$540.17
36593 describes thrombolytic treatment. Use 36595 when the obstruction is mechanically removed through a transcatheter approach.
On this page
CMS RVU26D · Effective 2026-10-01
36593 Device declot Medicare reimbursement rates in Indiana
Reports thrombolytic treatment used to restore patency in an occluded vascular access device, such as a dialysis catheter or implanted infusion port. Compare 36593 office and facility rates across CMS payment localities in Indiana.
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.
What does Medicare pay for 36593 in Indiana?
Indiana has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$35.00
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Indiana, from the same CMS release.
$109.15
36593 describes thrombolytic treatment. Code 36596 is for mechanical removal by a non-transcatheter approach.
36598
No office rateInj w/fluor eval cv device
36593 treats an obstruction with a thrombolytic agent. Code 36598 describes radiologic evaluation of an existing central venous access device using contrast and fluoroscopy.
Compare 36593 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Indiana →
Office / nonfacility
$35.00
Facility
Unavailable
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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 Indiana.
PPRRVU2026_Oct_nonQPP.csv
4,532
- Code
- 36593
- Physician work
- 0.00
- Practice expense
- 1.12
- Malpractice
- 0.02
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 1.12 | × 0.927 | 1.0382 |
| Malpractice | 0.02 | × 0.486 | 0.0097 |
| Total RVUs | 1.0480 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$35.00
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 1.12 | 0.927 |
| Malpractice | 0.02 | 0.486 |
(0 × 1 + 1.12 × 0.927 + 0.02 × 0.486) × $33.4009 = $35.00
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.
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.
4,52936590,,Removal tunneled cv cath,A,,3.02,3.19,,1.62,,0.53,6.74,5.17,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,53036591,,Draw blood off venous device,T,,0.00,0.90,,0.90,NA,0.01,0.91,0.91,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,53136592,,Collect blood from picc,T,,0.00,1.00,,1.00,NA,0.01,1.01,1.01,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,53236593,,Declot vascular device,A,,0.00,1.12,,1.12,NA,0.02,1.14,1.14,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,53336595,,Mech remov tunneled cv cath,A,,3.50,13.45,,0.80,,0.42,17.37,4.72,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,53436596,,Mech remov tunneled cv cath,A,,0.73,2.68,,0.39,,0.11,3.52,1.23,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,53536597,,Reposition venous catheter,A,,1.18,2.05,,0.23,,0.15,3.38,1.56,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915