Collection of blood specimen from a completely implantable venous access device

CPT 36591 is the billing code for "Collection of blood specimen from a completely implantable venous access device". Collection of blood specimen from established implantable venous access device

Medicare pays approximately $26.85 for CPT 36591 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 36591 has a total RVU of 1.14, broken down as: Work RVU 0.50, Practice Expense RVU 0.60, and Malpractice RVU 0.04. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 36591 include: Type of access device documented; Specimen collected documented; Patient response to procedure. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 36591: Collection from established device. Includes port/line access Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 36591 include: 59 (Distinct procedural service when multiple procedures performed), 91 (Repeat clinical diagnostic laboratory test, same day). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 36591 is Typically 5-10 minutes. Time-based codes require documentation of the actual time spent providing the service.