$155.48–$161.30
36589 describes routine removal of a tunneled catheter without a port or pump. Choose 36595 when mechanical extraction is required.
On this page
CMS RVU26D · Effective 2026-10-01
36595 Catheter removal Medicare reimbursement rates in Maine
Report 36595 when a tunneled central venous catheter without an implanted port or pump requires mechanical extraction rather than routine removal. Compare 36595 office and facility rates across CMS payment localities in Maine.
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 36595 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$538.93–$570.95
2 of 2 localities have a supported rate.
Facility setting
$150.21–$152.24
2 of 2 localities have a 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 36595: Mechanical tunneled catheter extraction
Report 36595 when a tunneled central venous catheter without an implanted port or pump requires mechanical extraction rather than routine removal.
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.
CMS billing rules for 36595
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.50 · 20%
- Practice expense (office) RVU13.45 · 77%
- Malpractice RVU0.42 · 2%
991
Medicare services in 2024 · #2976 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.
36595 compared with similar codes
Office rates for Maine, from the same CMS release.
$209.91–$217.63
36590 is for routine removal of a tunneled access device with a subcutaneous port or pump; 36595 is for mechanical extraction of a catheter without that component.
$109.02–$115.41
36596 is the related mechanical-removal code for a tunneled device with a subcutaneous port or pump. 36595 is for a catheter without one.
$701.37–$746.82
36581 represents replacement of a tunneled catheter. Use 36595 for mechanical extraction when the service is removal rather than replacement.
Compare 36595 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$538.93
Facility
$150.21
Southern Maine →
Office / nonfacility
$570.95
Facility
$152.24
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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 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.
4,53036591,,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
4,53636598,,Inj w/fluor eval cv device,T,,0.72,2.68,,0.12,,0.07,3.47,0.91,9,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00