CPT code 36907: Dialysis angioplasty, central segment2026 Medicare rate & RVUs in Virginia
Reports balloon dilation of a central vein in a dialysis access circuit, such as treatment of central venous narrowing during an access intervention.
In Virginia, Medicare pays $566.17 for 36907 in the office and $122.92 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Virginia 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. Virginia pays $566.17. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$566.17
- Los Angeles, CA · California$662.67+$96.50
- Washington, DC area · District of Columbia$668.37+$102.20
- Miami, FL · Florida$620.58+$54.41
- Chicago, IL · Illinois$600.98+$34.81
- Manhattan, NY · New York$669.00+$102.83
- Alaska · Alaska$650.95+$84.78
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $617.89 | $123.69 |
| Merced, CACalifornia | $617.89 | $123.69 |
| Modesto, CACalifornia | $617.89 | $123.69 |
| Napa, CACalifornia | $725.34 | $131.04 |
| Oxnard, CACalifornia | $660.32 | $127.34 |
| Redding, CACalifornia | $617.89 | $123.69 |
| Rest of CaliforniaCalifornia | $617.89 | $123.69 |
| Riverside, CACalifornia | $622.75 | $128.55 |
| Sacramento, CACalifornia | $650.95 | $126.54 |
| Salinas, CACalifornia | $648.60 | $125.99 |
| San Diego, CACalifornia | $665.81 | $126.52 |
| Marin County, CACalifornia | $770.57 | $134.78 |
| San Francisco, CACalifornia | $770.06 | $134.27 |
| San Benito County, CACalifornia | $788.09 | $137.88 |
| Santa Clara County, CACalifornia | $786.00 | $135.79 |
| San Luis Obispo, CACalifornia | $637.91 | $124.32 |
| Santa Cruz, CACalifornia | $673.69 | $125.83 |
| Santa Maria, CACalifornia | $651.56 | $125.80 |
| Santa Rosa, CACalifornia | $680.62 | $126.90 |
| Stockton, CACalifornia | $617.89 | $123.69 |
| Vallejo, CACalifornia | $724.60 | $130.30 |
| Visalia, CACalifornia | $617.89 | $123.69 |
| Yuba City, CACalifornia | $617.89 | $123.69 |
| ColoradoColorado | $606.19 | $126.41 |
| ConnecticutConnecticut | $619.47 | $133.84 |
| DelawareDelaware | $571.89 | $126.39 |
| Fort Lauderdale, FLFlorida | $596.70 | $139.93 |
| Rest of FloridaFlorida | $565.58 | $134.51 |
| Atlanta, GAGeorgia | $589.27 | $131.14 |
| Rest of GeorgiaGeorgia | $531.10 | $128.89 |
| Hawaii, Guam, HIHawaii | $635.96 | $123.28 |
| IowaIowa | $529.86 | $117.28 |
| IdahoIdaho | $533.33 | $118.49 |
| East St. Louis, ILIllinois | $556.50 | $141.66 |
| Rest of IllinoisIllinois | $546.46 | $134.77 |
| Suburban Chicago, ILIllinois | $603.36 | $140.28 |
| IndianaIndiana | $536.79 | $118.79 |
| KansasKansas | $526.35 | $118.73 |
| KentuckyKentucky | $525.54 | $124.68 |
| New Orleans, LALouisiana | $553.08 | $128.77 |
| Rest of LouisianaLouisiana | $524.33 | $125.27 |
| Metropolitan Boston, MAMassachusetts | $671.19 | $132.80 |
| Rest of MassachusettsMassachusetts | $601.70 | $126.89 |
| Baltimore area, MDMaryland | $617.62 | $133.79 |
| Rest of MarylandMaryland | $583.84 | $127.51 |
| Rest of MaineMaine | $535.57 | $120.73 |
| Southern Maine, MEMaine | $568.77 | $121.91 |
| Detroit, MIMichigan | $572.52 | $137.39 |
| Rest of MichiganMichigan | $539.93 | $128.25 |
| MinnesotaMinnesota | $581.42 | $117.44 |
| Metropolitan Kansas City, MOMissouri | $549.76 | $126.35 |
| Metropolitan St. Louis, MOMissouri | $556.18 | $126.92 |
| Rest of MissouriMissouri | $513.86 | $125.17 |
| MississippiMississippi | $509.86 | $121.63 |
| MontanaMontana | $578.47 | $127.56 |
| North CarolinaNorth Carolina | $541.88 | $121.18 |
| North DakotaNorth Dakota | $569.58 | $118.66 |
| NebraskaNebraska | $533.30 | $117.11 |
| New HampshireNew Hampshire | $595.71 | $126.32 |
| Northern New JerseyNew Jersey | $660.19 | $137.13 |
| Rest of New JerseyNew Jersey | $626.71 | $134.32 |
