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See a sample rate comparisonCPT 36596 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 11 - Office |
| Common Modifiers | XU - Unusual Non-Overlapping Service 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $117.57 national non-facility rate (2026) · View Medicare rates for 36596 |
| Medicaid Fee Schedule | $94.285 median of the 8 states in the free preview · View Medicaid rates for 36596 |
National average reimbursement for CPT 36596 by major payers:
$158.08
$177.94
$174.67
$190.39
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CPT 36596
5 of 25 sample ratesHigher to lower in this preview
Columbia North Hills Hospital Subsidiary Lp, Medical City North Hills
Columbia North Hills Hospital Subsidiary Lp
$10,007.00Published rateLebanon Endoscopy Center LLC, Lebanon Endoscopy Center
Lebanon Endoscopy Center LLC
$967.00Published rateSurgical Associates Northwest, PC, Rainier Surgical Center
Surgical Associates Northwest, PC
$580.00Published rateCenter For Surgery PLLC
$406.00Published rateAmanda Romerhausen
Deaconess Hospital Inc
$100.70Published rate
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See a sample payer proposalCPT 36596 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36596 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 36596 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 |
| 36596-CPT | Low | 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 36596. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36596 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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