CPT code 36904: Dialysis thrombectomy, without peripheral angioplasty or stent2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $1,715.79 for 36904 in the office and $295.59 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.

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 South Dakota 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. South Dakota pays $1,715.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

36904 rates by state

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

See 36904 in every payment locality

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.

Payment rules and modifiers for 36904

The CMS indicators that decide how 36904 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 36904

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

How 36904 has changed in South Dakota

Price 36904 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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