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CPT code 36907: Dialysis angioplasty, central segment2026 Medicare rate & RVUs in Iowa

Reports balloon dilation of a central vein in a dialysis access circuit, such as treatment of central venous narrowing during an access intervention.

CMS RVU26DEffective Oct 1, 2026One payment locality36.7K Medicare services in 2024

In Iowa, Medicare pays $529.86 for 36907 in the office and $117.28 when it’s performed in a hospital or facility.

$529.86Office (non-facility)
$117.28Hospital or facility
−8.4%vs the national office rate ($578.50)

Check a contract rate as a % of Medicare · 36907 nationwide

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

We’ll open 36907 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 36907 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 36907 covers

This add-on describes balloon dilation of a narrowed central portion of a hemodialysis access circuit. It is commonly performed by an interventional radiologist, vascular surgeon, or other qualified physician during fistulography or a related access intervention. A typical clinical situation is central venous narrowing associated with arm swelling, difficult dialysis access, or elevated venous pressures. Imaging used to guide and assess the angioplasty is part of the intervention.

Report 36907 with an eligible primary dialysis-circuit procedure, such as 36901–36906; it is not reported by itself. The primary code reflects the other work performed in the circuit, while this add-on identifies central-segment angioplasty. Documentation should establish the treated central lesion and the balloon treatment performed. CMS treats this as an add-on paid within the primary procedure’s global period, rather than as a separate primary procedure.

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 Iowa compares for 36907

Across 109 of 109 payment localities, the office rate for 36907 runs from $505.56 in Arkansas to $788.09 in San Benito County, CA. Iowa pays $529.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

36907 in Iowa vs other payment areas
  1. Iowa · this page$529.86
  2. Los Angeles, CA · California$662.67+$132.81
  3. Washington, DC area · District of Columbia$668.37+$138.51
  4. Miami, FL · Florida$620.58+$90.72
  5. Chicago, IL · Illinois$600.98+$71.12
  6. Manhattan, NY · New York$669.00+$139.14
  7. Alaska · Alaska$650.95+$121.09

Other areas in Iowa first, then benchmark localities. Bars start at $0.

Every other payment area

36907 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$513.78$119.23
ArkansasArkansas$505.56$118.23
ArizonaArizona$561.91$124.97
Bakersfield, CACalifornia$619.18$124.98
Chico, CACalifornia$617.89$123.69
El Centro, CACalifornia$617.97$123.77
Fresno, CACalifornia$617.89$123.69
Hanford, CACalifornia$617.89$123.69

36907 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$505.56

$702.99

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
36907 office rate range by state
State / territoryOffice rate rangeLocalities
AK$650.951
AL$513.781
AR$505.561
AZ$561.911
CA$617.89–$788.0929
CO$606.191
CT$619.471
DC$668.371
DE$571.891
FL$565.58–$620.583
GA$531.10–$589.272
GU$635.961
HI$635.961
IA$529.861
ID$533.331
IL$546.46–$603.364
IN$536.791
KS$526.351
KY$525.541
LA$524.33–$553.082
MA$601.70–$671.192
MD$583.84–$668.373
ME$535.57–$568.772
MI$539.93–$572.522
MN$581.421
MO$513.86–$556.183
MS$509.861
MT$578.471
NC$541.881
ND$569.581
NE$533.301
NH$595.711
NJ$626.71–$660.192
NM$542.881
NV$576.461
NY$550.76–$685.655
OH$538.121
OK$525.331
OR$572.18–$627.902
PA$539.50–$602.262
PR$583.401
RI$594.101
SC$540.861
SD$568.521
TN$529.171
TX$535.53–$603.998
UT$549.031
VA$566.17–$668.372
VI$583.401
VT$566.421
WA$600.86–$686.342
WI$548.551
WV$523.991
WY$574.601

See 36907 in every payment locality

How the 36907 rate is calculated

Each of 36907’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 · 36907

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.93

2.93 RVUs× 1.000 GPCI

Practice expense13.94

13.94 RVUs× 1.000 GPCI

Malpractice0.45

0.45 RVUs× 1.000 GPCI

Adjusted RVUs

17.3200

Conversion factor

$33.4009

Medicare rate

$578.50

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,568

Code
36907
Physician work
2.93
Practice expense
13.94
Malpractice
0.45

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 36907 in Iowa
ComponentRVULocality factorAdjusted
Physician work2.93× 1.0002.9300
Practice expense13.94× 0.91512.7551
Malpractice0.45× 0.3970.1787
Total RVUs15.8637
Conversion factor× 33.4009

Office rate, Iowa$529.86

Office: (2.93 × 1 + 13.94 × 0.915 + 0.45 × 0.397) × $33.4009 = $529.86

Facility: (2.93 × 1 + 0.44 × 0.915 + 0.45 × 0.397) × $33.4009 = $117.28

Open 36907 in the RVU calculator

Payment rules and modifiers for 36907

The CMS indicators that decide how 36907 is paid alongside other services.

CMS payment indicators · 36907

Dialysis angioplasty, central segment

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

Codes related to 36907

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

Codes related to 36907
CodeHow it relatesOffice range, Iowa
Primary code
36901Circuit angiography, diagnostic onlyPrimary dialysis-circuit imaging and intervention code that may accompany central angioplasty.$628.53
36902Dialysis access angioplasty, peripheral segmentPrimary code for dialysis-circuit angioplasty in the peripheral segment.$1,090.44
36903Dialysis access stenting, peripheral segmentPrimary dialysis-circuit procedure code eligible to accompany this add-on.$4,394.05
36905Dialysis thrombectomy, peripheral balloon angioplastyPrimary code for thrombectomy with peripheral-segment angioplasty.$2,020.30
Used instead
36908Stent placement, central dialysis segmentIdentifies central-segment stent placement rather than balloon angioplasty alone.$1,272.72

How 36907 has changed in Iowa

36907 · Office / nonfacility

$529.86

Effective 2026-10-01

The base rate is $30.88 higher than on 2025-10-01, moving from $498.98 to $529.86 (6.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $498.98changed to$529.86

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.00 changed to 2.93
    • Practice expense RVU 13.37 changed to 13.94
    • Malpractice RVU 0.48 changed to 0.45
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $528.54changed to$498.98

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 13.88 changed to 13.37
    • Malpractice RVU 0.45 changed to 0.48

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $519.92changed to$528.54

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $549.83changed to$519.92

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 14.32 changed to 13.88
    • Malpractice RVU 0.44 changed to 0.45
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $575.48changed to$549.83

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 14.83 changed to 14.32
    • Malpractice RVU 0.42 changed to 0.44
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $628.19changed to$575.48

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 16.34 changed to 14.83
    • Malpractice RVU 0.43 changed to 0.42

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $646.46changed to$628.19

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 16.25 changed to 16.34
    • Malpractice RVU 0.41 changed to 0.43
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $670.53changed to$646.46

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 17.01 changed to 16.25
    • Malpractice RVU 0.42 changed to 0.41
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $700.97changed to$670.53

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 17.96 changed to 17.01
    • Malpractice RVU 0.43 changed to 0.42

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $668.72changed to$700.97

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 2.48 changed to 3.00
    • Practice expense RVU 17.70 changed to 17.96
    • Malpractice RVU 0.41 changed to 0.43
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$668.72

    Held through RVU17B, RVU17C, RVU17D.

  12. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$529.86$117.28RVU26D
2026-07-01$529.86$117.28RVU26C
2026-04-01$529.86$117.28RVU26B
2026-01-01$529.86$117.28RVU26A
2025-10-01$498.98$128.35RVU25D
2025-07-01$498.98$128.35RVU25C
2025-04-01$498.98$128.35RVU25B
2025-01-01$498.98$128.35RVU25A
2024-10-01$528.54$131.02RVU24D
2024-07-01$528.54$131.02RVU24C
2024-04-01$528.54$131.02RVU24B
2024-03-09$528.54$131.02RVU24AR
2024-01-01$519.92$128.88RVU24A
2023-10-01$549.83$133.52RVU23D
2023-07-01$549.83$133.52RVU23C
2023-04-01$549.83$133.52RVU23B
2023-01-01$549.83$133.52RVU23A
2022-10-01$575.48$136.05RVU22D
2022-07-01$575.48$136.05RVU22C
2022-04-01$575.48$136.05RVU22B
2022-01-01$575.48$136.05RVU22A
2021-10-01$628.19$137.32RVU21D
2021-07-01$628.19$137.32RVU21C
2021-04-01$628.19$137.32RVU21B
2021-01-01$628.19$137.32RVU21A
2020-10-01$646.46$142.04RVU20D
2020-07-01$646.46$142.04RVU20C
2020-04-01$646.46$142.04RVU20B
2020-01-01$646.46$142.04RVU20A
2019-10-01$670.53$141.98RVU19D
2019-07-01$670.53$141.98RVU19C
2019-04-01$670.53$141.98RVU19B
2019-01-01$670.53$141.98RVU19A
2018-10-01$700.97$142.30RVU18D
2018-07-01$700.97$142.30RVU18C
2018-04-01$700.97$142.30RVU18B
2018-01-01$700.97$142.30RVU18AR1
2017-10-01$668.72$119.05RVU17D
2017-07-01$668.72$119.05RVU17C
2017-04-01$668.72$119.05RVU17B
2017-01-01$668.72$119.05RVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 36907 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

36907 billing questions

When is 36907 reported with 36902?

Report both when the session includes the service represented by 36902 and balloon angioplasty in the central dialysis segment. The 36902 service addresses angioplasty in the peripheral segment; 36907 identifies central-segment angioplasty.

Can 36907 be billed without a primary code?

No. It is an add-on and must be reported with an eligible primary dialysis-circuit procedure, such as a code from 36901–36906.

Is 36907 reported for each central lesion or balloon inflation?

Report the add-on for the central-segment angioplasty service, not separately for each balloon inflation. The record should identify the treated lesion and the intervention performed.

Can 36907 be reported when a central stent is placed?

When central-segment stent placement is performed, compare 36908, which represents that stent service. Do not separately use 36907 to describe angioplasty that is part of the stent treatment.

How does the global-period rule affect 36907?

CMS classifies 36907 as an add-on paid within the primary procedure’s global period. It is reported with the primary service, not as a stand-alone procedure.

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
RVUs for 36907PPRRVU2026_Oct_nonQPP.csv, line 4,568 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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