CPT code 36830: AV graft creation, nonautologous graft2026 Medicare rate & RVUs in Mississippi
Reports open creation of dialysis access by connecting an artery and vein with a graft made from material other than the patient’s own tissue.
In Mississippi, Medicare pays $565.06 for 36830 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 36830 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 36830 covers
A vascular surgeon creates an arteriovenous access by placing a nonautologous graft between an artery and a vein, then connecting the graft to both vessels. This approach is used for hemodialysis access when a direct connection between the patient’s own artery and vein is not the selected method. The access is commonly created in an arm, and the graft may be synthetic or biologic material from another source. The service is generally performed in an operating room or other surgical facility.
Report this code when the operative record supports open graft placement and arterial and venous connections using nonautologous material. Documentation should identify the graft material and the vessels or sites joined; a direct native-vessel fistula or a graft made from the patient’s own vein is coded differently. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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 Mississippi compares for 36830
Across 109 of 109 payment localities, the facility rate for 36830 runs from $533.05 in Wisconsin to $765.62 in Alaska. Mississippi pays $565.06. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$565.06
- Los Angeles, CA · California$610.71+$45.65
- Washington, DC area · District of Columbia$660.22+$95.16
- Miami, FL · Florida$765.16+$200.10
- Chicago, IL · Illinois$740.31+$175.25
- Manhattan, NY · New York$709.69+$144.63
- Alaska · Alaska$765.62+$200.56
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $549.34 |
| ArkansasArkansas | — | $542.38 |
| ArizonaArizona | — | $589.23 |
| Bakersfield, CACalifornia | — | $586.56 |
| Chico, CACalifornia | — | $578.46 |
| El Centro, CACalifornia | — | $578.96 |
| Fresno, CACalifornia | — | $578.46 |
| Hanford, CACalifornia | — | $578.46 |
| Madera, CACalifornia | — | $578.46 |
| Merced, CACalifornia | — | $578.46 |
| Modesto, CACalifornia | — | $578.46 |
| Napa, CACalifornia | — | $619.26 |
| Oxnard, CACalifornia | — | $601.39 |
| Redding, CACalifornia | — | $578.46 |
| Rest of CaliforniaCalifornia | — | $578.46 |
| Riverside, CACalifornia | — | $610.61 |
| Sacramento, CACalifornia | — | $593.62 |
| Salinas, CACalifornia | — | $591.20 |
| San Diego, CACalifornia | — | $595.67 |
| Marin County, CACalifornia | — | $637.48 |
| San Francisco, CACalifornia | — | $634.08 |
| San Benito County, CACalifornia | — | $654.76 |
| Santa Clara County, CACalifornia | — | $640.84 |
| San Luis Obispo, CACalifornia | — | $583.41 |
| Santa Cruz, CACalifornia | — | $593.74 |
| Santa Maria, CACalifornia | — | $590.83 |
| Santa Rosa, CACalifornia | — | $598.76 |
| Stockton, CACalifornia | — | $578.46 |
| Vallejo, CACalifornia | — | $614.35 |
| Visalia, CACalifornia | — | $578.46 |
| Yuba City, CACalifornia | — | $578.46 |
| ColoradoColorado | — | $597.36 |
| ConnecticutConnecticut | — | $644.98 |
| DelawareDelaware | — | $597.68 |
| Fort Lauderdale, FLFlorida | — | $689.69 |
| Rest of FloridaFlorida | — | $652.56 |
| Atlanta, GAGeorgia | — | $630.39 |
| Rest of GeorgiaGeorgia | — | $614.02 |
| Hawaii, Guam, HIHawaii | — | $580.83 |
| IowaIowa | — | $537.01 |
| IdahoIdaho | — | $545.20 |
| East St. Louis, ILIllinois | — | $699.62 |
| Rest of IllinoisIllinois | — | $653.62 |
| Suburban Chicago, ILIllinois | — | $690.44 |
| IndianaIndiana | — | $547.31 |
| KansasKansas | — | $546.47 |
| KentuckyKentucky | — | $585.92 |
| New Orleans, LALouisiana | — | $614.06 |
| Rest of LouisianaLouisiana | — | $589.77 |
| Metropolitan Boston, MAMassachusetts | — | $634.62 |
| Rest of MassachusettsMassachusetts | — | $599.26 |
| Baltimore area, MDMaryland | — | $645.66 |
| Rest of MarylandMaryland | — | $604.31 |
| Rest of MaineMaine | — | $560.13 |
| Southern Maine, MEMaine | — | $569.22 |
| Detroit, MIMichigan | — | $671.93 |
| Rest of MichiganMichigan | — | $610.13 |
| MinnesotaMinnesota | — | $540.03 |
| Metropolitan Kansas City, MOMissouri | — | $597.89 |
| Metropolitan St. Louis, MOMissouri | — | $601.90 |
| Rest of MissouriMissouri | — | $588.72 |
| MontanaMontana | — | $607.03 |
| North CarolinaNorth Carolina | — | $563.33 |
| North DakotaNorth Dakota | — | $547.71 |
| NebraskaNebraska | — | $536.03 |
| New HampshireNew Hampshire | — | $599.43 |
| Northern New JerseyNew Jersey | — | $657.16 |
| Rest of New JerseyNew Jersey | — | $643.22 |
| New MexicoNew Mexico | — | $617.80 |
| NevadaNevada | — | $590.61 |
| NYC suburbs and Long Island, NYNew York | — | $739.96 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $656.85 |
| Queens, NYNew York | — | $697.57 |
| Rest of New YorkNew York | — | $571.71 |
| OhioOhio | — | $598.00 |
| OklahomaOklahoma | — | $572.55 |
| Portland, OROregon | — | $600.64 |
| Rest of OregonOregon | — | $577.01 |
| Metropolitan Philadelphia, PAPennsylvania | — | $638.34 |
| Rest of PennsylvaniaPennsylvania | — | $592.27 |
| Puerto RicoPuerto Rico | — | $606.99 |
| Rhode IslandRhode Island | — | $607.65 |
| South CarolinaSouth Carolina | — | $583.44 |
| South DakotaSouth Dakota | — | $540.69 |
| TennesseeTennessee | — | $550.35 |
| Austin, TXTexas | — | $603.27 |
| Beaumont, TXTexas | — | $589.74 |
| Brazoria, TXTexas | — | $587.28 |
| Dallas, TXTexas | — | $596.06 |
| Fort Worth, TXTexas | — | $596.22 |
| Galveston, TXTexas | — | $592.32 |
| Houston, TXTexas | — | $647.23 |
| Rest of TexasTexas | — | $591.63 |
| UtahUtah | — | $590.09 |
| VirginiaVirginia | — | $575.81 |
| Virgin Islands, VIUnited States Virgin Islands | — | $606.99 |
| VermontVermont | — | $556.58 |
| Rest of WashingtonWashington | — | $594.48 |
| King County, WAWashington | — | $634.64 |
| WisconsinWisconsin | — | $533.05 |
| West VirginiaWest Virginia | — | $635.32 |
| WyomingWyoming | — | $581.18 |
36830 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 36830 rate is calculated
Each of 36830’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 · 36830
RVUs × geographic indexes × conversion factor
Work11.73
11.73 RVUs× 1.000 GPCI
Practice expense3.45
3.45 RVUs× 1.000 GPCI
Malpractice3.00
3.00 RVUs× 1.000 GPCI
Adjusted RVUs
18.1800
Conversion factor
$33.4009
Medicare rate
$607.23
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,552
- Code
- 36830
- Physician work
- 11.73
- Practice expense
- 3.45
- Malpractice
- 3.00
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.73 | × 1.000 | 11.7300 |
| Practice expense | 3.45 | × 0.861 | 2.9705 |
| Malpractice | 3.00 | × 0.739 | 2.2170 |
| Total RVUs | 16.9174 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$565.06
Facility: (11.73 × 1 + 3.45 × 0.861 + 3 × 0.739) × $33.4009 = $565.06
Payment rules and modifiers for 36830
36830 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 36830
AV graft creation, nonautologous graft
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 36830
AV graft creation, nonautologous graft
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
36830 without 51 · national facility
$607.23
AV graft creation, nonautologous graft
36830-51 · Second procedure: 50%
$303.62
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%).
