CPT code 36590: Port removal, tunneled device with port2026 Medicare rate & RVUs in Marin County, CA
Removal of a tunneled central venous access device with an implanted port, reported when the reservoir and catheter are taken out.
In Marin County, CA, Medicare pays $268.81 for 36590 in the office and $194.87 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36590 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 36590 covers
This service removes an implanted central venous access device that has a subcutaneous port or pump connected to a tunneled catheter. The clinician opens the port pocket, frees and removes the reservoir and catheter, and closes the incision. It is commonly performed by a surgeon or interventional radiologist when a port is no longer needed after treatment, or when the device requires removal because of a clinical problem. Procedures may take place in a hospital, ambulatory surgery center, or office setting.
Report 36590 when the port or pump and its tunneled catheter are removed; 36589 is for a tunneled catheter without a subcutaneous port or pump. Documentation should identify the device removed and support the reason for removal. The service has 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 the others are subject to the standard multiple-procedure reduction. An assistant at surgery is paid only when medical necessity is documented; 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 Marin County, CA compares for 36590
Across 109 of 109 payment localities, the office rate for 36590 runs from $201.51 in Arkansas to $275.10 in San Benito County, CA. Marin County, CA pays $268.81. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Marin County, CA · this page$268.81
- Bakersfield, CA · California$230.35−$38.46
- Chico, CA · California$228.85−$39.96
- El Centro, CA · California$228.94−$39.87
- Fresno, CA · California$228.85−$39.96
- Hanford, CA · California$228.85−$39.96
- Los Angeles, CA · California$242.81−$26.00
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $228.85 | $171.38 |
| Merced, CACalifornia | $228.85 | $171.38 |
| Modesto, CACalifornia | $228.85 | $171.38 |
| Napa, CACalifornia | $256.65 | $187.53 |
| Oxnard, CACalifornia | $240.66 | $178.68 |
| Redding, CACalifornia | $228.85 | $171.38 |
| Rest of CaliforniaCalifornia | $228.85 | $171.38 |
| Riverside, CACalifornia | $234.56 | $177.09 |
| Sacramento, CACalifornia | $237.91 | $176.92 |
| Salinas, CACalifornia | $236.98 | $176.20 |
| San Diego, CACalifornia | $240.92 | $178.21 |
| San Francisco, CACalifornia | $268.21 | $194.27 |
| San Benito County, CACalifornia | $275.10 | $199.48 |
| Santa Clara County, CACalifornia | $272.64 | $197.02 |
| San Luis Obispo, CACalifornia | $233.43 | $173.70 |
| Santa Cruz, CACalifornia | $241.93 | $178.22 |
| Santa Maria, CACalifornia | $237.42 | $176.28 |
| Santa Rosa, CACalifornia | $244.23 | $179.83 |
| Stockton, CACalifornia | $228.85 | $171.38 |
| Vallejo, CACalifornia | $255.78 | $186.67 |
| Visalia, CACalifornia | $228.85 | $171.38 |
| Yuba City, CACalifornia | $228.85 | $171.38 |
| Washington, DC areaDistrict of Columbia | $251.54 | $189.76 |
| Miami, FLFlorida | $256.56 | $201.97 |
| Chicago, ILIllinois | $249.29 | $196.58 |
| Manhattan, NYNew York | $259.21 | $198.28 |
| AlaskaAlaska | $274.53 | $218.69 |
| AlabamaAlabama | $204.12 | $158.24 |
| ArkansasArkansas | $201.51 | $156.47 |
| ArizonaArizona | $219.27 | $168.46 |
| ColoradoColorado | $229.27 | $173.48 |
| ConnecticutConnecticut | $239.06 | $182.58 |
| DelawareDelaware | $222.56 | $170.75 |
| Fort Lauderdale, FLFlorida | $240.81 | $187.69 |
| Rest of FloridaFlorida | $229.34 | $179.21 |
| Atlanta, GAGeorgia | $230.69 | $177.41 |
| Rest of GeorgiaGeorgia | $217.01 | $170.24 |
| Hawaii, Guam, HIHawaii | $232.27 | $172.64 |
| IowaIowa | $205.39 | $157.41 |
| IdahoIdaho | $207.27 | $159.02 |
| East St. Louis, ILIllinois | $234.55 | $186.30 |
| Rest of IllinoisIllinois | $225.82 | $177.94 |
| Suburban Chicago, ILIllinois | $242.37 | $188.52 |
| IndianaIndiana | $208.24 | $159.63 |
| KansasKansas | $206.11 | $158.71 |
| KentuckyKentucky | $211.79 | $165.17 |
| New Orleans, LALouisiana | $221.24 | $171.90 |
| Rest of LouisianaLouisiana | $212.13 | $165.72 |
| Metropolitan Boston, MAMassachusetts | $247.98 | $185.37 |
| Rest of MassachusettsMassachusetts | $228.79 | $173.57 |
| Baltimore area, MDMaryland | $238.71 | $182.44 |
| Rest of MarylandMaryland | $225.96 | $172.89 |
| Rest of MaineMaine | $209.91 | $161.66 |
| Southern Maine, MEMaine | $217.63 | $165.66 |
| Detroit, MIMichigan | $233.54 | $182.93 |
| Rest of MichiganMichigan | $218.14 | $170.26 |
| MinnesotaMinnesota | $215.75 | $161.79 |
| Metropolitan Kansas City, MOMissouri | $218.22 | $168.97 |
| Metropolitan St. Louis, MOMissouri | $220.04 | $170.12 |
| Rest of MissouriMissouri | $209.96 | $164.76 |
| MississippiMississippi | $205.69 | $160.54 |
| MontanaMontana | $225.09 | $172.65 |
| North CarolinaNorth Carolina | $211.59 | $162.67 |
| North DakotaNorth Dakota | $214.61 | $162.17 |
| NebraskaNebraska | $205.91 | $157.51 |
| New HampshireNew Hampshire | $227.28 | $172.69 |
| Northern New JerseyNew Jersey | $249.73 | $188.90 |
| Rest of New JerseyNew Jersey | $240.68 | $183.41 |
| New MexicoNew Mexico | $219.84 | $171.75 |
| NevadaNevada | $222.27 | $169.78 |
| NYC suburbs and Long Island, NYNew York | $266.89 | $204.54 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $243.50 | $186.08 |
| Queens, NYNew York | $258.79 | $196.81 |
| Rest of New YorkNew York | $214.54 | $164.72 |
| OhioOhio | $215.99 | $168.12 |
| OklahomaOklahoma | $209.77 | $162.95 |
| Portland, OROregon | $234.03 | $175.77 |
| Rest of OregonOregon | $219.44 | $167.21 |
| Metropolitan Philadelphia, PAPennsylvania | $234.72 | $180.13 |
| Rest of PennsylvaniaPennsylvania | $215.41 | $167.27 |
| Puerto RicoPuerto Rico | $226.03 | $173.01 |
| Rhode IslandRhode Island | $228.64 | $174.47 |
| South CarolinaSouth Carolina | $214.37 | $165.91 |
| South DakotaSouth Dakota | $213.37 | $160.93 |
| TennesseeTennessee | $207.23 | $159.56 |
| Austin, TXTexas | $229.49 | $174.00 |
| Beaumont, TXTexas | $214.28 | $166.56 |
| Brazoria, TXTexas | $221.08 | $169.11 |
| Dallas, TXTexas | $223.09 | $170.86 |
| Fort Worth, TXTexas | $222.25 | $170.55 |
| Galveston, TXTexas | $222.14 | $170.07 |
| Houston, TXTexas | $231.84 | $179.77 |
| Rest of TexasTexas | $217.97 | $168.21 |
| UtahUtah | $216.92 | $167.63 |
| VirginiaVirginia | $218.11 | $166.56 |
| Virgin Islands, VIUnited States Virgin Islands | $226.03 | $173.01 |
| VermontVermont | $215.31 | $163.40 |
| Rest of WashingtonWashington | $227.85 | $172.63 |
| King County, WAWashington | $251.11 | $186.77 |
| WisconsinWisconsin | $208.40 | $158.16 |
| West VirginiaWest Virginia | $218.79 | $173.22 |
| WyomingWyoming | $220.52 | $168.08 |
36590 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$201.51
$274.53
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $274.53 | 1 |
| AL | $204.12 | 1 |
| AR | $201.51 | 1 |
| AZ | $219.27 | 1 |
| CA | $228.85–$275.10 | 29 |
| CO | $229.27 | 1 |
| CT | $239.06 | 1 |
| DC | $251.54 | 1 |
| DE | $222.56 | 1 |
| FL | $229.34–$256.56 | 3 |
| GA | $217.01–$230.69 | 2 |
| GU | $232.27 | 1 |
| HI | $232.27 | 1 |
| IA | $205.39 | 1 |
| ID | $207.27 | 1 |
| IL | $225.82–$249.29 | 4 |
| IN | $208.24 | 1 |
| KS | $206.11 | 1 |
| KY | $211.79 | 1 |
| LA | $212.13–$221.24 | 2 |
| MA | $228.79–$247.98 | 2 |
| MD | $225.96–$251.54 | 3 |
| ME | $209.91–$217.63 | 2 |
| MI | $218.14–$233.54 | 2 |
| MN | $215.75 | 1 |
| MO | $209.96–$220.04 | 3 |
| MS | $205.69 | 1 |
| MT | $225.09 | 1 |
| NC | $211.59 | 1 |
| ND | $214.61 | 1 |
| NE | $205.91 | 1 |
| NH | $227.28 | 1 |
| NJ | $240.68–$249.73 | 2 |
| NM | $219.84 | 1 |
| NV | $222.27 | 1 |
| NY | $214.54–$266.89 | 5 |
| OH | $215.99 | 1 |
| OK | $209.77 | 1 |
| OR | $219.44–$234.03 | 2 |
| PA | $215.41–$234.72 | 2 |
| PR | $226.03 | 1 |
| RI | $228.64 | 1 |
| SC | $214.37 | 1 |
| SD | $213.37 | 1 |
| TN | $207.23 | 1 |
| TX | $214.28–$231.84 | 8 |
| UT | $216.92 | 1 |
| VA | $218.11–$251.54 | 2 |
| VI | $226.03 | 1 |
