$209.96–$220.04
Choose 36589 for removal of a tunneled catheter without a port or pump. Choose 36590 when the removed device has a subcutaneous port or pump.
On this page
CMS RVU26D · Effective 2026-10-01
36589 Catheter removal Medicare reimbursement rates in Missouri
Removal of a tunneled central venous catheter without a subcutaneous port or pump, such as when access is no longer needed or the catheter is infected. Compare 36589 office and facility rates across CMS payment localities in Missouri.
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 36589 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$154.92–$162.50
3 of 3 localities have a supported rate.
Facility setting
$119.51–$123.38
3 of 3 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.
Where 36589 pays more and less in Missouri
3 payment localities
$154.92 to $162.50
Vascular access procedure
About 36589: Tunneled central catheter removal
Removal of a tunneled central venous catheter without a subcutaneous port or pump, such as when access is no longer needed or the catheter is infected.
This service removes a tunneled central venous catheter that has no implanted port or pump. A surgeon, interventional radiologist, or other qualified clinician typically frees the catheter cuff and withdraws the catheter through an incision at the exit site. Common situations include removal of a tunneled dialysis catheter after treatment ends, or removal of a tunneled line because of infection or malfunction. The procedure may take place in a hospital, ambulatory setting, or procedural suite.
Report this code when the service is removal alone; identify the catheter type and document the reason for removal and the work performed. For a complete catheter exchange, use the applicable replacement code rather than reporting removal alone. Medicare assigns a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 36589
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.22 · 45%
- Practice expense (office) RVU2.41 · 48%
- Malpractice RVU0.35 · 7%
66.7K
Medicare services in 2024 · #688 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.
36589 compared with similar codes
Office rates for Missouri, from the same CMS release.
$393.25–$421.51
Code 36589 represents removal alone. Code 36578 represents complete replacement of a tunneled catheter without a port or pump.
$130.52–$141.70
Code 36575 is for repairing a tunneled catheter that remains in place; 36589 is for removing the catheter.
Compare 36589 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$161.16
Facility
$122.58
Metropolitan St. Louis →
Office / nonfacility
$162.50
Facility
$123.38
Rest Of Missouri →
Office / nonfacility
$154.92
Facility
$119.51
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36589 billing questions
How is this different from 36590?
Code 36589 is for removing a tunneled catheter without a subcutaneous port or pump. Code 36590 is the removal code to consider when the device includes a port or pump.
Should removal be reported separately during a catheter exchange?
For a complete catheter exchange, use the applicable replacement code rather than reporting 36589 as removal alone.
Does the code include related postoperative visits?
Yes. Medicare assigns a 10-day global period that includes related postoperative visits during those 10 days.
Can modifier 50 be used for removal on both sides?
No. The CMS facts specify that bilateral adjustment does not apply and modifier 50 is inappropriate for this service.
When is assistant-at-surgery payment allowed?
Medicare pays an assistant at surgery only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.
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.
4,52536583,,Replace tunneled cv cath,A,,4.91,31.54,,3.22,,1.31,37.76,9.44,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,52636584,,Compl rplcmt picc rs&i,A,,1.17,7.91,,0.22,,0.13,9.21,1.52,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,52736585,,Replace picvad cath,A,,4.48,39.02,,3.11,,1.21,44.71,8.80,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,52836589,,Removal tunneled cv cath,A,,2.22,2.41,,1.18,,0.35,4.98,3.75,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,52936590,,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