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CMS RVU26D · Effective 2026-10-01

36907 Dialysis angioplasty Medicare reimbursement rates

Reports balloon dilation of a central vein in a dialysis access circuit, such as treatment of central venous narrowing during an access intervention. Compare 36907 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 36907?

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

$505.56–$788.09

109 of 109 localities have a supported rate.

Lowest: Arkansas

Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

A spread of $282.53 per service.

Facility setting

$116.57–$170.73

109 of 109 localities have a supported rate.

Lowest: Wisconsin

Highest: Alaska*

A spread of $54.16 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.

Find 36907 in your payment locality →

Where 36907 pays more and less

109 payment localities

$505.56 to $788.09

$505.56$646.83$788.09
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

Vascular intervention

About 36907: Central dialysis segment balloon angioplasty

Reports balloon dilation of a central vein in a dialysis access circuit, such as treatment of central venous narrowing during an access intervention.

This add-on describes balloon dilation of a narrowed central portion of a hemodialysis access circuit. It is commonly performed by an interventional radiologist, vascular surgeon, or other qualified physician during fistulography or a related access intervention. A typical clinical situation is central venous narrowing associated with arm swelling, difficult dialysis access, or elevated venous pressures. Imaging used to guide and assess the angioplasty is part of the intervention.

Report 36907 with an eligible primary dialysis-circuit procedure, such as 36901–36906; it is not reported by itself. The primary code reflects the other work performed in the circuit, while this add-on identifies central-segment angioplasty. Documentation should establish the treated central lesion and the balloon treatment performed. CMS treats this as an add-on paid within the primary procedure’s global period, rather than as a separate primary procedure.

CMS billing rules for 36907

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.

Where the value comes from

  • Work RVU2.93 · 17%
  • Practice expense (office) RVU13.94 · 80%
  • Malpractice RVU0.45 · 3%

36.7K

Medicare services in 2024 · #901 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.

36907 compared with similar codes

Office rate ranges across all CMS payment localities, from the same CMS release.

36902

Dialysis access angioplasty

Peripheral segment

$1,036.76–$1,643.03

36902 represents peripheral-segment angioplasty as part of the primary dialysis-circuit service. Use 36907 for angioplasty in the central segment; both may be reported when both segments are treated.

36905

Dialysis thrombectomy

Peripheral balloon angioplasty

$1,920.73–$3,043.39

36905 describes thrombectomy with peripheral-segment angioplasty. Add 36907 when central-segment angioplasty is also performed during the qualifying dialysis-circuit procedure.

36908

Stent placement

Central dialysis segment

$1,206.57–$1,939.25

36908 identifies central-segment stent placement. Choose it for central stenting rather than reporting 36907 for angioplasty that is included in that stent treatment.

36901

Circuit angiography

Diagnostic only

$599.20–$937.97

36901 represents the primary dialysis-circuit imaging service without peripheral angioplasty. Add 36907 when central-segment balloon angioplasty is performed.

See how rates vary across the country

36907 · 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.

$505.56

$702.99

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$650.951
AL$513.781
AR$505.561
AZ$561.911
CA$617.89–$788.0929
CO$606.191
CT$619.471
DC$668.371
DE$571.891
FL$565.58–$620.583
GA$531.10–$589.272
GU$635.961
HI$635.961
IA$529.861
ID$533.331
IL$546.46–$603.364
IN$536.791
KS$526.351
KY$525.541
LA$524.33–$553.082
MA$601.70–$671.192
MD$583.84–$668.373
ME$535.57–$568.772
MI$539.93–$572.522
MN$581.421
MO$513.86–$556.183
MS$509.861
MT$578.471
NC$541.881
ND$569.581
NE$533.301
NH$595.711
NJ$626.71–$660.192
NM$542.881
NV$576.461
NY$550.76–$685.655
OH$538.121
OK$525.331
OR$572.18–$627.902
PA$539.50–$602.262
PR$583.401
RI$594.101
SC$540.861
SD$568.521
TN$529.171
TX$535.53–$603.998
UT$549.031
VA$566.17–$668.372
VI$583.401
VT$566.421
WA$600.86–$686.342
WI$548.551
WV$523.991
WY$574.601

