CPT code 36908: Stent placement, central dialysis segment2026 Medicare rate & RVUs in New York
Reports endovascular stent placement in the central portion of a dialysis access circuit, such as for a central venous narrowing treated during access intervention.
Medicare pays $1,322.81–$1,652.18 for 36908 in the office in New York, from Rest of New York to NYC suburbs and Long Island, NY. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 36908 covers
This add-on describes endovascular placement of one or more stents in the central dialysis segment, commonly to treat a narrowing that limits outflow from an arteriovenous fistula or graft. An interventional radiologist, vascular surgeon, or other qualified endovascular operator typically performs the work in an angiography suite or hybrid procedure room. Imaging and radiological supervision and interpretation for the stent placement are included, as is angioplasty within the same vessel when performed.
Report 36908 only with an appropriate primary dialysis-circuit procedure, selected according to the access work performed and whether thrombectomy, angioplasty, or peripheral-segment stenting was also done. The record should identify the central vessel and lesion treated, document stent deployment, and describe the related circuit procedure. Under the CMS payment rule, this add-on is paid within the primary procedure’s global period and is not reported by itself.
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.
Where 36908 pays more and less in New York
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
5 payment localities
$1322.81 to $1652.18
| Payment locality | Office | Facility |
|---|---|---|
| Manhattan, NY | $1,612.73 | $207.36 |
| NYC suburbs and Long Island, NY | $1,652.18 | $214.15 |
| Poughkeepsie and northern NYC suburbs, NY | $1,519.04 | $194.70 |
| Queens, NY | $1,634.01 | $204.45 |
| Rest of New York | $1,322.81 | $173.84 |
How the 36908 rate is calculated
Each of 36908’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 · 36908
RVUs × geographic indexes × conversion factor
Work4.14
4.14 RVUs× 1.000 GPCI
Practice expense36.82
36.82 RVUs× 1.000 GPCI
Malpractice0.69
0.69 RVUs× 1.000 GPCI
Adjusted RVUs
41.6500
Conversion factor
$33.4009
Medicare rate
$1,391.15
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36908
The CMS indicators that decide how 36908 is paid alongside other services.
CMS payment indicators · 36908
Stent placement, central dialysis 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. |
36908 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 36907Dialysis angioplastyCentral segment
- 36907 describes central-segment angioplasty, while 36908 describes central-segment stent placement. Angioplasty within the same vessel as the 36908 stent is included in 36908.
- 36903Dialysis access stentingPeripheral segment
- 36903 covers stent placement in the peripheral dialysis segment as part of the primary procedure; 36908 is the add-on for stenting the central segment.
- 36906Dialysis access interventionCentral-segment angioplasty
- 36906 reports thrombectomy with peripheral-segment stenting in the primary procedure. 36908 adds central-segment stent placement to an appropriate primary procedure.
- 36901Circuit angiographyDiagnostic only
- 36901 reports the primary dialysis-circuit access and diagnostic imaging service. It does not describe central-segment stent placement, which is reported with 36908 when performed.
36908 billing questions
Can 36908 be reported by itself?
No. It is an add-on code and must be billed with an appropriate primary dialysis-circuit procedure, such as a code from 36901–36906.
Is angioplasty in the stented vessel separately reported?
Angioplasty within the same central vessel is included in 36908 when performed. The code also includes the related imaging and radiological supervision and interpretation.
How does 36908 differ from 36907?
36908 reports central-segment stent placement; 36907 reports central-segment balloon angioplasty. Angioplasty in the same vessel as the 36908 stent is included.
Which code applies when the stent is in the peripheral dialysis segment?
Use 36903 for peripheral-segment stent placement without thrombectomy, or 36906 when thrombectomy and peripheral-segment stent placement are performed.
What should the procedure note support?
Document the central vessel and lesion treated, stent deployment, and the primary dialysis-circuit work that supports the required companion code.
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
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