CPT code 36905: Dialysis thrombectomy, peripheral balloon angioplasty2026 Medicare rate & RVUs in Alabama
Reports percutaneous removal or dissolution of thrombus in a dialysis access circuit together with balloon angioplasty of a stenosis in its peripheral segment.
In Alabama, Medicare pays $1,952.83 for 36905 in the office and $360.90 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36905 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 36905 covers
This service treats a thrombosed or occluded hemodialysis access, such as an arteriovenous fistula or graft. A vascular surgeon or interventional radiologist accesses the circuit percutaneously, removes or dissolves thrombus, and uses a balloon to treat a stenosis in the peripheral portion of the circuit. Imaging and radiological supervision associated with the intervention are included. The service is commonly performed in a hospital or an outpatient vascular access setting when restoring access flow requires both clot treatment and angioplasty.
Select this code when thrombectomy or thrombolytic treatment and peripheral-segment balloon angioplasty are performed in the same dialysis circuit. Use a different code when the procedure lacks one of those elements or uses stenting instead of balloon angioplasty. The report should identify the treated access, thrombus treatment, angioplasty site, and relevant findings. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted; co-surgeons require 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 Alabama compares for 36905
Across 109 of 109 payment localities, the office rate for 36905 runs from $1,920.73 in Arkansas to $3,043.39 in San Benito County, CA. Alabama pays $1,952.83. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$1,952.83
- Los Angeles, CA · California$2,544.66+$591.83
- Washington, DC area · District of Columbia$2,558.48+$605.65
- Miami, FL · Florida$2,347.63+$394.80
- Chicago, IL · Illinois$2,272.32+$319.49
- Manhattan, NY · New York$2,551.89+$599.06
- Alaska · Alaska$2,453.88+$501.05
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $1,920.73 | $357.91 |
| ArizonaArizona | $2,140.99 | $378.04 |
| Bakersfield, CACalifornia | $2,373.26 | $379.25 |
| Chico, CACalifornia | $2,369.52 | $375.52 |
| El Centro, CACalifornia | $2,369.74 | $375.73 |
| Fresno, CACalifornia | $2,369.52 | $375.52 |
| Hanford, CACalifornia | $2,369.52 | $375.52 |
| Madera, CACalifornia | $2,369.52 | $375.52 |
| Merced, CACalifornia | $2,369.52 | $375.52 |
| Modesto, CACalifornia | $2,369.52 | $375.52 |
| Napa, CACalifornia | $2,796.68 | $398.78 |
| Oxnard, CACalifornia | $2,537.21 | $386.74 |
| Redding, CACalifornia | $2,369.52 | $375.52 |
| Rest of CaliforniaCalifornia | $2,369.52 | $375.52 |
| Riverside, CACalifornia | $2,383.48 | $389.47 |
| Sacramento, CACalifornia | $2,500.30 | $384.40 |
| Salinas, CACalifornia | $2,491.36 | $382.74 |
| San Diego, CACalifornia | $2,560.47 | $384.53 |
| Marin County, CACalifornia | $2,975.88 | $410.60 |
| San Francisco, CACalifornia | $2,974.41 | $409.13 |
| San Benito County, CACalifornia | $3,043.39 | $419.90 |
| Santa Clara County, CACalifornia | $3,037.41 | $413.91 |
| San Luis Obispo, CACalifornia | $2,449.88 | $377.64 |
| Santa Cruz, CACalifornia | $2,593.08 | $382.57 |
| Santa Maria, CACalifornia | $2,503.56 | $382.21 |
| Santa Rosa, CACalifornia | $2,620.01 | $385.86 |
| Stockton, CACalifornia | $2,369.52 | $375.52 |
| Vallejo, CACalifornia | $2,794.56 | $396.67 |
| Visalia, CACalifornia | $2,369.52 | $375.52 |
| Yuba City, CACalifornia | $2,369.52 | $375.52 |
