CPT code 36909: Dialysis access embolization, circuit vessel embolization2026 Medicare rate & RVUs
Reports embolization of vessel branches arising from a dialysis circuit as an add-on to a qualifying dialysis access procedure.
Medicare pays $1,816.67 for 36909 nationally in the office and $175.69 in a hospital or facility. Local office rates run $1,571.76–$2,554.79.
Medicare rate · 36909
Dialysis access embolization, circuit vessel embolization
- Work RVUs
- 4.02
- Total RVUs
- 54.39
- Global days
- ZZZ
National rate · 2026
$1,816.67
Office setting, before claim adjustments.
See every locality for 36909 →Billed by an NP, PA or therapist? →
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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On this page 10 sections
What 36909 covers
This add-on reports embolization of one or more vessels arising from a hemodialysis access circuit, such as a collateral or accessory vein treated to redirect flow through the access. Interventional radiologists and vascular surgeons commonly perform the treatment in an angiography suite, using imaging to guide delivery of an embolic agent or device. It may be part of an intervention on an arteriovenous fistula or graft when the branch vessel itself is being occluded.
Report 36909 only with a qualifying primary dialysis circuit procedure, such as 36901–36906; it is not a standalone service. The record should identify the treated branch vessel or vessels, the reason for embolization, the treatment performed, and the associated primary procedure. The code includes the related radiological supervision and interpretation and imaging guidance when performed. CMS treats it as an add-on paid within the primary procedure’s global period.
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 36909 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$1571.76 to $2554.79
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $1,599.46 | $163.60 |
| Alaska | $1,981.66 | $234.01 |
| Arizona | $1,761.99 | $171.88 |
| Arkansas | $1,571.76 | $162.15 |
| Atlanta, GA | $1,848.14 | $180.89 |
| Austin, TX | $1,910.67 | $174.51 |
| Bakersfield, CA | $1,969.84 | $171.32 |
| Baltimore area, MD | $1,945.31 | $184.53 |
| Beaumont, TX | $1,665.68 | $172.39 |
| Brazoria, TX | $1,797.89 | $171.67 |
| Chicago, IL | $1,854.90 | $205.70 |
| Chico, CA | $1,967.94 | $169.42 |
| Colorado | $1,919.63 | $173.62 |
| Connecticut | $1,951.88 | $184.54 |
| Dallas, TX | $1,808.07 | $173.64 |
| Delaware | $1,795.17 | $173.87 |
| Detroit, MI | $1,773.93 | $190.37 |
| East St. Louis, IL | $1,706.56 | $196.86 |
| El Centro, CA | $1,968.05 | $169.53 |
| Fort Lauderdale, FL | $1,856.34 | $194.02 |
| Fort Worth, TX | $1,791.76 | $173.74 |
| Fresno, CA | $1,967.94 | $169.42 |
| Galveston, TX | $1,802.28 | $172.78 |
| Hanford, CA | $1,967.94 | $169.42 |
| Hawaii, Guam, HI | $2,034.68 | $168.88 |
| Houston, TX | $1,814.54 | $185.04 |
| Idaho | $1,672.08 | $162.37 |
| Indiana | $1,683.99 | $162.80 |
| Iowa | $1,662.08 | $160.58 |
| Kansas | $1,646.21 | $162.76 |
| Kentucky | $1,630.51 | $171.67 |
| King County, WA | $2,196.12 | $182.63 |
| Los Angeles, CA | $2,118.45 | $177.16 |
| Madera, CA | $1,967.94 | $169.42 |
| Manhattan, NY | $2,107.31 | $200.48 |
| Marin County, CA | $2,497.93 | $184.14 |
| Merced, CA | $1,967.94 | $169.42 |
| Metropolitan Boston, MA | $2,141.76 | $182.43 |
| Metropolitan Kansas City, MO | $1,714.90 | $174.01 |
| Metropolitan Philadelphia, PA | $1,891.47 | $183.21 |
| Metropolitan St. Louis, MO | $1,737.04 | $174.82 |
| Miami, FL | $1,918.95 | $210.69 |
| Minnesota | $1,849.06 | $160.49 |
| Mississippi | $1,580.09 | $167.20 |
| Modesto, CA | $1,967.94 | $169.42 |
| Montana | $1,816.63 | $175.64 |
| Napa, CA | $2,342.01 | $179.19 |
| Nebraska | $1,674.93 | $160.30 |
| Nevada | $1,814.60 | $171.97 |
| New Hampshire | $1,881.94 | $173.67 |
| New Mexico | $1,683.39 | $178.61 |
| New Orleans, LA | $1,721.78 | $177.61 |
| North Carolina | $1,697.37 | $166.33 |
| North Dakota | $1,803.38 | $162.40 |
| Northern New Jersey | $2,092.26 | $188.72 |
| NYC suburbs and Long Island, NY | $2,158.19 | $207.06 |
| Ohio | $1,672.43 | $174.21 |
| Oklahoma | $1,634.06 | $168.66 |
| Oxnard, CA | $2,114.12 | $174.48 |
| Portland, OR | $1,997.36 | $174.22 |
| Poughkeepsie and northern NYC suburbs, NY | $1,985.12 | $188.24 |
| Puerto Rico | $1,834.60 | $175.56 |
| Queens, NY | $2,137.28 | $197.64 |
| Redding, CA | $1,967.94 | $169.42 |
| Rest of California | $1,967.94 | $169.42 |
| Rest of Florida | $1,754.89 | $186.11 |
| Rest of Georgia | $1,641.69 | $177.93 |
| Rest of Illinois | $1,684.85 | $186.63 |
| Rest of Louisiana | $1,624.83 | $172.56 |
| Rest of Maine | $1,675.41 | $165.71 |
| Rest of Maryland | $1,836.10 | $175.42 |
| Rest of Massachusetts | $1,902.26 | $174.30 |
| Rest of Michigan | $1,675.14 | $176.92 |
| Rest of Missouri | $1,587.01 | $172.48 |
| Rest of New Jersey | $1,976.94 | $184.98 |
| Rest of New York | $1,727.03 | $168.09 |
| Rest of Oregon | $1,803.39 | $168.97 |
| Rest of Pennsylvania | $1,679.32 | $172.90 |
| Rest of Texas | $1,729.84 | $172.55 |
| Rest of Washington | $1,901.05 | $173.09 |
| Rhode Island | $1,871.59 | $176.45 |
| Riverside, CA | $1,975.16 | $176.64 |
| Sacramento, CA | $2,081.71 | $173.24 |
| Salinas, CA | $2,074.40 | $172.49 |
| San Benito County, CA | $2,554.79 | $188.49 |
| San Diego, CA | $2,135.82 | $173.20 |
| San Francisco, CA | $2,497.17 | $183.38 |
| San Luis Obispo, CA | $2,039.32 | $170.23 |
| Santa Clara County, CA | $2,551.68 | $185.38 |
| Santa Cruz, CA | $2,166.02 | $172.22 |
| Santa Maria, CA | $2,085.61 | $172.23 |
| Santa Rosa, CA | $2,188.81 | $173.67 |
| South Carolina | $1,687.16 | $170.89 |
| South Dakota | $1,801.82 | $160.83 |
| Southern Maine, ME | $1,793.48 | $167.26 |
| Stockton, CA | $1,967.94 | $169.42 |
| Suburban Chicago, IL | $1,879.71 | $194.42 |
| Tennessee | $1,655.25 | $163.59 |
| Utah | $1,714.79 | $172.26 |
| Vallejo, CA | $2,340.92 | $178.10 |
| Vermont | $1,789.02 | $164.44 |
| Virgin Islands, VI | $1,834.60 | $175.56 |
| Virginia | $1,781.88 | $168.79 |
| Visalia, CA | $1,967.94 | $169.42 |
| Washington, DC area | $2,121.94 | $188.86 |
| West Virginia | $1,608.86 | $182.84 |
| Wisconsin | $1,731.47 | $159.40 |
| Wyoming | $1,810.86 | $169.87 |
| Yuba City, CA | $1,967.94 | $169.42 |
36909 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.
$1,571.76
$2,261.37
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 | $1,981.66 | 1 |
| AL | $1,599.46 | 1 |
| AR | $1,571.76 | 1 |
| AZ | $1,761.99 | 1 |
| CA | $1,967.94–$2,554.79 | 29 |
| CO | $1,919.63 | 1 |
| CT | $1,951.88 | 1 |
| DC | $2,121.94 | 1 |
| DE | $1,795.17 | 1 |
| FL | $1,754.89–$1,918.95 | 3 |
| GA | $1,641.69–$1,848.14 | 2 |
| GU | $2,034.68 | 1 |
| HI | $2,034.68 | 1 |
| IA | $1,662.08 | 1 |
| ID | $1,672.08 | 1 |
| IL | $1,684.85–$1,879.71 | 4 |
| IN | $1,683.99 | 1 |
| KS | $1,646.21 | 1 |
| KY | $1,630.51 | 1 |
| LA | $1,624.83–$1,721.78 | 2 |
| MA | $1,902.26–$2,141.76 | 2 |
| MD | $1,836.10–$2,121.94 | 3 |
| ME | $1,675.41–$1,793.48 | 2 |
| MI | $1,675.14–$1,773.93 | 2 |
| MN | $1,849.06 | 1 |
| MO | $1,587.01–$1,737.04 | 3 |
| MS | $1,580.09 | 1 |
| MT | $1,816.63 | 1 |
| NC | $1,697.37 | 1 |
| ND | $1,803.38 | 1 |
| NE | $1,674.93 | 1 |
| NH | $1,881.94 | 1 |
| NJ | $1,976.94–$2,092.26 | 2 |
| NM | $1,683.39 | 1 |
| NV | $1,814.60 | 1 |
| NY | $1,727.03–$2,158.19 | 5 |
| OH | $1,672.43 | 1 |
| OK | $1,634.06 | 1 |
| OR | $1,803.39–$1,997.36 | 2 |
| PA | $1,679.32–$1,891.47 | 2 |
| PR | $1,834.60 | 1 |
| RI | $1,871.59 | 1 |
| SC | $1,687.16 | 1 |
| SD | $1,801.82 | 1 |
| TN | $1,655.25 | 1 |
| TX | $1,665.68–$1,910.67 | 8 |
| UT | $1,714.79 | 1 |
| VA | $1,781.88–$2,121.94 | 2 |
| VI | $1,834.60 | 1 |
| VT | $1,789.02 | 1 |
| WA | $1,901.05–$2,196.12 | 2 |
| WI | $1,731.47 | 1 |
| WV | $1,608.86 | 1 |
| WY | $1,810.86 | 1 |
How the 36909 rate is calculated
Each of 36909’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 · 36909
RVUs × geographic indexes × conversion factor
Work4.02
4.02 RVUs× 1.000 GPCI
Practice expense49.70
49.70 RVUs× 1.000 GPCI
Malpractice0.67
0.67 RVUs× 1.000 GPCI
Adjusted RVUs
54.3900
Conversion factor
$33.4009
Medicare rate
$1,816.67
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36909
The CMS indicators that decide how 36909 is paid alongside other services.
CMS payment indicators · 36909
Dialysis access embolization, circuit vessel embolization
| 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. |
36909 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 36907Dialysis angioplastyCentral segment
- 36907 reports angioplasty of the central dialysis segment. Use 36909 for embolization of a vessel arising from the circuit, not dilation of a narrowed central segment.
- 36908Stent placementCentral dialysis segment
- 36908 reports stent placement in the central dialysis segment. 36909 addresses embolization of a branch vessel rather than stenting the central outflow.
- 36904Dialysis thrombectomyWithout peripheral angioplasty or stent
- 36904 reports thrombectomy of the dialysis circuit. 36909 reports branch-vessel embolization and is added to a qualifying primary procedure when both services are performed.
36909 billing questions
Can 36909 be reported by itself?
No. It is an add-on and must be reported with a qualifying primary dialysis circuit procedure, such as 36901–36906.
How is embolization different from angioplasty or stent placement?
36909 reports occlusion of a vessel arising from the dialysis circuit. Angioplasty or stenting treats a narrowed segment of the circuit rather than embolizing a branch vessel.
Does 36909 include imaging guidance and interpretation?
Yes. The code includes the related radiological supervision and interpretation, including imaging guidance when performed.
What should the procedure note document?
Document the vessel or vessels embolized, the clinical reason for treatment, the embolization performed, and the qualifying primary dialysis circuit procedure.
Is 36909 paid separately from the primary procedure’s global period?
No. CMS identifies it as an add-on paid within the primary procedure’s global period.
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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