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CMS RVU26D · Effective 2026-10-01

36593 in Vallejo

Office / nonfacility

$49.61

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Vascular access

About 36593: Thrombolytic declot of vascular access device

Reports thrombolytic treatment used to restore patency in an occluded vascular access device, such as a dialysis catheter or implanted infusion port.

This service treats an obstructed vascular access device by instilling a thrombolytic agent into the device to dissolve the material blocking flow. Examples include a central venous catheter used for dialysis or an implanted infusion port that will not flush or provide adequate blood return. The service is performed by a clinician managing the access device in settings such as an office, infusion center, dialysis unit, or hospital. It describes thrombolytic treatment rather than mechanical extraction of an obstruction or replacement of the catheter.

Report 36593 when the documented service is thrombolytic declotting of the vascular device. Documentation should identify the affected device, the patency problem, the treatment performed, and the response or outcome. If the drug is separately supplied and reportable, its drug code may also be reported. CMS classifies 36593 as a technical-component-only service; a separate code covers interpretation. The reported service therefore represents the technical work, not an interpretation component.

CMS billing rules for 36593

Professional and technical components
Technical-component-only code: a separate code covers interpretation.

Where the value comes from

  • Work RVU0.00 · 0%
  • Practice expense (office) RVU1.12 · 98%
  • Malpractice RVU0.02 · 2%

11.7K

Medicare services in 2024 · #1392 by national volume

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.

36593 compared with similar codes

Office rates for Vallejo, from the same CMS release.

36595

Catheter removal

Mechanical, no port or pump

$722.81

36593 describes thrombolytic treatment. Use 36595 when the obstruction is mechanically removed through a transcatheter approach.

36596

Catheter declotting

Mechanical, thrombotic obstruction

$145.59

36593 describes thrombolytic treatment. Code 36596 is for mechanical removal by a non-transcatheter approach.

36598

Inj w/fluor eval cv device

No office rate

36593 treats an obstruction with a thrombolytic agent. Code 36598 describes radiologic evaluation of an existing central venous access device using contrast and fluoroscopy.

The same code, a different location

How does Vallejo compare?

In Bakersfield, the office rate for 36593 is $41.41—$8.20 lower than the $49.61 rate in Vallejo. Both use the same code, release and participation basis.

36593 across payment areas

Same release and payment basis · bars start at $0

  1. Vallejo · This locality

    $49.61

  2. Bakersfield

    $41.41

    $8.20 lower than Vallejo

  3. Chico

    $41.36

    $8.25 lower than Vallejo

  4. El Centro

    $41.36

    $8.25 lower than Vallejo

  5. Fresno

    $41.36

    $8.25 lower than Vallejo

  6. Hanford-Corcoran

    $41.36

    $8.25 lower than Vallejo

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $44.70

    $4.91 lower than Vallejo

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 36593 ranges from $32.48 in Arkansas to $54.30 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 36593

    Office

    $41.36

    Facility

    Unavailable

    $8.25 lower than Vallejo for the office setting.

  • Merced

    California · 36593

    Office

    $41.36

    Facility

    Unavailable

    $8.25 lower than Vallejo for the office setting.

  • Modesto

    California · 36593

    Office

    $41.36

    Facility

    Unavailable

    $8.25 lower than Vallejo for the office setting.

  • Napa

    California · 36593

    Office

    $49.64

    Facility

    Unavailable

    $0.03 higher than Vallejo for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36593

    Office

    $44.63

    Facility

    Unavailable

    $4.98 lower than Vallejo for the office setting.

  • Redding

    California · 36593

    Office

    $41.36

    Facility

    Unavailable

    $8.25 lower than Vallejo for the office setting.

  • Rest Of California

    California · 36593

    Office

    $41.36

    Facility

    Unavailable

    $8.25 lower than Vallejo for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36593

    Office

    $41.57

    Facility

    Unavailable

    $8.04 lower than Vallejo for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36593

    Office

    $43.86

    Facility

    Unavailable

    $5.75 lower than Vallejo for the office setting.

