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CMS RVU26D · Effective 2026-10-01

36906 in Fresno

Office / nonfacility

$6427.94

Base rate per service

Facility setting

$433.11

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.

Interventional radiology

About 36906: Dialysis circuit thrombectomy with central angioplasty

Reports catheter-based clot removal or thrombolysis in a dialysis access circuit together with balloon treatment of a central venous narrowing.

This service treats a clotted hemodialysis access circuit, such as an arteriovenous fistula or graft, by removing clot mechanically or using thrombolytic infusion and dilating a narrowing in the central venous outflow with a balloon. Interventional radiologists, vascular surgeons, and clinicians who perform dialysis-access interventions commonly provide it in an angiography suite or hospital procedure room. Imaging used to guide and assess the treatment is included in the service.

Select this code when the session includes clot treatment and balloon angioplasty of the central dialysis segment. The report should identify the access circuit, the clot treatment performed, the central narrowing treated, and the imaging findings supporting the intervention. Same-day preoperative and postoperative care is included in the 0-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment is barred by statute; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.

CMS billing rules for 36906

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 RVU10.16 · 6%
  • Practice expense (office) RVU165.43 · 93%
  • Malpractice RVU1.50 · 1%

9.1K

Medicare services in 2024 · #1527 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.

36906 compared with similar codes

Office rates for Fresno, from the same CMS release.

36904

Dialysis thrombectomy

Without peripheral angioplasty or stent

$1,867.55

Choose 36904 for dialysis-circuit clot treatment without the central balloon angioplasty included in 36906.

36905

Dialysis thrombectomy

Peripheral balloon angioplasty

$2,369.52

Choose 36905 when clot treatment is paired with balloon angioplasty in the peripheral dialysis segment, rather than the central segment.

36907

Dialysis angioplasty

Central segment

$617.89

36907 is an add-on for central-segment balloon angioplasty with an eligible primary service when that angioplasty is not already included in the primary code.

36908

Stent placement

Central dialysis segment

$1,500.87

36908 covers central-segment stent placement as an add-on; 36906 represents clot treatment with central balloon angioplasty.

The same code, a different location

How does Fresno compare?

In Bakersfield, the office rate for 36906 is $6432.27—$4.33 higher than the $6427.94 rate in Fresno. Both use the same code, release and participation basis.

36906 across payment areas

Same release and payment basis · bars start at $0

  1. Fresno · This locality

    $6427.94

  2. Bakersfield

    $6432.27

    $4.33 higher than Fresno

  3. Chico

    $6427.94

    The same base rate than Fresno

  4. El Centro

    $6428.19

    $0.25 higher than Fresno

  5. Hanford-Corcoran

    $6427.94

    The same base rate than Fresno

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $6923.21

    $495.27 higher than Fresno

  7. Madera

    $6427.94

    The same base rate than Fresno

Other payment areas listed in California 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, 36906 ranges from $5111.57 in Arkansas to $8371.32 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

  • Merced

    California · 36906

    Office

    $6427.94

    Facility

    $433.11

    The same base rate than Fresno for the office setting.

  • Modesto

    California · 36906

    Office

    $6427.94

    Facility

    $433.11

    The same base rate than Fresno for the office setting.

  • Napa

    California · 36906

    Office

    $7668.81

    Facility

    $459.70

    $1240.87 higher than Fresno for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36906

    Office

    $6911.22

    Facility

    $446.00

    $483.28 higher than Fresno for the office setting.

  • Redding

    California · 36906

    Office

    $6427.94

    Facility

    $433.11

    The same base rate than Fresno for the office setting.

  • Rest Of California

    California · 36906

    Office

    $6427.94

    Facility

    $433.11

    The same base rate than Fresno for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36906

    Office

    $6444.16

    Facility

    $449.33

    $16.22 higher than Fresno for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36906

    Office

    $6804.59

    Facility

    $443.30

    $376.65 higher than Fresno for the office setting.

  • Salinas

    California · 36906

    Office

    $6780.79

    Facility

    $441.38

    $352.85 higher than Fresno for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36906

    Office

    $6985.20

    Facility

    $443.40

    $557.26 higher than Fresno for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36906

    Office

    $8185.56

    Facility

    $473.24

    $1757.62 higher than Fresno for the office setting.

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

    California · 36906

    Office

    $8183.86

    Facility

    $471.53

    $1755.92 higher than Fresno for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 36906

    Office

    $8371.32

    Facility

    $483.97

    $1943.38 higher than Fresno for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 36906

    Office

    $8364.36

    Facility

    $477.01

    $1936.42 higher than Fresno for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36906

    Office

    $6665.53

    Facility

    $435.51

    $237.59 higher than Fresno for the office setting.

  • Santa Cruz-Watsonville

    California · 36906

    Office

    $7086.83

    Facility

    $441.11

    $658.89 higher than Fresno for the office setting.

  • Santa Maria-Santa Barbara

    California · 36906

    Office

    $6818.46

    Facility

    $440.75

    $390.52 higher than Fresno for the office setting.

  • Santa Rosa-Petaluma

    California · 36906

    Office

    $7161.72

    Facility

    $444.89

    $733.78 higher than Fresno for the office setting.

  • Stockton

    California · 36906

    Office

    $6427.94

    Facility

    $433.11

    The same base rate than Fresno for the office setting.

  • Vallejo

    California · 36906

    Office

    $7666.35

    Facility

    $457.25

    $1238.41 higher than Fresno for the office setting.

  • Visalia

    California · 36906

    Office

    $6427.94

    Facility

    $433.11

    The same base rate than Fresno for the office setting.

  • Yuba City

    California · 36906

    Office

    $6427.94

    Facility

    $433.11

    The same base rate than Fresno for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 36906

    Office

    $6922.49

    Facility

    $479.15

    $494.55 higher than Fresno for the office setting.

  • Miami

    Florida · 36906

    Office

    $6218.12

    Facility

    $524.13

    $209.82 lower than Fresno for the office setting.

  • Chicago

    Illinois · 36906

    Office

    $6009.85

    Facility

    $512.77

    $418.09 lower than Fresno for the office setting.

  • Manhattan

    New York · 36906

    Office

    $6861.18

    Facility

    $505.35

    $433.24 higher than Fresno for the office setting.

  • Alaska*

    Alaska · 36906

    Office

    $6421.30

    Facility

    $596.04

    $6.64 lower than Fresno for the office setting.

  • Alabama

    Alabama · 36906

    Office

    $5202.53

    Facility

    $416.52

    $1225.41 lower than Fresno for the office setting.

  • Arkansas

    Arkansas · 36906

    Office

    $5111.57

    Facility

    $413.07

    $1316.37 lower than Fresno for the office setting.

  • Arizona

    Arizona · 36906

    Office

    $5736.46

    Facility

    $436.29

    $691.48 lower than Fresno for the office setting.

  • Colorado

    Colorado · 36906

    Office

    $6261.70

    Facility

    $441.90

    $166.24 lower than Fresno for the office setting.

  • Connecticut

    Connecticut · 36906

    Office

    $6357.74

    Facility

    $466.84

    $70.20 lower than Fresno for the office setting.

  • Delaware

    Delaware · 36906

    Office

    $5845.30

    Facility

    $441.20

    $582.64 lower than Fresno for the office setting.

  • Fort Lauderdale

    Florida · 36906

    Office

    $6027.28

    Facility

    $486.44

    $400.66 lower than Fresno for the office setting.

  • Rest Of Florida

    Florida · 36906

    Office

    $5697.04

    Facility

    $467.98

    $730.90 lower than Fresno for the office setting.

  • Atlanta

    Georgia · 36906

    Office

    $6014.46

    Facility

    $457.21

    $413.48 lower than Fresno for the office setting.

  • Rest Of Georgia

    Georgia · 36906

    Office

    $5327.83

    Facility

    $448.83

    $1100.11 lower than Fresno for the office setting.

  • Hawaii, Guam

    Hawaii · 36906

    Office

    $6650.87

    Facility

    $431.78

    $222.93 higher than Fresno for the office setting.

  • Iowa

    Iowa · 36906

    Office

    $5415.09

    Facility

    $410.28

    $1012.85 lower than Fresno for the office setting.

  • Idaho

    Idaho · 36906

    Office

    $5446.52

    Facility

    $414.37

    $981.42 lower than Fresno for the office setting.

  • East St. Louis

    Illinois · 36906

    Office

    $5523.73

    Facility

    $491.57

    $904.21 lower than Fresno for the office setting.

