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CPT code 36589: Catheter removal, tunneled catheter, no port2026 Medicare rate & RVUs in Queens, NY

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 Queens, NY, Medicare pays $190.90 for 36589 in the office and $142.34 when it’s performed in a hospital or facility.

$190.90Office (non-facility)
$142.34Hospital or facility
+14.8%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 Queens, NY
  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 Queens, NY 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. Queens, NY pays $190.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

36589 in Queens, NY vs other payment areas
  1. Queens, NY · this page$190.90
  2. Manhattan, NY · New York$190.97+$0.07
  3. NYC suburbs and Long Island, NY · New York$196.31+$5.41
  4. Poughkeepsie and northern NYC suburbs, NY · New York$179.78−$11.12
  5. Rest of New York · New York$158.84−$32.06
  6. Los Angeles, CA · California$180.18−$10.72
  7. Washington, DC area · District of Columbia$185.99−$4.91

Other areas in New York first, then benchmark localities. Bars start at $0.

Every other payment area

36589 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$187.51$144.74
Chicago, ILIllinois$182.40$141.11
AlaskaAlaska$203.39$159.64
AlabamaAlabama$151.20$115.25
ArkansasArkansas$149.32$114.03
ArizonaArizona$162.16$122.35
Bakersfield, CACalifornia$170.90$125.87
Chico, 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 Queens, NY 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

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 36589 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work2.22× 1.0642.3621
Practice expense2.41× 1.1822.8486
Malpractice0.35× 1.4420.5047
Total RVUs5.7154
Conversion factor× 33.4009

Office rate, Queens, NY$190.90

Office: (2.22 × 1.064 + 2.41 × 1.182 + 0.35 × 1.442) × $33.4009 = $190.90

Facility: (2.22 × 1.064 + 1.18 × 1.182 + 0.35 × 1.442) × $33.4009 = $142.34

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, Queens, NY
Same family
36590Port removal, tunneled device with portRemoval code for a tunneled central venous access device with a subcutaneous port or pump.$258.79
Used instead
36578Catheter replacement, younger than 5 yearsUse the applicable replacement service when a tunneled catheter is exchanged rather than removed alone.$508.60
36575Catheter repair, tunneled, without port or pumpRepair may be appropriate when a tunneled catheter is repaired and remains in place.$172.55

How 36589 has changed in Queens, NY

36589 · Office / nonfacility

$190.90

Effective 2026-10-01

The base rate is $7.76 higher than on 2025-10-01, moving from $183.14 to $190.90 (4.2%).

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

    $183.14changed to$190.90

    • 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 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $188.47changed to$183.14

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $185.39changed to$188.47

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $200.60changed to$185.39

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.31 changed to 2.29
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $213.15changed to$200.60

    • 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 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $214.49changed to$213.15

    • 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

    $208.98changed to$214.49

    • 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 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $202.15changed to$208.98

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.11 changed to 2.16
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $200.30changed to$202.15

    • 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

    $200.79changed to$200.30

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.32 changed to 0.31
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $202.66changed to$200.79

    • 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
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $204.17changed to$202.66

    • 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

    $203.16changed to$204.17

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $199.40changed to$203.16

    • 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 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $196.70changed to$199.40

    • 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 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $196.70

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$190.90$142.34RVU26D
2026-07-01$190.90$142.34RVU26C
2026-04-01$190.90$142.34RVU26B
2026-01-01$190.90$142.34RVU26A
2025-10-01$183.14$150.28RVU25D
2025-07-01$183.14$150.28RVU25C
2025-04-01$183.14$150.28RVU25B
2025-01-01$183.14$150.28RVU25A
2024-10-01$188.47$153.46RVU24D
2024-07-01$188.47$153.46RVU24C
2024-04-01$188.47$153.46RVU24B
2024-03-09$188.47$153.46RVU24AR
2024-01-01$185.39$150.96RVU24A
2023-10-01$200.60$164.04RVU23D
2023-07-01$200.60$164.04RVU23C
2023-04-01$200.60$164.04RVU23B
2023-01-01$200.60$164.04RVU23A
2022-10-01$213.15$174.05RVU22D
2022-07-01$213.15$174.05RVU22C
2022-04-01$213.15$174.05RVU22B
2022-01-01$213.15$174.05RVU22A
2021-10-01$214.49$175.50RVU21D
2021-07-01$214.49$175.50RVU21C
2021-04-01$214.49$175.50RVU21B
2021-01-01$214.49$175.50RVU21A
2020-10-01$208.98$174.36RVU20D
2020-07-01$208.98$174.36RVU20C
2020-04-01$208.98$174.36RVU20B
2020-01-01$208.98$174.36RVU20A
2019-10-01$202.15$169.72RVU19D
2019-07-01$202.15$169.72RVU19C
2019-04-01$202.15$169.72RVU19B
2019-01-01$202.15$169.72RVU19A
2018-10-01$200.30$168.77RVU18D
2018-07-01$200.30$168.77RVU18C
2018-04-01$200.30$168.77RVU18B
2018-01-01$200.30$168.77RVU18AR1
2017-10-01$200.79$169.79RVU17D
2017-07-01$200.79$169.79RVU17C
2017-04-01$200.79$169.79RVU17B
2017-01-01$200.79$169.79RVU17A
2016-10-01$202.66$170.89RVU16D
2016-07-01$202.66$170.89RVU16C
2016-04-01$202.66$170.89RVU16B
2016-01-01$202.66$170.89RVU16A
2015-10-01$204.17$172.72RVU15D
2015-07-01$204.17$172.72RVU15C
2015-04-01$203.16$171.86RVU15B
2015-01-01$203.16$171.86RVU15A
2014-10-01$199.40$168.53RVU14D
2014-07-01$199.40$168.53RVU14C
2014-04-01$199.40$168.53RVU14B
2014-01-01$199.40$168.53RVU14A
2013-10-01$196.70$163.76RVU13D
2013-07-01$196.70$163.76RVU13C
2013-04-01$196.70$163.76RVU13B
2013-01-01$196.70$163.76RVU13AR

Price 36589 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

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 Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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