| New MexicoNew Mexico | $542.88 | $129.39 |
| NevadaNevada | $576.46 | $125.10 |
| NYC suburbs and Long Island, NYNew York | $685.65 | $149.51 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $630.30 | $136.55 |
| Queens, NYNew York | $676.15 | $143.17 |
| Rest of New YorkNew York | $550.76 | $122.39 |
| OhioOhio | $538.12 | $126.43 |
| OklahomaOklahoma | $525.33 | $122.67 |
| Portland, OROregon | $627.90 | $126.94 |
| Rest of OregonOregon | $572.18 | $123.07 |
| Metropolitan Philadelphia, PAPennsylvania | $602.26 | $132.86 |
| Rest of PennsylvaniaPennsylvania | $539.50 | $125.56 |
| Puerto RicoPuerto Rico | $583.40 | $127.53 |
| Rhode IslandRhode Island | $594.10 | $128.31 |
| South CarolinaSouth Carolina | $540.86 | $124.22 |
| South DakotaSouth Dakota | $568.52 | $117.61 |
| TennesseeTennessee | $529.17 | $119.29 |
| Austin, TXTexas | $603.99 | $126.93 |
| Beaumont, TXTexas | $535.53 | $125.20 |
| Brazoria, TXTexas | $571.79 | $124.94 |
| Dallas, TXTexas | $575.39 | $126.28 |
| Fort Worth, TXTexas | $570.93 | $126.33 |
| Galveston, TXTexas | $573.44 | $125.69 |
| Houston, TXTexas | $581.68 | $133.92 |
| Rest of TexasTexas | $553.30 | $125.38 |
| UtahUtah | $549.03 | $125.18 |
| Virgin Islands, VIUnited States Virgin Islands | $583.40 | $127.53 |
| VermontVermont | $566.42 | $120.02 |
| Rest of WashingtonWashington | $600.86 | $126.05 |
| King County, WAWashington | $686.34 | $133.07 |
| WisconsinWisconsin | $548.55 | $116.57 |
| West VirginiaWest Virginia | $523.99 | $132.14 |
| WyomingWyoming | $574.60 | $123.68 |
36907 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.
$505.56
$702.99
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 | $650.95 | 1 |
| AL | $513.78 | 1 |
| AR | $505.56 | 1 |
| AZ | $561.91 | 1 |
| CA | $617.89–$788.09 | 29 |
| CO | $606.19 | 1 |
| CT | $619.47 | 1 |
| DC | $668.37 | 1 |
| DE | $571.89 | 1 |
| FL | $565.58–$620.58 | 3 |
| GA | $531.10–$589.27 | 2 |
| GU | $635.96 | 1 |
| HI | $635.96 | 1 |
| IA | $529.86 | 1 |
| ID | $533.33 | 1 |
| IL | $546.46–$603.36 | 4 |
| IN | $536.79 | 1 |
| KS | $526.35 | 1 |
| KY | $525.54 | 1 |
| LA | $524.33–$553.08 | 2 |
| MA | $601.70–$671.19 | 2 |
| MD | $583.84–$668.37 | 3 |
| ME | $535.57–$568.77 | 2 |
| MI | $539.93–$572.52 | 2 |
| MN | $581.42 | 1 |
| MO | $513.86–$556.18 | 3 |
| MS | $509.86 | 1 |
| MT | $578.47 | 1 |
| NC | $541.88 | 1 |
| ND | $569.58 | 1 |
| NE | $533.30 | 1 |
| NH | $595.71 | 1 |
| NJ | $626.71–$660.19 | 2 |
| NM | $542.88 | 1 |
| NV | $576.46 | 1 |
| NY | $550.76–$685.65 | 5 |
| OH | $538.12 | 1 |
| OK | $525.33 | 1 |
| OR | $572.18–$627.90 | 2 |
| PA | $539.50–$602.26 | 2 |
| PR | $583.40 | 1 |
| RI | $594.10 | 1 |
| SC | $540.86 | 1 |
| SD | $568.52 | 1 |
| TN | $529.17 | 1 |
| TX | $535.53–$603.99 | 8 |
| UT | $549.03 | 1 |
| VA | $566.17–$668.37 | 2 |
| VI | $583.40 | 1 |
| VT | $566.42 | 1 |
| WA | $600.86–$686.34 | 2 |
| WI | $548.55 | 1 |
| WV | $523.99 | 1 |
| WY | $574.60 | 1 |
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
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 Virginia 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
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 13.94 | × 0.983 | 13.7030 |
| Malpractice | 0.45 | × 0.706 | 0.3177 |
| Total RVUs | 16.9507 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Virginia$566.17
Office: (2.93 × 1 + 13.94 × 0.983 + 0.45 × 0.706) × $33.4009 = $566.17
Facility: (2.93 × 1 + 0.44 × 0.983 + 0.45 × 0.706) × $33.4009 = $122.92
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
How 36907 has changed in Virginia
36907 · Office / nonfacility
$566.17
Effective 2026-10-01
The base rate is $31.66 higher than on 2025-10-01, moving from $534.51 to $566.17 (5.9%).
