CPT code 36592: Catheter blood collection, established venous catheter2026 Medicare rate & RVUs

Reports blood specimen collection through an established venous catheter, commonly a PICC, rather than an implanted access device.

CMS RVU26DEffective Oct 1, 2026109 payment localities4.7K Medicare services in 2024

Medicare pays $33.73 for 36592 nationally in the office. Local office rates run $28.86–$48.34.

Medicare rate · 36592

Catheter blood collection, established venous catheter

Office or facility?

Work RVUs
0
Total RVUs
1.01
Global days
XXX

National rate · 2026

$33.73

Office setting, before claim adjustments.

See every locality for 36592 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 36592 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 36592 covers

Code 36592 covers obtaining a blood specimen through an established central or peripheral venous catheter, commonly a PICC. It represents the collection, not catheter insertion, replacement, or laboratory analysis. A nurse or other qualified clinical staff member may obtain the sample in an outpatient setting; the specimen can then be submitted for ordered testing.

Report 36592 when blood is collected through an established venous catheter, and document the access device and collection method. Use 36591 for collection from a completely implantable venous access device. CMS limits payment for this minor service to a day when no other physician service is billed. CMS identifies 36592 as technical-component-only and notes that a separate code covers interpretation.

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.

Where 36592 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$28.86 to $48.34

$28.86$38.60$48.34
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

36592 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$29.41Unavailable
Alaska$35.76Unavailable
Arizona$32.65Unavailable
Arkansas$28.86Unavailable
Atlanta, GA$34.34Unavailable
Austin, TX$35.63Unavailable
Bakersfield, CA$36.81Unavailable
Baltimore area, MD$36.25Unavailable
Beaumont, TX$30.71Unavailable
Brazoria, TX$33.36Unavailable

36592 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.

$28.86

$42.57

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

View every state and territory as a table
36592 office rate range by state
State / territoryOffice rate rangeLocalities
AK$35.761
AL$29.411
AR$28.861
AZ$32.651
CA$36.79–$48.3429
CO$35.801
CT$36.381
DC$39.721
DE$33.301
FL$32.43–$35.623
GA$30.19–$34.342
GU$38.171
HI$38.171
IA$30.691
ID$30.891
IL$31.02–$34.894
IN$31.121
KS$30.361
KY$30.001
LA$29.88–$31.812
MA$35.44–$40.182
MD$34.11–$39.723
ME$30.94–$33.312
MI$30.87–$32.802
MN$34.471
MO$29.12–$32.133
MS$29.011
MT$33.731
NC$31.381
ND$33.541
NE$30.961
NH$35.061
NJ$36.84–$39.102
NM$31.031
NV$33.711
NY$31.97–$40.335
OH$30.831
OK$30.091
OR$33.50–$37.362
PA$30.98–$35.172
PR$34.101
RI$34.801
SC$31.151
SD$33.511
TN$30.541
TX$30.71–$35.638
UT$31.701
VA$33.07–$39.722
VI$34.101
VT$33.241
WA$35.43–$41.262
WI$32.101
WV$29.501
WY$33.651

How the 36592 rate is calculated

Each of 36592’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 · 36592

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense1.00

1.00 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.0100

Conversion factor

$33.4009

Medicare rate

$33.73

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 36592

The CMS indicators that decide how 36592 is paid alongside other services.

CMS payment indicators · 36592

Catheter blood collection, established venous catheter

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
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/technical3Technical component only.

36592 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 36592

    Catheter blood collection, established venous catheter0 wRVU

    $33.73

  • 36591

    Port blood draw, implantable venous access device0 wRVU

    $30.39−$3.34

  • 36568

    PICC insertion, under 5, no imaging2.06 wRVU

    Not priced

  • 36569

    PICC insertion, age 5 or older, no imaging1.85 wRVU

    Not priced

How to choose

36591Port blood drawImplantable venous access device
36592 is for collection through an established central or peripheral venous catheter. 36591 is for collection from a completely implantable venous access device.
36568PICC insertionUnder 5, no imaging
36568 reports PICC insertion for a patient younger than 5 years without imaging guidance; 36592 reports blood collection through an established catheter.
36569PICC insertionAge 5 or older, no imaging
36569 reports PICC insertion for a patient age 5 years or older without imaging guidance; 36592 reports specimen collection, not catheter placement.

36592 billing questions

When should 36592 be selected instead of 36591?

Use 36592 for collection through an established central or peripheral venous catheter, such as a PICC. Use 36591 for collection from a completely implantable venous access device.

Does 36592 include catheter placement or replacement?

No. It reports blood collection through an established catheter, not placement or replacement.

Can 36592 be paid when another physician service is billed that day?

CMS limits payment for this minor service to a day when no other physician service is billed.

Does 36592 include laboratory testing or interpretation?

It reports specimen collection, not analysis. CMS identifies the code as technical-component-only and notes that a separate code covers interpretation.

What documentation supports reporting 36592?

Document the established venous access device and that the specimen was collected through it.

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 36592PPRRVU2026_Oct_nonQPP.csv, line 4,531 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 36592 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 36592 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist