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CPT code 36590: Port removal, tunneled device with port2026 Medicare rate & RVUs in Washington, DC area

Removal of a tunneled central venous access device with an implanted port, reported when the reservoir and catheter are taken out.

CMS RVU26DEffective Oct 1, 2026One payment locality45.8K Medicare services in 2024

In Washington, DC area, Medicare pays $251.54 for 36590 in the office and $189.76 when it’s performed in a hospital or facility.

$251.54Office (non-facility)
$189.76Hospital or facility
+11.7%vs the national office rate ($225.12)

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.

We’ll open 36590 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 36590 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 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 Washington, DC area 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. Washington, DC area pays $251.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

36590 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$251.54
  2. Los Angeles, CA · California$242.81−$8.73
  3. Miami, FL · Florida$256.56+$5.02
  4. Chicago, IL · Illinois$249.29−$2.25
  5. Manhattan, NY · New York$259.21+$7.67
  6. Alaska · Alaska$274.53+$22.99
  7. Alabama · Alabama$204.12−$47.42

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

Every other payment area

36590 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$201.51$156.47
ArizonaArizona$219.27$168.46
Bakersfield, CACalifornia$230.35$172.87
Chico, CACalifornia$228.85$171.38
El Centro, CACalifornia$228.94$171.47
Fresno, CACalifornia$228.85$171.38
Hanford, CACalifornia$228.85$171.38
Madera, CACalifornia$228.85$171.38

36590 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.

$201.51

$274.53

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

View every state and territory as a table
36590 office rate range by state
State / territoryOffice rate rangeLocalities
AK$274.531
AL$204.121
AR$201.511
AZ$219.271
CA$228.85–$275.1029
CO$229.271
CT$239.061
DC$251.541
DE$222.561
FL$229.34–$256.563
GA$217.01–$230.692
GU$232.271
HI$232.271
IA$205.391
ID$207.271
IL$225.82–$249.294
IN$208.241
KS$206.111
KY$211.791
LA$212.13–$221.242
MA$228.79–$247.982
MD$225.96–$251.543
ME$209.91–$217.632
MI$218.14–$233.542
MN$215.751
MO$209.96–$220.043
MS$205.691
MT$225.091
NC$211.591
ND$214.611
NE$205.911
NH$227.281
NJ$240.68–$249.732
NM$219.841
NV$222.271
NY$214.54–$266.895
OH$215.991
OK$209.771
OR$219.44–$234.032
PA$215.41–$234.722
PR$226.031
RI$228.641
SC$214.371
SD$213.371
TN$207.231
TX$214.28–$231.848
UT$216.921
VA$218.11–$251.542
VI$226.031
VT$215.311
WA$227.85–$251.112
WI$208.401
WV$218.791
WY$220.521

See 36590 in every payment locality

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

Office or facility?

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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 36590 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work3.02× 1.0543.1831
Practice expense3.19× 1.1783.7578
Malpractice0.53× 1.1130.5899
Total RVUs7.5308
Conversion factor× 33.4009

Office rate, Washington, DC area$251.54

Office: (3.02 × 1.054 + 3.19 × 1.178 + 0.53 × 1.113) × $33.4009 = $251.54

Facility: (3.02 × 1.054 + 1.62 × 1.178 + 0.53 × 1.113) × $33.4009 = $189.76

Open 36590 in the RVU calculator

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

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 · 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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

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%).

When to use modifier 51

Codes related to 36590

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

Codes related to 36590
CodeHow it relatesOffice range, Washington, DC area
Same family
36589Catheter removal, tunneled catheter, no portRemoval of a tunneled central venous catheter without a subcutaneous port or pump.$185.99
Used instead
36581Catheter replacement, tunneled, without portReplacement of a tunneled central venous access device with a port or pump.$878.79
36595Catheter removal, mechanical, no port or pumpMechanical treatment of obstructive material when preserving the device is the goal.$668.04
36596Catheter declotting, mechanical, thrombotic obstructionMechanical treatment of obstructive material through the device's venous access.$135.24

How 36590 has changed in Washington, DC area

36590 · Office / nonfacility

$251.54

Effective 2026-10-01

The base rate is $9.86 higher than on 2025-10-01, moving from $241.68 to $251.54 (4.1%).

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

    $241.68changed to$251.54

    • 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 1.057 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

    $249.10changed to$241.68

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.54 changed to 0.53

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $245.04changed to$249.10

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $258.11changed to$245.04

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.03 changed to 3.00
    • 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

    $268.59changed to$258.11

    • 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 1.054 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

    $269.48changed to$268.59

    • 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

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $263.87changed to$269.48

    • 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 1.049 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

    $258.52changed to$263.87

    • 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 1.045 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

    $257.85changed to$258.52

    • 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

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $258.47changed to$257.85

    • 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 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $346.04changed to$258.47

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 3.35 changed to 3.10
    • Practice expense RVU 4.44 changed to 2.69
    • Malpractice RVU 0.62 changed to 0.56
    • 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

    $346.88changed to$346.04

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.42 changed to 4.44
    • Malpractice RVU 0.63 changed to 0.62

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $345.15changed to$346.88

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $343.09changed to$345.15

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.44 changed to 4.42
    • Malpractice RVU 0.60 changed to 0.63
    • 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

    $345.14changed to$343.09

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.94 changed to 4.44
    • Malpractice RVU 0.63 changed to 0.60
    • 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: $345.14

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$251.54$189.76RVU26D
2026-07-01$251.54$189.76RVU26C
2026-04-01$251.54$189.76RVU26B
2026-01-01$251.54$189.76RVU26A
2025-10-01$241.68$203.90RVU25D
2025-07-01$241.68$203.90RVU25C
2025-04-01$241.68$203.90RVU25B
2025-01-01$241.68$203.90RVU25A
2024-10-01$249.10$208.63RVU24D
2024-07-01$249.10$208.63RVU24C
2024-04-01$249.10$208.63RVU24B
2024-03-09$249.10$208.63RVU24AR
2024-01-01$245.04$205.23RVU24A
2023-10-01$258.11$214.91RVU23D
2023-07-01$258.11$214.91RVU23C
2023-04-01$258.11$214.91RVU23B
2023-01-01$258.11$214.91RVU23A
2022-10-01$268.59$221.54RVU22D
2022-07-01$268.59$221.54RVU22C
2022-04-01$268.59$221.54RVU22B
2022-01-01$268.59$221.54RVU22A
2021-10-01$269.48$220.75RVU21D
2021-07-01$269.48$220.75RVU21C
2021-04-01$269.48$220.75RVU21B
2021-01-01$269.48$220.75RVU21A
2020-10-01$263.87$224.65RVU20D
2020-07-01$263.87$224.65RVU20C
2020-04-01$263.87$224.65RVU20B
2020-01-01$263.87$224.65RVU20A
2019-10-01$258.52$221.61RVU19D
2019-07-01$258.52$221.61RVU19C
2019-04-01$258.52$221.61RVU19B
2019-01-01$258.52$221.61RVU19A
2018-10-01$257.85$222.27RVU18D
2018-07-01$257.85$222.27RVU18C
2018-04-01$257.85$222.27RVU18B
2018-01-01$257.85$222.27RVU18AR1
2017-10-01$258.47$223.01RVU17D
2017-07-01$258.47$223.01RVU17C
2017-04-01$258.47$223.01RVU17B
2017-01-01$258.47$223.01RVU17A
2016-10-01$346.04$239.90RVU16D
2016-07-01$346.04$239.90RVU16C
2016-04-01$346.04$239.90RVU16B
2016-01-01$346.04$239.90RVU16A
2015-10-01$346.88$241.23RVU15D
2015-07-01$346.88$241.23RVU15C
2015-04-01$345.15$240.03RVU15B
2015-01-01$345.15$240.03RVU15A
2014-10-01$343.09$237.59RVU14D
2014-07-01$343.09$237.59RVU14C
2014-04-01$343.09$237.59RVU14B
2014-01-01$343.09$237.59RVU14A
2013-10-01$345.14$233.05RVU13D
2013-07-01$345.14$233.05RVU13C
2013-04-01$345.14$233.05RVU13B
2013-01-01$345.14$233.05RVU13AR

Price 36590 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

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
RVUs for 36590PPRRVU2026_Oct_nonQPP.csv, line 4,529 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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