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
$534.51changed to$566.17
- 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
- Work GPCI 1.002 changed to 1.000
- Practice expense GPCI 0.984 changed to 0.983
- Malpractice GPCI 0.755 changed to 0.706
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$566.01changed to$534.51
- 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.
March 9, 2024
RVU24AR
$556.77changed to$566.01
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$594.39changed to$556.77
- 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
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 0.990 changed to 0.984
- Malpractice GPCI 0.826 changed to 0.755
January 1, 2023
RVU23A
$627.50changed to$594.39
- 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 0.995 changed to 0.990
- Malpractice GPCI 0.897 changed to 0.826
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$685.44changed to$627.50
- 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.
January 1, 2021
RVU21A
$702.81changed to$685.44
- 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
- Practice expense GPCI 0.991 changed to 0.995
- Malpractice GPCI 0.903 changed to 0.897
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$726.30changed to$702.81
- 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
- Practice expense GPCI 0.986 changed to 0.991
- Malpractice GPCI 0.908 changed to 0.903
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$759.56changed to$726.30
- 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.
January 1, 2018
RVU18AR1
$727.45changed to$759.56
- 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 0.985 changed to 0.986
- Malpractice GPCI 0.866 changed to 0.908
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$727.45
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 | $566.17 | $122.92 | RVU26D |
| 2026-07-01 | $566.17 | $122.92 | RVU26C |
| 2026-04-01 | $566.17 | $122.92 | RVU26B |
| 2026-01-01 | $566.17 | $122.92 | RVU26A |
| 2025-10-01 | $534.51 | $135.06 | RVU25D |
| 2025-07-01 | $534.51 | $135.06 | RVU25C |
| 2025-04-01 | $534.51 | $135.06 | RVU25B |
| 2025-01-01 | $534.51 | $135.06 | RVU25A |
| 2024-10-01 | $566.01 | $137.58 | RVU24D |
| 2024-07-01 | $566.01 | $137.58 | RVU24C |
| 2024-04-01 | $566.01 | $137.58 | RVU24B |
| 2024-03-09 | $566.01 | $137.58 | RVU24AR |
| 2024-01-01 | $556.77 | $135.33 | RVU24A |
| 2023-10-01 | $594.39 | $141.49 | RVU23D |
| 2023-07-01 | $594.39 | $141.49 | RVU23C |
| 2023-04-01 | $594.39 | $141.49 | RVU23B |
| 2023-01-01 | $594.39 | $141.49 | RVU23A |
| 2022-10-01 | $627.50 | $145.44 | RVU22D |
| 2022-07-01 | $627.50 | $145.44 | RVU22C |
| 2022-04-01 | $627.50 | $145.44 | RVU22B |
| 2022-01-01 | $627.50 | $145.44 | RVU22A |
| 2021-10-01 | $685.44 | $146.95 | RVU21D |
| 2021-07-01 | $685.44 | $146.95 | RVU21C |
| 2021-04-01 | $685.44 | $146.95 | RVU21B |
| 2021-01-01 | $685.44 | $146.95 | RVU21A |
| 2020-10-01 | $702.81 | $151.67 | RVU20D |
| 2020-07-01 | $702.81 | $151.67 | RVU20C |
| 2020-04-01 | $702.81 | $151.67 | RVU20B |
| 2020-01-01 | $702.81 | $151.67 | RVU20A |
| 2019-10-01 | $726.30 | $151.71 | RVU19D |
| 2019-07-01 | $726.30 | $151.71 | RVU19C |
| 2019-04-01 | $726.30 | $151.71 | RVU19B |
| 2019-01-01 | $726.30 | $151.71 | RVU19A |
| 2018-10-01 | $759.56 | $152.23 | RVU18D |
| 2018-07-01 | $759.56 | $152.23 | RVU18C |
| 2018-04-01 | $759.56 | $152.23 | RVU18B |
| 2018-01-01 | $759.56 | $152.23 | RVU18AR1 |
| 2017-10-01 | $727.45 | $127.20 | RVU17D |
| 2017-07-01 | $727.45 | $127.20 | RVU17C |
| 2017-04-01 | $727.45 | $127.20 | RVU17B |
| 2017-01-01 | $727.45 | $127.20 | 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 Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
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
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