CPT code 36909: Dialysis access embolization, circuit vessel embolization2026 Medicare rate & RVUs in Arkansas
Reports embolization of vessel branches arising from a dialysis circuit as an add-on to a qualifying dialysis access procedure.
In Arkansas, Medicare pays $1,571.76 for 36909 in the office and $162.15 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36909 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 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.
How Arkansas compares for 36909
Across 109 of 109 payment localities, the office rate for 36909 runs from $1,571.76 in Arkansas to $2,554.79 in San Benito County, CA. Arkansas pays $1,571.76. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arkansas · this page$1,571.76
- Los Angeles, CA · California$2,118.45+$546.69
- Washington, DC area · District of Columbia$2,121.94+$550.18
- Miami, FL · Florida$1,918.95+$347.19
- Chicago, IL · Illinois$1,854.90+$283.14
- Manhattan, NY · New York$2,107.31+$535.55
- Alaska · Alaska$1,981.66+$409.90
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,599.46 | $163.60 |
| ArizonaArizona | $1,761.99 | $171.88 |
| Bakersfield, CACalifornia | $1,969.84 | $171.32 |
| Chico, CACalifornia | $1,967.94 | $169.42 |
| El Centro, CACalifornia | $1,968.05 | $169.53 |
| Fresno, CACalifornia | $1,967.94 | $169.42 |
| Hanford, CACalifornia | $1,967.94 | $169.42 |
| Madera, CACalifornia | $1,967.94 | $169.42 |
| Merced, CACalifornia | $1,967.94 | $169.42 |
| Modesto, CACalifornia | $1,967.94 | $169.42 |
| Napa, CACalifornia | $2,342.01 | $179.19 |
| Oxnard, CACalifornia | $2,114.12 | $174.48 |
| Redding, CACalifornia | $1,967.94 | $169.42 |
| Rest of CaliforniaCalifornia | $1,967.94 | $169.42 |
| Riverside, CACalifornia | $1,975.16 | $176.64 |
| Sacramento, CACalifornia | $2,081.71 | $173.24 |
| Salinas, CACalifornia | $2,074.40 | $172.49 |
| San Diego, CACalifornia | $2,135.82 | $173.20 |
| Marin County, CACalifornia | $2,497.93 | $184.14 |
| San Francisco, CACalifornia | $2,497.17 | $183.38 |
| San Benito County, CACalifornia | $2,554.79 | $188.49 |
| Santa Clara County, CACalifornia | $2,551.68 | $185.38 |
| San Luis Obispo, CACalifornia | $2,039.32 | $170.23 |
| Santa Cruz, CACalifornia | $2,166.02 | $172.22 |
| Santa Maria, CACalifornia | $2,085.61 | $172.23 |
| Santa Rosa, CACalifornia | $2,188.81 | $173.67 |
| Stockton, CACalifornia | $1,967.94 | $169.42 |
| Vallejo, CACalifornia | $2,340.92 | $178.10 |
| Visalia, CACalifornia | $1,967.94 | $169.42 |
| Yuba City, CACalifornia | $1,967.94 | $169.42 |
| ColoradoColorado | $1,919.63 | $173.62 |
| ConnecticutConnecticut | $1,951.88 | $184.54 |
| DelawareDelaware | $1,795.17 | $173.87 |
| Fort Lauderdale, FLFlorida | $1,856.34 | $194.02 |
| Rest of FloridaFlorida | $1,754.89 | $186.11 |
| Atlanta, GAGeorgia | $1,848.14 | $180.89 |
| Rest of GeorgiaGeorgia | $1,641.69 | $177.93 |
| Hawaii, Guam, HIHawaii | $2,034.68 | $168.88 |
| IowaIowa | $1,662.08 | $160.58 |
| IdahoIdaho | $1,672.08 | $162.37 |
| East St. Louis, ILIllinois | $1,706.56 | $196.86 |
| Rest of IllinoisIllinois | $1,684.85 | $186.63 |
| Suburban Chicago, ILIllinois | $1,879.71 | $194.42 |
| IndianaIndiana | $1,683.99 | $162.80 |
| KansasKansas | $1,646.21 | $162.76 |
| KentuckyKentucky | $1,630.51 | $171.67 |
| New Orleans, LALouisiana | $1,721.78 | $177.61 |
| Rest of LouisianaLouisiana | $1,624.83 | $172.56 |
| Metropolitan Boston, MAMassachusetts | $2,141.76 | $182.43 |
| Rest of MassachusettsMassachusetts | $1,902.26 | $174.30 |
| Baltimore area, MDMaryland | $1,945.31 | $184.53 |
| Rest of MarylandMaryland | $1,836.10 | $175.42 |
| Rest of MaineMaine | $1,675.41 | $165.71 |
| Southern Maine, MEMaine | $1,793.48 | $167.26 |
| Detroit, MIMichigan | $1,773.93 | $190.37 |
| Rest of MichiganMichigan | $1,675.14 | $176.92 |
| MinnesotaMinnesota | $1,849.06 | $160.49 |
| Metropolitan Kansas City, MOMissouri | $1,714.90 | $174.01 |
| Metropolitan St. Louis, MOMissouri | $1,737.04 | $174.82 |
| Rest of MissouriMissouri | $1,587.01 | $172.48 |
| MississippiMississippi | $1,580.09 | $167.20 |
| MontanaMontana | $1,816.63 | $175.64 |
| North CarolinaNorth Carolina | $1,697.37 | $166.33 |
| North DakotaNorth Dakota | $1,803.38 | $162.40 |
| NebraskaNebraska | $1,674.93 | $160.30 |
| New HampshireNew Hampshire | $1,881.94 | $173.67 |
| Northern New JerseyNew Jersey | $2,092.26 | $188.72 |
| Rest of New JerseyNew Jersey | $1,976.94 | $184.98 |
| New MexicoNew Mexico | $1,683.39 | $178.61 |
| NevadaNevada | $1,814.60 | $171.97 |
| NYC suburbs and Long Island, NYNew York | $2,158.19 | $207.06 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,985.12 | $188.24 |
| Queens, NYNew York | $2,137.28 | $197.64 |
| Rest of New YorkNew York | $1,727.03 | $168.09 |
| OhioOhio | $1,672.43 | $174.21 |
| OklahomaOklahoma | $1,634.06 | $168.66 |
| Portland, OROregon | $1,997.36 | $174.22 |
| Rest of OregonOregon | $1,803.39 | $168.97 |
| Metropolitan Philadelphia, PAPennsylvania | $1,891.47 | $183.21 |
| Rest of PennsylvaniaPennsylvania | $1,679.32 | $172.90 |
| Puerto RicoPuerto Rico | $1,834.60 | $175.56 |
| Rhode IslandRhode Island | $1,871.59 | $176.45 |
| South CarolinaSouth Carolina | $1,687.16 | $170.89 |
| South DakotaSouth Dakota | $1,801.82 | $160.83 |
| TennesseeTennessee | $1,655.25 | $163.59 |
| Austin, TXTexas | $1,910.67 | $174.51 |
| Beaumont, TXTexas | $1,665.68 | $172.39 |
| Brazoria, TXTexas | $1,797.89 | $171.67 |
| Dallas, TXTexas | $1,808.07 | $173.64 |
| Fort Worth, TXTexas | $1,791.76 | $173.74 |
| Galveston, TXTexas | $1,802.28 | $172.78 |
| Houston, TXTexas | $1,814.54 | $185.04 |
| Rest of TexasTexas | $1,729.84 | $172.55 |
| UtahUtah | $1,714.79 | $172.26 |
| VirginiaVirginia | $1,781.88 | $168.79 |
| Virgin Islands, VIUnited States Virgin Islands | $1,834.60 | $175.56 |
| VermontVermont | $1,789.02 | $164.44 |
| Rest of WashingtonWashington | $1,901.05 | $173.09 |
| King County, WAWashington | $2,196.12 | $182.63 |
| WisconsinWisconsin | $1,731.47 | $159.40 |
| West VirginiaWest Virginia | $1,608.86 | $182.84 |
| WyomingWyoming | $1,810.86 | $169.87 |
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.
The exact Arkansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,570
- Code
- 36909
- Physician work
- 4.02
- Practice expense
- 49.70
- Malpractice
- 0.67
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.02 | × 1.000 | 4.0200 |
| Practice expense | 49.70 | × 0.859 | 42.6923 |
| Malpractice | 0.67 | × 0.515 | 0.3451 |
| Total RVUs | 47.0573 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Arkansas$1571.76
Office: (4.02 × 1 + 49.7 × 0.859 + 0.67 × 0.515) × $33.4009 = $1571.76
Facility: (4.02 × 1 + 0.57 × 0.859 + 0.67 × 0.515) × $33.4009 = $162.15
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. |
How 36909 has changed in Arkansas
36909 · Office / nonfacility
$1571.76
Effective 2026-10-01
The base rate is $82.16 higher than on 2025-10-01, moving from $1489.60 to $1571.76 (5.5%).
