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

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

CMS RVU26DEffective Oct 1, 202629 payment localities4.7K Medicare services in 2024

Medicare pays $36.79–$48.34 for 36592 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.

$36.79–$48.34Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in California
  2. What 36592 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. 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 in California

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

29 payment localities

$36.79 to $48.34

$36.79$42.56$48.34
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

29 of 29 payment localities

36592 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CA$36.81Unavailable
Chico, CA$36.79Unavailable
El Centro, CA$36.79Unavailable
Fresno, CA$36.79Unavailable
Hanford, CA$36.79Unavailable
Los Angeles, CA$39.74Unavailable
Madera, CA$36.79Unavailable
Marin County, CA$47.25Unavailable
Merced, CA$36.79Unavailable
Modesto, CA$36.79Unavailable

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

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