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

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 Fort Worth, TX, Medicare pays $573.13 for 36595 in the office and $156.52 when it’s performed in a hospital or facility.

$573.13Office (non-facility)
$156.52Hospital or facility
−1.2%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 Fort Worth, TX
  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 Fort Worth, TX 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. Fort Worth, TX pays $573.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

36595 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$573.13
  2. Austin, TX · Texas$604.86+$31.73
  3. Beaumont, TX · Texas$538.75−$34.38
  4. Brazoria, TX · Texas$573.98+$0.85
  5. Dallas, TX · Texas$577.44+$4.31
  6. Galveston, TX · Texas$575.55+$2.42
  7. Houston, TX · Texas$583.24+$10.11

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

Every other payment area

36595 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$555.90$154.93
Los Angeles, CACalifornia$662.46$162.62
Washington, DC areaDistrict of Columbia$668.04$170.31
Miami, FLFlorida$620.04$180.20
Chicago, ILIllinois$601.40$176.77
Manhattan, NYNew York$668.65$177.68
AlaskaAlaska$661.53$211.54
AlabamaAlabama$517.93$148.22

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 Fort Worth, TX 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

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 36595 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work3.50× 1.0093.5315
Practice expense13.45× 0.98613.2617
Malpractice0.42× 0.8710.3658
Total RVUs17.1590
Conversion factor× 33.4009

Office rate, Fort Worth, TX$573.13

Office: (3.5 × 1.009 + 13.45 × 0.986 + 0.42 × 0.871) × $33.4009 = $573.13

Facility: (3.5 × 1.009 + 0.8 × 0.986 + 0.42 × 0.871) × $33.4009 = $156.52

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, Fort Worth, TX
Same family
36596Catheter declotting, mechanical, thrombotic obstructionRelated mechanical extraction code for a tunneled device with a subcutaneous port or pump.$116.06
Used instead
36589Catheter removal, tunneled catheter, no portRoutine removal of a tunneled central venous catheter without a port or pump.$164.37
36590Port removal, tunneled device with portRoutine removal of a tunneled access device with a subcutaneous port or pump.$222.25
36581Catheter replacement, tunneled, without portUse the replacement code when the service replaces the tunneled catheter rather than removing it alone.$748.02

How 36595 has changed in Fort Worth, TX

36595 · Office / nonfacility

$573.13

Effective 2026-10-01

The base rate is $23.17 higher than on 2025-10-01, moving from $549.96 to $573.13 (4.2%).

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

    $549.96changed to$573.13

    • 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 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $580.91changed to$549.96

    • 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

    $571.43changed to$580.91

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $599.95changed to$571.43

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 13.82 changed to 13.47
    • Work GPCI 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902

  5. January 1, 2023

    RVU23A

    $629.18changed to$599.95

    • 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 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $651.57changed to$629.18

    • 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

    $637.78changed to$651.57

    • 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 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $614.11changed to$637.78

    • 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 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $594.71changed to$614.11

    • 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

    $589.88changed to$594.71

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 12.65 changed to 12.80
    • Work GPCI 1.006 changed to 1.007
    • Practice expense GPCI 0.991 changed to 0.986
    • Malpractice GPCI 0.760 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $593.11changed to$589.88

    • 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 1.005 changed to 1.006
    • Practice expense GPCI 0.995 changed to 0.991
    • Malpractice GPCI 0.772 changed to 0.760

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $593.86changed to$593.11

    • 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

    $590.91changed to$593.86

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $583.18changed to$590.91

    • 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
    • Work GPCI 1.002 changed to 1.005
    • Practice expense GPCI 0.987 changed to 0.995
    • Malpractice GPCI 0.799 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $575.44changed to$583.18

    • 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
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.979 changed to 0.987
    • Malpractice GPCI 0.826 changed to 0.799

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $575.44

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$573.13$156.52RVU26D
2026-07-01$573.13$156.52RVU26C
2026-04-01$573.13$156.52RVU26B
2026-01-01$573.13$156.52RVU26A
2025-10-01$549.96$171.94RVU25D
2025-07-01$549.96$171.94RVU25C
2025-04-01$549.96$171.94RVU25B
2025-01-01$549.96$171.94RVU25A
2024-10-01$580.91$175.95RVU24D
2024-07-01$580.91$175.95RVU24C
2024-04-01$580.91$175.95RVU24B
2024-03-09$580.91$175.95RVU24AR
2024-01-01$571.43$173.08RVU24A
2023-10-01$599.95$176.70RVU23D
2023-07-01$599.95$176.70RVU23C
2023-04-01$599.95$176.70RVU23B
2023-01-01$599.95$176.70RVU23A
2022-10-01$629.18$178.45RVU22D
2022-07-01$629.18$178.45RVU22C
2022-04-01$629.18$178.45RVU22B
2022-01-01$629.18$178.45RVU22A
2021-10-01$651.57$180.43RVU21D
2021-07-01$651.57$180.43RVU21C
2021-04-01$651.57$180.43RVU21B
2021-01-01$651.57$180.43RVU21A
2020-10-01$637.78$186.42RVU20D
2020-07-01$637.78$186.42RVU20C
2020-04-01$637.78$186.42RVU20B
2020-01-01$637.78$186.42RVU20A
2019-10-01$614.11$187.69RVU19D
2019-07-01$614.11$187.69RVU19C
2019-04-01$614.11$187.69RVU19B
2019-01-01$614.11$187.69RVU19A
2018-10-01$594.71$187.93RVU18D
2018-07-01$594.71$187.93RVU18C
2018-04-01$594.71$187.93RVU18B
2018-01-01$594.71$187.93RVU18AR1
2017-10-01$589.88$187.99RVU17D
2017-07-01$589.88$187.99RVU17C
2017-04-01$589.88$187.99RVU17B
2017-01-01$589.88$187.99RVU17A
2016-10-01$593.11$188.77RVU16D
2016-07-01$593.11$188.77RVU16C
2016-04-01$593.11$188.77RVU16B
2016-01-01$593.11$188.77RVU16A
2015-10-01$593.86$189.84RVU15D
2015-07-01$593.86$189.84RVU15C
2015-04-01$590.91$188.90RVU15B
2015-01-01$590.91$188.90RVU15A
2014-10-01$583.18$188.95RVU14D
2014-07-01$583.18$188.95RVU14C
2014-04-01$583.18$188.95RVU14B
2014-01-01$583.18$188.95RVU14A
2013-10-01$575.44$182.40RVU13D
2013-07-01$575.44$182.40RVU13C
2013-04-01$575.44$182.40RVU13B
2013-01-01$575.44$182.40RVU13AR

Price 36595 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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