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

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 Brazoria, TX, Medicare pays $163.63 for 36589 in the office and $122.92 when it’s performed in a hospital or facility.

$163.63Office (non-facility)
$122.92Hospital or facility
−1.6%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 Brazoria, TX
  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 Brazoria, TX 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. Brazoria, TX pays $163.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

36589 in Brazoria, TX vs other payment areas
  1. Brazoria, TX · this page$163.63
  2. Austin, TX · Texas$169.82+$6.19
  3. Beaumont, TX · Texas$158.26−$5.37
  4. Dallas, TX · Texas$165.02+$1.39
  5. Fort Worth, TX · Texas$164.37+$0.74
  6. Galveston, TX · Texas$164.36+$0.73
  7. Houston, TX · Texas$170.76+$7.13

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

Every other payment area

36589 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$161.10$122.11
Los Angeles, CACalifornia$180.18$131.58
Washington, DC areaDistrict of Columbia$185.99$137.59
Miami, FLFlorida$187.51$144.74
Chicago, ILIllinois$182.40$141.11
Manhattan, NYNew York$190.97$143.23
AlaskaAlaska$203.39$159.64
AlabamaAlabama$151.20$115.25

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 Brazoria, TX 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

98

Locality
Brazoria, TX
Physician work
1.008
Practice expense
0.991
Malpractice
0.780
Office calculation for 36589 in Brazoria, TX
ComponentRVULocality factorAdjusted
Physician work2.22× 1.0082.2378
Practice expense2.41× 0.9912.3883
Malpractice0.35× 0.7800.2730
Total RVUs4.8991
Conversion factor× 33.4009

Office rate, Brazoria, TX$163.63

Office: (2.22 × 1.008 + 2.41 × 0.991 + 0.35 × 0.78) × $33.4009 = $163.63

Facility: (2.22 × 1.008 + 1.18 × 0.991 + 0.35 × 0.78) × $33.4009 = $122.92

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, Brazoria, TX
Same family
36590Port removal, tunneled device with portRemoval code for a tunneled central venous access device with a subcutaneous port or pump.$221.08
Used instead
36578Catheter replacement, younger than 5 yearsUse the applicable replacement service when a tunneled catheter is exchanged rather than removed alone.$429.53
36575Catheter repair, tunneled, without port or pumpRepair may be appropriate when a tunneled catheter is repaired and remains in place.$146.18

How 36589 has changed in Brazoria, TX

36589 · Office / nonfacility

$163.63

Effective 2026-10-01

The base rate is $5.59 higher than on 2025-10-01, moving from $158.04 to $163.63 (3.5%).

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

    $158.04changed to$163.63

    • 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 1.014 changed to 1.008
    • Practice expense GPCI 1.006 changed to 0.991
    • Malpractice GPCI 0.795 changed to 0.780

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $162.64changed to$158.04

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $159.99changed to$162.64

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $166.17changed to$159.99

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.31 changed to 2.29
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.014 changed to 1.006
    • Malpractice GPCI 0.673 changed to 0.795

  5. January 1, 2023

    RVU23A

    $170.55changed to$166.17

    • 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 1.032 changed to 1.023
    • Practice expense GPCI 1.023 changed to 1.014
    • Malpractice GPCI 0.550 changed to 0.673

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $171.61changed to$170.55

    • 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

    $171.18changed to$171.61

    • 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 1.026 changed to 1.032
    • Practice expense GPCI 1.010 changed to 1.023
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $169.30changed to$171.18

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.11 changed to 2.16
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 0.997 changed to 1.010
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $168.10changed to$169.30

    • 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

    $168.32changed to$168.10

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.32 changed to 0.31
    • Practice expense GPCI 0.994 changed to 0.997
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $169.61changed to$168.32

    • 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 1.019 changed to 1.020
    • Practice expense GPCI 0.990 changed to 0.994
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $170.57changed to$169.61

    • 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

    $169.72changed to$170.57

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $168.99changed to$169.72

    • 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 1.014 changed to 1.019
    • Practice expense GPCI 0.989 changed to 0.990
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $168.80changed to$168.99

    • 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 1.009 changed to 1.014
    • Practice expense GPCI 0.987 changed to 0.989
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $168.80

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$163.63$122.92RVU26D
2026-07-01$163.63$122.92RVU26C
2026-04-01$163.63$122.92RVU26B
2026-01-01$163.63$122.92RVU26A
2025-10-01$158.04$130.38RVU25D
2025-07-01$158.04$130.38RVU25C
2025-04-01$158.04$130.38RVU25B
2025-01-01$158.04$130.38RVU25A
2024-10-01$162.64$133.17RVU24D
2024-07-01$162.64$133.17RVU24C
2024-04-01$162.64$133.17RVU24B
2024-03-09$162.64$133.17RVU24AR
2024-01-01$159.99$131.00RVU24A
2023-10-01$166.17$135.59RVU23D
2023-07-01$166.17$135.59RVU23C
2023-04-01$166.17$135.59RVU23B
2023-01-01$166.17$135.59RVU23A
2022-10-01$170.55$137.98RVU22D
2022-07-01$170.55$137.98RVU22C
2022-04-01$170.55$137.98RVU22B
2022-01-01$170.55$137.98RVU22A
2021-10-01$171.61$139.12RVU21D
2021-07-01$171.61$139.12RVU21C
2021-04-01$171.61$139.12RVU21B
2021-01-01$171.61$139.12RVU21A
2020-10-01$171.18$142.39RVU20D
2020-07-01$171.18$142.39RVU20C
2020-04-01$171.18$142.39RVU20B
2020-01-01$171.18$142.39RVU20A
2019-10-01$169.30$142.35RVU19D
2019-07-01$169.30$142.35RVU19C
2019-04-01$169.30$142.35RVU19B
2019-01-01$169.30$142.35RVU19A
2018-10-01$168.10$141.90RVU18D
2018-07-01$168.10$141.90RVU18C
2018-04-01$168.10$141.90RVU18B
2018-01-01$168.10$141.90RVU18AR1
2017-10-01$168.32$142.64RVU17D
2017-07-01$168.32$142.64RVU17C
2017-04-01$168.32$142.64RVU17B
2017-01-01$168.32$142.64RVU17A
2016-10-01$169.61$143.38RVU16D
2016-07-01$169.61$143.38RVU16C
2016-04-01$169.61$143.38RVU16B
2016-01-01$169.61$143.38RVU16A
2015-10-01$170.57$144.60RVU15D
2015-07-01$170.57$144.60RVU15C
2015-04-01$169.72$143.88RVU15B
2015-01-01$169.72$143.88RVU15A
2014-10-01$168.99$143.48RVU14D
2014-07-01$168.99$143.48RVU14C
2014-04-01$168.99$143.48RVU14B
2014-01-01$168.99$143.48RVU14A
2013-10-01$168.80$141.60RVU13D
2013-07-01$168.80$141.60RVU13C
2013-04-01$168.80$141.60RVU13B
2013-01-01$168.80$141.60RVU13AR

Price 36589 for an earlier date of service

Where the Brazoria, TX rate applies

Brazoria, TX is a Medicare payment area, not a city. Our Census mapping connects it to 28 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Brazoria
  • Alvin
  • Angleton
  • Bailey's Prairie
  • Bonney
  • Brookside Village
  • Clute
  • Damon

Browse all communities in Texas

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 Brazoria, TXGPCI2026.csv, line 98 (RVU26D)

Open CMS sourceHow we calculate rates

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