| ColoradoColorado | $2,318.81 | $383.03 |
| ConnecticutConnecticut | $2,363.94 | $404.50 |
| DelawareDelaware | $2,179.82 | $382.30 |
| Fort Lauderdale, FLFlorida | $2,264.24 | $421.24 |
| Rest of FloridaFlorida | $2,144.57 | $405.28 |
| Atlanta, GAGeorgia | $2,244.57 | $396.11 |
| Rest of GeorgiaGeorgia | $2,011.57 | $388.71 |
| Hawaii, Guam, HIHawaii | $2,443.01 | $374.41 |
| IowaIowa | $2,020.30 | $355.60 |
| IdahoIdaho | $2,032.92 | $359.12 |
| East St. Louis, ILIllinois | $2,099.32 | $425.52 |
| Rest of IllinoisIllinois | $2,066.80 | $405.74 |
| Suburban Chicago, ILIllinois | $2,290.90 | $422.43 |
| IndianaIndiana | $2,046.56 | $360.02 |
| KansasKansas | $2,004.35 | $359.66 |
| KentuckyKentucky | $1,994.03 | $376.63 |
| New Orleans, LALouisiana | $2,100.73 | $388.72 |
| Rest of LouisianaLouisiana | $1,988.41 | $378.29 |
| Metropolitan Boston, MAMassachusetts | $2,574.95 | $402.65 |
| Rest of MassachusettsMassachusetts | $2,300.12 | $384.35 |
| Baltimore area, MDMaryland | $2,356.45 | $404.29 |
| Rest of MarylandMaryland | $2,226.95 | $385.77 |
| Rest of MaineMaine | $2,039.34 | $365.54 |
| Southern Maine, MEMaine | $2,172.41 | $369.44 |
| Detroit, MIMichigan | $2,169.28 | $413.61 |
| Rest of MichiganMichigan | $2,048.10 | $387.04 |
| MinnesotaMinnesota | $2,228.99 | $356.88 |
| Metropolitan Kansas City, MOMissouri | $2,090.14 | $381.77 |
| Metropolitan St. Louis, MOMissouri | $2,115.51 | $383.49 |
| Rest of MissouriMissouri | $1,946.12 | $377.84 |
| MississippiMississippi | $1,934.12 | $367.66 |
| MontanaMontana | $2,205.04 | $385.69 |
| North CarolinaNorth Carolina | $2,064.36 | $366.91 |
| North DakotaNorth Dakota | $2,179.53 | $360.19 |
| NebraskaNebraska | $2,034.43 | $355.17 |
| New HampshireNew Hampshire | $2,276.36 | $382.42 |
| Northern New JerseyNew Jersey | $2,525.54 | $415.10 |
| Rest of New JerseyNew Jersey | $2,392.97 | $406.24 |
| New MexicoNew Mexico | $2,058.68 | $390.34 |
| NevadaNevada | $2,199.80 | $378.63 |
| NYC suburbs and Long Island, NYNew York | $2,614.02 | $450.82 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $2,404.91 | $412.72 |
| Queens, NYNew York | $2,583.06 | $432.59 |
| Rest of New YorkNew York | $2,098.89 | $370.51 |
| OhioOhio | $2,042.89 | $381.82 |
| OklahomaOklahoma | $1,995.56 | $370.88 |
| Portland, OROregon | $2,406.22 | $384.93 |
| Rest of OregonOregon | $2,184.86 | $372.79 |
| Metropolitan Philadelphia, PAPennsylvania | $2,295.34 | $401.40 |
| Rest of PennsylvaniaPennsylvania | $2,049.52 | $379.36 |
| Puerto RicoPuerto Rico | $2,225.04 | $385.68 |
| Rhode IslandRhode Island | $2,267.72 | $388.33 |
| South CarolinaSouth Carolina | $2,056.64 | $375.56 |
| South DakotaSouth Dakota | $2,176.52 | $357.17 |
| TennesseeTennessee | $2,015.12 | $361.33 |
| Austin, TXTexas | $2,309.19 | $384.32 |
| Beaumont, TXTexas | $2,033.88 | $378.27 |
| Brazoria, TXTexas | $2,181.18 | $378.20 |
| Dallas, TXTexas | $2,194.17 | $382.10 |
| Fort Worth, TXTexas | $2,176.05 | $382.17 |
| Galveston, TXTexas | $2,186.98 | $380.37 |
| Houston, TXTexas | $2,210.59 | $403.98 |
| Rest of TexasTexas | $2,105.64 | $379.08 |
| UtahUtah | $2,088.61 | $378.42 |
| VirginiaVirginia | $2,160.69 | $372.27 |
| Virgin Islands, VIUnited States Virgin Islands | $2,225.04 | $385.68 |
| VermontVermont | $2,165.15 | $364.00 |
| Rest of WashingtonWashington | $2,297.69 | $381.91 |
| King County, WAWashington | $2,636.12 | $403.78 |
| WisconsinWisconsin | $2,096.82 | $353.89 |
| West VirginiaWest Virginia | $1,978.89 | $397.88 |
| WyomingWyoming | $2,193.92 | $374.58 |
36905 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.
$1,920.73
$2,706.46
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 | $2,453.88 | 1 |
| AL | $1,952.83 | 1 |
| AR | $1,920.73 | 1 |
| AZ | $2,140.99 | 1 |
| CA | $2,369.52–$3,043.39 | 29 |
| CO | $2,318.81 | 1 |
| CT | $2,363.94 | 1 |
| DC | $2,558.48 | 1 |
| DE | $2,179.82 | 1 |
| FL | $2,144.57–$2,347.63 | 3 |
| GA | $2,011.57–$2,244.57 | 2 |
| GU | $2,443.01 | 1 |
| HI | $2,443.01 | 1 |
| IA | $2,020.30 | 1 |
| ID | $2,032.92 | 1 |
| IL | $2,066.80–$2,290.90 | 4 |
| IN | $2,046.56 | 1 |
| KS | $2,004.35 | 1 |
| KY | $1,994.03 | 1 |
| LA | $1,988.41–$2,100.73 | 2 |
| MA | $2,300.12–$2,574.95 | 2 |
| MD | $2,226.95–$2,558.48 | 3 |
| ME | $2,039.34–$2,172.41 | 2 |
| MI | $2,048.10–$2,169.28 | 2 |
| MN | $2,228.99 | 1 |
| MO | $1,946.12–$2,115.51 | 3 |
| MS | $1,934.12 | 1 |
| MT | $2,205.04 | 1 |
| NC | $2,064.36 | 1 |
| ND | $2,179.53 | 1 |
| NE | $2,034.43 | 1 |
| NH | $2,276.36 | 1 |
| NJ | $2,392.97–$2,525.54 | 2 |
| NM | $2,058.68 | 1 |
| NV | $2,199.80 | 1 |
| NY | $2,098.89–$2,614.02 | 5 |
| OH | $2,042.89 | 1 |
| OK | $1,995.56 | 1 |
| OR | $2,184.86–$2,406.22 | 2 |
| PA | $2,049.52–$2,295.34 | 2 |
| PR | $2,225.04 | 1 |
| RI | $2,267.72 | 1 |
| SC | $2,056.64 | 1 |
| SD | $2,176.52 | 1 |
| TN | $2,015.12 | 1 |
| TX | $2,033.88–$2,309.19 | 8 |
| UT | $2,088.61 | 1 |
| VA | $2,160.69–$2,558.48 | 2 |
| VI | $2,225.04 | 1 |
| VT | $2,165.15 | 1 |
| WA | $2,297.69–$2,636.12 | 2 |
| WI | $2,096.82 | 1 |
| WV | $1,978.89 | 1 |
| WY | $2,193.92 | 1 |
How the 36905 rate is calculated
Each of 36905’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 · 36905
RVUs × geographic indexes × conversion factor
Work8.78
8.78 RVUs× 1.000 GPCI
Practice expense55.95
55.95 RVUs× 1.000 GPCI
Malpractice1.29
1.29 RVUs× 1.000 GPCI
Adjusted RVUs
66.0200
Conversion factor
$33.4009
Medicare rate
$2,205.13
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,566
- Code
- 36905
- Physician work
- 8.78
- Practice expense
- 55.95
- Malpractice
- 1.29
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.78 | × 1.000 | 8.7800 |
| Practice expense | 55.95 | × 0.875 | 48.9563 |
| Malpractice | 1.29 | × 0.566 | 0.7301 |
| Total RVUs | 58.4664 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$1952.83
Office: (8.78 × 1 + 55.95 × 0.875 + 1.29 × 0.566) × $33.4009 = $1952.83
Facility: (8.78 × 1 + 1.48 × 0.875 + 1.29 × 0.566) × $33.4009 = $360.90
Payment rules and modifiers for 36905
The CMS indicators that decide how 36905 is paid alongside other services.
CMS payment indicators · 36905
Dialysis thrombectomy, peripheral balloon angioplasty
| 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
36905 without 51 · national office
$2,205.13
Dialysis thrombectomy, peripheral balloon angioplasty
36905-51 · Second procedure: 50%
$1,102.57
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 36905 has changed in Alabama
36905 · Office / nonfacility
$1952.83
Effective 2026-10-01
The base rate is $112.80 higher than on 2025-10-01, moving from $1840.03 to $1952.83 (6.1%).
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
$1840.03changed to$1952.83
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 9.00 changed to 8.78
- Practice expense RVU 54.27 changed to 55.95
- Malpractice RVU 1.26 changed to 1.29
- Practice expense GPCI 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1960.87changed to$1840.03
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 56.61 changed to 54.27
- Malpractice RVU 1.24 changed to 1.26
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1928.87changed to$1960.87
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$2073.82changed to$1928.87
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 58.42 changed to 56.61
- Malpractice RVU 1.21 changed to 1.24
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$2212.88changed to$2073.82
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 60.63 changed to 58.42
- Malpractice RVU 1.20 changed to 1.21
- Practice expense GPCI 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$2304.00changed to$2212.88
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 63.02 changed to 60.63
- Malpractice RVU 1.16 changed to 1.20
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$2234.25changed to$2304.00
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 58.60 changed to 63.02
- Malpractice RVU 1.15 changed to 1.16
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$2160.78changed to$2234.25
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 56.58 changed to 58.60
- Malpractice RVU 1.22 changed to 1.15
- Practice expense GPCI 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$2103.22changed to$2160.78
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 54.83 changed to 56.58
- Malpractice RVU 1.27 changed to 1.22
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$2103.22
Held through RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged toNo rate
Held through RVU17B, RVU17C, RVU17D, RVU18AR1.
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 | $1,952.83 | $360.90 | RVU26D |
| 2026-07-01 | $1,952.83 | $360.90 | RVU26C |
| 2026-04-01 | $1,952.83 | $360.90 | RVU26B |
| 2026-01-01 | $1,952.83 | $360.90 | RVU26A |
| 2025-10-01 | $1,840.03 | $390.17 | RVU25D |
| 2025-07-01 | $1,840.03 | $390.17 | RVU25C |
| 2025-04-01 | $1,840.03 | $390.17 | RVU25B |
| 2025-01-01 | $1,840.03 | $390.17 | RVU25A |
| 2024-10-01 | $1,960.87 | $399.40 | RVU24D |
| 2024-07-01 | $1,960.87 | $399.40 | RVU24C |
| 2024-04-01 | $1,960.87 | $399.40 | RVU24B |
| 2024-03-09 | $1,960.87 | $399.40 | RVU24AR |
| 2024-01-01 | $1,928.87 | $392.88 | RVU24A |
| 2023-10-01 | $2,073.82 | $415.69 | RVU23D |
| 2023-07-01 | $2,073.82 | $415.69 | RVU23C |
| 2023-04-01 | $2,073.82 | $415.69 | RVU23B |
| 2023-01-01 | $2,073.82 | $415.69 | RVU23A |
| 2022-10-01 | $2,212.88 | $433.29 | RVU22D |
| 2022-07-01 | $2,212.88 | $433.29 | RVU22C |
| 2022-04-01 | $2,212.88 | $433.29 | RVU22B |
| 2022-01-01 | $2,212.88 | $433.29 | RVU22A |
| 2021-10-01 | $2,304.00 | $435.91 | RVU21D |
| 2021-07-01 | $2,304.00 | $435.91 | RVU21C |
| 2021-04-01 | $2,304.00 | $435.91 | RVU21B |
| 2021-01-01 | $2,304.00 | $435.91 | RVU21A |
| 2020-10-01 | $2,234.25 | $441.74 | RVU20D |
| 2020-07-01 | $2,234.25 | $441.74 | RVU20C |
| 2020-04-01 | $2,234.25 | $441.74 | RVU20B |
| 2020-01-01 | $2,234.25 | $441.74 | RVU20A |
| 2019-10-01 | $2,160.78 | $432.27 | RVU19D |
| 2019-07-01 | $2,160.78 | $432.27 | RVU19C |
| 2019-04-01 | $2,160.78 | $432.27 | RVU19B |
| 2019-01-01 | $2,160.78 | $432.27 | RVU19A |
| 2018-10-01 | $2,103.22 | $432.04 | RVU18D |
| 2018-07-01 | $2,103.22 | $432.04 | RVU18C |
| 2018-04-01 | $2,103.22 | $432.04 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | 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 Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
36905 billing questions
When is this code selected instead of 36904?
Use 36905 when thrombectomy or thrombolytic treatment is accompanied by balloon angioplasty in the peripheral dialysis-circuit segment. Code 36904 describes circuit thrombectomy without that peripheral angioplasty.
Can 36902 also be reported for the peripheral angioplasty?
No. The peripheral balloon angioplasty is included in 36905 when performed with the circuit thrombectomy or thrombolytic treatment.
How does 36905 differ from 36906?
Both include dialysis-circuit thrombectomy or thrombolytic treatment. Use 36905 when the peripheral lesion is treated with balloon angioplasty; 36906 represents peripheral-segment stent placement.
Can central-segment treatment be reported separately?
A separately performed central-segment balloon angioplasty may be reported with add-on code 36907. Central-segment stent placement is represented by add-on code 36908.
Should modifier 50 be appended for bilateral access treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
What documentation supports reporting 36905?
Document the dialysis access treated, the thrombectomy or thrombolytic work, and the peripheral-segment stenosis treated with balloon angioplasty. Include the procedural findings and imaging that support those services.
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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