CPT code 36595: Catheter removal, mechanical, no port or pump2026 Medicare rate & RVUs in Missouri
Report 36595 when a tunneled central venous catheter without an implanted port or pump requires mechanical extraction rather than routine removal.
Medicare pays $517.81–$558.64 for 36595 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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.
Where 36595 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$517.81 to $558.64
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $552.45 | $155.70 |
| Metropolitan St. Louis, MO | $558.64 | $156.40 |
| Rest of Missouri | $517.81 | $153.60 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
36595 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 36589Catheter removalTunneled catheter, no port
- 36589 describes routine removal of a tunneled catheter without a port or pump. Choose 36595 when mechanical extraction is required.
- 36590Port removalTunneled device with port
- 36590 is for routine removal of a tunneled access device with a subcutaneous port or pump; 36595 is for mechanical extraction of a catheter without that component.
- 36596Catheter declottingMechanical, thrombotic obstruction
- 36596 is the related mechanical-removal code for a tunneled device with a subcutaneous port or pump. 36595 is for a catheter without one.
- 36581Catheter replacementTunneled, without port
- 36581 represents replacement of a tunneled catheter. Use 36595 for mechanical extraction when the service is removal rather than replacement.
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
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