$634.80
36901 covers dialysis-circuit catheterization and imaging without thrombectomy or thrombolysis. Choose 36904 when clot removal or thrombolytic infusion is performed.
On this page
CMS RVU26D · Effective 2026-10-01
36904 in Beaumont
Office / nonfacility
$1606.87
Base rate per service
Facility setting
$314.48
Base rate per service
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.
Vascular intervention
About 36904: Dialysis circuit thrombectomy or thrombolysis
Percutaneous clot removal or thrombolytic treatment restores flow through a thrombosed hemodialysis fistula or graft when the dialysis circuit requires endovascular salvage.
This service treats clot obstructing a hemodialysis access circuit, such as an arteriovenous fistula or graft, by mechanically removing clot, infusing thrombolytic medication, or using both approaches. An interventional radiologist, vascular surgeon, or appropriately trained nephrologist typically performs the intervention in an angiography suite or hospital procedure room. Access, catheter placement, and imaging used to guide and assess the circuit intervention are included in the service.
Choose 36904 when thrombectomy or thrombolysis is performed without peripheral-segment angioplasty or stent placement; those additional treatments change the code selection. Document the access circuit treated, the clot and intervention performed, and any additional treatment of peripheral or central segments. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this dialysis-circuit service. Medicare does not pay an assistant at surgery under the stated statutory restriction; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 36904
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.31 · 14%
- Practice expense (office) RVU43.68 · 84%
- Malpractice RVU1.13 · 2%
1.9K
Medicare services in 2024 · #2522 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.
36904 compared with similar codes
Office rates for Beaumont, from the same CMS release.
$1,098.19
36902 includes peripheral-segment angioplasty without the thrombectomy or thrombolysis represented by 36904. Select based on the intervention actually performed.
$2,033.88
36905 represents thrombectomy or thrombolysis with peripheral-segment angioplasty; 36904 is used when that peripheral angioplasty is not performed.
$5,414.11
36906 represents thrombectomy or thrombolysis with peripheral-segment stent placement; 36904 is used when that peripheral stenting is not performed.
The same code, a different location
How does Beaumont compare?
In Austin, the office rate for 36904 is $1821.66—$214.79 higher than the $1606.87 rate in Beaumont. Both use the same code, release and participation basis.
36904 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
$1606.87
$1821.66
$214.79 higher than Beaumont
$1721.37
$114.50 higher than Beaumont
$1731.86
$124.99 higher than Beaumont
$1717.76
$110.89 higher than Beaumont
$1726.10
$119.23 higher than Beaumont
$1746.79
$139.92 higher than Beaumont
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 36904 ranges from $1516.84 in Arkansas to $2395.06 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 36904
Office
$1662.79
Facility
$315.01
$55.92 higher than Beaumont for the office setting.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 36904
Office
$2005.17
Facility
$325.07
$398.30 higher than Beaumont for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 36904
Office
$2018.00
Facility
$344.99
$411.13 higher than Beaumont for the office setting.
Miami
Florida · 36904
Office
$1858.38
Facility
$379.95
$251.51 higher than Beaumont for the office setting.
Chicago
Illinois · 36904
Office
$1798.74
Facility
$371.43
$191.87 higher than Beaumont for the office setting.
Manhattan
New York · 36904
Office
$2014.95
Facility
$364.67
$408.08 higher than Beaumont for the office setting.
Alaska*
Alaska · 36904
Office
$1940.82
Facility
$428.30
$333.95 higher than Beaumont for the office setting.
Alabama
Alabama · 36904
Office
$1542.11
Facility
$299.43
$64.76 lower than Beaumont for the office setting.
Arkansas
Arkansas · 36904
Office
$1516.84
Facility
$296.88
$90.03 lower than Beaumont for the office setting.
Arizona
Arizona · 36904
Office
$1690.19
Facility
$314.01
$83.32 higher than Beaumont for the office setting.
Bakersfield
California · 36904
Office
$1870.80
Facility
$314.25
$263.93 higher than Beaumont for the office setting.
Chico
California · 36904
Office
$1867.55
Facility
$311.01
$260.68 higher than Beaumont for the office setting.
El Centro
California · 36904
Office
$1867.74
Facility
$311.19
$260.87 higher than Beaumont for the office setting.
Fresno
California · 36904
Office
$1867.55
Facility
$311.01
$260.68 higher than Beaumont for the office setting.
Hanford-Corcoran
California · 36904
Office
$1867.55
Facility
$311.01
$260.68 higher than Beaumont for the office setting.
Madera
California · 36904
Office
$1867.55
Facility
$311.01
$260.68 higher than Beaumont for the office setting.
Merced
California · 36904
Office
$1867.55
Facility
$311.01
$260.68 higher than Beaumont for the office setting.
Modesto
California · 36904
Office
$1867.55
Facility
$311.01
$260.68 higher than Beaumont for the office setting.
Napa
California · 36904
Office
$2201.61
Facility
$329.78
$594.74 higher than Beaumont for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 36904
Office
$1998.99
Facility
$320.31
$392.12 higher than Beaumont for the office setting.
Redding
California · 36904
Office
$1867.55
Facility
$311.01
$260.68 higher than Beaumont for the office setting.
Rest Of California
California · 36904
Office
$1867.55
Facility
$311.01
$260.68 higher than Beaumont for the office setting.
Riverside-San Bernardino-Ontario
California · 36904
Office
$1879.76
Facility
$323.21
$272.89 higher than Beaumont for the office setting.
Sacramento-Roseville-Folsom
California · 36904
Office
$1969.94
Facility
$318.24
$363.07 higher than Beaumont for the office setting.
Salinas
California · 36904
Office
$1962.88
Facility
$316.87
$356.01 higher than Beaumont for the office setting.
San Diego-Chula Vista-Carlsbad
California · 36904
Office
$2016.85
Facility
$318.28
$409.98 higher than Beaumont for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 36904
Office
$2341.80
Facility
$339.31
$734.93 higher than Beaumont for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 36904
Office
$2340.52
Facility
$338.03
$733.65 higher than Beaumont for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 36904
Office
$2395.06
Facility
$347.12
$788.19 higher than Beaumont for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 36904
Office
$2389.81
Facility
$341.87
$782.94 higher than Beaumont for the office setting.
San Luis Obispo-Paso Robles
California · 36904
Office
$1930.29
Facility
$312.67
$323.42 higher than Beaumont for the office setting.
Santa Cruz-Watsonville
California · 36904
Office
$2042.14
Facility
$316.59
$435.27 higher than Beaumont for the office setting.
Santa Maria-Santa Barbara
California · 36904
Office
$1972.36
Facility
$316.40
$365.49 higher than Beaumont for the office setting.
Santa Rosa-Petaluma
California · 36904
Office
$2063.31
Facility
$319.29
$456.44 higher than Beaumont for the office setting.
Stockton
California · 36904
Office
$1867.55
Facility
$311.01
$260.68 higher than Beaumont for the office setting.
Vallejo
California · 36904
Office
$2199.76
Facility
$327.93
$592.89 higher than Beaumont for the office setting.
Visalia
California · 36904
Office
$1867.55
Facility
$311.01
$260.68 higher than Beaumont for the office setting.
Yuba City
California · 36904
Office
$1867.55
Facility
$311.01
$260.68 higher than Beaumont for the office setting.
Colorado
Colorado · 36904
Office
$1828.89
Facility
$317.79
$222.02 higher than Beaumont for the office setting.
Connecticut
Connecticut · 36904
Office
$1866.00
Facility
$336.44
$259.13 higher than Beaumont for the office setting.
Delaware
Delaware · 36904
Office
$1720.76
Facility
$317.59
$113.89 higher than Beaumont for the office setting.
Fort Lauderdale
Florida · 36904
Office
$1790.32
Facility
$351.65
$183.45 higher than Beaumont for the office setting.
Rest Of Florida
Florida · 36904
Office
$1695.65
Facility
$337.93
$88.78 higher than Beaumont for the office setting.
Atlanta
Georgia · 36904
Office
$1772.52
Facility
$329.59
$165.65 higher than Beaumont for the office setting.
Rest Of Georgia
Georgia · 36904
Office
$1590.53
Facility
$323.71
$16.34 lower than Beaumont for the office setting.
Hawaii, Guam
Hawaii · 36904
Office
$1924.84
Facility
$310.07
$317.97 higher than Beaumont for the office setting.
Iowa
Iowa · 36904
Office
$1594.09
Facility
$294.60
$12.78 lower than Beaumont for the office setting.
Idaho
Idaho · 36904
Office
$1604.25
Facility
$297.66
$2.62 lower than Beaumont for the office setting.
East St. Louis
Illinois · 36904
Office
$1662.41
Facility
$355.82
$55.54 higher than Beaumont for the office setting.