  • Salinas

    California · 36593

    Office

    $43.72

    Facility

    Unavailable

    $5.89 lower than Vallejo for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36593

    Office

    $45.10

    Facility

    Unavailable

    $4.51 lower than Vallejo for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36593

    Office

    $53.05

    Facility

    Unavailable

    $3.44 higher than Vallejo for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 36593

    Office

    $53.03

    Facility

    Unavailable

    $3.42 higher than Vallejo for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 36593

    Office

    $54.30

    Facility

    Unavailable

    $4.69 higher than Vallejo for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 36593

    Office

    $54.21

    Facility

    Unavailable

    $4.60 higher than Vallejo for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36593

    Office

    $42.97

    Facility

    Unavailable

    $6.64 lower than Vallejo for the office setting.

  • Santa Cruz-Watsonville

    California · 36593

    Office

    $45.81

    Facility

    Unavailable

    $3.80 lower than Vallejo for the office setting.

  • Santa Maria-Santa Barbara

    California · 36593

    Office

    $43.98

    Facility

    Unavailable

    $5.63 lower than Vallejo for the office setting.

  • Santa Rosa-Petaluma

    California · 36593

    Office

    $46.30

    Facility

    Unavailable

    $3.31 lower than Vallejo for the office setting.

  • Stockton

    California · 36593

    Office

    $41.36

    Facility

    Unavailable

    $8.25 lower than Vallejo for the office setting.

  • Visalia

    California · 36593

    Office

    $41.36

    Facility

    Unavailable

    $8.25 lower than Vallejo for the office setting.

  • Yuba City

    California · 36593

    Office

    $41.36

    Facility

    Unavailable

    $8.25 lower than Vallejo for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 36593

    Office

    $44.81

    Facility

    Unavailable

    $4.80 lower than Vallejo for the office setting.

  • Miami

    Florida · 36593

    Office

    $40.63

    Facility

    Unavailable

    $8.98 lower than Vallejo for the office setting.

  • Chicago

    Illinois · 36593

    Office

    $39.13

    Facility

    Unavailable

    $10.48 lower than Vallejo for the office setting.

  • Manhattan

    New York · 36593

    Office

    $44.53

    Facility

    Unavailable

    $5.08 lower than Vallejo for the office setting.

  • Alaska*

    Alaska · 36593

    Office

    $40.21

    Facility

    Unavailable

    $9.40 lower than Vallejo for the office setting.

  • Alabama

    Alabama · 36593

    Office

    $33.11

    Facility

    Unavailable

    $16.50 lower than Vallejo for the office setting.

  • Arkansas

    Arkansas · 36593

    Office

    $32.48

    Facility

    Unavailable

    $17.13 lower than Vallejo for the office setting.

  • Arizona

    Arizona · 36593

    Office

    $36.82

    Facility

    Unavailable

    $12.79 lower than Vallejo for the office setting.

  • Colorado

    Colorado · 36593

    Office

    $40.32

    Facility

    Unavailable

    $9.29 lower than Vallejo for the office setting.

  • Connecticut

    Connecticut · 36593

    Office

    $41.10

    Facility

    Unavailable

    $8.51 lower than Vallejo for the office setting.

  • Delaware

    Delaware · 36593

    Office

    $37.56

    Facility

    Unavailable

    $12.05 lower than Vallejo for the office setting.

  • Fort Lauderdale

    Florida · 36593

    Office

    $39.10

    Facility

    Unavailable

    $10.51 lower than Vallejo for the office setting.

  • Rest Of Florida

    Florida · 36593

    Office

    $36.77

    Facility

    Unavailable

    $12.84 lower than Vallejo for the office setting.

  • Atlanta

    Georgia · 36593

    Office

    $38.81

    Facility

    Unavailable

    $10.80 lower than Vallejo for the office setting.

  • Rest Of Georgia

    Georgia · 36593

    Office

    $34.17

    Facility

    Unavailable

    $15.44 lower than Vallejo for the office setting.

  • Hawaii, Guam

    Hawaii · 36593

    Office

    $42.92

    Facility

    Unavailable

    $6.69 lower than Vallejo for the office setting.

  • Iowa

    Iowa · 36593

    Office

    $34.49

    Facility

    Unavailable

    $15.12 lower than Vallejo for the office setting.

  • Idaho

    Idaho · 36593

    Office

    $34.73

    Facility

    Unavailable

    $14.88 lower than Vallejo for the office setting.

  • East St. Louis

    Illinois · 36593

    Office

    $35.76

    Facility

    Unavailable

    $13.85 lower than Vallejo for the office setting.

  • Rest Of Illinois

    Illinois · 36593

    Office

    $35.20

    Facility

    Unavailable

    $14.41 lower than Vallejo for the office setting.

