# CPT 36591: Collect Blood From Implant Venous Access Device

Medicare CPT 36591 pays $30.39 in a non-facility setting and $30.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $25.99 in Arkansas to $35.78 in District of Columbia, a 38% spread.

Web page: https://www.med-reveal.com/rates/36591-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Hematology & Oncology, Infectious Disease

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $30.39 |
| National facility | $30.39 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $35.78 | $35.78 |
| California | $35.75 | $35.75 |
| Washington | $34.53 | $34.53 |
| Hawaii | $34.37 | $34.37 |
| New Jersey | $34.21 | $34.21 |
| Massachusetts | $34.06 | $34.06 |
| New York | $33.99 | $33.99 |
| Connecticut | $32.78 | $32.78 |
| Colorado | $32.25 | $32.25 |
| Alaska | $32.20 | $32.20 |
| Oregon | $31.92 | $31.92 |
| Maryland | $31.70 | $31.70 |
| New Hampshire | $31.59 | $31.59 |
| Rhode Island | $31.35 | $31.35 |
| Minnesota | $31.03 | $31.03 |
| Florida | $30.81 | $30.81 |
| Puerto Rico | $30.72 | $30.72 |
| Virgin Islands | $30.72 | $30.72 |
| Montana | $30.39 | $30.39 |
| Nevada | $30.37 | $30.37 |
| Wyoming | $30.31 | $30.31 |
| North Dakota | $30.20 | $30.20 |
| South Dakota | $30.17 | $30.17 |
| Delaware | $30.00 | $30.00 |
| Vermont | $29.93 | $29.93 |
| Texas | $29.91 | $29.91 |
| Pennsylvania | $29.80 | $29.80 |
| Virginia | $29.79 | $29.79 |
| Illinois | $29.69 | $29.69 |
| Arizona | $29.41 | $29.41 |
| Georgia | $29.08 | $29.08 |
| Maine | $28.93 | $28.93 |
| Wisconsin | $28.90 | $28.90 |
| Michigan | $28.70 | $28.70 |
| Utah | $28.56 | $28.56 |
| North Carolina | $28.26 | $28.26 |
| South Carolina | $28.06 | $28.06 |
| Indiana | $28.03 | $28.03 |
| New Mexico | $27.97 | $27.97 |
| Missouri | $27.91 | $27.91 |
| Nebraska | $27.87 | $27.87 |
| Idaho | $27.81 | $27.81 |
| Louisiana | $27.80 | $27.80 |
| Ohio | $27.78 | $27.78 |
| Iowa | $27.64 | $27.64 |
| Tennessee | $27.50 | $27.50 |
| Kansas | $27.34 | $27.34 |
| Oklahoma | $27.10 | $27.10 |
| Kentucky | $27.03 | $27.03 |
| West Virginia | $26.60 | $26.60 |
| Alabama | $26.49 | $26.49 |
| Mississippi | $26.13 | $26.13 |
| Arkansas | $25.99 | $25.99 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 36591 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules