$505.56–$788.09
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.
On this page
CMS RVU26D · Effective 2026-10-01
36909 Dialysis access embolization Medicare reimbursement rates
Reports embolization of vessel branches arising from a dialysis circuit as an add-on to a qualifying dialysis access procedure. Compare 36909 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 36909?
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
$1571.76–$2554.79
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $983.03 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 36909 pays more and less
109 payment localities
$1571.76 to $2554.79
Vascular intervention
About 36909: Dialysis circuit branch embolization
Reports embolization of vessel branches arising from a dialysis circuit as an add-on to a qualifying dialysis access procedure.
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.
CMS billing rules for 36909
- 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 RVU4.02 · 7%
- Practice expense (office) RVU49.70 · 91%
- Malpractice RVU0.67 · 1%
3.2K
Medicare services in 2024 · #2139 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.
36909 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$1,206.57–$1,939.25
36908 reports stent placement in the central dialysis segment. 36909 addresses embolization of a branch vessel rather than stenting the central outflow.
$1,516.84–$2,395.06
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.
See how rates vary across the country
36909 · 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.
$1,571.76
$2,261.37
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 | $1,981.66 | 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 |
Compare 36909 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 $1599.46 | Facility $163.60 |
| Alaska* | Office $1981.66 | Facility $234.01 |
| Arizona | Office $1761.99 | Facility $171.88 |
| Arkansas | Office $1571.76 | Facility $162.15 |
| Atlanta | Office $1848.14 | Facility $180.89 |
| Austin | Office $1910.67 | Facility $174.51 |
| Bakersfield | Office $1969.84 | Facility $171.32 |
| Baltimore/Surr. Cntys | Office $1945.31 | Facility $184.53 |
| Beaumont | Office $1665.68 | Facility $172.39 |
| Brazoria | Office $1797.89 | Facility $171.67 |
| Chicago | Office $1854.90 | Facility $205.70 |
| Chico | Office $1967.94 | Facility $169.42 |
| Colorado | Office $1919.63 | Facility $173.62 |
| Connecticut | Office $1951.88 | Facility $184.54 |
| Dallas | Office $1808.07 | Facility $173.64 |
| Dc + Md/Va Suburbs | Office $2121.94 | Facility $188.86 |
| Delaware | Office $1795.17 | Facility $173.87 |
| Detroit | Office $1773.93 | Facility $190.37 |
| East St. Louis | Office $1706.56 | Facility $196.86 |
| El Centro | Office $1968.05 | Facility $169.53 |
| Fort Lauderdale | Office $1856.34 | Facility $194.02 |
| Fort Worth | Office $1791.76 | Facility $173.74 |
| Fresno | Office $1967.94 | Facility $169.42 |
| Galveston | Office $1802.28 | Facility $172.78 |
| Hanford-Corcoran | Office $1967.94 | Facility $169.42 |
| Hawaii, Guam | Office $2034.68 | Facility $168.88 |
| Houston | Office $1814.54 | Facility $185.04 |
| Idaho | Office $1672.08 | Facility $162.37 |
| Indiana | Office $1683.99 | Facility $162.80 |
| Iowa | Office $1662.08 | Facility $160.58 |
| Kansas | Office $1646.21 | Facility $162.76 |
| Kentucky | Office $1630.51 | Facility $171.67 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $2118.45 | Facility $177.16 |
| Madera | Office $1967.94 | Facility $169.42 |
| Manhattan | Office $2107.31 | Facility $200.48 |
| Merced | Office $1967.94 | Facility $169.42 |
| Metropolitan Boston | Office $2141.76 | Facility $182.43 |
| Metropolitan Kansas City | Office $1714.90 | Facility $174.01 |
| Metropolitan Philadelphia | Office $1891.47 | Facility $183.21 |
| Metropolitan St. Louis | Office $1737.04 | Facility $174.82 |
| Miami | Office $1918.95 | Facility $210.69 |
| Minnesota | Office $1849.06 | Facility $160.49 |
| Mississippi | Office $1580.09 | Facility $167.20 |
| Modesto | Office $1967.94 | Facility $169.42 |
| Montana** | Office $1816.63 | Facility $175.64 |
| Napa | Office $2342.01 | Facility $179.19 |
| Nebraska | Office $1674.93 | Facility $160.30 |
| Nevada** | Office $1814.60 | Facility $171.97 |
| New Hampshire | Office $1881.94 | Facility $173.67 |
| New Mexico | Office $1683.39 | Facility $178.61 |
| New Orleans | Office $1721.78 | Facility $177.61 |
| North Carolina | Office $1697.37 | Facility $166.33 |
| North Dakota** | Office $1803.38 | Facility $162.40 |
| Northern Nj | Office $2092.26 | Facility $188.72 |
| Nyc Suburbs/Long Island | Office $2158.19 | Facility $207.06 |
| Ohio | Office $1672.43 | Facility $174.21 |
| Oklahoma | Office $1634.06 | Facility $168.66 |
| Oxnard-Thousand Oaks-Ventura | Office $2114.12 | Facility $174.48 |
| Portland | Office $1997.36 | Facility $174.22 |
| Poughkpsie/N Nyc Suburbs | Office $1985.12 | Facility $188.24 |
| Puerto Rico | Office $1834.60 | Facility $175.56 |
| Queens | Office $2137.28 | Facility $197.64 |
| Redding | Office $1967.94 | Facility $169.42 |
| Rest Of California | Office $1967.94 | Facility $169.42 |
| Rest Of Florida | Office $1754.89 | Facility $186.11 |
| Rest Of Georgia | Office $1641.69 | Facility $177.93 |
| Rest Of Illinois | Office $1684.85 | Facility $186.63 |
| Rest Of Louisiana | Office $1624.83 | Facility $172.56 |
| Rest Of Maine | Office $1675.41 | Facility $165.71 |
| Rest Of Maryland | Office $1836.10 | Facility $175.42 |
| Rest Of Massachusetts | Office $1902.26 | Facility $174.30 |
| Rest Of Michigan | Office $1675.14 | Facility $176.92 |
| Rest Of Missouri | Office $1587.01 | Facility $172.48 |
| Rest Of New Jersey | Office $1976.94 | Facility $184.98 |
| Rest Of New York | Office $1727.03 | Facility $168.09 |
| Rest Of Oregon | Office $1803.39 | Facility $168.97 |
| Rest Of Pennsylvania | Office $1679.32 | Facility $172.90 |
| Rest Of Texas | Office $1729.84 | Facility $172.55 |
| Rest Of Washington | Office $1901.05 | Facility $173.09 |
| Rhode Island | Office $1871.59 | Facility $176.45 |
| Riverside-San Bernardino-Ontario | Office $1975.16 | Facility $176.64 |
| Sacramento-Roseville-Folsom | Office $2081.71 | Facility $173.24 |
| Salinas | Office $2074.40 | Facility $172.49 |
| San Diego-Chula Vista-Carlsbad | Office $2135.82 | Facility $173.20 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $2497.93 | Facility $184.14 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $2497.17 | Facility $183.38 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $2554.79 | Facility $188.49 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $2551.68 | Facility $185.38 |
| San Luis Obispo-Paso Robles | Office $2039.32 | Facility $170.23 |
| Santa Cruz-Watsonville | Office $2166.02 | Facility $172.22 |
| Santa Maria-Santa Barbara | Office $2085.61 | Facility $172.23 |
| Santa Rosa-Petaluma | Office $2188.81 | Facility $173.67 |
| Seattle (King Cnty) | Office $2196.12 | Facility $182.63 |
| South Carolina | Office $1687.16 | Facility $170.89 |
| South Dakota** | Office $1801.82 | Facility $160.83 |
| Southern Maine | Office $1793.48 | Facility $167.26 |
| Stockton | Office $1967.94 | Facility $169.42 |
| Suburban Chicago | Office $1879.71 | Facility $194.42 |
| Tennessee | Office $1655.25 | Facility $163.59 |
| Utah | Office $1714.79 | Facility $172.26 |
| Vallejo | Office $2340.92 | Facility $178.10 |
| Vermont | Office $1789.02 | Facility $164.44 |
| Virgin Islands | Office $1834.60 | Facility $175.56 |
| Virginia | Office $1781.88 | Facility $168.79 |
| Visalia | Office $1967.94 | Facility $169.42 |
| West Virginia | Office $1608.86 | Facility $182.84 |
| Wisconsin | Office $1731.47 | Facility $159.40 |
| Wyoming** | Office $1810.86 | Facility $169.87 |
| Yuba City | Office $1967.94 | Facility $169.42 |
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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 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.
4,56736906,,Thrmbc/nfs dialysis circuit,A,,10.16,165.43,,1.67,,1.50,177.09,13.33,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56836907,,Balo angiop ctr dialysis seg,A,,2.93,13.94,,0.44,,0.45,17.32,3.82,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56936908,,Stent plmt ctr dialysis seg,A,,4.14,36.82,,0.61,,0.69,41.65,5.44,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,57036909,,Dialysis circuit embolj,A,,4.02,49.70,,0.57,,0.67,54.39,5.26,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,5713700F,,Psych disorders assessed,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,57237140,,Revision of circulation,A,,39.00,14.55,NA,14.55,,10.45,64.00,64.00,0,090,0.09,0.84,0.07,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,57337145,,Revision of circulation,A,,36.08,13.70,NA,13.70,,9.67,59.45,59.45,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00