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
$1489.60changed to$1571.76
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.12 changed to 4.02
- Practice expense RVU 48.36 changed to 49.70
- Malpractice RVU 0.66 changed to 0.67
- Practice expense GPCI 0.860 changed to 0.859
- Malpractice GPCI 0.518 changed to 0.515
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1601.53changed to$1489.60
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 50.75 changed to 48.36
- Malpractice RVU 0.67 changed to 0.66
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1575.39changed to$1601.53
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1679.57changed to$1575.39
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 52.90 changed to 50.75
- Malpractice RVU 0.65 changed to 0.67
- Practice expense GPCI 0.853 changed to 0.860
- Malpractice GPCI 0.492 changed to 0.518
January 1, 2023
RVU23A
$1783.18changed to$1679.57
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 55.62 changed to 52.90
- Malpractice RVU 0.64 changed to 0.65
- Practice expense GPCI 0.847 changed to 0.853
- Malpractice GPCI 0.465 changed to 0.492
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1839.18changed to$1783.18
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 57.02 changed to 55.62
- Malpractice RVU 0.63 changed to 0.64
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1775.12changed to$1839.18
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 52.10 changed to 57.02
- Malpractice RVU 0.60 changed to 0.63
- Practice expense GPCI 0.859 changed to 0.847
- Malpractice GPCI 0.521 changed to 0.465
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1740.31changed to$1775.12
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 50.25 changed to 52.10
- Malpractice RVU 0.61 changed to 0.60
- Practice expense GPCI 0.872 changed to 0.859
- Malpractice GPCI 0.576 changed to 0.521
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1762.66changed to$1740.31
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 50.97 changed to 50.25
- Malpractice RVU 0.69 changed to 0.61
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1736.94changed to$1762.66
- Conversion factor 35.8887 changed to 35.9996
- Work RVU 3.48 changed to 4.12
- Practice expense RVU 51.26 changed to 50.97
- Malpractice RVU 0.58 changed to 0.69
- Practice expense GPCI 0.870 changed to 0.872
- Malpractice GPCI 0.555 changed to 0.576
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$1736.94
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 | $1,571.76 | $162.15 | RVU26D |
| 2026-07-01 | $1,571.76 | $162.15 | RVU26C |
| 2026-04-01 | $1,571.76 | $162.15 | RVU26B |
| 2026-01-01 | $1,571.76 | $162.15 | RVU26A |
| 2025-10-01 | $1,489.60 | $174.37 | RVU25D |
| 2025-07-01 | $1,489.60 | $174.37 | RVU25C |
| 2025-04-01 | $1,489.60 | $174.37 | RVU25B |
| 2025-01-01 | $1,489.60 | $174.37 | RVU25A |
| 2024-10-01 | $1,601.53 | $179.04 | RVU24D |
| 2024-07-01 | $1,601.53 | $179.04 | RVU24C |
| 2024-04-01 | $1,601.53 | $179.04 | RVU24B |
| 2024-03-09 | $1,601.53 | $179.04 | RVU24AR |
| 2024-01-01 | $1,575.39 | $176.12 | RVU24A |
| 2023-10-01 | $1,679.57 | $181.96 | RVU23D |
| 2023-07-01 | $1,679.57 | $181.96 | RVU23C |
| 2023-04-01 | $1,679.57 | $181.96 | RVU23B |
| 2023-01-01 | $1,679.57 | $181.96 | RVU23A |
| 2022-10-01 | $1,783.18 | $185.41 | RVU22D |
| 2022-07-01 | $1,783.18 | $185.41 | RVU22C |
| 2022-04-01 | $1,783.18 | $185.41 | RVU22B |
| 2022-01-01 | $1,783.18 | $185.41 | RVU22A |
| 2021-10-01 | $1,839.18 | $186.79 | RVU21D |
| 2021-07-01 | $1,839.18 | $186.79 | RVU21C |
| 2021-04-01 | $1,839.18 | $186.79 | RVU21B |
| 2021-01-01 | $1,839.18 | $186.79 | RVU21A |
| 2020-10-01 | $1,775.12 | $194.38 | RVU20D |
| 2020-07-01 | $1,775.12 | $194.38 | RVU20C |
| 2020-04-01 | $1,775.12 | $194.38 | RVU20B |
| 2020-01-01 | $1,775.12 | $194.38 | RVU20A |
| 2019-10-01 | $1,740.31 | $196.03 | RVU19D |
| 2019-07-01 | $1,740.31 | $196.03 | RVU19C |
| 2019-04-01 | $1,740.31 | $196.03 | RVU19B |
| 2019-01-01 | $1,740.31 | $196.03 | RVU19A |
| 2018-10-01 | $1,762.66 | $201.24 | RVU18D |
| 2018-07-01 | $1,762.66 | $201.24 | RVU18C |
| 2018-04-01 | $1,762.66 | $201.24 | RVU18B |
| 2018-01-01 | $1,762.66 | $201.24 | RVU18AR1 |
| 2017-10-01 | $1,736.94 | $170.17 | RVU17D |
| 2017-07-01 | $1,736.94 | $170.17 | RVU17C |
| 2017-04-01 | $1,736.94 | $170.17 | RVU17B |
| 2017-01-01 | $1,736.94 | $170.17 | 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 Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
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
Show the CMS file lines behind this rate
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