Rest Of Illinois
Illinois · 36904
Office
$1635.18
Facility
$338.53
$28.31 higher than Beaumont for the office setting.
Suburban Chicago
Illinois · 36904
Office
$1811.09
Facility
$352.54
$204.22 higher than Beaumont for the office setting.
Indiana
Indiana · 36904
Office
$1614.95
Facility
$298.42
$8.08 higher than Beaumont for the office setting.
Kansas
Kansas · 36904
Office
$1582.08
Facility
$298.21
$24.79 lower than Beaumont for the office setting.
Kentucky
Kentucky · 36904
Office
$1575.70
Facility
$313.14
$31.17 lower than Beaumont for the office setting.
New Orleans
Louisiana · 36904
Office
$1659.91
Facility
$323.50
$53.04 higher than Beaumont for the office setting.
Rest Of Louisiana
Louisiana · 36904
Office
$1571.49
Facility
$314.61
$35.38 lower than Beaumont for the office setting.
Metropolitan Boston
Massachusetts · 36904
Office
$2029.75
Facility
$334.02
$422.88 higher than Beaumont for the office setting.
Rest Of Massachusetts
Massachusetts · 36904
Office
$1814.42
Facility
$318.95
$207.55 higher than Beaumont for the office setting.
Baltimore/Surr. Cntys
Maryland · 36904
Office
$1860.21
Facility
$336.33
$253.34 higher than Beaumont for the office setting.
Rest Of Maryland
Maryland · 36904
Office
$1757.71
Facility
$320.46
$150.84 higher than Beaumont for the office setting.
Rest Of Maine
Maine · 36904
Office
$1609.87
Facility
$303.28
$3.00 higher than Beaumont for the office setting.
Southern Maine
Maine · 36904
Office
$1713.80
Facility
$306.37
$106.93 higher than Beaumont for the office setting.
Detroit
Michigan · 36904
Office
$1715.68
Facility
$345.18
$108.81 higher than Beaumont for the office setting.
Rest Of Michigan
Michigan · 36904
Office
$1618.79
Facility
$322.15
$11.92 higher than Beaumont for the office setting.
Minnesota
Minnesota · 36904
Office
$1756.59
Facility
$295.20
$149.72 higher than Beaumont for the office setting.
Metropolitan Kansas City
Missouri · 36904
Office
$1650.99
Facility
$317.42
$44.12 higher than Beaumont for the office setting.
Metropolitan St. Louis
Missouri · 36904
Office
$1670.90
Facility
$318.86
$64.03 higher than Beaumont for the office setting.
Rest Of Missouri
Missouri · 36904
Office
$1538.54
Facility
$314.32
$68.33 lower than Beaumont for the office setting.
Mississippi
Mississippi · 36904
Office
$1528.21
Facility
$305.41
$78.66 lower than Beaumont for the office setting.
Montana**
Montana · 36904
Office
$1740.78
Facility
$320.57
$133.91 higher than Beaumont for the office setting.
North Carolina
North Carolina · 36904
Office
$1629.48
Facility
$304.43
$22.61 higher than Beaumont for the office setting.
North Dakota**
North Dakota · 36904
Office
$1718.44
Facility
$298.23
$111.57 higher than Beaumont for the office setting.
Nebraska
Nebraska · 36904
Office
$1605.04
Facility
$294.19
$1.83 lower than Beaumont for the office setting.
New Hampshire
New Hampshire · 36904
Office
$1795.95
Facility
$317.52
$189.08 higher than Beaumont for the office setting.
Northern Nj
New Jersey · 36904
Office
$1992.24
Facility
$344.80
$385.37 higher than Beaumont for the office setting.
Rest Of New Jersey
New Jersey · 36904
Office
$1888.51
Facility
$337.64
$281.64 higher than Beaumont for the office setting.
New Mexico
New Mexico · 36904
Office
$1627.35
Facility
$325.02
$20.48 higher than Beaumont for the office setting.
Nevada**
Nevada · 36904
Office
$1736.01
Facility
$314.38
$129.14 higher than Beaumont for the office setting.
Nyc Suburbs/Long Island
New York · 36904
Office
$2064.57
Facility
$375.94
$457.70 higher than Beaumont for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 36904
Office
$1898.37
Facility
$343.24
$291.50 higher than Beaumont for the office setting.
Queens
New York · 36904
Office
$2038.69
Facility
$360.01
$431.82 higher than Beaumont for the office setting.