| VT | $215.31 | 1 |
| WA | $227.85–$251.11 | 2 |
| WI | $208.40 | 1 |
| WV | $218.79 | 1 |
| WY | $220.52 | 1 |
How the 36590 rate is calculated
Each of 36590’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 · 36590
RVUs × geographic indexes × conversion factor
Work3.02
3.02 RVUs× 1.000 GPCI
Practice expense3.19
3.19 RVUs× 1.000 GPCI
Malpractice0.53
0.53 RVUs× 1.000 GPCI
Adjusted RVUs
6.7400
Conversion factor
$33.4009
Medicare rate
$225.12
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Marin County, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,529
- Code
- 36590
- Physician work
- 3.02
- Practice expense
- 3.19
- Malpractice
- 0.53
GPCI2026.csv
25
- Locality
- Marin County, CA
- Physician work
- 1.095
- Practice expense
- 1.410
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.02 | × 1.095 | 3.3069 |
| Practice expense | 3.19 | × 1.410 | 4.4979 |
| Malpractice | 0.53 | × 0.459 | 0.2433 |
| Total RVUs | 8.0481 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Marin County, CA$268.81
Office: (3.02 × 1.095 + 3.19 × 1.41 + 0.53 × 0.459) × $33.4009 = $268.81
Facility: (3.02 × 1.095 + 1.62 × 1.41 + 0.53 × 0.459) × $33.4009 = $194.87
Payment rules and modifiers for 36590
36590 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 36590
Port removal, tunneled device with port
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 36590
Port removal, tunneled device with 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.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
36590 without 51 · national office
$225.12
Port removal, tunneled device with port
36590-51 · Second procedure: 50%
$112.56
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%).
How 36590 has changed in Marin County, CA
36590 · Office / nonfacility
$268.81
Effective 2026-10-01
The base rate is $13.96 higher than on 2025-10-01, moving from $254.85 to $268.81 (5.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$254.85changed to$268.81
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.10 changed to 3.02
- Practice expense RVU 3.00 changed to 3.19
- Work GPCI 1.088 changed to 1.095
- Practice expense GPCI 1.419 changed to 1.410
- Malpractice GPCI 0.470 changed to 0.459
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$262.43changed to$254.85
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.54 changed to 0.53
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$258.14changed to$262.43
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$263.66changed to$258.14
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 3.03 changed to 3.00
- Work GPCI 1.082 changed to 1.088
- Practice expense GPCI 1.374 changed to 1.419
- Malpractice GPCI 0.487 changed to 0.470
January 1, 2023
RVU23A
$265.87changed to$263.66
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 3.06 changed to 3.03
- Malpractice RVU 0.55 changed to 0.54
- Work GPCI 1.077 changed to 1.082
- Practice expense GPCI 1.329 changed to 1.374
- Malpractice GPCI 0.504 changed to 0.487
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$264.69changed to$265.87
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.05 changed to 3.06
- Malpractice RVU 0.53 changed to 0.55
- Work GPCI 1.071 changed to 1.077
- Practice expense GPCI 1.311 changed to 1.329
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$258.25changed to$264.69
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.76 changed to 3.05
- Malpractice RVU 0.54 changed to 0.53
- Work GPCI 1.068 changed to 1.071
- Practice expense GPCI 1.299 changed to 1.311
- Malpractice GPCI 0.481 changed to 0.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$253.82changed to$258.25
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.71 changed to 2.76
- Malpractice RVU 0.53 changed to 0.54
- Work GPCI 1.065 changed to 1.068
- Practice expense GPCI 1.291 changed to 1.299
- Malpractice GPCI 0.458 changed to 0.481
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$250.98changed to$253.82
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.68 changed to 2.71
- Malpractice RVU 0.55 changed to 0.53
- Work GPCI 1.062 changed to 1.065
- Practice expense GPCI 1.279 changed to 1.291
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$250.00changed to$250.98
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.69 changed to 2.68
- Malpractice RVU 0.56 changed to 0.55
- Work GPCI 1.058 changed to 1.062
- Practice expense GPCI 1.271 changed to 1.279
- Malpractice GPCI 0.477 changed to 0.458
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$250.00
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $268.81 | $194.87 | RVU26D |
| 2026-07-01 | $268.81 | $194.87 | RVU26C |
| 2026-04-01 | $268.81 | $194.87 | RVU26B |
| 2026-01-01 | $268.81 | $194.87 | RVU26A |
| 2025-10-01 | $254.85 | $209.87 | RVU25D |
| 2025-07-01 | $254.85 | $209.87 | RVU25C |
| 2025-04-01 | $254.85 | $209.87 | RVU25B |
| 2025-01-01 | $254.85 | $209.87 | RVU25A |
| 2024-10-01 | $262.43 | $214.25 | RVU24D |
| 2024-07-01 | $262.43 | $214.25 | RVU24C |
| 2024-04-01 | $262.43 | $214.25 | RVU24B |
| 2024-03-09 | $262.43 | $214.25 | RVU24AR |
| 2024-01-01 | $258.14 | $210.75 | RVU24A |
| 2023-10-01 | $263.66 | $214.77 | RVU23D |
| 2023-07-01 | $263.66 | $214.77 | RVU23C |
| 2023-04-01 | $263.66 | $214.77 | RVU23B |
| 2023-01-01 | $263.66 | $214.77 | RVU23A |
| 2022-10-01 | $265.87 | $215.28 | RVU22D |
| 2022-07-01 | $265.87 | $215.28 | RVU22C |
| 2022-04-01 | $265.87 | $215.28 | RVU22B |
| 2022-01-01 | $265.87 | $215.28 | RVU22A |
| 2021-10-01 | $264.69 | $213.00 | RVU21D |
| 2021-07-01 | $264.69 | $213.00 | RVU21C |
| 2021-04-01 | $264.69 | $213.00 | RVU21B |
| 2021-01-01 | $264.69 | $213.00 | RVU21A |
| 2020-10-01 | $258.25 | $216.53 | RVU20D |
| 2020-07-01 | $258.25 | $216.53 | RVU20C |
| 2020-04-01 | $258.25 | $216.53 | RVU20B |
| 2020-01-01 | $258.25 | $216.53 | RVU20A |
| 2019-10-01 | $253.82 | $214.27 | RVU19D |
| 2019-07-01 | $253.82 | $214.27 | RVU19C |
| 2019-04-01 | $253.82 | $214.27 | RVU19B |
| 2019-01-01 | $253.82 | $214.27 | RVU19A |
| 2018-10-01 | $250.98 | $213.23 | RVU18D |
| 2018-07-01 | $250.98 | $213.23 | RVU18C |
| 2018-04-01 | $250.98 | $213.23 | RVU18B |
| 2018-01-01 | $250.98 | $213.23 | RVU18AR1 |
| 2017-10-01 | $250.00 | $212.59 | RVU17D |
| 2017-07-01 | $250.00 | $212.59 | RVU17C |
| 2017-04-01 | $250.00 | $212.59 | RVU17B |
| 2017-01-01 | $250.00 | $212.59 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Marin County, CA rate applies
Marin County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Alto
- Belvedere
- Black Point-Green Point
- Bolinas
- Corte Madera
- Dillon Beach
- Fairfax
- Inverness
36590 billing questions
How do I choose between 36590 and 36589?
Use 36590 when the removed tunneled device includes a subcutaneous port or pump. Use 36589 for removal of a tunneled central venous catheter without a port or pump.
Does 36590 cover removal of both the port and catheter?
Yes. The service is removal of the port or pump together with its tunneled catheter; do not report 36589 for the catheter portion of the same device removal.
Should I report 36590 when the port is replaced?
When the service is replacement of a tunneled central venous access device with a port or pump, consider the applicable replacement code, such as 36581, rather than reporting removal alone.
Can an assistant surgeon be reported?
Medicare payment for an assistant at surgery is limited to cases with documented medical necessity. Co-surgeons and team surgery are not permitted for this code.
What postoperative care is included?
Related postoperative visits for 10 days are included in the global period. The record should support the device removed and the clinical reason for removal.
What if the goal is to clear an obstruction but keep the device?
Mechanical removal of obstructive material from a central venous device is a different service from removing the port and catheter. Codes 36595 and 36596 describe that type of intervention.
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
Fee sheets · Coming soon
Put 36590 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist