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

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 Nevada, Medicare pays $222.27 for 36590 in the office and $169.78 when it’s performed in a hospital or facility.

$222.27Office (non-facility)
$169.78Hospital or facility
−1.3%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 Nevada
  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 Nevada 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. Nevada pays $222.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

36590 in Nevada vs other payment areas
  1. Nevada · this page$222.27
  2. Los Angeles, CA · California$242.81+$20.54
  3. Washington, DC area · District of Columbia$251.54+$29.27
  4. Miami, FL · Florida$256.56+$34.29
  5. Chicago, IL · Illinois$249.29+$27.02
  6. Manhattan, NY · New York$259.21+$36.94
  7. Alaska · Alaska$274.53+$52.26

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

Every other payment area

36590 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$204.12$158.24
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

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 Nevada 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

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 36590 in Nevada
ComponentRVULocality factorAdjusted
Physician work3.02× 1.0003.0200
Practice expense3.19× 1.0013.1932
Malpractice0.53× 0.8330.4415
Total RVUs6.6547
Conversion factor× 33.4009

Office rate, Nevada$222.27

Office: (3.02 × 1 + 3.19 × 1.001 + 0.53 × 0.833) × $33.4009 = $222.27

Facility: (3.02 × 1 + 1.62 × 1.001 + 0.53 × 0.833) × $33.4009 = $169.78

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, Nevada
Same family
36589Catheter removal, tunneled catheter, no portRemoval of a tunneled central venous catheter without a subcutaneous port or pump.$164.46
Used instead
36581Catheter replacement, tunneled, without portReplacement of a tunneled central venous access device with a port or pump.$756.11
36595Catheter removal, mechanical, no port or pumpMechanical treatment of obstructive material when preserving the device is the goal.$578.28
36596Catheter declotting, mechanical, thrombotic obstructionMechanical treatment of obstructive material through the device's venous access.$117.05

How 36590 has changed in Nevada

36590 · Office / nonfacility

$222.27

Effective 2026-10-01

The base rate is $10.49 higher than on 2025-10-01, moving from $211.78 to $222.27 (5.0%).

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

    $211.78changed to$222.27

    • 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
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $218.22changed to$211.78

    • 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

    $214.66changed to$218.22

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $227.82changed to$214.66

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.03 changed to 3.00
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $239.42changed to$227.82

    • 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 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $240.12changed to$239.42

    • 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

    $233.95changed to$240.12

    • 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 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $228.63changed to$233.95

    • 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 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $227.94changed to$228.63

    • 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

    $230.54changed to$227.94

    • 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 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $309.42changed to$230.54

    • 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 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $310.14changed to$309.42

    • 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

    $308.59changed to$310.14

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $311.72changed to$308.59

    • 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 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $318.21changed to$311.72

    • 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 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$318.21

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$222.27$169.78RVU26D
2026-07-01$222.27$169.78RVU26C
2026-04-01$222.27$169.78RVU26B
2026-01-01$222.27$169.78RVU26A
2025-10-01$211.78$180.08RVU25D
2025-07-01$211.78$180.08RVU25C
2025-04-01$211.78$180.08RVU25B
2025-01-01$211.78$180.08RVU25A
2024-10-01$218.22$184.27RVU24D
2024-07-01$218.22$184.27RVU24C
2024-04-01$218.22$184.27RVU24B
2024-03-09$218.22$184.27RVU24AR
2024-01-01$214.66$181.26RVU24A
2023-10-01$227.82$192.24RVU23D
2023-07-01$227.82$192.24RVU23C
2023-04-01$227.82$192.24RVU23B
2023-01-01$227.82$192.24RVU23A
2022-10-01$239.42$201.36RVU22D
2022-07-01$239.42$201.36RVU22C
2022-04-01$239.42$201.36RVU22B
2022-01-01$239.42$201.36RVU22A
2021-10-01$240.12$200.69RVU21D
2021-07-01$240.12$200.69RVU21C
2021-04-01$240.12$200.69RVU21B
2021-01-01$240.12$200.69RVU21A
2020-10-01$233.95$201.83RVU20D
2020-07-01$233.95$201.83RVU20C
2020-04-01$233.95$201.83RVU20B
2020-01-01$233.95$201.83RVU20A
2019-10-01$228.63$197.48RVU19D
2019-07-01$228.63$197.48RVU19C
2019-04-01$228.63$197.48RVU19B
2019-01-01$228.63$197.48RVU19A
2018-10-01$227.94$197.92RVU18D
2018-07-01$227.94$197.92RVU18C
2018-04-01$227.94$197.92RVU18B
2018-01-01$227.94$197.92RVU18AR1
2017-10-01$230.54$200.11RVU17D
2017-07-01$230.54$200.11RVU17C
2017-04-01$230.54$200.11RVU17B
2017-01-01$230.54$200.11RVU17A
2016-10-01$309.42$216.85RVU16D
2016-07-01$309.42$216.85RVU16C
2016-04-01$309.42$216.85RVU16B
2016-01-01$309.42$216.85RVU16A
2015-10-01$310.14$217.99RVU15D
2015-07-01$310.14$217.99RVU15C
2015-04-01$308.59$216.90RVU15B
2015-01-01$308.59$216.90RVU15A
2014-10-01$311.72$219.13RVU14D
2014-07-01$311.72$219.13RVU14C
2014-04-01$311.72$219.13RVU14B
2014-01-01$311.72$219.13RVU14A
2013-10-01$318.21$219.22RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 36590 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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 NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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