Rest Of New York
New York · 36904
Office
$1656.70
Facility
$307.50
$49.83 higher than Beaumont for the office setting.
Ohio
Ohio · 36904
Office
$1614.23
Facility
$317.58
$7.36 higher than Beaumont for the office setting.
Oklahoma
Oklahoma · 36904
Office
$1576.33
Facility
$308.09
$30.54 lower than Beaumont for the office setting.
Portland
Oregon · 36904
Office
$1897.04
Facility
$319.19
$290.17 higher than Beaumont for the office setting.
Rest Of Oregon
Oregon · 36904
Office
$1723.81
Facility
$309.28
$116.94 higher than Beaumont for the office setting.
Metropolitan Philadelphia
Pennsylvania · 36904
Office
$1812.35
Facility
$333.92
$205.48 higher than Beaumont for the office setting.
Rest Of Pennsylvania
Pennsylvania · 36904
Office
$1619.15
Facility
$315.40
$12.28 higher than Beaumont for the office setting.
Puerto Rico
Puerto Rico · 36904
Office
$1756.34
Facility
$320.51
$149.47 higher than Beaumont for the office setting.
Rhode Island
Rhode Island · 36904
Office
$1789.56
Facility
$322.49
$182.69 higher than Beaumont for the office setting.
South Carolina
South Carolina · 36904
Office
$1624.31
Facility
$312.04
$17.44 higher than Beaumont for the office setting.
South Dakota**
South Dakota · 36904
Office
$1715.79
Facility
$295.59
$108.92 higher than Beaumont for the office setting.
Tennessee
Tennessee · 36904
Office
$1590.62
Facility
$299.65
$16.25 lower than Beaumont for the office setting.
Utah
Utah · 36904
Office
$1649.47
Facility
$314.47
$42.60 higher than Beaumont for the office setting.
Virginia
Virginia · 36904
Office
$1704.96
Facility
$308.89
$98.09 higher than Beaumont for the office setting.
Virgin Islands
United States Virgin Islands · 36904
Office
$1756.34
Facility
$320.51
$149.47 higher than Beaumont for the office setting.
Vermont
Vermont · 36904
Office
$1707.62
Facility
$301.62
$100.75 higher than Beaumont for the office setting.
Rest Of Washington
Washington · 36904
Office
$1812.33
Facility
$316.86
$205.46 higher than Beaumont for the office setting.
Seattle (King Cnty)
Washington · 36904
Office
$2077.34
Facility
$334.74
$470.47 higher than Beaumont for the office setting.
Wisconsin
Wisconsin · 36904
Office
$1653.46
Facility
$292.90
$46.59 higher than Beaumont for the office setting.
West Virginia
West Virginia · 36904
Office
$1566.00
Facility
$331.84
$40.87 lower than Beaumont for the office setting.
Wyoming**
Wyoming · 36904
Office
$1731.04
Facility
$310.84
$124.17 higher than Beaumont for the office setting.
See how rates vary across the country
36904 · 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.
$1,516.84
$2,131.31
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 | $1,940.82 | 1 |
| AL | $1,542.11 | 1 |
| AR | $1,516.84 | 1 |
| AZ | $1,690.19 | 1 |
| CA | $1,867.55–$2,395.06 | 29 |
| CO | $1,828.89 | 1 |
| CT | $1,866.00 | 1 |
| DC | $2,018.00 | 1 |
| DE | $1,720.76 | 1 |
| FL | $1,695.65–$1,858.38 | 3 |
| GA | $1,590.53–$1,772.52 | 2 |
| GU | $1,924.84 | 1 |
| HI | $1,924.84 | 1 |
| IA | $1,594.09 | 1 |
| ID | $1,604.25 | 1 |
| IL | $1,635.18–$1,811.09 | 4 |
| IN | $1,614.95 | 1 |
| KS | $1,582.08 | 1 |
| KY | $1,575.70 | 1 |
| LA | $1,571.49–$1,659.91 | 2 |
| MA | $1,814.42–$2,029.75 | 2 |
| MD | $1,757.71–$2,018.00 | 3 |
| ME | $1,609.87–$1,713.80 | 2 |
| MI | $1,618.79–$1,715.68 | 2 |
| MN | $1,756.59 | 1 |
| MO | $1,538.54–$1,670.90 | 3 |
| MS | $1,528.21 | 1 |
| MT | $1,740.78 | 1 |
| NC | $1,629.48 | 1 |
| ND | $1,718.44 | 1 |
| NE | $1,605.04 | 1 |
| NH | $1,795.95 | 1 |
| NJ | $1,888.51–$1,992.24 | 2 |
| NM | $1,627.35 | 1 |
| NV | $1,736.01 | 1 |
| NY | $1,656.70–$2,064.57 | 5 |
| OH | $1,614.23 | 1 |
| OK | $1,576.33 | 1 |
| OR | $1,723.81–$1,897.04 | 2 |
| PA | $1,619.15–$1,812.35 | 2 |
| PR | $1,756.34 | 1 |
| RI | $1,789.56 | 1 |
| SC | $1,624.31 | 1 |
| SD | $1,715.79 | 1 |
| TN | $1,590.62 | 1 |
| TX | $1,606.87–$1,821.66 | 8 |
| UT | $1,649.47 | 1 |
| VA | $1,704.96–$2,018.00 | 2 |
| VI | $1,756.34 | 1 |
| VT | $1,707.62 | 1 |
| WA | $1,812.33–$2,077.34 | 2 |
| WI | $1,653.46 | 1 |
| WV | $1,566.00 | 1 |
| WY | $1,731.04 | 1 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Why are the office and facility amounts different?
