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

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

CMS RVU26DEffective Oct 1, 2026One payment locality4.7K Medicare services in 2024

In Washington, DC area, Medicare pays $39.72 for 36592 in the office.

$39.72Office (non-facility)
Not available in this settingHospital or facility
+17.8%vs the national office rate ($33.73)

Check a contract rate as a % of Medicare · 36592 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 36592 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 36592 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 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.

How Washington, DC area compares for 36592

Across 109 of 109 payment localities, the office rate for 36592 runs from $28.86 in Arkansas to $48.34 in San Benito County, CA. Washington, DC area pays $39.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

36592 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$39.72
  2. Los Angeles, CA · California$39.74+$0.02
  3. Miami, FL · Florida$35.62−$4.10
  4. Chicago, IL · Illinois$34.33−$5.39
  5. Manhattan, NY · New York$39.34−$0.38
  6. Alaska · Alaska$35.76−$3.96
  7. Alabama · Alabama$29.41−$10.31

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

Every other payment area

36592 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$28.86—
ArizonaArizona$32.65—
Bakersfield, CACalifornia$36.81—
Chico, CACalifornia$36.79—
El Centro, CACalifornia$36.79—
Fresno, CACalifornia$36.79—
Hanford, CACalifornia$36.79—
Madera, CACalifornia$36.79—

36592 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.

$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

See 36592 in every payment locality

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.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,531

Code
36592
Physician work
0.00
Practice expense
1.00
Malpractice
0.01

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 36592 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0540.0000
Practice expense1.00× 1.1781.1780
Malpractice0.01× 1.1130.0111
Total RVUs1.1891
Conversion factor× 33.4009

Office rate, Washington, DC area$39.72

Office: (0 × 1.054 + 1 × 1.178 + 0.01 × 1.113) × $33.4009 = $39.72

Open 36592 in the RVU calculator

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.

Codes related to 36592

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

Codes related to 36592
CodeHow it relatesOffice range, Washington, DC area
Used instead
36591Port blood draw, implantable venous access deviceUse for specimen collection from a completely implantable venous access device.$35.78

How 36592 has changed in Washington, DC area

36592 · Office / nonfacility

$39.72

Effective 2026-10-01

The base rate is $5.41 higher than on 2025-10-01, moving from $34.31 to $39.72 (15.8%).

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

    $34.31changed to$39.72

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.88 changed to 1.00
    • 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

    $35.70changed to$34.31

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.89 changed to 0.88

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $35.12changed to$35.70

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $35.80changed to$35.12

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.86 changed to 0.89
    • 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

    $37.66changed to$35.80

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.87 changed to 0.86
    • 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

    $37.54changed to$37.66

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.86 changed to 0.87

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $34.83changed to$37.54

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.78 changed to 0.86
    • 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

    $33.46changed to$34.83

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.76 changed to 0.78
    • 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

    $32.99changed to$33.46

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.75 changed to 0.76

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $32.46changed to$32.99

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.74 changed to 0.75
    • 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

    $31.95changed to$32.46

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.73 changed to 0.74
    • 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

    $32.07changed to$31.95

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $31.91changed to$32.07

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $31.43changed to$31.91

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.72 changed to 0.73
    • 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

    $32.99changed to$31.43

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.80 changed to 0.72
    • 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: $32.99

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$39.72Not available in this settingRVU26D
2026-07-01$39.72Not available in this settingRVU26C
2026-04-01$39.72Not available in this settingRVU26B
2026-01-01$39.72Not available in this settingRVU26A
2025-10-01$34.31Not available in this settingRVU25D
2025-07-01$34.31Not available in this settingRVU25C
2025-04-01$34.31Not available in this settingRVU25B
2025-01-01$34.31Not available in this settingRVU25A
2024-10-01$35.70Not available in this settingRVU24D
2024-07-01$35.70Not available in this settingRVU24C
2024-04-01$35.70Not available in this settingRVU24B
2024-03-09$35.70Not available in this settingRVU24AR
2024-01-01$35.12Not available in this settingRVU24A
2023-10-01$35.80Not available in this settingRVU23D
2023-07-01$35.80Not available in this settingRVU23C
2023-04-01$35.80Not available in this settingRVU23B
2023-01-01$35.80Not available in this settingRVU23A
2022-10-01$37.66Not available in this settingRVU22D
2022-07-01$37.66Not available in this settingRVU22C
2022-04-01$37.66Not available in this settingRVU22B
2022-01-01$37.66Not available in this settingRVU22A
2021-10-01$37.54Not available in this settingRVU21D
2021-07-01$37.54Not available in this settingRVU21C
2021-04-01$37.54Not available in this settingRVU21B
2021-01-01$37.54Not available in this settingRVU21A
2020-10-01$34.83Not available in this settingRVU20D
2020-07-01$34.83Not available in this settingRVU20C
2020-04-01$34.83Not available in this settingRVU20B
2020-01-01$34.83Not available in this settingRVU20A
2019-10-01$33.46Not available in this settingRVU19D
2019-07-01$33.46Not available in this settingRVU19C
2019-04-01$33.46Not available in this settingRVU19B
2019-01-01$33.46Not available in this settingRVU19A
2018-10-01$32.99Not available in this settingRVU18D
2018-07-01$32.99Not available in this settingRVU18C
2018-04-01$32.99Not available in this settingRVU18B
2018-01-01$32.99Not available in this settingRVU18AR1
2017-10-01$32.46Not available in this settingRVU17D
2017-07-01$32.46Not available in this settingRVU17C
2017-04-01$32.46Not available in this settingRVU17B
2017-01-01$32.46Not available in this settingRVU17A
2016-10-01$31.95Not available in this settingRVU16D
2016-07-01$31.95Not available in this settingRVU16C
2016-04-01$31.95Not available in this settingRVU16B
2016-01-01$31.95Not available in this settingRVU16A
2015-10-01$32.07Not available in this settingRVU15D
2015-07-01$32.07Not available in this settingRVU15C
2015-04-01$31.91Not available in this settingRVU15B
2015-01-01$31.91Not available in this settingRVU15A
2014-10-01$31.43Not available in this settingRVU14D
2014-07-01$31.43Not available in this settingRVU14C
2014-04-01$31.43Not available in this settingRVU14B
2014-01-01$31.43Not available in this settingRVU14A
2013-10-01$32.99Not available in this settingRVU13D
2013-07-01$32.99Not available in this settingRVU13C
2013-04-01$32.99Not available in this settingRVU13B
2013-01-01$32.99Not available in this settingRVU13AR

Price 36592 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

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)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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