CPT code 36903: Dialysis access stenting, peripheral segment2026 Medicare rate & RVUs
Reports angiography of a hemodialysis access circuit with stent placement in its peripheral segment, including angioplasty performed in that segment.
Medicare pays $4,802.38 for 36903 nationally in the office and $277.56 in a hospital or facility. Local office rates run $4,142.75–$6,824.78.
Medicare rate · 36903
Dialysis access stenting, peripheral segment
- Work RVUs
- 6.23
- Total RVUs
- 143.78
- Global days
- 000
National rate · 2026
$4,802.38
Office setting, before claim adjustments.
See every locality for 36903 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
Your location
On this page 10 sections
What 36903 covers
An interventional radiologist, vascular surgeon, or other qualified physician accesses a hemodialysis fistula or graft with needles or catheters, performs diagnostic angiography, and places a stent to treat a lesion in the peripheral dialysis segment. Typical cases involve a stenosis compromising access flow or dialysis function. The service may take place in an outpatient angiography suite or hospital procedure room. Angioplasty performed in the same peripheral segment is included in this code.
Report 36903 when the documented intervention includes peripheral-segment stent placement; angiography and the stent location should be clear in the procedure report. The code includes the imaging and its interpretation for the circuit evaluation and intervention, so those elements are not separately reported for the same service. It has a 0-day global period, with same-day preoperative and postoperative care included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and 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.
Where 36903 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$4142.75 to $6824.78
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $4,217.46 | $258.25 |
| Alaska | $5,187.37 | $368.44 |
| Arizona | $4,656.07 | $271.52 |
| Arkansas | $4,142.75 | $255.93 |
| Atlanta, GA | $4,882.88 | $285.66 |
| Austin, TX | $5,063.35 | $276.09 |
| Bakersfield, CA | $5,230.63 | $271.43 |
| Baltimore area, MD | $5,146.74 | $291.60 |
| Beaumont, TX | $4,389.55 | $271.96 |
| Brazoria, TX | $4,755.44 | $271.34 |
| Chicago, IL | $4,871.19 | $323.75 |
| Chico, CA | $5,227.71 | $268.50 |
| Colorado | $5,089.18 | $274.77 |
| Connecticut | $5,164.88 | $291.65 |
| Dallas, TX | $4,781.13 | $274.41 |
| Delaware | $4,745.23 | $274.71 |
| Detroit, MI | $4,666.39 | $299.93 |
| East St. Louis, IL | $4,472.47 | $309.64 |
| El Centro, CA | $5,227.88 | $268.67 |
| Fort Lauderdale, FL | $4,889.46 | $305.81 |
| Fort Worth, TX | $4,735.98 | $274.51 |
| Fresno, CA | $5,227.71 | $268.50 |
| Galveston, TX | $4,766.21 | $273.06 |
| Hanford, CA | $5,227.71 | $268.50 |
| Hawaii, Guam, HI | $5,412.60 | $267.88 |
| Houston, TX | $4,785.06 | $291.92 |
| Idaho | $4,419.46 | $256.63 |
| Indiana | $4,451.83 | $257.32 |
| Iowa | $4,394.05 | $253.84 |
| Kansas | $4,347.57 | $257.13 |
| Kentucky | $4,293.31 | $270.74 |
| King County, WA | $5,841.59 | $289.63 |
| Los Angeles, CA | $5,633.81 | $280.95 |
| Madera, CA | $5,227.71 | $268.50 |
| Manhattan, NY | $5,574.56 | $316.72 |
| Marin County, CA | $6,673.09 | $293.10 |
| Merced, CA | $5,227.71 | $268.50 |
| Metropolitan Boston, MA | $5,691.75 | $289.11 |
| Metropolitan Kansas City, MO | $4,523.44 | $274.63 |
| Metropolitan Philadelphia, PA | $4,999.72 | $289.38 |
| Metropolitan St. Louis, MO | $4,583.58 | $275.95 |
| Miami, FL | $5,041.94 | $331.60 |
| Minnesota | $4,910.40 | $254.36 |
| Mississippi | $4,159.58 | $263.71 |
| Modesto, CA | $5,227.71 | $268.50 |
| Montana | $4,802.31 | $277.49 |
| Napa, CA | $6,248.61 | $284.90 |
| Nebraska | $4,429.87 | $253.46 |
| Nevada | $4,801.20 | $271.85 |
| New Hampshire | $4,985.04 | $274.70 |
| New Mexico | $4,430.83 | $281.57 |
| New Orleans, LA | $4,538.03 | $280.17 |
| North Carolina | $4,484.45 | $262.79 |
| North Dakota | $4,781.95 | $257.13 |
| Northern New Jersey | $5,547.41 | $298.62 |
| NYC suburbs and Long Island, NY | $5,707.00 | $326.99 |
| Ohio | $4,405.95 | $274.79 |
| Oklahoma | $4,306.80 | $266.14 |
| Oxnard, CA | $5,625.14 | $276.80 |
| Portland, OR | $5,303.05 | $275.98 |
| Poughkeepsie and northern NYC suburbs, NY | $5,252.16 | $297.48 |
| Puerto Rico | $4,852.02 | $277.43 |
| Queens, NY | $5,660.81 | $312.47 |
| Redding, CA | $5,227.71 | $268.50 |
| Rest of California | $5,227.71 | $268.50 |
| Rest of Florida | $4,619.05 | $293.32 |
| Rest of Georgia | $4,316.52 | $280.38 |
| Rest of Illinois | $4,425.04 | $293.88 |
| Rest of Louisiana | $4,276.55 | $272.08 |
| Rest of Maine | $4,424.59 | $261.75 |
| Rest of Maryland | $4,856.36 | $277.24 |
| Rest of Massachusetts | $5,040.40 | $275.77 |
| Rest of Michigan | $4,410.11 | $278.95 |
| Rest of Missouri | $4,172.22 | $271.83 |
| Rest of New Jersey | $5,233.55 | $292.45 |
| Rest of New York | $4,564.17 | $265.59 |
| Rest of Oregon | $4,773.92 | $267.20 |
| Rest of Pennsylvania | $4,426.58 | $272.79 |
| Rest of Texas | $4,566.49 | $272.44 |
| Rest of Washington | $5,038.54 | $273.90 |
| Rhode Island | $4,953.10 | $278.96 |
| Riverside, CA | $5,238.82 | $279.62 |
| Sacramento, CA | $5,537.17 | $274.81 |
| Salinas, CA | $5,517.89 | $273.63 |
| San Benito County, CA | $6,824.78 | $299.99 |
| San Diego, CA | $5,686.61 | $274.92 |
| San Francisco, CA | $6,671.92 | $291.93 |
| San Luis Obispo, CA | $5,423.78 | $270.01 |
| Santa Clara County, CA | $6,820.00 | $295.21 |
| Santa Cruz, CA | $5,771.16 | $273.51 |
| Santa Maria, CA | $5,549.19 | $273.25 |
| Santa Rosa, CA | $5,832.32 | $275.84 |
| South Carolina | $4,450.67 | $269.74 |
| South Dakota | $4,779.54 | $254.72 |
| Southern Maine, ME | $4,748.65 | $264.55 |
| Stockton, CA | $5,227.71 | $268.50 |
| Suburban Chicago, IL | $4,953.51 | $306.52 |
| Tennessee | $4,371.50 | $258.44 |
| Utah | $4,525.28 | $271.95 |
| Vallejo, CA | $6,246.92 | $283.21 |
| Vermont | $4,739.79 | $260.22 |
| Virgin Islands, VI | $4,852.02 | $277.43 |
| Virginia | $4,714.75 | $266.85 |
| Visalia, CA | $5,227.71 | $268.50 |
| Washington, DC area | $5,629.17 | $298.93 |
| West Virginia | $4,219.86 | $287.79 |
| Wisconsin | $4,587.06 | $252.28 |
| Wyoming | $4,793.44 | $268.62 |
| Yuba City, CA | $5,227.71 | $268.50 |
36903 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.
$4,142.75
$6,026.25
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $5,187.37 | 1 |
| AL | $4,217.46 | 1 |
| AR | $4,142.75 | 1 |
| AZ | $4,656.07 | 1 |
| CA | $5,227.71–$6,824.78 | 29 |
| CO | $5,089.18 | 1 |
| CT | $5,164.88 | 1 |
| DC | $5,629.17 | 1 |
| DE | $4,745.23 | 1 |
| FL | $4,619.05–$5,041.94 | 3 |
| GA | $4,316.52–$4,882.88 | 2 |
| GU | $5,412.60 | 1 |
| HI | $5,412.60 | 1 |
| IA | $4,394.05 | 1 |
| ID | $4,419.46 | 1 |
| IL | $4,425.04–$4,953.51 | 4 |
| IN | $4,451.83 | 1 |
| KS | $4,347.57 | 1 |
| KY | $4,293.31 | 1 |
| LA | $4,276.55–$4,538.03 | 2 |
| MA | $5,040.40–$5,691.75 | 2 |
| MD | $4,856.36–$5,629.17 | 3 |
| ME | $4,424.59–$4,748.65 | 2 |
| MI | $4,410.11–$4,666.39 | 2 |
| MN | $4,910.40 | 1 |
| MO | $4,172.22–$4,583.58 | 3 |
| MS | $4,159.58 | 1 |
| MT | $4,802.31 | 1 |
| NC | $4,484.45 | 1 |
| ND | $4,781.95 | 1 |
| NE | $4,429.87 | 1 |
| NH | $4,985.04 | 1 |
| NJ | $5,233.55–$5,547.41 | 2 |
| NM | $4,430.83 | 1 |
| NV | $4,801.20 | 1 |
| NY | $4,564.17–$5,707.00 | 5 |
| OH | $4,405.95 | 1 |
| OK | $4,306.80 | 1 |
| OR | $4,773.92–$5,303.05 | 2 |
| PA | $4,426.58–$4,999.72 | 2 |
| PR | $4,852.02 | 1 |
| RI | $4,953.10 | 1 |
| SC | $4,450.67 | 1 |
| SD | $4,779.54 | 1 |
| TN | $4,371.50 | 1 |
| TX | $4,389.55–$5,063.35 | 8 |
| UT | $4,525.28 | 1 |
| VA | $4,714.75–$5,629.17 | 2 |
| VI | $4,852.02 | 1 |
| VT | $4,739.79 | 1 |
| WA | $5,038.54–$5,841.59 | 2 |
| WI | $4,587.06 | 1 |
| WV | $4,219.86 | 1 |
| WY | $4,793.44 | 1 |
How the 36903 rate is calculated
Each of 36903’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 · 36903
RVUs × geographic indexes × conversion factor
Work6.23
6.23 RVUs× 1.000 GPCI
Practice expense136.52
136.52 RVUs× 1.000 GPCI
Malpractice1.03
1.03 RVUs× 1.000 GPCI
Adjusted RVUs
143.7800
Conversion factor
$33.4009
Medicare rate
$4,802.38
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36903
The CMS indicators that decide how 36903 is paid alongside other services.
CMS payment indicators · 36903
Dialysis access stenting, peripheral segment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
36903 without 51 · national office
$4,802.38
Dialysis access stenting, peripheral segment
36903-51 · Second procedure: 50%
$2,401.19
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%).
36903 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 36902Dialysis access angioplastyPeripheral segment
- Use 36902 for peripheral-segment angioplasty without a stent. Use 36903 when a peripheral-segment stent is placed; angioplasty in that same segment is included.
- 36906Dialysis access interventionCentral-segment angioplasty
- Both involve peripheral-segment stenting, but 36906 includes dialysis-circuit thrombectomy with thrombolysis. Use 36903 when the service does not include that thrombectomy treatment.
- 36908Stent placementCentral dialysis segment
- 36908 is for stent placement in the central dialysis segment and is an add-on code. 36903 describes the primary intervention with stenting in the peripheral segment.
36903 billing questions
When should 36903 be chosen instead of 36902?
Choose 36903 when a stent is placed in the peripheral dialysis segment. Code 36902 describes peripheral-segment angioplasty without stent placement.
Can angioplasty in the stented peripheral segment be reported separately?
No. Angioplasty performed in the same peripheral segment as the stent is included in 36903.
Is the diagnostic angiography separately billable with 36903?
The circuit angiography and its imaging and interpretation are included in 36903 for the service being reported.
Can 36907 or 36908 be reported with 36903?
They may be reported as add-on codes when a separate intervention is performed in the central dialysis segment: angioplasty for 36907 or stent placement for 36908.
Should modifier 50 be appended for treatment of both sides?
No. The descriptor or anatomy makes modifier 50 inappropriate for 36903.
What documentation supports 36903?
Document the access circuit evaluated, angiographic findings, the peripheral-segment site treated, and the stent placement. Record any angioplasty performed in that same segment as part of the service.
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
Fee sheets
Put 36903 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet