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CPT code 36595: Catheter removal, mechanical, no port or pump2026 Medicare rate & RVUs in Delaware

Report 36595 when a tunneled central venous catheter without an implanted port or pump requires mechanical extraction rather than routine removal.

CMS RVU26DEffective Oct 1, 2026One payment locality991 Medicare services in 2024

In Delaware, Medicare pays $573.95 for 36595 in the office and $156.50 when it’s performed in a hospital or facility.

$573.95Office (non-facility)
$156.50Hospital or facility
−1.1%vs the national office rate ($580.17)

Check a contract rate as a % of Medicare · 36595 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 36595 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 36595 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 36595 covers

This service covers mechanically extracting a tunneled central venous catheter that cannot be removed by ordinary traction. It is commonly performed by an interventional radiologist or another physician experienced in vascular access procedures, often in a hospital or outpatient procedural setting. The code is for a catheter without a subcutaneous port or pump; it is distinct from routine removal of a freely withdrawable line and from removal of an implanted port system.

Select 36595 when the record supports mechanical extraction of the tunneled catheter, including the reason routine removal was not suitable and the technique used. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate for this device-removal service. Medicare does not pay an assistant at surgery for this code; 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 Delaware compares for 36595

Across 109 of 109 payment localities, the office rate for 36595 runs from $510.03 in Arkansas to $785.09 in San Benito County, CA. Delaware pays $573.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

36595 in Delaware vs other payment areas
  1. Delaware · this page$573.95
  2. Los Angeles, CA · California$662.46+$88.51
  3. Washington, DC area · District of Columbia$668.04+$94.09
  4. Miami, FL · Florida$620.04+$46.09
  5. Chicago, IL · Illinois$601.40+$27.45
  6. Manhattan, NY · New York$668.65+$94.70
  7. Alaska · Alaska$661.53+$87.58

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

Every other payment area

36595 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$517.93$148.22
ArkansasArkansas$510.03$147.08
ArizonaArizona$564.23$154.80
Bakersfield, CACalifornia$620.04$156.95
Chico, CACalifornia$618.78$155.70
El Centro, CACalifornia$618.85$155.77
Fresno, CACalifornia$618.78$155.70
Hanford, CACalifornia$618.78$155.70

36595 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.

$510.03

$701.94

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

View every state and territory as a table
36595 office rate range by state
State / territoryOffice rate rangeLocalities
AK$661.531
AL$517.931
AR$510.031
AZ$564.231
CA$618.78–$785.0929
CO$607.261
CT$620.051
DC$668.041
DE$573.951
FL$567.46–$620.043
GA$534.35–$590.532
GU$635.811
HI$635.811
IA$533.531
ID$536.841
IL$548.99–$603.954
IN$540.171
KS$530.091
KY$529.121
LA$527.92–$555.582
MA$603.01–$670.582
MD$585.58–$668.043
ME$538.93–$570.952
MI$542.90–$574.072
MN$583.331
MO$517.81–$558.643
MS$514.071
MT$580.151
NC$545.011
ND$571.841
NE$536.861
NH$596.841
NJ$627.54–$660.372
NM$545.711
NV$578.281
NY$553.55–$684.585
OH$541.201
OK$528.981
OR$574.21–$628.322
PA$542.56–$603.402
PR$584.901
RI$595.701
SC$543.931
SD$570.861
TN$532.801
TX$538.75–$604.868
UT$551.791
VA$568.41–$668.042
VI$584.901
VT$568.751
WA$602.15–$685.432
WI$551.601
WV$527.371
WY$576.531

See 36595 in every payment locality

How the 36595 rate is calculated

Each of 36595’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 · 36595

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.50

3.50 RVUs× 1.000 GPCI

Practice expense13.45

13.45 RVUs× 1.000 GPCI

Malpractice0.42

0.42 RVUs× 1.000 GPCI

Adjusted RVUs

17.3700

Conversion factor

$33.4009

Medicare rate

$580.17

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,533

Code
36595
Physician work
3.50
Practice expense
13.45
Malpractice
0.42

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 36595 in Delaware
ComponentRVULocality factorAdjusted
Physician work3.50× 1.0053.5175
Practice expense13.45× 0.98813.2886
Malpractice0.42× 0.8990.3776
Total RVUs17.1837
Conversion factor× 33.4009

Office rate, Delaware$573.95

Office: (3.5 × 1.005 + 13.45 × 0.988 + 0.42 × 0.899) × $33.4009 = $573.95

Facility: (3.5 × 1.005 + 0.8 × 0.988 + 0.42 × 0.899) × $33.4009 = $156.50

Open 36595 in the RVU calculator

Payment rules and modifiers for 36595

The CMS indicators that decide how 36595 is paid alongside other services.

CMS payment indicators · 36595

Catheter removal, mechanical, no port or pump

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

36595 without 51 · national office

$580.17

Catheter removal, mechanical, no port or pump

36595-51 · Second procedure: 50%

$290.09

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 36595

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

Codes related to 36595
CodeHow it relatesOffice range, Delaware
Same family
36596Catheter declotting, mechanical, thrombotic obstructionRelated mechanical extraction code for a tunneled device with a subcutaneous port or pump.$116.25
Used instead
36589Catheter removal, tunneled catheter, no portRoutine removal of a tunneled central venous catheter without a port or pump.$164.56
36590Port removal, tunneled device with portRoutine removal of a tunneled access device with a subcutaneous port or pump.$222.56
36581Catheter replacement, tunneled, without portUse the replacement code when the service replaces the tunneled catheter rather than removing it alone.$749.28

How 36595 has changed in Delaware

36595 · Office / nonfacility

$573.95

Effective 2026-10-01

The base rate is $26.11 higher than on 2025-10-01, moving from $547.84 to $573.95 (4.8%).

