CPT code 36908: Stent placement, central dialysis segment2026 Medicare rate & RVUs in Houston, TX

Reports endovascular stent placement in the central portion of a dialysis access circuit, such as for a central venous narrowing treated during access intervention.

CMS RVU26DEffective Oct 1, 2026One payment locality2.6K Medicare services in 2024

In Houston, TX, Medicare pays $1,392.31 for 36908 in the office and $191.33 when it’s performed in a hospital or facility.

$1,392.31Office (non-facility)
$191.33Hospital or facility
+0.1%vs the national office rate ($1,391.15)

Check a contract rate as a % of Medicare · 36908 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 36908 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 36908 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 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.

How Houston, TX compares for 36908

Across 109 of 109 payment localities, the office rate for 36908 runs from $1,206.57 in Arkansas to $1,939.25 in San Benito County, CA. Houston, TX pays $1,392.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

36908 in Houston, TX vs other payment areas
  1. Houston, TX · this page$1,392.31
  2. Austin, TX · Texas$1,460.13+$67.82
  3. Beaumont, TX · Texas$1,278.83−$113.48
  4. Brazoria, TX · Texas$1,376.12−$16.19
  5. Dallas, TX · Texas$1,384.20−$8.11
  6. Fort Worth, TX · Texas$1,372.20−$20.11
  7. Galveston, TX · Texas$1,379.68−$12.63

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

Every other payment area

36908 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$1,326.19$178.43
Los Angeles, CACalifornia$1,614.13$183.36
Washington, DC areaDistrict of Columbia$1,620.13$195.40
Miami, FLFlorida$1,476.81$217.77
Chicago, ILIllinois$1,428.11$212.62
Manhattan, NYNew York$1,612.73$207.36
AlaskaAlaska$1,529.88$241.82
AlabamaAlabama$1,227.42$169.15

36908 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.

$1,206.57

$1,720.06

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

View every state and territory as a table
36908 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,529.881
AL$1,227.421
AR$1,206.571
AZ$1,349.701
CA$1,500.87–$1,939.2529
CO$1,466.471
CT$1,493.451
DC$1,620.131
DE$1,374.751
FL$1,348.63–$1,476.813
GA$1,262.75–$1,415.872
GU$1,549.931
HI$1,549.931
IA$1,272.721
ID$1,280.621
IL$1,297.13–$1,443.114
IN$1,289.521
KS$1,261.651
KY$1,252.681
LA$1,248.75–$1,321.722
MA$1,453.86–$1,632.872
MD$1,405.40–$1,620.133
ME$1,284.05–$1,371.572
MI$1,287.13–$1,363.912
MN$1,410.591
MO$1,220.83–$1,332.163
MS$1,214.191
MT$1,391.101
NC$1,300.431
ND$1,377.461
NE$1,282.121
NH$1,438.691
NJ$1,512.06–$1,598.202
NM$1,293.701
NV$1,388.531
NY$1,322.81–$1,652.185
OH$1,284.341
OK$1,254.421
OR$1,379.38–$1,523.972
PA$1,289.03–$1,448.512
PR$1,404.331
RI$1,431.871
SC$1,294.221
SD$1,375.841
TN$1,268.561
TX$1,278.83–$1,460.138
UT$1,315.011
VA$1,363.46–$1,620.132
VI$1,404.331
VT$1,367.461
WA$1,452.62–$1,673.012
WI$1,323.551
WV$1,239.971
WY$1,385.161

See 36908 in every payment locality

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

Office or facility?

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.

The exact Houston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,569

Code
36908
Physician work
4.14
Practice expense
36.82
Malpractice
0.69

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 36908 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work4.14× 1.0084.1731
Practice expense36.82× 0.99336.5623
Malpractice0.69× 1.3760.9494
Total RVUs41.6848
Conversion factor× 33.4009

Office rate, Houston, TX$1392.31

Office: (4.14 × 1.008 + 36.82 × 0.993 + 0.69 × 1.376) × $33.4009 = $1392.31

Facility: (4.14 × 1.008 + 0.61 × 0.993 + 0.69 × 1.376) × $33.4009 = $191.33

Open 36908 in the RVU calculator

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

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.

How 36908 has changed in Houston, TX

36908 · Office / nonfacility

$1392.31

Effective 2026-10-01

The base rate is $79.51 higher than on 2025-10-01, moving from $1312.80 to $1392.31 (6.1%).

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

    $1312.80changed to$1392.31

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.25 changed to 4.14
    • Practice expense RVU 35.17 changed to 36.82
    • Malpractice RVU 0.71 changed to 0.69
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1397.73changed to$1312.80

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 36.57 changed to 35.17

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1374.92changed to$1397.73

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1473.24changed to$1374.92

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 37.75 changed to 36.57
    • Malpractice RVU 0.67 changed to 0.71
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409
  5. January 1, 2023

    RVU23A

    $1572.11changed to$1473.24

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 39.30 changed to 37.75
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1950.44changed to$1572.11

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 49.50 changed to 39.30
    • Malpractice RVU 0.64 changed to 0.67

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $2193.66changed to$1950.44

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 54.75 changed to 49.50
    • Malpractice RVU 0.63 changed to 0.64
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $2480.30changed to$2193.66

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 63.14 changed to 54.75
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $2795.54changed to$2480.30

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 71.84 changed to 63.14
    • Malpractice RVU 0.66 changed to 0.63

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $2746.37changed to$2795.54

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 3.73 changed to 4.25
    • Practice expense RVU 71.49 changed to 71.84
    • Malpractice RVU 0.62 changed to 0.66
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$2746.37

    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$1,392.31$191.33RVU26D
2026-07-01$1,392.31$191.33RVU26C
2026-04-01$1,392.31$191.33RVU26B
2026-01-01$1,392.31$191.33RVU26A
2025-10-01$1,312.80$207.77RVU25D
2025-07-01$1,312.80$207.77RVU25C
2025-04-01$1,312.80$207.77RVU25B
2025-01-01$1,312.80$207.77RVU25A
2024-10-01$1,397.73$212.48RVU24D
2024-07-01$1,397.73$212.48RVU24C
2024-04-01$1,397.73$212.48RVU24B
2024-03-09$1,397.73$212.48RVU24AR
2024-01-01$1,374.92$209.01RVU24A
2023-10-01$1,473.24$211.06RVU23D
2023-07-01$1,473.24$211.06RVU23C
2023-04-01$1,473.24$211.06RVU23B
2023-01-01$1,473.24$211.06RVU23A
2022-10-01$1,572.11$212.18RVU22D
2022-07-01$1,572.11$212.18RVU22C
2022-04-01$1,572.11$212.18RVU22B
2022-01-01$1,572.11$212.18RVU22A
2021-10-01$1,950.44$213.71RVU21D
2021-07-01$1,950.44$213.71RVU21C
2021-04-01$1,950.44$213.71RVU21B
2021-01-01$1,950.44$213.71RVU21A
2020-10-01$2,193.66$220.21RVU20D
2020-07-01$2,193.66$220.21RVU20C
2020-04-01$2,193.66$220.21RVU20B
2020-01-01$2,193.66$220.21RVU20A
2019-10-01$2,480.30$219.42RVU19D
2019-07-01$2,480.30$219.42RVU19C
2019-04-01$2,480.30$219.42RVU19B
2019-01-01$2,480.30$219.42RVU19A
2018-10-01$2,795.54$221.65RVU18D
2018-07-01$2,795.54$221.65RVU18C
2018-04-01$2,795.54$221.65RVU18B
2018-01-01$2,795.54$221.65RVU18AR1
2017-10-01$2,746.37$195.98RVU17D
2017-07-01$2,746.37$195.98RVU17C
2017-04-01$2,746.37$195.98RVU17B
2017-01-01$2,746.37$195.98RVU17A
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 36908 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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

Show the CMS file lines behind this rate
RVUs for 36908PPRRVU2026_Oct_nonQPP.csv, line 4,569 (RVU26D)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 36908 pays in Houston, TX?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 36908 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist