford, CACalifornia$169.90$124.87
Madera, CACalifornia$169.90$124.87

36589 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$149.32

$203.39

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
36589 office rate range by state
State / territoryOffice rate rangeLocalities
AK$203.391
AL$151.201
AR$149.321
AZ$162.161
CA$169.90–$204.6529
CO$169.821
CT$176.471
DC$185.991
DE$164.561
FL$168.67–$187.513
GA$159.89–$170.202
GU$172.441
HI$172.441
IA$152.451
ID$153.741
IL$165.91–$182.404
IN$154.451
KS$152.811
KY$156.411
LA$156.59–$163.182
MA$169.42–$183.712
MD$167.09–$185.993
ME$155.48–$161.302
MI$160.84–$171.542
MN$160.441
MO$154.92–$162.503
MS$152.101
MT$166.311
NC$156.721
ND$159.391
NE$152.871
NH$168.181
NJ$177.84–$184.682
NM$162.011
NV$164.461
NY$158.84–$196.315
OH$159.431
OK$155.121
OR$162.54–$173.472
PA$159.09–$173.232
PR$167.051
RI$169.141
SC$158.471
SD$158.571
TN$153.601
TX$158.26–$170.768
UT$160.311
VA$161.53–$185.992
VI$167.051
VT$159.761
WA$168.77–$186.182
WI$154.871
WV$160.831
WY$163.301

See 36589 in every payment locality

How the 36589 rate is calculated

Each of 36589’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 36589

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.22

2.22 RVUs× 1.000 GPCI

Practice expense2.41

2.41 RVUs× 1.000 GPCI

Malpractice0.35

0.35 RVUs× 1.000 GPCI

Adjusted RVUs

4.9800

Conversion factor

$33.4009

Medicare rate

$166.34

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,528

Code
36589
Physician work
2.22
Practice expense
2.41
Malpractice
0.35

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 36589 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work2.22× 1.0542.3399
Practice expense2.41× 1.1782.8390
Malpractice0.35× 1.1130.3895
Total RVUs5.5684
Conversion factor× 33.4009

Office rate, Washington, DC area$185.99

Office: (2.22 × 1.054 + 2.41 × 1.178 + 0.35 × 1.113) × $33.4009 = $185.99

Facility: (2.22 × 1.054 + 1.18 × 1.178 + 0.35 × 1.113) × $33.4009 = $137.59

Open 36589 in the RVU calculator

Payment rules and modifiers for 36589

36589 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 36589

Catheter removal, tunneled catheter, no port

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 36589

Catheter removal, tunneled catheter, no port

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

36589 without 51 · national office

$166.34

Catheter removal, tunneled catheter, no port

36589-51 · Second procedure: 50%

$83.17

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 36589

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 36589
CodeHow it relatesOffice range, Washington, DC area
Same family
36590Port removal, tunneled device with portRemoval code for a tunneled central venous access device with a subcutaneous port or pump.$251.54
Used instead
36578Catheter replacement, younger than 5 yearsUse the applicable replacement service when a tunneled catheter is exchanged rather than removed alone.$499.16
36575Catheter repair, tunneled, without port or pumpRepair may be appropriate when a tunneled catheter is repaired and remains in place.$171.07

How 36589 has changed in Washington, DC area

36589 · Office / nonfacility

$185.99

Effective 2026-10-01

The base rate is $6.90 higher than on 2025-10-01, moving from $179.09 to $185.99 (3.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $179.09changed to$185.99

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.28 changed to 2.22
    • Practice expense RVU 2.29 changed to 2.41
    • Malpractice RVU 0.34 changed to 0.35
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $184.30changed to$179.09

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $181.30changed to$184.30

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $190.80changed to$181.30

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.31 changed to 2.29
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $198.03changed to$190.80

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.34 changed to 2.31
    • Malpractice RVU 0.33 changed to 0.34
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $199.24changed to$198.03

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.33 changed to 2.34

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $196.25changed to$199.24

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.16 changed to 2.33
    • Malpractice RVU 0.32 changed to 0.33
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $192.04changed to$196.25

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.11 changed to 2.16
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $190.51changed to$192.04

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.09 changed to 2.11
    • Malpractice RVU 0.31 changed to 0.32

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $190.73changed to$190.51

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.32 changed to 0.31
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $192.39changed to$190.73

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.12 changed to 2.09
    • Malpractice RVU 0.33 changed to 0.32
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $193.54changed to$192.39

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.34 changed to 0.33

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $192.58changed to$193.54

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $191.29changed to$192.58

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.10 changed to 2.12
    • Malpractice RVU 0.35 changed to 0.34
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $191.38changed to$191.29

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.35 changed to 2.10
    • Malpractice RVU 0.37 changed to 0.35
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $191.38

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$185.99$137.59RVU26D
2026-07-01$185.99$137.59RVU26C
2026-04-01$185.99$137.59RVU26B
2026-01-01$185.99$137.59RVU26A
2025-10-01$179.09$146.32RVU25D
2025-07-01$179.09$146.32RVU25C
2025-04-01$179.09$146.32RVU25B
2025-01-01$179.09$146.32RVU25A
2024-10-01$184.30$149.39RVU24D
2024-07-01$184.30$149.39RVU24C
2024-04-01$184.30$149.39RVU24B
2024-03-09$184.30$149.39RVU24AR
2024-01-01$181.30$146.95RVU24A
2023-10-01$190.80$154.19RVU23D
2023-07-01$190.80$154.19RVU23C
2023-04-01$190.80$154.19RVU23B
2023-01-01$190.80$154.19RVU23A
2022-10-01$198.03$158.68RVU22D
2022-07-01$198.03$158.68RVU22C
2022-04-01$198.03$158.68RVU22B
2022-01-01$198.03$158.68RVU22A
2021-10-01$199.24$159.99RVU21D
2021-07-01$199.24$159.99RVU21C
2021-04-01$199.24$159.99RVU21B
2021-01-01$199.24$159.99RVU21A
2020-10-01$196.25$161.43RVU20D
2020-07-01$196.25$161.43RVU20C
2020-04-01$196.25$161.43RVU20B
2020-01-01$196.25$161.43RVU20A
2019-10-01$192.04$159.47RVU19D
2019-07-01$192.04$159.47RVU19C
2019-04-01$192.04$159.47RVU19B
2019-01-01$192.04$159.47RVU19A
2018-10-01$190.51$158.84RVU18D
2018-07-01$190.51$158.84RVU18C
2018-04-01$190.51$158.84RVU18B
2018-01-01$190.51$158.84RVU18AR1
2017-10-01$190.73$159.60RVU17D
2017-07-01$190.73$159.60RVU17C
2017-04-01$190.73$159.60RVU17B
2017-01-01$190.73$159.60RVU17A
2016-10-01$192.39$160.46RVU16D
2016-07-01$192.39$160.46RVU16C
2016-04-01$192.39$160.46RVU16B
2016-01-01$192.39$160.46RVU16A
2015-10-01$193.54$161.93RVU15D
2015-07-01$193.54$161.93RVU15C
2015-04-01$192.58$161.13RVU15B
2015-01-01$192.58$161.13RVU15A
2014-10-01$191.29$160.29RVU14D
2014-07-01$191.29$160.29RVU14C
2014-04-01$191.29$160.29RVU14B
2014-01-01$191.29$160.29RVU14A
2013-10-01$191.38$158.37RVU13D
2013-07-01$191.38$158.37RVU13C
2013-04-01$191.38$158.37RVU13B
2013-01-01$191.38$158.37RVU13AR

Price 36589 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

36589 billing questions

How is this different from 36590?

Code 36589 is for removing a tunneled catheter without a subcutaneous port or pump. Code 36590 is the removal code to consider when the device includes a port or pump.

Should removal be reported separately during a catheter exchange?

For a complete catheter exchange, use the applicable replacement code rather than reporting 36589 as removal alone.

Does the code include related postoperative visits?

Yes. Medicare assigns a 10-day global period that includes related postoperative visits during those 10 days.

Can modifier 50 be used for removal on both sides?

No. CMS specifies that bilateral adjustment does not apply and modifier 50 is inappropriate for this service.

When is assistant-at-surgery payment allowed?

Medicare pays an assistant at surgery only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 36589PPRRVU2026_Oct_nonQPP.csv, line 4,528 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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