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

    $547.84changed to$573.95

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.59 changed to 3.50
    • Practice expense RVU 13.02 changed to 13.45
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $578.64changed to$547.84

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 13.47 changed to 13.02

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $569.20changed to$578.64

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $607.46changed to$569.20

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 13.82 changed to 13.47
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $646.63changed to$607.46

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 14.39 changed to 13.82
    • Malpractice RVU 0.40 changed to 0.42
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $669.50changed to$646.63

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 14.89 changed to 14.39
    • Malpractice RVU 0.39 changed to 0.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $657.28changed to$669.50

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 13.93 changed to 14.89
    • Malpractice RVU 0.37 changed to 0.39
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $635.18changed to$657.28

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 13.32 changed to 13.93
    • Malpractice RVU 0.39 changed to 0.37
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $615.00changed to$635.18

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 12.80 changed to 13.32
    • Malpractice RVU 0.38 changed to 0.39

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $610.49changed to$615.00

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 12.65 changed to 12.80
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $614.75changed to$610.49

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 12.72 changed to 12.65
    • Malpractice RVU 0.39 changed to 0.38
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $615.93changed to$614.75

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 12.65 changed to 12.72
    • Malpractice RVU 0.43 changed to 0.39

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $612.87changed to$615.93

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $608.44changed to$612.87

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 12.55 changed to 12.65
    • Malpractice RVU 0.37 changed to 0.43
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $604.23changed to$608.44

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 13.28 changed to 12.55
    • Malpractice RVU 0.39 changed to 0.37
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $604.23

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$573.95$156.50RVU26D
2026-07-01$573.95$156.50RVU26C
2026-04-01$573.95$156.50RVU26B
2026-01-01$573.95$156.50RVU26A
2025-10-01$547.84$172.10RVU25D
2025-07-01$547.84$172.10RVU25C
2025-04-01$547.84$172.10RVU25B
2025-01-01$547.84$172.10RVU25A
2024-10-01$578.64$176.11RVU24D
2024-07-01$578.64$176.11RVU24C
2024-04-01$578.64$176.11RVU24B
2024-03-09$578.64$176.11RVU24AR
2024-01-01$569.20$173.24RVU24A
2023-10-01$607.46$179.54RVU23D
2023-07-01$607.46$179.54RVU23C
2023-04-01$607.46$179.54RVU23B
2023-01-01$607.46$179.54RVU23A
2022-10-01$646.63$183.67RVU22D
2022-07-01$646.63$183.67RVU22C
2022-04-01$646.63$183.67RVU22B
2022-01-01$646.63$183.67RVU22A
2021-10-01$669.50$185.58RVU21D
2021-07-01$669.50$185.58RVU21C
2021-04-01$669.50$185.58RVU21B
2021-01-01$669.50$185.58RVU21A
2020-10-01$657.28$192.27RVU20D
2020-07-01$657.28$192.27RVU20C
2020-04-01$657.28$192.27RVU20B
2020-01-01$657.28$192.27RVU20A
2019-10-01$635.18$194.49RVU19D
2019-07-01$635.18$194.49RVU19C
2019-04-01$635.18$194.49RVU19B
2019-01-01$635.18$194.49RVU19A
2018-10-01$615.00$194.61RVU18D
2018-07-01$615.00$194.61RVU18C
2018-04-01$615.00$194.61RVU18B
2018-01-01$615.00$194.61RVU18AR1
2017-10-01$610.49$194.80RVU17D
2017-07-01$610.49$194.80RVU17C
2017-04-01$610.49$194.80RVU17B
2017-01-01$610.49$194.80RVU17A
2016-10-01$614.75$195.78RVU16D
2016-07-01$614.75$195.78RVU16C
2016-04-01$614.75$195.78RVU16B
2016-01-01$614.75$195.78RVU16A
2015-10-01$615.93$197.30RVU15D
2015-07-01$615.93$197.30RVU15C
2015-04-01$612.87$196.32RVU15B
2015-01-01$612.87$196.32RVU15A
2014-10-01$608.44$193.84RVU14D
2014-07-01$608.44$193.84RVU14C
2014-04-01$608.44$193.84RVU14B
2014-01-01$608.44$193.84RVU14A
2013-10-01$604.23$185.09RVU13D
2013-07-01$604.23$185.09RVU13C
2013-04-01$604.23$185.09RVU13B
2013-01-01$604.23$185.09RVU13AR

Price 36595 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

36595 billing questions

How does 36595 differ from 36596?

These codes are siblings distinguished by whether the tunneled central venous access device includes a subcutaneous port or pump. 36595 is for a catheter without that implanted component; 36596 is the related code for the port-or-pump situation.

Can the catheter-removal service be reported with removal of a port?

36595 describes mechanical extraction of a catheter without a subcutaneous port or pump. Removal of a tunneled access device with an implanted port or pump is represented by 36590 when it is a routine removal.

What documentation supports 36595?

Document that the catheter was tunneled, that it did not have a subcutaneous port or pump, why mechanical extraction was needed, and the extraction technique performed.

Can an assistant or co-surgeon be reported for 36595?

Medicare does not pay an assistant at surgery for this code. Co-surgeon and team-surgery billing are not permitted.

How does Medicare handle 36595 when other procedures occur in the same session?

The highest-valued procedure is paid in full, and other procedures subject to the standard multiple procedure reduction are paid at 50%. The 0-day global includes same-day preoperative and postoperative care.

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 36595PPRRVU2026_Oct_nonQPP.csv, line 4,533 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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