$599.20–$937.97
36901 reports diagnostic evaluation of the dialysis circuit. Choose 36902 when balloon angioplasty is performed in the peripheral segment.
On this page
CMS RVU26D · Effective 2026-10-01
36902 Dialysis access angioplasty Medicare reimbursement rates
Reports catheter-based balloon angioplasty of a stenosis in the peripheral segment of a hemodialysis access circuit, with circuit imaging included. Compare 36902 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 36902?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$1036.76–$1643.03
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $606.27 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 36902 pays more and less
109 payment localities
$1036.76 to $1643.03
Interventional radiology
About 36902: Dialysis circuit peripheral angioplasty
Reports catheter-based balloon angioplasty of a stenosis in the peripheral segment of a hemodialysis access circuit, with circuit imaging included.
An interventional radiologist or vascular surgeon uses needle or catheter access to evaluate a hemodialysis fistula or graft and perform balloon angioplasty for a stenosis in its peripheral dialysis segment. These procedures commonly address access dysfunction, such as impaired flow or elevated circuit pressures, and are performed in an angiography suite or hospital outpatient setting. The code includes the diagnostic imaging and catheter placement needed to evaluate the circuit during the intervention.
Report this code when balloon angioplasty is performed in the peripheral segment; the documented lesion location and treatment should support that selection. Diagnostic angiography of the same circuit is included rather than separately reported as a diagnostic-only service. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When separate procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Medicare does not pay assistant-at-surgery services, co-surgeons, or team surgery for this code.
CMS billing rules for 36902
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.71 · 13%
- Practice expense (office) RVU30.22 · 85%
- Malpractice RVU0.72 · 2%
130.7K
Medicare services in 2024 · #488 by national volume
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.
36902 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$4,142.75–$6,824.78
36903 represents peripheral-segment stent placement; 36902 represents balloon angioplasty without that stent placement.
$1,920.73–$3,043.39
36905 includes thrombectomy with peripheral-segment angioplasty. 36902 is the choice when angioplasty is performed without thrombectomy.
$505.56–$788.09
36907 is an add-on for angioplasty in the central dialysis segment. Code 36902 describes angioplasty in the peripheral segment.
See how rates vary across the country
36902 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$1,036.76
$1,461.10
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $1,324.21 | 1 |
| AL | $1,054.13 | 1 |
| AR | $1,036.76 | 1 |
| AZ | $1,155.99 | 1 |
| CA | $1,279.16–$1,643.03 | 29 |
| CO | $1,251.96 | 1 |
| CT | $1,276.66 | 1 |
| DC | $1,381.62 | 1 |
| DE | $1,176.99 | 1 |
| FL | $1,158.43–$1,268.90 | 3 |
| GA | $1,086.35–$1,212.20 | 2 |
| GU | $1,318.90 | 1 |
| HI | $1,318.90 | 1 |
| IA | $1,090.44 | 1 |
| ID | $1,097.32 | 1 |
| IL | $1,116.47–$1,237.66 | 4 |
| IN | $1,104.70 | 1 |
| KS | $1,081.91 | 1 |
| KY | $1,076.66 | 1 |
| LA | $1,073.65–$1,134.46 | 2 |
| MA | $1,241.87–$1,390.37 | 2 |
| MD | $1,202.46–$1,381.62 | 3 |
| ME | $1,100.90–$1,172.78 | 2 |
| MI | $1,106.03–$1,171.91 | 2 |
| MN | $1,203.08 | 1 |
| MO | $1,050.82–$1,142.34 | 3 |
| MS | $1,044.16 | 1 |
| MT | $1,190.69 | 1 |
| NC | $1,114.43 | 1 |
| ND | $1,176.46 | 1 |
| NE | $1,098.06 | 1 |
| NH | $1,229.12 | 1 |
| NJ | $1,292.23–$1,363.79 | 2 |
| NM | $1,111.80 | 1 |
| NV | $1,187.74 | 1 |
| NY | $1,133.13–$1,412.19 | 5 |
| OH | $1,103.12 | 1 |
| OK | $1,077.38 | 1 |
| OR | $1,179.56–$1,299.14 | 2 |
| PA | $1,106.65–$1,239.60 | 2 |
| PR | $1,201.48 | 1 |
| RI | $1,224.44 | 1 |
| SC | $1,110.42 | 1 |
| SD | $1,174.77 | 1 |
| TN | $1,087.75 | 1 |
| TX | $1,098.19–$1,246.86 | 8 |
| UT | $1,127.73 | 1 |
| VA | $1,166.51–$1,381.62 | 2 |
| VI | $1,201.48 | 1 |
| VT | $1,168.77 | 1 |
| WA | $1,240.54–$1,423.34 | 2 |
| WI | $1,131.71 | 1 |
| WV | $1,068.88 | 1 |
| WY | $1,184.49 | 1 |
Compare 36902 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $1054.13 | Facility $196.06 |
| Alaska* | Office $1324.21 | Facility $279.82 |
| Arizona | Office $1155.99 | Facility $205.74 |
| Arkansas | Office $1036.76 | Facility $194.38 |
| Atlanta | Office $1212.20 | Facility $215.86 |
| Austin | Office $1246.86 | Facility $209.33 |
| Bakersfield | Office $1281.23 | Facility $206.44 |
| Baltimore/Surr. Cntys | Office $1272.64 | Facility $220.41 |
| Beaumont | Office $1098.19 | Facility $205.80 |
| Brazoria | Office $1177.63 | Facility $205.80 |
| Chicago | Office $1228.03 | Facility $242.48 |
| Chico | Office $1279.16 | Facility $204.37 |
| Colorado | Office $1251.96 | Facility $208.55 |
| Connecticut | Office $1276.66 | Facility $220.50 |
| Dallas | Office $1184.71 | Facility $207.98 |
| Dc + Md/Va Suburbs | Office $1381.62 | Facility $226.42 |
| Delaware | Office $1176.99 | Facility $208.10 |
| Detroit | Office $1171.91 | Facility $225.58 |
| East St. Louis | Office $1134.38 | Facility $232.18 |
| El Centro | Office $1279.28 | Facility $204.49 |
| Fort Lauderdale | Office $1223.30 | Facility $229.90 |
| Fort Worth | Office $1174.92 | Facility $208.00 |
| Fresno | Office $1279.16 | Facility $204.37 |
| Galveston | Office $1180.80 | Facility $207.01 |
| Hanford-Corcoran | Office $1279.16 | Facility $204.37 |
| Hawaii, Guam | Office $1318.90 | Facility $203.90 |
| Houston | Office $1193.98 | Facility $220.19 |
| Idaho | Office $1097.32 | Facility $195.12 |
| Indiana | Office $1104.70 | Facility $195.63 |
| Iowa | Office $1090.44 | Facility $193.15 |
| Kansas | Office $1081.91 | Facility $195.41 |
| Kentucky | Office $1076.66 | Facility $204.86 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $1373.83 | Facility $213.72 |
| Madera | Office $1279.16 | Facility $204.37 |
| Manhattan | Office $1378.42 | Facility $238.91 |
| Merced | Office $1279.16 | Facility $204.37 |
| Metropolitan Boston | Office $1390.37 | Facility $219.47 |
| Metropolitan Kansas City | Office $1128.62 | Facility $207.79 |
| Metropolitan Philadelphia | Office $1239.60 | Facility $218.74 |
| Metropolitan St. Louis | Office $1142.34 | Facility $208.76 |
| Miami | Office $1268.90 | Facility $248.04 |
| Minnesota | Office $1203.08 | Facility $193.99 |
| Mississippi | Office $1044.16 | Facility $199.82 |
| Modesto | Office $1279.16 | Facility $204.37 |
| Montana** | Office $1190.69 | Facility $210.04 |
| Napa | Office $1509.80 | Facility $217.31 |
| Nebraska | Office $1098.06 | Facility $192.92 |
| Nevada** | Office $1187.74 | Facility $206.10 |
| New Hampshire | Office $1229.12 | Facility $208.26 |
| New Mexico | Office $1111.80 | Facility $212.54 |
| New Orleans | Office $1134.46 | Facility $211.67 |
| North Carolina | Office $1114.43 | Facility $199.49 |
| North Dakota** | Office $1176.46 | Facility $195.81 |
| Northern Nj | Office $1363.79 | Facility $226.23 |
| Nyc Suburbs/Long Island | Office $1412.19 | Facility $246.20 |
| Ohio | Office $1103.12 | Facility $207.78 |
| Oklahoma | Office $1077.38 | Facility $201.66 |
| Oxnard-Thousand Oaks-Ventura | Office $1369.79 | Facility $210.66 |
| Portland | Office $1299.14 | Facility $209.64 |
| Poughkpsie/N Nyc Suburbs | Office $1298.76 | Facility $224.95 |
| Puerto Rico | Office $1201.48 | Facility $210.05 |
| Queens | Office $1395.15 | Facility $236.02 |
| Redding | Office $1279.16 | Facility $204.37 |
| Rest Of California | Office $1279.16 | Facility $204.37 |
| Rest Of Florida | Office $1158.43 | Facility $220.92 |
| Rest Of Georgia | Office $1086.35 | Facility $211.61 |
| Rest Of Illinois | Office $1116.47 | Facility $221.13 |
| Rest Of Louisiana | Office $1073.65 | Facility $205.78 |
| Rest Of Maine | Office $1100.90 | Facility $198.70 |
| Rest Of Maryland | Office $1202.46 | Facility $210.04 |
| Rest Of Massachusetts | Office $1241.87 | Facility $209.25 |
| Rest Of Michigan | Office $1106.03 | Facility $210.69 |
| Rest Of Missouri | Office $1050.82 | Facility $205.50 |
| Rest Of New Jersey | Office $1292.23 | Facility $221.36 |