How 36830 has changed in Mississippi
36830 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $565.06 | RVU26D |
| 2026-07-01 | Not available in this setting | $565.06 | RVU26C |
| 2026-04-01 | Not available in this setting | $565.06 | RVU26B |
| 2026-01-01 | Not available in this setting | $565.06 | RVU26A |
| 2025-10-01 | Not available in this setting | $590.51 | RVU25D |
| 2025-07-01 | Not available in this setting | $590.51 | RVU25C |
| 2025-04-01 | Not available in this setting | $590.51 | RVU25B |
| 2025-01-01 | Not available in this setting | $590.51 | RVU25A |
| 2024-10-01 | Not available in this setting | $606.27 | RVU24D |
| 2024-07-01 | Not available in this setting | $606.27 | RVU24C |
| 2024-04-01 | Not available in this setting | $606.27 | RVU24B |
| 2024-03-09 | Not available in this setting | $606.27 | RVU24AR |
| 2024-01-01 | Not available in this setting | $596.37 | RVU24A |
| 2023-10-01 | Not available in this setting | $609.92 | RVU23D |
| 2023-07-01 | Not available in this setting | $609.92 | RVU23C |
| 2023-04-01 | Not available in this setting | $609.92 | RVU23B |
| 2023-01-01 | Not available in this setting | $609.92 | RVU23A |
| 2022-10-01 | Not available in this setting | $619.31 | RVU22D |
| 2022-07-01 | Not available in this setting | $619.31 | RVU22C |
| 2022-04-01 | Not available in this setting | $619.31 | RVU22B |
| 2022-01-01 | Not available in this setting | $619.31 | RVU22A |
| 2021-10-01 | Not available in this setting | $620.93 | RVU21D |
| 2021-07-01 | Not available in this setting | $620.93 | RVU21C |
| 2021-04-01 | Not available in this setting | $620.93 | RVU21B |
| 2021-01-01 | Not available in this setting | $620.93 | RVU21A |
| 2020-10-01 | Not available in this setting | $627.45 | RVU20D |
| 2020-07-01 | Not available in this setting | $627.45 | RVU20C |
| 2020-04-01 | Not available in this setting | $627.45 | RVU20B |
| 2020-01-01 | Not available in this setting | $627.45 | RVU20A |
| 2019-10-01 | Not available in this setting | $612.47 | RVU19D |
| 2019-07-01 | Not available in this setting | $612.47 | RVU19C |
| 2019-04-01 | Not available in this setting | $612.47 | RVU19B |
| 2019-01-01 | Not available in this setting | $612.47 | RVU19A |
| 2018-10-01 | Not available in this setting | $614.58 | RVU18D |
| 2018-07-01 | Not available in this setting | $614.58 | RVU18C |
| 2018-04-01 | Not available in this setting | $614.58 | RVU18B |
| 2018-01-01 | Not available in this setting | $614.58 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $628.76 | RVU17D |
| 2017-07-01 | Not available in this setting | $628.76 | RVU17C |
| 2017-04-01 | Not available in this setting | $628.76 | RVU17B |
| 2017-01-01 | Not available in this setting | $628.76 | RVU17A |
| 2016-10-01 | Not available in this setting | $644.78 | RVU16D |
| 2016-07-01 | Not available in this setting | $644.78 | RVU16C |
| 2016-04-01 | Not available in this setting | $644.78 | RVU16B |
| 2016-01-01 | Not available in this setting | $644.78 | RVU16A |
| 2015-10-01 | Not available in this setting | $646.08 | RVU15D |
| 2015-07-01 | Not available in this setting | $646.08 | RVU15C |
| 2015-04-01 | Not available in this setting | $642.87 | RVU15B |
| 2015-01-01 | Not available in this setting | $642.87 | RVU15A |
| 2014-10-01 | Not available in this setting | $638.16 | RVU14D |
| 2014-07-01 | Not available in this setting | $638.16 | RVU14C |
| 2014-04-01 | Not available in this setting | $638.16 | RVU14B |
| 2014-01-01 | Not available in this setting | $638.16 | RVU14A |
| 2013-10-01 | Not available in this setting | $633.85 | RVU13D |
| 2013-07-01 | Not available in this setting | $633.85 | RVU13C |
| 2013-04-01 | Not available in this setting | $633.85 | RVU13B |
| 2013-01-01 | Not available in this setting | $633.85 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
36830 billing questions
How is this code different from 36825?
This code represents access created with nonautologous graft material. Code 36825 is for a graft made from the patient’s own tissue, such as a harvested vein.
When would a direct fistula code be used instead?
Use a direct fistula code when the surgeon connects the patient’s artery and vein without inserting a graft. The operative description should show whether graft material bridges the vessels.
What documentation supports reporting this service?
The operative report should establish open access creation, the nonautologous graft material, and the artery and vein connected. Include the anatomic sites and describe the graft connections.
Does the 90-day global period include access follow-up?
It includes the day-before preoperative visit and 90 days of related postoperative care. Care related to this access during that period is part of the global service.
Can modifier 50 be used for access created on both sides?
CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate. The code’s descriptor or anatomy supports that treatment.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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
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