CPT code 36825: Dialysis access, autologous vein conduit2026 Medicare rate & RVUs in Montana

Reports surgical creation of hemodialysis access using the patient’s own vein as a graft rather than a direct artery-to-vein connection.

CMS RVU26DEffective Oct 1, 2026One payment locality1.1K Medicare services in 2024

In Montana, Medicare pays $720.89 for 36825 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$720.89Hospital or facility

Check a contract rate as a % of Medicare · 36825 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 36825 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 36825 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 36825 covers

Code 36825 represents surgical creation of hemodialysis access using a vein from the same patient as a conduit, rather than joining a native artery and vein directly. A vascular surgeon typically uses this approach when an autogenous vein graft is selected to establish arteriovenous access. These procedures are generally performed in an operating room for patients needing long-term dialysis access.

Report the access-creation operation when the operative note identifies the patient’s vein as the conduit and distinguishes the construction from direct-anastomosis access or a prosthetic graft. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted. Modifier 50 is inappropriate for this code.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Montana compares for 36825

Across 109 of 109 payment localities, the facility rate for 36825 runs from $633.15 in Wisconsin to $908.20 in Miami, FL. Montana pays $720.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

36825 in Montana vs other payment areas
  1. Montana · this page$720.89
  2. Los Angeles, CA · California$726.00+$5.11
  3. Washington, DC area · District of Columbia$784.54+$63.65
  4. Miami, FL · Florida$908.20+$187.31
  5. Chicago, IL · Illinois$878.61+$157.72
  6. Manhattan, NY · New York$842.99+$122.10
  7. Alaska · Alaska$907.85+$186.96

Other areas in Montana first, then benchmark localities. Bars start at $0.

Every other payment area

36825 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$652.05
ArkansasArkansas—$643.74
ArizonaArizona—$699.68
Bakersfield, CACalifornia—$697.07
Chico, CACalifornia—$687.49
El Centro, CACalifornia—$688.08
Fresno, CACalifornia—$687.49
Hanford, CACalifornia—$687.49

36825 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
36825 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 36825 in every payment locality

How the 36825 rate is calculated

Each of 36825’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 36825

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.82

13.82 RVUs× 1.000 GPCI

Practice expense4.22

4.22 RVUs× 1.000 GPCI

Malpractice3.55

3.55 RVUs× 1.000 GPCI

Adjusted RVUs

21.5900

Conversion factor

$33.4009

Medicare rate

$721.13

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,551

Code
36825
Physician work
13.82
Practice expense
4.22
Malpractice
3.55

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 36825 in Montana
ComponentRVULocality factorAdjusted
Physician work13.82× 1.00013.8200
Practice expense4.22× 1.0004.2200
Malpractice3.55× 0.9983.5429
Total RVUs21.5829
Conversion factor× 33.4009

Facility rate, Montana$720.89

Facility: (13.82 × 1 + 4.22 × 1 + 3.55 × 0.998) × $33.4009 = $720.89

Open 36825 in the RVU calculator

Payment rules and modifiers for 36825

36825 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 36825

Dialysis access, autologous vein conduit

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 36825

Dialysis access, autologous vein conduit

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

36825 without 51 · national facility

$721.13

Dialysis access, autologous vein conduit

36825-51 · Second procedure: 50%

$360.57

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 36825 has changed in Montana

36825 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$720.89RVU26D
2026-07-01Not available in this setting$720.89RVU26C
2026-04-01Not available in this setting$720.89RVU26B
2026-01-01Not available in this setting$720.89RVU26A
2025-10-01Not available in this setting$751.51RVU25D
2025-07-01Not available in this setting$751.51RVU25C
2025-04-01Not available in this setting$751.51RVU25B
2025-01-01Not available in this setting$751.51RVU25A
2024-10-01Not available in this setting$773.68RVU24D
2024-07-01Not available in this setting$773.68RVU24C
2024-04-01Not available in this setting$773.68RVU24B
2024-03-09Not available in this setting$773.68RVU24AR
2024-01-01Not available in this setting$761.05RVU24A
2023-10-01Not available in this setting$784.97RVU23D
2023-07-01Not available in this setting$784.97RVU23C
2023-04-01Not available in this setting$784.97RVU23B
2023-01-01Not available in this setting$784.97RVU23A
2022-10-01Not available in this setting$804.90RVU22D
2022-07-01Not available in this setting$804.90RVU22C
2022-04-01Not available in this setting$804.90RVU22B
2022-01-01Not available in this setting$804.90RVU22A
2021-10-01Not available in this setting$808.18RVU21D
2021-07-01Not available in this setting$808.18RVU21C
2021-04-01Not available in this setting$808.18RVU21B
2021-01-01Not available in this setting$808.18RVU21A
2020-10-01Not available in this setting$871.00RVU20D
2020-07-01Not available in this setting$871.00RVU20C
2020-04-01Not available in this setting$871.00RVU20B
2020-01-01Not available in this setting$871.00RVU20A
2019-10-01Not available in this setting$905.75RVU19D
2019-07-01Not available in this setting$905.75RVU19C
2019-04-01Not available in this setting$905.75RVU19B
2019-01-01Not available in this setting$905.75RVU19A
2018-10-01Not available in this setting$910.19RVU18D
2018-07-01Not available in this setting$910.19RVU18C
2018-04-01Not available in this setting$910.19RVU18B
2018-01-01Not available in this setting$910.19RVU18AR1
2017-10-01Not available in this setting$890.45RVU17D
2017-07-01Not available in this setting$890.45RVU17C
2017-04-01Not available in this setting$890.45RVU17B
2017-01-01Not available in this setting$890.45RVU17A
2016-10-01Not available in this setting$874.47RVU16D
2016-07-01Not available in this setting$874.47RVU16C
2016-04-01Not available in this setting$874.47RVU16B
2016-01-01Not available in this setting$874.47RVU16A
2015-10-01Not available in this setting$877.15RVU15D
2015-07-01Not available in this setting$877.15RVU15C
2015-04-01Not available in this setting$872.78RVU15B
2015-01-01Not available in this setting$872.78RVU15A
2014-10-01Not available in this setting$853.30RVU14D
2014-07-01Not available in this setting$853.30RVU14C
2014-04-01Not available in this setting$853.30RVU14B
2014-01-01Not available in this setting$853.30RVU14A
2013-10-01Not available in this setting$836.17RVU13D
2013-07-01Not available in this setting$836.17RVU13C
2013-04-01Not available in this setting$836.17RVU13B
2013-01-01Not available in this setting$836.17RVU13AR

Price 36825 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

36825 billing questions

How is 36825 different from 36830?

Code 36825 uses the patient’s own vein as the graft conduit. Code 36830 describes access creation using a nonautologous graft.

When should a direct-anastomosis code be used instead?

Use a direct-anastomosis code when the surgeon connects the artery and vein directly without an interposed autologous graft. Codes 36818, 36819, 36820, and 36821 describe direct access creation in specified settings.

Does the 90-day global period include postoperative care?

Yes. The CMS global period includes the day-before preoperative visit and related postoperative care through day 90.

Can modifier 50 be reported?

No. Modifier 50 is inappropriate for this code.

What documentation supports reporting 36825?

The operative note should identify the autologous vein conduit and describe creation of the access using a graft rather than a direct artery-to-vein connection.

How are multiple procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple procedure reduction.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 36825PPRRVU2026_Oct_nonQPP.csv, line 4,551 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 36825 pays in Montana?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 36825 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet