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See a sample rate comparisonCPT 36595 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Remove Catheter Blockage, Removal Of A Blockage From A Thin Tube (Catheter) Inside A Major Vein. The Blockage Is Released Or Dislodged Using A Wire And Balloon Inserted Into The Catheter.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $580.17 national non-facility rate (2026) · View Medicare rates for 36595 |
| Medicaid Fee Schedule | $466.59 median of the 8 states in the free preview · View Medicaid rates for 36595 |
National average reimbursement for CPT 36595 by major payers:
$725.38
$851.34
$859.65
$353.28
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CPT 36595
5 of 25 sample ratesHigher to lower in this preview
Disc Surgery Center At Marina Del Rey LLC
$12,000.00Published rateSurgicenter Of Kansas City, LLC
$5,985.00Published rateRiver Road Surgery Center LLC
$2,853.00Published rateVisionary Surgery Center Of Nevada, LLC
Visionary Surgery Center Of Nevada LLC
$1,409.00Published ratePalmetto Endoscopy Center LLC
$660.00Published rate
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See a sample payer proposalCPT 36595 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36595 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 36595 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 36591-CPT | Low | Collect Of Blood Specimen From A Completely Implnt Venous Acce, Collection Of Blood Specimen From A Completely Implantable Venous Acce |
| 36592-CPT | Low | Collection Of Blood Specimen U, Collection Of Blood Specimen Using Established Central Or Peripheral Catheter Venous Not Otherwisespecified |
| 36593-CPT | Low | Declotting By Thrombolytic Agnt Of Implnt Vasculr Access Devic O, Declotting By Thrombolytic Agent Of Implanted Vascular Access Device O |
| 36595-CPT | Moderate | Remove Catheter Blockage, Removal Of A Blockage From A Thin Tube (Catheter) Inside A Major Vein. The Blockage Is Released Or Dislodged Using A Wire And Balloon Inserted Into The Catheter. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36595. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36595 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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