FeeBase
Log inGet started
Menu

CPT code 36909: Dialysis access embolization, circuit vessel embolization2026 Medicare rate & RVUs in Santa Clara County, CA

Reports embolization of vessel branches arising from a dialysis circuit as an add-on to a qualifying dialysis access procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality3.2K Medicare services in 2024

In Santa Clara County, CA, Medicare pays $2,551.68 for 36909 in the office and $185.38 when it’s performed in a hospital or facility.

$2,551.68Office (non-facility)
$185.38Hospital or facility
+40.5%vs the national office rate ($1,816.67)

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.

We’ll open 36909 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Santa Clara County, CA
  2. What 36909 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 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 Santa Clara County, CA 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. Santa Clara County, CA pays $2,551.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

36909 in Santa Clara County, CA vs other payment areas
  1. Santa Clara County, CA · this page$2,551.68
  2. Bakersfield, CA · California$1,969.84−$581.84
  3. Chico, CA · California$1,967.94−$583.74
  4. El Centro, CA · California$1,968.05−$583.63
  5. Fresno, CA · California$1,967.94−$583.74
  6. Hanford, CA · California$1,967.94−$583.74
  7. Los Angeles, CA · California$2,118.45−$433.23

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

Every other payment area

36909 in every other Medicare payment locality
Payment localityOfficeFacility
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

36909 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
36909 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,981.661
AL$1,599.461
AR$1,571.761
AZ$1,761.991
CA$1,967.94–$2,554.7929
CO$1,919.631
CT$1,951.881
DC$2,121.941
DE$1,795.171
FL$1,754.89–$1,918.953
GA$1,641.69–$1,848.142
GU$2,034.681
HI$2,034.681
IA$1,662.081
ID$1,672.081
IL$1,684.85–$1,879.714
IN$1,683.991
KS$1,646.211
KY$1,630.511
LA$1,624.83–$1,721.782
MA$1,902.26–$2,141.762
MD$1,836.10–$2,121.943
ME$1,675.41–$1,793.482
MI$1,675.14–$1,773.932
MN$1,849.061
MO$1,587.01–$1,737.043
MS$1,580.091
MT$1,816.631
NC$1,697.371
ND$1,803.381
NE$1,674.931
NH$1,881.941
NJ$1,976.94–$2,092.262
NM$1,683.391
NV$1,814.601
NY$1,727.03–$2,158.195
OH$1,672.431
OK$1,634.061
OR$1,803.39–$1,997.362
PA$1,679.32–$1,891.472
PR$1,834.601
RI$1,871.591
SC$1,687.161
SD$1,801.821
TN$1,655.251
TX$1,665.68–$1,910.678
UT$1,714.791
VA$1,781.88–$2,121.942
VI$1,834.601
VT$1,789.021
WA$1,901.05–$2,196.122
WI$1,731.471
WV$1,608.861
WY$1,810.861

See 36909 in every payment locality

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

Office or facility?

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 Santa Clara County, CA 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

28

Locality
Santa Clara County, CA
Physician work
1.110
Practice expense
1.442
Malpractice
0.397
Office calculation for 36909 in Santa Clara County, CA
ComponentRVULocality factorAdjusted
Physician work4.02× 1.1104.4622
Practice expense49.70× 1.44271.6674
Malpractice0.67× 0.3970.2660
Total RVUs76.3956
Conversion factor× 33.4009

Office rate, Santa Clara County, CA$2551.68

Office: (4.02 × 1.11 + 49.7 × 1.442 + 0.67 × 0.397) × $33.4009 = $2551.68

Facility: (4.02 × 1.11 + 0.57 × 1.442 + 0.67 × 0.397) × $33.4009 = $185.38

Open 36909 in the RVU calculator

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

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.

Codes related to 36909

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 36909
CodeHow it relatesOffice range, Santa Clara County, CA
Add-on codes
36901Circuit angiography, diagnostic onlyPrimary dialysis circuit procedure that may accompany branch-vessel embolization.$935.60
36902Dialysis access angioplasty, peripheral segmentPrimary circuit procedure with angioplasty that may accompany embolization.$1,639.69
36903Dialysis access stenting, peripheral segmentPrimary circuit procedure with stent placement that may accompany embolization.$6,820.00
36904Dialysis thrombectomy, without peripheral angioplasty or stentPrimary circuit thrombectomy procedure that may accompany embolization.$2,389.81
36905Dialysis thrombectomy, peripheral balloon angioplastyPrimary thrombectomy and angioplasty procedure that may accompany embolization.$3,037.41
36906Dialysis access intervention, central-segment angioplastyPrimary thrombectomy and stent procedure that may accompany embolization.$8,364.36

How 36909 has changed in Santa Clara County, CA

36909 · Office / nonfacility

$2551.68

Effective 2026-10-01

The base rate is $151.38 higher than on 2025-10-01, moving from $2400.30 to $2551.68 (6.3%).

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

    $2400.30changed to$2551.68

    • 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
    • Work GPCI 1.100 changed to 1.110
    • Practice expense GPCI 1.435 changed to 1.442
    • Malpractice GPCI 0.420 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $2584.43changed to$2400.30

    • 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.

  3. March 9, 2024

    RVU24AR

    $2542.25changed to$2584.43

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $2688.30changed to$2542.25

    • 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
    • Work GPCI 1.098 changed to 1.100
    • Practice expense GPCI 1.409 changed to 1.435
    • Malpractice GPCI 0.417 changed to 0.420

  5. January 1, 2023

    RVU23A

    $2827.43changed to$2688.30

    • 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
    • Work GPCI 1.096 changed to 1.098
    • Practice expense GPCI 1.383 changed to 1.409
    • Malpractice GPCI 0.414 changed to 0.417

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $2918.28changed to$2827.43

    • 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.

  7. January 1, 2021

    RVU21A

    $2744.69changed to$2918.28

    • 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
    • Work GPCI 1.089 changed to 1.096
    • Practice expense GPCI 1.369 changed to 1.383
    • Malpractice GPCI 0.401 changed to 0.414

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $2621.38changed to$2744.69

    • 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
    • Work GPCI 1.083 changed to 1.089
    • Practice expense GPCI 1.354 changed to 1.369
    • Malpractice GPCI 0.388 changed to 0.401

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $2654.72changed to$2621.38

    • 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.

  10. January 1, 2018

    RVU18AR1

    $2629.37changed to$2654.72

    • 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
    • Work GPCI 1.086 changed to 1.083
    • Practice expense GPCI 1.351 changed to 1.354
    • Malpractice GPCI 0.402 changed to 0.388

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$2629.37

    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$2,551.68$185.38RVU26D
2026-07-01$2,551.68$185.38RVU26C
2026-04-01$2,551.68$185.38RVU26B
2026-01-01$2,551.68$185.38RVU26A
2025-10-01$2,400.30$205.69RVU25D
2025-07-01$2,400.30$205.69RVU25C
2025-04-01$2,400.30$205.69RVU25B
2025-01-01$2,400.30$205.69RVU25A
2024-10-01$2,584.43$210.86RVU24D
2024-07-01$2,584.43$210.86RVU24C
2024-04-01$2,584.43$210.86RVU24B
2024-03-09$2,584.43$210.86RVU24AR
2024-01-01$2,542.25$207.42RVU24A
2023-10-01$2,688.30$214.53RVU23D
2023-07-01$2,688.30$214.53RVU23C
2023-04-01$2,688.30$214.53RVU23B
2023-01-01$2,688.30$214.53RVU23A
2022-10-01$2,827.43$218.56RVU22D
2022-07-01$2,827.43$218.56RVU22C
2022-04-01$2,827.43$218.56RVU22B
2022-01-01$2,827.43$218.56RVU22A
2021-10-01$2,918.28$220.23RVU21D
2021-07-01$2,918.28$220.23RVU21C
2021-04-01$2,918.28$220.23RVU21B
2021-01-01$2,918.28$220.23RVU21A
2020-10-01$2,744.69$225.45RVU20D
2020-07-01$2,744.69$225.45RVU20C
2020-04-01$2,744.69$225.45RVU20B
2020-01-01$2,744.69$225.45RVU20A
2019-10-01$2,621.38$223.50RVU19D
2019-07-01$2,621.38$223.50RVU19C
2019-04-01$2,621.38$223.50RVU19B
2019-01-01$2,621.38$223.50RVU19A
2018-10-01$2,654.72$230.22RVU18D
2018-07-01$2,654.72$230.22RVU18C
2018-04-01$2,654.72$230.22RVU18B
2018-01-01$2,654.72$230.22RVU18AR1
2017-10-01$2,629.37$196.37RVU17D
2017-07-01$2,629.37$196.37RVU17C
2017-04-01$2,629.37$196.37RVU17B
2017-01-01$2,629.37$196.37RVU17A
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 36909 for an earlier date of service

Where the Santa Clara County, CA rate applies

Santa Clara County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • San Jose
  • Santa Clara
  • Sunnyvale
  • Alum Rock
  • Burbank
  • Cambrian Park
  • Campbell
  • Cupertino

Browse all communities in California

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
RVUs for 36909PPRRVU2026_Oct_nonQPP.csv, line 4,570 (RVU26D)
Geographic factors for Santa Clara County, CAGPCI2026.csv, line 28 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 36909 pays in Santa Clara County, CA?

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 36909 and the rest of your codes on one sheet

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

Join the waitlist