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CPT code 36597: Catheter repositioning, existing central venous catheter2026 Medicare rate & RVUs in Miami, FL

Reports fluoroscopic repositioning of an existing central venous catheter when its tip has migrated and the catheter can be retained.

CMS RVU26DEffective Oct 1, 2026One payment locality772 Medicare services in 2024

In Miami, FL, Medicare pays $123.36 for 36597 in the office and $60.08 when it’s performed in a hospital or facility.

$123.36Office (non-facility)
$60.08Hospital or facility
+9.3%vs the national office rate ($112.90)

Check a contract rate as a % of Medicare · 36597 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 36597 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 36597 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 36597 covers

This procedure moves a previously placed central venous catheter back into an appropriate position under fluoroscopic guidance. A typical reason is a catheter tip that has migrated into the internal jugular vein. An interventional radiologist or other clinician performing vascular access procedures manipulates the existing catheter while viewing its position, rather than inserting a new one. The service is commonly performed in an interventional radiology suite.

Report 36597 when the record documents that the existing catheter was actually repositioned, including its position before and after manipulation. An injection performed only to evaluate the device is a different service; replacing the catheter also calls for a different code. CMS assigns a 0-day global period, so routine preoperative and postoperative care on the procedure date is included. If multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and others at 50%. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing 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 Miami, FL compares for 36597

Across 109 of 109 payment localities, the office rate for 36597 runs from $100.81 in Arkansas to $145.17 in San Benito County, CA. Miami, FL pays $123.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

36597 in Miami, FL vs other payment areas
  1. Miami, FL · this page$123.36
  2. Fort Lauderdale, FL · Florida$117.83−$5.53
  3. Rest of Florida · Florida$112.40−$10.96
  4. Los Angeles, CA · California$125.36+$2.00
  5. Washington, DC area · District of Columbia$127.78+$4.42
  6. Chicago, IL · Illinois$120.00−$3.36
  7. Manhattan, NY · New York$129.45+$6.09

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

Every other payment area

36597 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$134.80$70.06
AlabamaAlabama$102.16$48.97
ArkansasArkansas$100.81$48.59
ArizonaArizona$110.05$51.15
Bakersfield, CACalifornia$118.26$51.63
Chico, CACalifornia$117.81$51.19
El Centro, CACalifornia$117.84$51.21
Fresno, CACalifornia$117.81$51.19

36597 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.

$100.81

$134.80

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

View every state and territory as a table
36597 office rate range by state
State / territoryOffice rate rangeLocalities
AK$134.801
AL$102.161
AR$100.811
AZ$110.051
CA$117.81–$145.1729
CO$116.651
CT$120.011
DC$127.781
DE$111.761
FL$112.40–$123.363
GA$106.46–$115.122
GU$120.171
HI$120.171
IA$104.051
ID$104.781
IL$109.76–$120.004
IN$105.321
KS$103.841
KY$104.871
LA$104.81–$109.542
MA$116.14–$127.242
MD$113.70–$127.783
ME$105.52–$110.432
MI$107.58–$113.942
MN$111.351
MO$103.32–$109.623
MS$102.071
MT$112.891
NC$106.501
ND$109.921
NE$104.511
NH$115.081
NJ$121.26–$126.672
NM$108.221
NV$112.131
NY$107.98–$132.655
OH$106.981
OK$104.451
OR$111.13–$119.842
PA$107.00–$117.382
PR$113.571
RI$115.361
SC$106.941
SD$109.571
TN$104.341
TX$106.38–$116.378
UT$108.281
VA$110.26–$127.782
VI$113.571
VT$109.741
WA$115.84–$129.492
WI$106.551
WV$106.081
WY$111.591

See 36597 in every payment locality

How the 36597 rate is calculated

Each of 36597’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 · 36597

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.18

1.18 RVUs× 1.000 GPCI

Practice expense2.05

2.05 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

3.3800

Conversion factor

$33.4009

Medicare rate

$112.90

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

The exact Miami, FL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,535

Code
36597
Physician work
1.18
Practice expense
2.05
Malpractice
0.15

GPCI2026.csv

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 36597 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work1.18× 1.0001.1800
Practice expense2.05× 1.0412.1340
Malpractice0.15× 2.5290.3793
Total RVUs3.6934
Conversion factor× 33.4009

Office rate, Miami, FL$123.36

Office: (1.18 × 1 + 2.05 × 1.041 + 0.15 × 2.529) × $33.4009 = $123.36

Facility: (1.18 × 1 + 0.23 × 1.041 + 0.15 × 2.529) × $33.4009 = $60.08

Open 36597 in the RVU calculator

Payment rules and modifiers for 36597

The CMS indicators that decide how 36597 is paid alongside other services.

CMS payment indicators · 36597

Catheter repositioning, existing central venous catheter

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

36597 without 51 · national office

$112.90

Catheter repositioning, existing central venous catheter

36597-51 · Second procedure: 50%

$56.45

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 36597

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

Codes related to 36597
CodeHow it relatesOffice range, Miami, FL
Used instead
36598Device evaluation, fluoroscopic contrast studyContrast injection evaluates an existing central venous device without repositioning it.$123.15
36581Catheter replacement, tunneled, without portReplacement of a tunneled central venous catheter rather than repositioning the existing one.$806.00
36584PICC replacement, complete, with imagingComplete PICC replacement rather than correction of the existing catheter's position.$325.09
36593Device declot, thrombolytic treatmentDrug instillation to clear an obstructed device rather than moving a malpositioned catheter.$40.63

How 36597 has changed in Miami, FL

36597 · Office / nonfacility

$123.36

Effective 2026-10-01

The base rate is $8.16 higher than on 2025-10-01, moving from $115.20 to $123.36 (7.1%).

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

    $115.20changed to$123.36

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.21 changed to 1.18
    • Practice expense RVU 1.90 changed to 2.05
    • Malpractice RVU 0.16 changed to 0.15
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $118.74changed to$115.20

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.93 changed to 1.90
    • Malpractice RVU 0.15 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $116.80changed to$118.74

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $124.20changed to$116.80

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.97 changed to 1.93
    • Malpractice RVU 0.17 changed to 0.15
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500

  5. January 1, 2023

    RVU23A

    $123.24changed to$124.20

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.99 changed to 1.97
    • Malpractice RVU 0.12 changed to 0.17
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $136.81changed to$123.24

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.29 changed to 1.99
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $146.01changed to$136.81

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.46 changed to 2.29
    • Malpractice RVU 0.12 changed to 0.14
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $142.78changed to$146.01

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.35 changed to 2.46
    • Malpractice RVU 0.13 changed to 0.12
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $139.84changed to$142.78

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.30 changed to 2.35
    • Malpractice RVU 0.12 changed to 0.13

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $138.68changed to$139.84

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.28 changed to 2.30
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $139.09changed to$138.68

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.30 changed to 2.28
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $141.75changed to$139.09

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.31 changed to 2.30
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $141.05changed to$141.75

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $138.70changed to$141.05

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.27 changed to 2.31
    • Malpractice RVU 0.11 changed to 0.14
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $139.56changed to$138.70

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.45 changed to 2.27
    • Practice expense GPCI 1.054 changed to 1.044
    • Malpractice GPCI 2.815 changed to 2.653

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $139.56

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$123.36$60.08RVU26D
2026-07-01$123.36$60.08RVU26C
2026-04-01$123.36$60.08RVU26B
2026-01-01$123.36$60.08RVU26A
2025-10-01$115.20$65.70RVU25D
2025-07-01$115.20$65.70RVU25C
2025-04-01$115.20$65.70RVU25B
2025-01-01$115.20$65.70RVU25A
2024-10-01$118.74$66.44RVU24D
2024-07-01$118.74$66.44RVU24C
2024-04-01$118.74$66.44RVU24B
2024-03-09$118.74$66.44RVU24AR
2024-01-01$116.80$65.35RVU24A
2023-10-01$124.20$70.02RVU23D
2023-07-01$124.20$70.02RVU23C
2023-04-01$124.20$70.02RVU23B
2023-01-01$124.20$70.02RVU23A
2022-10-01$123.24$67.31RVU22D
2022-07-01$123.24$67.31RVU22C
2022-04-01$123.24$67.31RVU22B
2022-01-01$123.24$67.31RVU22A
2021-10-01$136.81$69.70RVU21D
2021-07-01$136.81$69.70RVU21C
2021-04-01$136.81$69.70RVU21B
2021-01-01$136.81$69.70RVU21A
2020-10-01$146.01$70.47RVU20D
2020-07-01$146.01$70.47RVU20C
2020-04-01$146.01$70.47RVU20B
2020-01-01$146.01$70.47RVU20A
2019-10-01$142.78$71.58RVU19D
2019-07-01$142.78$71.58RVU19C
2019-04-01$142.78$71.58RVU19B
2019-01-01$142.78$71.58RVU19A
2018-10-01$139.84$70.57RVU18D
2018-07-01$139.84$70.57RVU18C
2018-04-01$139.84$70.57RVU18B
2018-01-01$139.84$70.57RVU18AR1
2017-10-01$138.68$70.59RVU17D
2017-07-01$138.68$70.59RVU17C
2017-04-01$138.68$70.59RVU17B
2017-01-01$138.68$70.59RVU17A
2016-10-01$139.09$70.67RVU16D
2016-07-01$139.09$70.67RVU16C
2016-04-01$139.09$70.67RVU16B
2016-01-01$139.09$70.67RVU16A
2015-10-01$141.75$72.71RVU15D
2015-07-01$141.75$72.71RVU15C
2015-04-01$141.05$72.35RVU15B
2015-01-01$141.05$72.35RVU15A
2014-10-01$138.70$70.63RVU14D
2014-07-01$138.70$70.63RVU14C
2014-04-01$138.70$70.63RVU14B
2014-01-01$138.70$70.63RVU14A
2013-10-01$139.56$68.56RVU13D
2013-07-01$139.56$68.56RVU13C
2013-04-01$139.56$68.56RVU13B
2013-01-01$139.56$68.56RVU13AR

Price 36597 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

36597 billing questions

How is repositioning different from evaluating the catheter under fluoroscopy?

Report 36597 when the existing catheter is moved to correct its position. If the clinician injects contrast to evaluate the device without repositioning it, consider 36598 instead.

What if the catheter is removed and replaced?

Replacement is different from repositioning the retained catheter. Select the replacement code for the type of central venous access device and the work performed.

What documentation supports 36597?

The procedure note should identify the existing catheter, describe the malposition and the manipulation performed, and record the resulting position.

Can fluoroscopic guidance or routine same-day care be billed separately?

Fluoroscopic guidance is part of this repositioning procedure. CMS also includes routine preoperative and postoperative care on the procedure date in its 0-day global period.

How do multiple procedures and surgical-team claims affect payment?

In a same-session multiple-procedure claim, CMS pays the highest-valued procedure in full and others at 50%. Modifier 50 is inappropriate; CMS does not pay an assistant at surgery and does not permit co-surgeons or team surgery for 36597.

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 36597PPRRVU2026_Oct_nonQPP.csv, line 4,535 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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