For 36904 in Beaumont, the physician’s office rate is $1606.87 and the facility-setting rate is $314.48: a difference of $1292.39.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 36904 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1767.56
$1606.87 × 110% = $1767.56
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 36904 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
4,565
- Code
- 36904
- Physician work
- 7.31
- Practice expense
- 43.68
- Malpractice
- 1.13
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.31 | × 1.000 | 7.3100 |
| Practice expense | 43.68 | × 0.910 | 39.7488 |
| Malpractice | 1.13 | × 0.929 | 1.0498 |
| Total RVUs | 48.1086 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Beaumont$1606.87
Open 36904 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.31 | 1 |
| Practice expense | 43.68 | 0.91 |
| Malpractice | 1.13 | 0.929 |
(7.31 × 1 + 43.68 × 0.91 + 1.13 × 0.929) × $33.4009 = $1606.87
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.31 | 1 |
| Practice expense | 1.16 | 0.91 |
| Malpractice | 1.13 | 0.929 |
(7.31 × 1 + 1.16 × 0.91 + 1.13 × 0.929) × $33.4009 = $314.48
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
36904 · Office / nonfacility
$1606.87
Effective 2026-10-01
The base rate is $76.64 higher than on 2025-10-01, moving from $1530.23 to $1606.87 (5.0%).
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
$1530.23changed to$1606.87
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 7.50 changed to 7.31
- Practice expense RVU 42.93 changed to 43.68
- Malpractice RVU 1.10 changed to 1.13
- Practice expense GPCI 0.903 changed to 0.910
- Malpractice GPCI 0.947 changed to 0.929
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $1530.23
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1606.87 | $314.48 | RVU26D |
| 2026-07-01 | $1606.87 | $314.48 | RVU26C |
| 2026-04-01 | $1606.87 | $314.48 | RVU26B |
| 2026-01-01 | $1606.87 | $314.48 | RVU26A |
| 2025-10-01 | $1530.23 | $339.39 | RVU25D |
| 2025-07-01 | $1530.23 | $339.39 | RVU25C |
| 2025-04-01 | $1530.23 | $339.39 | RVU25B |
| 2025-01-01 | $1530.23 | $339.39 | RVU25A |
36904 billing questions
When should 36904 be selected instead of 36905 or 36906?
Use 36904 for thrombectomy or thrombolysis without peripheral-segment angioplasty or stent placement. Peripheral angioplasty or stenting changes the code selection to 36905 or 36906, respectively.
Are access, catheter placement, and circuit imaging separately reported?
Access, catheter placement, and imaging integral to the thrombectomy or thrombolysis are included in 36904. Do not separately report those included components as additional services.
Can 36907 or 36908 be reported with 36904?
Yes, when a separate central dialysis segment is treated with angioplasty or stent placement, the applicable central-segment add-on code may be reported with 36904.
Is modifier 50 appropriate for treatment of both sides?
No. Modifier 50 is inappropriate for this dialysis-circuit service; report the code for the circuit intervention performed.
What documentation supports 36904?
Document the thrombosed access circuit, the mechanical thrombectomy or thrombolytic infusion performed, and any additional peripheral or central segment treatment.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day 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.
4,56236901,,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
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
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858
10004412,TX,28,FORT WORTH,1.009,0.986,0.871