| Rest Of New York | Office $1133.13 | Facility $201.51 |
| Rest Of Oregon | Office $1179.56 | Facility $202.83 |
| Rest Of Pennsylvania | Office $1106.65 | Facility $206.41 |
| Rest Of Texas | Office $1136.93 | Facility $206.29 |
| Rest Of Washington | Office $1240.54 | Facility $207.91 |
| Rhode Island | Office $1224.44 | Facility $211.43 |
| Riverside-San Bernardino-Ontario | Office $1286.94 | Facility $212.15 |
| Sacramento-Roseville-Folsom | Office $1349.78 | Facility $209.28 |
| Salinas | Office $1344.95 | Facility $208.38 |
| San Diego-Chula Vista-Carlsbad | Office $1382.28 | Facility $209.43 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $1606.52 | Facility $223.80 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $1605.70 | Facility $222.99 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $1643.03 | Facility $228.93 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $1639.69 | Facility $225.59 |
| San Luis Obispo-Paso Robles | Office $1322.56 | Facility $205.60 |
| Santa Cruz-Watsonville | Office $1399.90 | Facility $208.41 |
| Santa Maria-Santa Barbara | Office $1351.54 | Facility $208.11 |
| Santa Rosa-Petaluma | Office $1414.44 | Facility $210.20 |
| Seattle (King Cnty) | Office $1423.34 | Facility $220.08 |
| South Carolina | Office $1110.42 | Facility $204.30 |
| South Dakota** | Office $1174.77 | Facility $194.12 |
| Southern Maine | Office $1172.78 | Facility $200.96 |
| Stockton | Office $1279.16 | Facility $204.37 |
| Suburban Chicago | Office $1237.66 | Facility $230.53 |
| Tennessee | Office $1087.75 | Facility $196.34 |
| Utah | Office $1127.73 | Facility $205.92 |
| Vallejo | Office $1508.62 | Facility $216.13 |
| Vermont | Office $1168.77 | Facility $197.92 |
| Virgin Islands | Office $1201.48 | Facility $210.05 |
| Virginia | Office $1166.51 | Facility $202.53 |
| Visalia | Office $1279.16 | Facility $204.37 |
| West Virginia | Office $1068.88 | Facility $216.69 |
| Wisconsin | Office $1131.71 | Facility $192.24 |
| Wyoming** | Office $1184.49 | Facility $203.84 |
| Yuba City | Office $1279.16 | Facility $204.37 |
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36902 billing questions
How does this differ from 36901?
Use 36901 for diagnostic evaluation of the dialysis circuit without the peripheral balloon angioplasty reported by 36902. The imaging needed for the angioplasty is included in 36902.
When is 36903 a better choice?
Use 36903 when a stent is placed in the peripheral dialysis segment. Code 36902 reports balloon angioplasty without that peripheral stent placement.
Can diagnostic angiography of the same circuit be billed separately?
The diagnostic imaging performed to evaluate the circuit during this intervention is included. Do not separately report 36901 for that same circuit service.
Can central-segment angioplasty be reported in the same session?
Yes. When angioplasty is also performed in the central dialysis segment, 36907 is the related add-on code; document the treated segment and intervention.
What documentation supports 36902?
Record the access circuit findings, the peripheral-segment stenosis treated, and the balloon angioplasty performed. The documentation should distinguish treatment in the peripheral segment from any central-segment intervention.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,56036860,,External cannula declotting,A,,1.96,5.26,,0.47,,0.51,7.73,2.94,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56136861,,Cannula declotting,A,,2.46,0.59,NA,0.59,,0.65,3.70,3.70,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56236901,,Intro cath dialysis circuit,A,,3.28,16.76,,0.62,,0.51,20.55,4.41,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56336902,,Intro cath dialysis circuit,A,,4.71,30.22,,0.86,,0.72,35.65,6.29,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56436903,,Intro cath dialysis circuit,A,,6.23,136.52,,1.05,,1.03,143.78,8.31,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56536904,,Thrmbc/nfs dialysis circuit,A,,7.31,43.68,,1.16,,1.13,52.12,9.60,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56636905,,Thrmbc/nfs dialysis circuit,A,,8.78,55.95,,1.48,,1.29,66.02,11.55,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00