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

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 Virginia, Medicare pays $568.41 for 36595 in the office and $153.07 when it’s performed in a hospital or facility.

$568.41Office (non-facility)
$153.07Hospital or facility
−2.0%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 Virginia
  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 Virginia 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. Virginia pays $568.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

36595 in Virginia vs other payment areas
  1. Virginia · this page$568.41
  2. Los Angeles, CA · California$662.46+$94.05
  3. Washington, DC area · District of Columbia$668.04+$99.63
  4. Miami, FL · Florida$620.04+$51.63
  5. Chicago, IL · Illinois$601.40+$32.99
  6. Manhattan, NY · New York$668.65+$100.24
  7. Alaska · Alaska$661.53+$93.12

Other areas in Virginia 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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 36595 in Virginia
ComponentRVULocality factorAdjusted
Physician work3.50× 1.0003.5000
Practice expense13.45× 0.98313.2213
Malpractice0.42× 0.7060.2965
Total RVUs17.0179
Conversion factor× 33.4009

Office rate, Virginia$568.41

Office: (3.5 × 1 + 13.45 × 0.983 + 0.42 × 0.706) × $33.4009 = $568.41

Facility: (3.5 × 1 + 0.8 × 0.983 + 0.42 × 0.706) × $33.4009 = $153.07

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, Virginia
Same family
36596Catheter declotting, mechanical, thrombotic obstructionRelated mechanical extraction code for a tunneled device with a subcutaneous port or pump.$114.97
Used instead
36589Catheter removal, tunneled catheter, no portRoutine removal of a tunneled central venous catheter without a port or pump.$161.53
36590Port removal, tunneled device with portRoutine removal of a tunneled access device with a subcutaneous port or pump.$218.11
36581Catheter replacement, tunneled, without portUse the replacement code when the service replaces the tunneled catheter rather than removing it alone.$742.79

How 36595 has changed in Virginia

36595 · Office / nonfacility

$568.41

Effective 2026-10-01

The base rate is $27.38 higher than on 2025-10-01, moving from $541.03 to $568.41 (5.1%).

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

    $541.03changed to$568.41

    • 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 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $571.51changed to$541.03

    • 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

    $562.18changed to$571.51

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $597.05changed to$562.18

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 13.82 changed to 13.47
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $632.15changed to$597.05

    • 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
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $654.43changed to$632.15

    • 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

    $639.82changed to$654.43

    • 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
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $615.46changed to$639.82

    • 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
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $596.00changed to$615.46

    • 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

    $587.83changed to$596.00

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 12.65 changed to 12.80
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $587.73changed to$587.83

    • 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
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $588.56changed to$587.73

    • 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

    $585.64changed to$588.56

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $579.50changed to$585.64

    • 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 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $573.28changed to$579.50

    • 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 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $573.28

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$568.41$153.07RVU26D
2026-07-01$568.41$153.07RVU26C
2026-04-01$568.41$153.07RVU26B
2026-01-01$568.41$153.07RVU26A
2025-10-01$541.03$168.31RVU25D
2025-07-01$541.03$168.31RVU25C
2025-04-01$541.03$168.31RVU25B
2025-01-01$541.03$168.31RVU25A
2024-10-01$571.51$172.22RVU24D
2024-07-01$571.51$172.22RVU24C
2024-04-01$571.51$172.22RVU24B
2024-03-09$571.51$172.22RVU24AR
2024-01-01$562.18$169.41RVU24A
2023-10-01$597.05$176.35RVU23D
2023-07-01$597.05$176.35RVU23C
2023-04-01$597.05$176.35RVU23B
2023-01-01$597.05$176.35RVU23A
2022-10-01$632.15$181.42RVU22D
2022-07-01$632.15$181.42RVU22C
2022-04-01$632.15$181.42RVU22B
2022-01-01$632.15$181.42RVU22A
2021-10-01$654.43$183.30RVU21D
2021-07-01$654.43$183.30RVU21C
2021-04-01$654.43$183.30RVU21B
2021-01-01$654.43$183.30RVU21A
2020-10-01$639.82$188.47RVU20D
2020-07-01$639.82$188.47RVU20C
2020-04-01$639.82$188.47RVU20B
2020-01-01$639.82$188.47RVU20A
2019-10-01$615.46$189.05RVU19D
2019-07-01$615.46$189.05RVU19C
2019-04-01$615.46$189.05RVU19B
2019-01-01$615.46$189.05RVU19A
2018-10-01$596.00$189.22RVU18D
2018-07-01$596.00$189.22RVU18C
2018-04-01$596.00$189.22RVU18B
2018-01-01$596.00$189.22RVU18AR1
2017-10-01$587.83$188.37RVU17D
2017-07-01$587.83$188.37RVU17C
2017-04-01$587.83$188.37RVU17B
2017-01-01$587.83$188.37RVU17A
2016-10-01$587.73$188.26RVU16D
2016-07-01$587.73$188.26RVU16C
2016-04-01$587.73$188.26RVU16B
2016-01-01$587.73$188.26RVU16A
2015-10-01$588.56$189.42RVU15D
2015-07-01$588.56$189.42RVU15C
2015-04-01$585.64$188.48RVU15B
2015-01-01$585.64$188.48RVU15A
2014-10-01$579.50$188.06RVU14D
2014-07-01$579.50$188.06RVU14C
2014-04-01$579.50$188.06RVU14B
2014-01-01$579.50$188.06RVU14A
2013-10-01$573.28$181.04RVU13D
2013-07-01$573.28$181.04RVU13C
2013-04-01$573.28$181.04RVU13B
2013-01-01$573.28$181.04RVU13AR

Price 36595 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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