$168.77–$186.18
This code is for removal of a tunneled catheter without a subcutaneous port or pump. 36590 includes removal of the implanted port or pump with its catheter.
On this page
CMS RVU26D · Effective 2026-10-01
36590 Port removal Medicare reimbursement rates in Washington
Removal of a tunneled central venous access device with an implanted port, reported when the reservoir and catheter are taken out. Compare 36590 office and facility rates across CMS payment localities in Washington.
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 36590 in Washington?
Washington 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
$227.85–$251.11
2 of 2 localities have a supported rate.
Facility setting
$172.63–$186.77
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 36590: Implanted port and catheter removal
Removal of a tunneled central venous access device with an implanted port, reported when the reservoir and catheter are taken out.
This service removes an implanted central venous access device that has a subcutaneous port or pump connected to a tunneled catheter. The clinician opens the port pocket, frees and removes the reservoir and catheter, and closes the incision. It is commonly performed by a surgeon or interventional radiologist when a port is no longer needed after treatment, or when the device requires removal because of a clinical problem. Procedures may take place in a hospital, ambulatory surgery center, or office setting.
Report 36590 when the port or pump and its tunneled catheter are removed; 36589 is for a tunneled catheter without a subcutaneous port or pump. Documentation should identify the device removed and support the reason for removal. The service has 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 the others are subject to the standard multiple-procedure reduction. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 36590
- 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 RVU3.02 · 45%
- Practice expense (office) RVU3.19 · 47%
- Malpractice RVU0.53 · 8%
45.8K
Medicare services in 2024 · #813 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.
36590 compared with similar codes
Office rates for Washington, from the same CMS release.
$789.63–$905.39
Use the applicable replacement code when a tunneled port device is replaced. 36590 describes taking the device out, not replacing it.
$602.15–$685.43
36595 addresses mechanical removal of obstructive material from a central venous device, not removal of the port and catheter themselves.
$121.75–$138.44
36596 is for mechanical removal of obstructive material through the device's venous access; 36590 removes the implanted port and catheter.
Compare 36590 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 Washington →
Office / nonfacility
$227.85
Facility
$172.63
Seattle (King Cnty) →
Office / nonfacility
$251.11
Facility
$186.77
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36590 billing questions
How do I choose between 36590 and 36589?
Use 36590 when the removed tunneled device includes a subcutaneous port or pump. Use 36589 for removal of a tunneled central venous catheter without a port or pump.
Does 36590 cover removal of both the port and catheter?
Yes. The service is removal of the port or pump together with its tunneled catheter; do not report 36589 for the catheter portion of the same device removal.
Should I report 36590 when the port is replaced?
When the service is replacement of a tunneled central venous access device with a port or pump, consider the applicable replacement code, such as 36581, rather than reporting removal alone.
Can an assistant surgeon be reported?
Medicare payment for an assistant at surgery is limited to cases with documented medical necessity. Co-surgeons and team surgery are not permitted for this code.
What postoperative care is included?
Related postoperative visits for 10 days are included in the global period. The record should support the device removed and the clinical reason for removal.
What if the goal is to clear an obstruction but keep the device?
Mechanical removal of obstructive material from a central venous device is a different service from removing the port and catheter. Codes 36595 and 36596 describe that type of intervention.
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.
4,52636584,,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
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