  • Suburban Chicago

    Illinois · 36593

    Office

    $39.60

    Facility

    Unavailable

    $10.01 lower than Vallejo for the office setting.

  • Indiana

    Indiana · 36593

    Office

    $35.00

    Facility

    Unavailable

    $14.61 lower than Vallejo for the office setting.

  • Kansas

    Kansas · 36593

    Office

    $34.15

    Facility

    Unavailable

    $15.46 lower than Vallejo for the office setting.

  • Kentucky

    Kentucky · 36593

    Office

    $33.87

    Facility

    Unavailable

    $15.74 lower than Vallejo for the office setting.

  • New Orleans

    Louisiana · 36593

    Office

    $35.96

    Facility

    Unavailable

    $13.65 lower than Vallejo for the office setting.

  • Rest Of Louisiana

    Louisiana · 36593

    Office

    $33.75

    Facility

    Unavailable

    $15.86 lower than Vallejo for the office setting.

  • Metropolitan Boston

    Massachusetts · 36593

    Office

    $45.26

    Facility

    Unavailable

    $4.35 lower than Vallejo for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36593

    Office

    $39.92

    Facility

    Unavailable

    $9.69 lower than Vallejo for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36593

    Office

    $40.97

    Facility

    Unavailable

    $8.64 lower than Vallejo for the office setting.

  • Rest Of Maryland

    Maryland · 36593

    Office

    $38.47

    Facility

    Unavailable

    $11.14 lower than Vallejo for the office setting.

  • Rest Of Maine

    Maine · 36593

    Office

    $34.83

    Facility

    Unavailable

    $14.78 lower than Vallejo for the office setting.

  • Southern Maine

    Maine · 36593

    Office

    $37.49

    Facility

    Unavailable

    $12.12 lower than Vallejo for the office setting.

  • Detroit

    Michigan · 36593

    Office

    $37.23

    Facility

    Unavailable

    $12.38 lower than Vallejo for the office setting.

  • Rest Of Michigan

    Michigan · 36593

    Office

    $34.91

    Facility

    Unavailable

    $14.70 lower than Vallejo for the office setting.

  • Minnesota

    Minnesota · 36593

    Office

    $38.69

    Facility

    Unavailable

    $10.92 lower than Vallejo for the office setting.

  • Metropolitan Kansas City

    Missouri · 36593

    Office

    $35.78

    Facility

    Unavailable

    $13.83 lower than Vallejo for the office setting.

  • Metropolitan St. Louis

    Missouri · 36593

    Office

    $36.28

    Facility

    Unavailable

    $13.33 lower than Vallejo for the office setting.

  • Rest Of Missouri

    Missouri · 36593

    Office

    $32.90

    Facility

    Unavailable

    $16.71 lower than Vallejo for the office setting.

  • Mississippi

    Mississippi · 36593

    Office

    $32.70

    Facility

    Unavailable

    $16.91 lower than Vallejo for the office setting.

  • Montana**

    Montana · 36593

    Office

    $38.08

    Facility

    Unavailable

    $11.53 lower than Vallejo for the office setting.

  • North Carolina

    North Carolina · 36593

    Office

    $35.33

    Facility

    Unavailable

    $14.28 lower than Vallejo for the office setting.

  • North Dakota**

    North Dakota · 36593

    Office

    $37.68

    Facility

    Unavailable

    $11.93 lower than Vallejo for the office setting.

  • Nebraska

    Nebraska · 36593

    Office

    $34.78

    Facility

    Unavailable

    $14.83 lower than Vallejo for the office setting.

  • New Hampshire

    New Hampshire · 36593

    Office

    $39.53

    Facility

    Unavailable

    $10.08 lower than Vallejo for the office setting.

  • Northern Nj

    New Jersey · 36593

    Office

    $44.11

    Facility

    Unavailable

    $5.50 lower than Vallejo for the office setting.

  • Rest Of New Jersey

    New Jersey · 36593

    Office

    $41.58

    Facility

    Unavailable

    $8.03 lower than Vallejo for the office setting.

  • New Mexico

    New Mexico · 36593

    Office

    $35.11

    Facility

    Unavailable

    $14.50 lower than Vallejo for the office setting.

  • Nevada**

    Nevada · 36593

    Office

    $38.00

    Facility

    Unavailable

    $11.61 lower than Vallejo for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36593

    Office

    $45.72

    Facility

    Unavailable

    $3.89 lower than Vallejo for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36593

    Office

    $41.77

    Facility

    Unavailable

    $7.84 lower than Vallejo for the office setting.

  • Queens

    New York · 36593

    Office

    $45.18

    Facility

    Unavailable

    $4.43 lower than Vallejo for the office setting.

  • Rest Of New York

    New York · 36593

    Office

    $36.01

    Facility

    Unavailable

    $13.60 lower than Vallejo for the office setting.

  • Ohio

    Ohio · 36593

    Office

    $34.83

    Facility

    Unavailable

    $14.78 lower than Vallejo for the office setting.

  • Oklahoma

    Oklahoma · 36593

    Office

    $33.93

    Facility

    Unavailable

    $15.68 lower than Vallejo for the office setting.

  • Portland

    Oregon · 36593

    Office

    $42.06

    Facility

    Unavailable

    $7.55 lower than Vallejo for the office setting.

  • Rest Of Oregon

    Oregon · 36593

    Office

    $37.73

    Facility

    Unavailable

    $11.88 lower than Vallejo for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36593

    Office

    $39.74

    Facility

    Unavailable

    $9.87 lower than Vallejo for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36593

    Office

    $34.97

    Facility

    Unavailable

    $14.64 lower than Vallejo for the office setting.

  • Puerto Rico

    Puerto Rico · 36593

    Office

    $38.48

    Facility

    Unavailable

    $11.13 lower than Vallejo for the office setting.

  • Rhode Island

    Rhode Island · 36593

    Office

    $39.24

    Facility

    Unavailable

    $10.37 lower than Vallejo for the office setting.

  • South Carolina

    South Carolina · 36593

    Office

    $35.13

    Facility

    Unavailable

    $14.48 lower than Vallejo for the office setting.

  • South Dakota**

    South Dakota · 36593

    Office

    $37.63

    Facility

    Unavailable

    $11.98 lower than Vallejo for the office setting.

  • Tennessee

    Tennessee · 36593

    Office

    $34.36

    Facility

    Unavailable

    $15.25 lower than Vallejo for the office setting.

  • Austin

    Texas · 36593

    Office

    $40.17

    Facility

    Unavailable

    $9.44 lower than Vallejo for the office setting.

  • Beaumont

    Texas · 36593

    Office

    $34.66

    Facility

    Unavailable

    $14.95 lower than Vallejo for the office setting.

  • Brazoria

    Texas · 36593

    Office

    $37.59

    Facility

    Unavailable

    $12.02 lower than Vallejo for the office setting.

  • Dallas

    Texas · 36593

    Office

    $37.83

    Facility

    Unavailable

    $11.78 lower than Vallejo for the office setting.

  • Fort Worth

    Texas · 36593

    Office

    $37.47

    Facility

    Unavailable

    $12.14 lower than Vallejo for the office setting.

  • Galveston

    Texas · 36593

    Office

    $37.70

    Facility

    Unavailable

    $11.91 lower than Vallejo for the office setting.

  • Houston

    Texas · 36593

    Office

    $38.07

    Facility

    Unavailable

    $11.54 lower than Vallejo for the office setting.

  • Rest Of Texas

    Texas · 36593

    Office

    $36.10

    Facility

    Unavailable

    $13.51 lower than Vallejo for the office setting.

  • Utah

    Utah · 36593

    Office

    $35.76

    Facility

    Unavailable

    $13.85 lower than Vallejo for the office setting.

  • Virginia

    Virginia · 36593

    Office

    $37.24

    Facility

    Unavailable

    $12.37 lower than Vallejo for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36593

    Office

    $38.48

    Facility

    Unavailable

    $11.13 lower than Vallejo for the office setting.

  • Vermont

    Vermont · 36593

    Office

    $37.37

    Facility

    Unavailable

    $12.24 lower than Vallejo for the office setting.

  • Rest Of Washington

    Washington · 36593

    Office

    $39.90

    Facility

    Unavailable

    $9.71 lower than Vallejo for the office setting.

  • Seattle (King Cnty)

    Washington · 36593

    Office

    $46.45

    Facility

    Unavailable

    $3.16 lower than Vallejo for the office setting.

  • Wisconsin

    Wisconsin · 36593

    Office

    $36.04

    Facility

    Unavailable

    $13.57 lower than Vallejo for the office setting.

