CPT code 36860: Cannula declotting, external cannula, no revision2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $248.02 for 36860 in the office and $89.63 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 36860 nationwide

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

What 36860 covers

This service clears thrombus from an external cannula used with an arteriovenous shunt or fistula for hemodialysis. It is distinct from removing clot from the access circuit itself or surgically revising the access. A physician who manages dialysis access, commonly a vascular surgeon or access surgeon, may perform it when cannula obstruction interferes with use of the access.

Report the code when documentation identifies the external cannula as the site of clot and shows that declotting was performed without access revision. Record the access involved, the obstructing clot, the work performed, and the result. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery is not paid; co-surgeon and team-surgery billing are 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 Vermont compares for 36860

Across 109 of 109 payment localities, the office rate for 36860 runs from $225.16 in Arkansas to $335.14 in San Benito County, CA. Vermont pays $248.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

36860 rates by state

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

See 36860 in every payment locality

How the 36860 rate is calculated

Each of 36860’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.

Payment rules and modifiers for 36860

The CMS indicators that decide how 36860 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 36860

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 36860 has changed in Vermont

Price 36860 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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

Open CMS sourceHow we calculate rates