Compare 36907 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

36907 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama

Office

$513.78

Facility

$119.23
Alaska*

Office

$650.95

Facility

$170.73
Arizona

Office

$561.91

Facility

$124.97
Arkansas

Office

$505.56

Facility

$118.23
Atlanta

Office

$589.27

Facility

$131.14
Austin

Office

$603.99

Facility

$126.93
Bakersfield

Office

$619.18

Facility

$124.98
Baltimore/Surr. Cntys

Office

$617.62

Facility

$133.79
Beaumont

Office

$535.53

Facility

$125.20
Brazoria

Office

$571.79

Facility

$124.94
Chicago

Office

$600.98

Facility

$147.81
Chico

Office

$617.89

Facility

$123.69
Colorado

Office

$606.19

Facility

$126.41
Connecticut

Office

$619.47

Facility

$133.84
Dallas

Office

$575.39

Facility

$126.28
Dc + Md/Va Suburbs

Office

$668.37

Facility

$137.19
Delaware

Office

$571.89

Facility

$126.39
Detroit

Office

$572.52

Facility

$137.39
East St. Louis

Office

$556.50

Facility

$141.66
El Centro

Office

$617.97

Facility

$123.77
Fort Lauderdale

Office

$596.70

Facility

$139.93
Fort Worth

Office

$570.93

Facility

$126.33
Fresno

Office

$617.89

Facility

$123.69
Galveston

Office

$573.44

Facility

$125.69
Hanford-Corcoran

Office

$617.89

Facility

$123.69
Hawaii, Guam

Office

$635.96

Facility

$123.28
Houston

Office

$581.68

Facility

$133.92
Idaho

Office

$533.33

Facility

$118.49
Indiana

Office

$536.79

Facility

$118.79
Iowa

Office

$529.86

Facility

$117.28
Kansas

Office

$526.35

Facility

$118.73
Kentucky

Office

$525.54

Facility

$124.68
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

Office

$662.67

Facility

$129.24
Madera

Office

$617.89

Facility

$123.69
Manhattan

Office

$669.00

Facility

$145.04
Merced

Office

$617.89

Facility

$123.69
Metropolitan Boston

Office

$671.19

Facility

$132.80
Metropolitan Kansas City

Office

$549.76

Facility

$126.35
Metropolitan Philadelphia

Office

$602.26

Facility

$132.86
Metropolitan St. Louis

Office

$556.18

Facility

$126.92
Miami

Office

$620.58

Facility

$151.18
Minnesota

Office

$581.42

Facility

$117.44
Mississippi

Office

$509.86

Facility

$121.63
Modesto

Office

$617.89

Facility

$123.69
Montana**

Office

$578.47

Facility

$127.56
Napa

Office

$725.34

Facility

$131.04
Nebraska

Office

$533.30

Facility

$117.11
Nevada**

Office

$576.46

Facility

$125.10
New Hampshire

Office

$595.71

Facility

$126.32
New Mexico

Office

$542.88

Facility

$129.39
New Orleans

Office

$553.08

Facility

$128.77
North Carolina

Office

$541.88

Facility

$121.18
North Dakota**

Office

$569.58

Facility

$118.66
Northern Nj

Office

$660.19

Facility

$137.13
Nyc Suburbs/Long Island

Office

$685.65

Facility

$149.51
Ohio

Office

$538.12

Facility

$126.43
Oklahoma

Office

$525.33

Facility

$122.67
Oxnard-Thousand Oaks-Ventura

Office

$660.32

Facility

$127.34
Portland

Office

$627.90

Facility

$126.94
Poughkpsie/N Nyc Suburbs

Office

$630.30

Facility

$136.55
Puerto Rico

Office

$583.40

Facility

$127.53
Queens

Office

$676.15

Facility

$143.17
Redding

Office

$617.89

Facility

$123.69
Rest Of California

Office

$617.89

Facility

$123.69
Rest Of Florida

Office

$565.58

Facility

$134.51
Rest Of Georgia

Office

$531.10

Facility

$128.89
Rest Of Illinois

Office

$546.46

Facility

$134.77
Rest Of Louisiana

Office

$524.33

Facility

$125.27
Rest Of Maine

Office

$535.57

Facility

$120.73
Rest Of Maryland

Office

$583.84

Facility

$127.51
Rest Of Massachusetts

Office

$601.70

Facility

$126.89
Rest Of Michigan

Office

$539.93

Facility

$128.25
Rest Of Missouri

Office

$513.86

Facility

$125.17
Rest Of New Jersey

Office

$626.71

Facility

$134.32
Rest Of New York

Office

$550.76

Facility

$122.39
Rest Of Oregon

Office

$572.18

Facility

$123.07
Rest Of Pennsylvania

Office

$539.50

Facility

$125.56
Rest Of Texas

Office

$553.30

Facility

$125.38
Rest Of Washington

Office

$600.86

Facility

$126.05
Rhode Island

Office

$594.10

Facility

$128.31
Riverside-San Bernardino-Ontario

Office

$622.75

Facility

$128.55
Sacramento-Roseville-Folsom

Office

$650.95

Facility

$126.54
Salinas

Office

$648.60

Facility

$125.99
San Diego-Chula Vista-Carlsbad

Office

$665.81

Facility

$126.52
San Francisco-Oakland-Berkeley (Marin Cnty)

Office

$770.57

Facility

$134.78
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

Office

$770.06

Facility

$134.27
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

Office

$788.09

Facility

$137.88
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

Office

$786.00

Facility

$135.79
San Luis Obispo-Paso Robles

Office

$637.91

Facility

$124.32
Santa Cruz-Watsonville

Office

$673.69

Facility

$125.83
Santa Maria-Santa Barbara

Office

$651.56

Facility

$125.80
Santa Rosa-Petaluma

Office

$680.62

Facility

$126.90
Seattle (King Cnty)

Office

$686.34

Facility

$133.07
South Carolina

Office

$540.86

Facility

$124.22
South Dakota**

Office

$568.52

Facility

$117.61
Southern Maine

Office

$568.77

Facility

$121.91
Stockton

Office

$617.89

Facility

$123.69
Suburban Chicago

Office

$603.36

Facility

$140.28
Tennessee

Office

$529.17

Facility

$119.29
Utah

Office

$549.03

Facility

$125.18
Vallejo

Office

$724.60

Facility

$130.30
Vermont

Office

$566.42

Facility

$120.02
Virgin Islands

Office

$583.40

Facility

$127.53
Virginia

Office

$566.17

Facility

$122.92
Visalia

Office

$617.89

Facility

$123.69
West Virginia

Office

$523.99

Facility

$132.14
Wisconsin

Office

$548.55

Facility

$116.57
Wyoming**

Office

$574.60

Facility

$123.68
Yuba City

Office

$617.89

Facility

$123.69

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36907 billing questions

When is 36907 reported with 36902?

Report both when the session includes the service represented by 36902 and balloon angioplasty in the central dialysis segment. The 36902 service addresses angioplasty in the peripheral segment; 36907 identifies central-segment angioplasty.

Can 36907 be billed without a primary code?

No. It is an add-on and must be reported with an eligible primary dialysis-circuit procedure, such as a code from 36901–36906.

Is 36907 reported for each central lesion or balloon inflation?

Report the add-on for the central-segment angioplasty service, not separately for each balloon inflation. The record should identify the treated lesion and the intervention performed.

Can 36907 be reported when a central stent is placed?

When central-segment stent placement is performed, compare 36908, which represents that stent service. Do not separately use 36907 to describe angioplasty that is part of the stent treatment.

How does the global-period rule affect 36907?

CMS classifies 36907 as an add-on paid within the primary procedure’s global period. It is reported with the primary service, not as a stand-alone procedure.

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.

RVUs for 36907PPRRVU2026_Oct_nonQPP.csv, line 4,568 (RVU26D)