  • West Virginia

    West Virginia · 36593

    Office

    $33.46

    Facility

    Unavailable

    $16.15 lower than Vallejo for the office setting.

  • Wyoming**

    Wyoming · 36593

    Office

    $37.90

    Facility

    Unavailable

    $11.71 lower than Vallejo for the office setting.

See how rates vary across the country

36593 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$32.48

$47.83

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$40.211
AL$33.111
AR$32.481
AZ$36.821
CA$41.36–$54.3029
CO$40.321
CT$41.101
DC$44.811
DE$37.561
FL$36.77–$40.633
GA$34.17–$38.812
GU$42.921
HI$42.921
IA$34.491
ID$34.731
IL$35.20–$39.604
IN$35.001
KS$34.151
KY$33.871
LA$33.75–$35.962
MA$39.92–$45.262
MD$38.47–$44.813
ME$34.83–$37.492
MI$34.91–$37.232
MN$38.691
MO$32.90–$36.283
MS$32.701
MT$38.081
NC$35.331
ND$37.681
NE$34.781
NH$39.531
NJ$41.58–$44.112
NM$35.111
NV$38.001
NY$36.01–$45.725
OH$34.831
OK$33.931
OR$37.73–$42.062
PA$34.97–$39.742
PR$38.481
RI$39.241
SC$35.131
SD$37.631
TN$34.361
TX$34.66–$40.178
UT$35.761
VA$37.24–$44.812
VI$38.481
VT$37.371
WA$39.90–$46.452
WI$36.041
WV$33.461
WY$37.901

Explore 36593 on the national rate map →

Where does this rate apply?

Vallejo is a Medicare payment area. Our Census mapping connects it to 11 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 36593 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$54.57

$49.61 × 110% = $54.57

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 36593 in Vallejo.

PPRRVU2026_Oct_nonQPP.csv

4,532

Code
36593
Physician work
0.00
Practice expense
1.12
Malpractice
0.02

GPCI2026.csv

33

Locality
Vallejo
Physician work
1.063
Practice expense
1.318
Malpractice
0.459
Office / nonfacility calculation for 36593 in Vallejo
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0630.0000
Practice expense1.12× 1.3181.4762
Malpractice0.02× 0.4590.0092
Total RVUs1.4853
Conversion factor× 33.4009

Office / nonfacility rate, Vallejo$49.61

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 36593 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01.063
Practice expense1.121.318
Malpractice0.020.459

(0 × 1.063 + 1.12 × 1.318 + 0.02 × 0.459) × $33.4009 = $49.61

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

36593 · Office / nonfacility

$49.61

Effective 2026-10-01

The base rate is $6.08 higher than on 2025-10-01, moving from $43.53 to $49.61 (14.0%).

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

    $43.53changed to$49.61

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.02 changed to 1.12
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.470 changed to 0.459

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $43.53

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$49.61Not available in this settingRVU26D
2026-07-01$49.61Not available in this settingRVU26C
2026-04-01$49.61Not available in this settingRVU26B
2026-01-01$49.61Not available in this settingRVU26A
2025-10-01$43.53Not available in this settingRVU25D
2025-07-01$43.53Not available in this settingRVU25C
2025-04-01$43.53Not available in this settingRVU25B
2025-01-01$43.53Not available in this settingRVU25A

36593 billing questions

When should 36593 be used instead of 36595 or 36596?

Use 36593 for thrombolytic treatment of an obstructed vascular device. Codes 36595 and 36596 describe mechanical removal of an intraluminal obstruction, using different approaches.

Does 36593 include the thrombolytic drug?

The service is the thrombolytic treatment of the device. When the drug is separately supplied and reportable, report the applicable drug code as well, supported by the medication record.

Does 36593 include interpretation?

No. CMS identifies 36593 as technical-component-only; a separate code covers interpretation.

What documentation supports reporting 36593?

Document which vascular device was obstructed, the clinical patency problem, the thrombolytic treatment performed, and the treatment response.

Is 36593 appropriate for a catheter exchange?

No. It represents thrombolytic declotting, not catheter replacement. Report the applicable replacement service when the catheter is exchanged.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 36593PPRRVU2026_Oct_nonQPP.csv, line 4,532 (RVU26D)
Geographic factors for VallejoGPCI2026.csv, line 33 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet