CPT code 36904: Dialysis thrombectomy, without peripheral angioplasty or stent2026 Medicare rate & RVUs in Puerto Rico
Percutaneous clot removal or thrombolytic treatment restores flow through a thrombosed hemodialysis fistula or graft when the dialysis circuit requires endovascular salvage.
In Puerto Rico, Medicare pays $1,756.34 for 36904 in the office and $320.51 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36904 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 36904 covers
This service treats clot obstructing a hemodialysis access circuit, such as an arteriovenous fistula or graft, by mechanically removing clot, infusing thrombolytic medication, or using both approaches. An interventional radiologist, vascular surgeon, or appropriately trained nephrologist typically performs the intervention in an angiography suite or hospital procedure room. Access, catheter placement, and imaging used to guide and assess the circuit intervention are included in the service.
Choose 36904 when thrombectomy or thrombolysis is performed without peripheral-segment angioplasty or stent placement; those additional treatments change the code selection. Document the access circuit treated, the clot and intervention performed, and any additional treatment of peripheral or central segments. The code has 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 for this dialysis-circuit service. Medicare does not pay an assistant at surgery under the stated statutory restriction; 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 Puerto Rico compares for 36904
Across 109 of 109 payment localities, the office rate for 36904 runs from $1,516.84 in Arkansas to $2,395.06 in San Benito County, CA. Puerto Rico pays $1,756.34. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$1,756.34
- Los Angeles, CA · California$2,005.17+$248.83
- Washington, DC area · District of Columbia$2,018.00+$261.66
- Miami, FL · Florida$1,858.38+$102.04
- Chicago, IL · Illinois$1,798.74+$42.40
- Manhattan, NY · New York$2,014.95+$258.61
- Alaska · Alaska$1,940.82+$184.48
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,542.11 | $299.43 |
| ArkansasArkansas | $1,516.84 | $296.88 |
| ArizonaArizona | $1,690.19 | $314.01 |
| Bakersfield, CACalifornia | $1,870.80 | $314.25 |
| Chico, CACalifornia | $1,867.55 | $311.01 |
| El Centro, CACalifornia | $1,867.74 | $311.19 |
| Fresno, CACalifornia | $1,867.55 | $311.01 |
| Hanford, CACalifornia | $1,867.55 | $311.01 |
| Madera, CACalifornia | $1,867.55 | $311.01 |
| Merced, CACalifornia | $1,867.55 | $311.01 |
| Modesto, CACalifornia | $1,867.55 | $311.01 |
| Napa, CACalifornia | $2,201.61 | $329.78 |
| Oxnard, CACalifornia | $1,998.99 | $320.31 |
| Redding, CACalifornia | $1,867.55 | $311.01 |
| Rest of CaliforniaCalifornia | $1,867.55 | $311.01 |
| Riverside, CACalifornia | $1,879.76 | $323.21 |
| Sacramento, CACalifornia | $1,969.94 | $318.24 |
| Salinas, CACalifornia | $1,962.88 | $316.87 |
| San Diego, CACalifornia | $2,016.85 | $318.28 |
| Marin County, CACalifornia | $2,341.80 | $339.31 |
| San Francisco, CACalifornia | $2,340.52 | $338.03 |
| San Benito County, CACalifornia | $2,395.06 | $347.12 |
| Santa Clara County, CACalifornia | $2,389.81 | $341.87 |
| San Luis Obispo, CACalifornia | $1,930.29 | $312.67 |
| Santa Cruz, CACalifornia | $2,042.14 | $316.59 |
| Santa Maria, CACalifornia | $1,972.36 | $316.40 |
| Santa Rosa, CACalifornia | $2,063.31 | $319.29 |
| Stockton, CACalifornia | $1,867.55 | $311.01 |
| Vallejo, CACalifornia | $2,199.76 | $327.93 |
| Visalia, CACalifornia | $1,867.55 | $311.01 |
| Yuba City, CACalifornia | $1,867.55 | $311.01 |
| ColoradoColorado | $1,828.89 | $317.79 |
| ConnecticutConnecticut | $1,866.00 | $336.44 |
| DelawareDelaware | $1,720.76 | $317.59 |
| Fort Lauderdale, FLFlorida | $1,790.32 | $351.65 |
| Rest of FloridaFlorida | $1,695.65 | $337.93 |
| Atlanta, GAGeorgia | $1,772.52 | $329.59 |
| Rest of GeorgiaGeorgia | $1,590.53 | $323.71 |
| Hawaii, Guam, HIHawaii | $1,924.84 | $310.07 |
| IowaIowa | $1,594.09 | $294.60 |
| IdahoIdaho | $1,604.25 | $297.66 |
| East St. Louis, ILIllinois | $1,662.41 | $355.82 |
| Rest of IllinoisIllinois | $1,635.18 | $338.53 |
| Suburban Chicago, ILIllinois | $1,811.09 | $352.54 |
| IndianaIndiana | $1,614.95 | $298.42 |
| KansasKansas | $1,582.08 | $298.21 |
| KentuckyKentucky | $1,575.70 | $313.14 |
| New Orleans, LALouisiana | $1,659.91 | $323.50 |
| Rest of LouisianaLouisiana | $1,571.49 | $314.61 |
| Metropolitan Boston, MAMassachusetts | $2,029.75 | $334.02 |
| Rest of MassachusettsMassachusetts | $1,814.42 | $318.95 |
| Baltimore area, MDMaryland | $1,860.21 | $336.33 |
| Rest of MarylandMaryland | $1,757.71 | $320.46 |
| Rest of MaineMaine | $1,609.87 | $303.28 |
| Southern Maine, MEMaine | $1,713.80 | $306.37 |
| Detroit, MIMichigan | $1,715.68 | $345.18 |
| Rest of MichiganMichigan | $1,618.79 | $322.15 |
| MinnesotaMinnesota | $1,756.59 | $295.20 |
| Metropolitan Kansas City, MOMissouri | $1,650.99 | $317.42 |
| Metropolitan St. Louis, MOMissouri | $1,670.90 | $318.86 |
| Rest of MissouriMissouri | $1,538.54 | $314.32 |
| MississippiMississippi | $1,528.21 | $305.41 |
| MontanaMontana | $1,740.78 | $320.57 |
| North CarolinaNorth Carolina | $1,629.48 | $304.43 |
| North DakotaNorth Dakota | $1,718.44 | $298.23 |
| NebraskaNebraska | $1,605.04 | $294.19 |
| New HampshireNew Hampshire | $1,795.95 | $317.52 |
| Northern New JerseyNew Jersey | $1,992.24 | $344.80 |
| Rest of New JerseyNew Jersey | $1,888.51 | $337.64 |
| New MexicoNew Mexico | $1,627.35 | $325.02 |
| NevadaNevada | $1,736.01 | $314.38 |
| NYC suburbs and Long Island, NYNew York | $2,064.57 | $375.94 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,898.37 | $343.24 |
| Queens, NYNew York | $2,038.69 | $360.01 |
| Rest of New YorkNew York | $1,656.70 | $307.50 |
| OhioOhio | $1,614.23 | $317.58 |
| OklahomaOklahoma | $1,576.33 | $308.09 |
| Portland, OROregon | $1,897.04 | $319.19 |
| Rest of OregonOregon | $1,723.81 | $309.28 |
| Metropolitan Philadelphia, PAPennsylvania | $1,812.35 | $333.92 |
| Rest of PennsylvaniaPennsylvania | $1,619.15 | $315.40 |
| Rhode IslandRhode Island | $1,789.56 | $322.49 |
| South CarolinaSouth Carolina | $1,624.31 | $312.04 |
| South DakotaSouth Dakota | $1,715.79 | $295.59 |
| TennesseeTennessee | $1,590.62 | $299.65 |
| Austin, TXTexas | $1,821.66 | $319.08 |
| Beaumont, TXTexas | $1,606.87 | $314.48 |
| Brazoria, TXTexas | $1,721.37 | $313.95 |
| Dallas, TXTexas | $1,731.86 | $317.33 |
| Fort Worth, TXTexas | $1,717.76 | $317.43 |
| Galveston, TXTexas | $1,726.10 | $315.84 |
| Houston, TXTexas | $1,746.79 | $336.52 |
| Rest of TexasTexas | $1,662.79 | $315.01 |
| UtahUtah | $1,649.47 | $314.47 |
| VirginiaVirginia | $1,704.96 | $308.89 |
| Virgin Islands, VIUnited States Virgin Islands | $1,756.34 | $320.51 |
| VermontVermont | $1,707.62 | $301.62 |
| Rest of WashingtonWashington | $1,812.33 | $316.86 |
| King County, WAWashington | $2,077.34 | $334.74 |
| WisconsinWisconsin | $1,653.46 | $292.90 |
| West VirginiaWest Virginia | $1,566.00 | $331.84 |
| WyomingWyoming | $1,731.04 | $310.84 |
36904 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.
$1,516.84
$2,131.31
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 | $1,940.82 | 1 |
| AL | $1,542.11 | 1 |
| AR | $1,516.84 | 1 |
| AZ | $1,690.19 | 1 |
| CA | $1,867.55–$2,395.06 | 29 |
| CO | $1,828.89 | 1 |
| CT | $1,866.00 | 1 |
| DC | $2,018.00 | 1 |
| DE | $1,720.76 | 1 |
| FL | $1,695.65–$1,858.38 | 3 |
| GA | $1,590.53–$1,772.52 | 2 |
| GU | $1,924.84 | 1 |
| HI | $1,924.84 | 1 |
| IA | $1,594.09 | 1 |
| ID | $1,604.25 | 1 |
| IL | $1,635.18–$1,811.09 | 4 |
| IN | $1,614.95 | 1 |
| KS | $1,582.08 | 1 |
| KY | $1,575.70 | 1 |
| LA | $1,571.49–$1,659.91 | 2 |
| MA | $1,814.42–$2,029.75 | 2 |
| MD | $1,757.71–$2,018.00 | 3 |
| ME | $1,609.87–$1,713.80 | 2 |
| MI | $1,618.79–$1,715.68 | 2 |
| MN | $1,756.59 | 1 |
| MO | $1,538.54–$1,670.90 | 3 |
| MS | $1,528.21 | 1 |
| MT | $1,740.78 | 1 |
| NC | $1,629.48 | 1 |
| ND | $1,718.44 | 1 |
| NE | $1,605.04 | 1 |
| NH | $1,795.95 | 1 |
| NJ | $1,888.51–$1,992.24 | 2 |
| NM | $1,627.35 | 1 |
| NV | $1,736.01 | 1 |
| NY | $1,656.70–$2,064.57 | 5 |
| OH | $1,614.23 | 1 |
| OK | $1,576.33 | 1 |
| OR | $1,723.81–$1,897.04 | 2 |
| PA | $1,619.15–$1,812.35 | 2 |
| PR | $1,756.34 | 1 |
| RI | $1,789.56 | 1 |
| SC | $1,624.31 | 1 |
| SD | $1,715.79 | 1 |
| TN | $1,590.62 | 1 |
| TX | $1,606.87–$1,821.66 | 8 |
| UT | $1,649.47 | 1 |
| VA | $1,704.96–$2,018.00 | 2 |
| VI | $1,756.34 | 1 |
| VT | $1,707.62 | 1 |
| WA | $1,812.33–$2,077.34 | 2 |
| WI | $1,653.46 | 1 |
| WV | $1,566.00 | 1 |
| WY | $1,731.04 | 1 |
How the 36904 rate is calculated
Each of 36904’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 · 36904
RVUs × geographic indexes × conversion factor
Work7.31
7.31 RVUs× 1.000 GPCI
Practice expense43.68
43.68 RVUs× 1.000 GPCI
Malpractice1.13
1.13 RVUs× 1.000 GPCI
Adjusted RVUs
52.1200
Conversion factor
$33.4009
Medicare rate
$1,740.85
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,565
- Code
- 36904
- Physician work
- 7.31
- Practice expense
- 43.68
- Malpractice
- 1.13
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.31 | × 1.000 | 7.3100 |
| Practice expense | 43.68 | × 1.011 | 44.1605 |
| Malpractice | 1.13 | × 0.985 | 1.1130 |
| Total RVUs | 52.5835 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$1756.34
Office: (7.31 × 1 + 43.68 × 1.011 + 1.13 × 0.985) × $33.4009 = $1756.34
Facility: (7.31 × 1 + 1.16 × 1.011 + 1.13 × 0.985) × $33.4009 = $320.51
Payment rules and modifiers for 36904
The CMS indicators that decide how 36904 is paid alongside other services.
CMS payment indicators · 36904
Dialysis thrombectomy, without peripheral angioplasty or stent
| 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) | 1 | Permitted with supporting documentation. |
| 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
36904 without 51 · national office
$1,740.85
Dialysis thrombectomy, without peripheral angioplasty or stent
36904-51 · Second procedure: 50%
$870.43
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 36904 has changed in Puerto Rico
36904 · Office / nonfacility
$1756.34
Effective 2026-10-01
The base rate is $80.44 higher than on 2025-10-01, moving from $1675.90 to $1756.34 (4.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$1675.90changed to$1756.34
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 7.50 changed to 7.31
- Practice expense RVU 42.93 changed to 43.68
- Malpractice RVU 1.10 changed to 1.13
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1779.27changed to$1675.90
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 44.54 changed to 42.93
- Malpractice RVU 1.12 changed to 1.10
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1750.23changed to$1779.27
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1858.72changed to$1750.23
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 45.92 changed to 44.54
- Malpractice RVU 1.08 changed to 1.12
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$1846.85changed to$1858.72
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$1945.70changed to$1846.85
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 47.32 changed to 45.92
- Malpractice RVU 1.04 changed to 1.08
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$2010.73changed to$1945.70
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 48.72 changed to 47.32
- Malpractice RVU 1.03 changed to 1.04
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1988.82changed to$2010.73
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 46.24 changed to 48.72
- Malpractice RVU 1.01 changed to 1.03
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1924.91changed to$1988.82
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 44.57 changed to 46.24
- Malpractice RVU 1.04 changed to 1.01
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1859.36changed to$1924.91
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 42.82 changed to 44.57
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1567.51changed to$1859.36
- Conversion factor 35.8887 changed to 35.9996
- Work RVU 6.73 changed to 7.50
- Practice expense RVU 42.33 changed to 42.82
- Malpractice RVU 1.11 changed to 1.04
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$1567.51
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,756.34 | $320.51 | RVU26D |
| 2026-07-01 | $1,756.34 | $320.51 | RVU26C |
| 2026-04-01 | $1,756.34 | $320.51 | RVU26B |
| 2026-01-01 | $1,756.34 | $320.51 | RVU26A |
| 2025-10-01 | $1,675.90 | $347.90 | RVU25D |
| 2025-07-01 | $1,675.90 | $347.90 | RVU25C |
| 2025-04-01 | $1,675.90 | $347.90 | RVU25B |
| 2025-01-01 | $1,675.90 | $347.90 | RVU25A |
| 2024-10-01 | $1,779.27 | $356.66 | RVU24D |
| 2024-07-01 | $1,779.27 | $356.66 | RVU24C |
| 2024-04-01 | $1,779.27 | $356.66 | RVU24B |
| 2024-03-09 | $1,779.27 | $356.66 | RVU24AR |
| 2024-01-01 | $1,750.23 | $350.84 | RVU24A |
| 2023-10-01 | $1,858.72 | $363.61 | RVU23D |
| 2023-07-01 | $1,846.85 | $363.61 | RVU23C |
| 2023-04-01 | $1,846.85 | $363.61 | RVU23B |
| 2023-01-01 | $1,846.85 | $363.61 | RVU23A |
| 2022-10-01 | $1,945.70 | $370.03 | RVU22D |
| 2022-07-01 | $1,945.70 | $370.03 | RVU22C |
| 2022-04-01 | $1,945.70 | $370.03 | RVU22B |
| 2022-01-01 | $1,945.70 | $370.03 | RVU22A |
| 2021-10-01 | $2,010.73 | $373.11 | RVU21D |
| 2021-07-01 | $2,010.73 | $373.11 | RVU21C |
| 2021-04-01 | $2,010.73 | $373.11 | RVU21B |
| 2021-01-01 | $2,010.73 | $373.11 | RVU21A |
| 2020-10-01 | $1,988.82 | $387.81 | RVU20D |
| 2020-07-01 | $1,988.82 | $387.81 | RVU20C |
| 2020-04-01 | $1,988.82 | $387.81 | RVU20B |
| 2020-01-01 | $1,988.82 | $387.81 | RVU20A |
| 2019-10-01 | $1,924.91 | $388.33 | RVU19D |
| 2019-07-01 | $1,924.91 | $388.33 | RVU19C |
| 2019-04-01 | $1,924.91 | $388.33 | RVU19B |
| 2019-01-01 | $1,924.91 | $388.33 | RVU19A |
| 2018-10-01 | $1,859.36 | $388.27 | RVU18D |
| 2018-07-01 | $1,859.36 | $388.27 | RVU18C |
| 2018-04-01 | $1,859.36 | $388.27 | RVU18B |
| 2018-01-01 | $1,859.36 | $388.27 | RVU18AR1 |
| 2017-10-01 | $1,567.51 | $329.78 | RVU17D |
| 2017-07-01 | $1,567.51 | $329.78 | RVU17C |
| 2017-04-01 | $1,567.51 | $329.78 | RVU17B |
| 2017-01-01 | $1,567.51 | $329.78 | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
36904 billing questions
When should 36904 be selected instead of 36905 or 36906?
Use 36904 for thrombectomy or thrombolysis without peripheral-segment angioplasty or stent placement. Peripheral angioplasty or stenting changes the code selection to 36905 or 36906, respectively.
Are access, catheter placement, and circuit imaging separately reported?
Access, catheter placement, and imaging integral to the thrombectomy or thrombolysis are included in 36904. Do not separately report those included components as additional services.
Can 36907 or 36908 be reported with 36904?
Yes, when a separate central dialysis segment is treated with angioplasty or stent placement, the applicable central-segment add-on code may be reported with 36904.
Is modifier 50 appropriate for treatment of both sides?
No. Modifier 50 is inappropriate for this dialysis-circuit service; report the code for the circuit intervention performed.
What documentation supports 36904?
Document the thrombosed access circuit, the mechanical thrombectomy or thrombolytic infusion performed, and any additional peripheral or central segment treatment.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
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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