36593 Declot vascular device
What 36593 is
CMS fee schedule short descriptor: Declot vascular device.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 36593 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.00 | 1.12 | 0.02 | 1.14 | $38.08 |
| Facility (hospital, ASC) | 0.00 | 1.12 | 0.02 | 1.14 | $38.08 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 36593 at 2 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 36593? These codes are bundled into it
36593 is a Column 1 code in 16 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
35201 | Repair blood vessel dir neck | 1 - modifier may bypass | Check pair |
35206 | Repair blood vessel dir uxtr | 1 - modifier may bypass | Check pair |
35226 | Repair blood vessel dir lxtr | 1 - modifier may bypass | Check pair |
35231 | Repair blvsl vn grf neck | 1 - modifier may bypass | Check pair |
35236 | Repair blvsl vn grf uxtr | 1 - modifier may bypass | Check pair |
35256 | Repair blvsl vn grf lxtr | 1 - modifier may bypass | Check pair |
35261 | Rpr blvsl grf oth/thn vn nck | 1 - modifier may bypass | Check pair |
35266 | Rpr blvsl grf oth/th vn uxtr | 1 - modifier may bypass | Check pair |
35286 | Rpr blvsl grf oth/th vn lxtr | 1 - modifier may bypass | Check pair |
36005 | Injection ext venography | 1 - modifier may bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
69990 | Microsurgery add-on | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
J1642 | Inj heparin sodium per 10 u | 1 - modifier may bypass | Check pair |
J1644 | Inj heparin sodium per 1000u | 1 - modifier may bypass | Check pair |
36593 is bundled into these codes
36593 appears as a Column 2 code in 18 active edits. Reported with one of these Column 1 codes on the same date of service, 36593 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0648T | Quan mr tis wo mri 1orgn | 0 | Check pair |
0649T | Quan mr tiss w/mri 1orgn | 0 | Check pair |
36595 | Mech remov tunneled cv cath | 1 | Check pair |
36596 | Mech remov tunneled cv cath | 1 | Check pair |
36831 | Open thrombect av fistula | 1 | Check pair |
36833 | Av fistula revision | 1 | Check pair |
36860 | External cannula declotting | 1 | Check pair |
36861 | Cannula declotting | 1 | Check pair |
36904 | Thrmbc/nfs dialysis circuit | 1 | Check pair |
36905 | Thrmbc/nfs dialysis circuit | 1 | Check pair |
36906 | Thrmbc/nfs dialysis circuit | 1 | Check pair |
37211 | Thrombolytic art therapy | 1 | Check pair |
37212 | Thrombolytic venous therapy | 1 | Check pair |
37213 | Thromblytic art/ven therapy | 1 | Check pair |
37214 | Cessj therapy cath removal | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.