  • Rest Of Illinois

    Illinois · 36906

    Office

    $5462.45

    Facility

    $468.59

    $965.49 lower than Fresno for the office setting.

  • Suburban Chicago

    Illinois · 36906

    Office

    $6105.21

    Facility

    $487.79

    $322.73 lower than Fresno for the office setting.

  • Indiana

    Indiana · 36906

    Office

    $5485.85

    Facility

    $415.41

    $942.09 lower than Fresno for the office setting.

  • Kansas

    Kansas · 36906

    Office

    $5359.67

    Facility

    $415.03

    $1068.27 lower than Fresno for the office setting.

  • Kentucky

    Kentucky · 36906

    Office

    $5297.38

    Facility

    $434.78

    $1130.56 lower than Fresno for the office setting.

  • New Orleans

    Louisiana · 36906

    Office

    $5595.77

    Facility

    $448.76

    $832.17 lower than Fresno for the office setting.

  • Rest Of Louisiana

    Louisiana · 36906

    Office

    $5277.43

    Facility

    $436.72

    $1150.51 lower than Fresno for the office setting.

  • Metropolitan Boston

    Massachusetts · 36906

    Office

    $6995.32

    Facility

    $464.46

    $567.38 higher than Fresno for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36906

    Office

    $6203.08

    Facility

    $443.45

    $224.86 lower than Fresno for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36906

    Office

    $6335.63

    Facility

    $466.61

    $92.31 lower than Fresno for the office setting.

  • Rest Of Maryland

    Maryland · 36906

    Office

    $5980.56

    Facility

    $445.19

    $447.38 lower than Fresno for the office setting.

  • Rest Of Maine

    Maine · 36906

    Office

    $5453.99

    Facility

    $421.83

    $973.95 lower than Fresno for the office setting.

  • Southern Maine

    Maine · 36906

    Office

    $5846.75

    Facility

    $426.24

    $581.19 lower than Fresno for the office setting.

  • Detroit

    Michigan · 36906

    Office

    $5755.94

    Facility

    $477.65

    $672.00 lower than Fresno for the office setting.

  • Rest Of Michigan

    Michigan · 36906

    Office

    $5440.71

    Facility

    $446.84

    $987.23 lower than Fresno for the office setting.

  • Minnesota

    Minnesota · 36906

    Office

    $6039.93

    Facility

    $411.58

    $388.01 lower than Fresno for the office setting.

  • Metropolitan Kansas City

    Missouri · 36906

    Office

    $5576.76

    Facility

    $440.68

    $851.18 lower than Fresno for the office setting.

  • Metropolitan St. Louis

    Missouri · 36906

    Office

    $5649.84

    Facility

    $442.66

    $778.10 lower than Fresno for the office setting.

  • Rest Of Missouri

    Missouri · 36906

    Office

    $5151.14

    Facility

    $436.23

    $1276.80 lower than Fresno for the office setting.

  • Mississippi

    Mississippi · 36906

    Office

    $5133.84

    Facility

    $424.40

    $1294.10 lower than Fresno for the office setting.

  • Montana**

    Montana · 36906

    Office

    $5914.87

    Facility

    $445.13

    $513.07 lower than Fresno for the office setting.

  • North Carolina

    North Carolina · 36906

    Office

    $5526.67

    Facility

    $423.41

    $901.27 lower than Fresno for the office setting.

  • North Dakota**

    North Dakota · 36906

    Office

    $5885.21

    Facility

    $415.47

    $542.73 lower than Fresno for the office setting.

  • Nebraska

    Nebraska · 36906

    Office

    $5458.34

    Facility

    $409.78

    $969.60 lower than Fresno for the office setting.

  • New Hampshire

    New Hampshire · 36906

    Office

    $6135.25

    Facility

    $441.26

    $292.69 lower than Fresno for the office setting.

  • Northern Nj

    New Jersey · 36906

    Office

    $6823.83

    Facility

    $478.94

    $395.89 higher than Fresno for the office setting.

  • Rest Of New Jersey

    New Jersey · 36906

    Office

    $6441.75

    Facility

    $468.80

    $13.81 higher than Fresno for the office setting.

  • New Mexico

    New Mexico · 36906

    Office

    $5466.42

    Facility

    $450.67

    $961.52 lower than Fresno for the office setting.

  • Nevada**

    Nevada · 36906

    Office

    $5912.12

    Facility

    $436.92

    $515.82 lower than Fresno for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36906

    Office

    $7023.94

    Facility

    $520.43

    $596.00 higher than Fresno for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36906

    Office

    $6465.68

    Facility

    $476.33

    $37.74 higher than Fresno for the office setting.

  • Queens

    New York · 36906

    Office

    $6964.47

    Facility

    $499.25

    $536.53 higher than Fresno for the office setting.

  • Rest Of New York

    New York · 36906

    Office

    $5623.81

    Facility

    $427.56

    $804.13 lower than Fresno for the office setting.

  • Ohio

    Ohio · 36906

    Office

    $5434.65

    Facility

    $440.78

    $993.29 lower than Fresno for the office setting.

  • Oklahoma

    Oklahoma · 36906

    Office

    $5312.56

    Facility

    $428.09

    $1115.38 lower than Fresno for the office setting.

  • Portland

    Oregon · 36906

    Office

    $6520.90

    Facility

    $444.03

    $92.96 higher than Fresno for the office setting.

  • Rest Of Oregon

    Oregon · 36906

    Office

    $5877.98

    Facility

    $430.13

    $549.96 lower than Fresno for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36906

    Office

    $6157.29

    Facility

    $463.30

    $270.65 lower than Fresno for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36906

    Office

    $5459.12

    Facility

    $437.90

    $968.82 lower than Fresno for the office setting.

  • Puerto Rico

    Puerto Rico · 36906

    Office

    $5974.99

    Facility

    $445.10

    $452.95 lower than Fresno for the office setting.

  • Rhode Island

    Rhode Island · 36906

    Office

    $6098.34

    Facility

    $448.11

    $329.60 lower than Fresno for the office setting.

  • South Carolina

    South Carolina · 36906

    Office

    $5487.51

    Facility

    $433.48

    $940.43 lower than Fresno for the office setting.

  • South Dakota**

    South Dakota · 36906

    Office

    $5881.70

    Facility

    $411.97

    $546.24 lower than Fresno for the office setting.

  • Tennessee

    Tennessee · 36906

    Office

    $5388.95

    Facility

    $416.96

    $1038.99 lower than Fresno for the office setting.

  • Austin

    Texas · 36906

    Office

    $6230.41

    Facility

    $443.44

    $197.53 lower than Fresno for the office setting.

  • Beaumont

    Texas · 36906

    Office

    $5414.11

    Facility

    $436.66

    $1013.83 lower than Fresno for the office setting.

  • Brazoria

    Texas · 36906

    Office

    $5856.93

    Facility

    $436.42

    $571.01 lower than Fresno for the office setting.

  • Dallas

    Texas · 36906

    Office

    $5888.80

    Facility

    $440.95

    $539.14 lower than Fresno for the office setting.

  • Fort Worth

    Texas · 36906

    Office

    $5834.20

    Facility

    $441.04

    $593.74 lower than Fresno for the office setting.

  • Galveston

    Texas · 36906

    Office

    $5870.38

    Facility

    $438.94

    $557.56 lower than Fresno for the office setting.

  • Houston

    Texas · 36906

    Office

    $5897.84

    Facility

    $466.40

    $530.10 lower than Fresno for the office setting.

  • Rest Of Texas

    Texas · 36906

    Office

    $5628.30

    Facility

    $437.53

    $799.64 lower than Fresno for the office setting.

  • Utah

    Utah · 36906

    Office

    $5578.32

    Facility

    $436.78

    $849.62 lower than Fresno for the office setting.

  • Virginia

    Virginia · 36906

    Office

    $5806.30

    Facility

    $429.56

    $621.64 lower than Fresno for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36906

    Office

    $5974.99

    Facility

    $445.10

    $452.95 lower than Fresno for the office setting.

  • Vermont

    Vermont · 36906

    Office

    $5834.96

    Facility

    $419.93

    $592.98 lower than Fresno for the office setting.

  • Rest Of Washington

    Washington · 36906

    Office

    $6200.25

    Facility

    $440.63

    $227.69 lower than Fresno for the office setting.

  • Seattle (King Cnty)

    Washington · 36906

    Office

    $7177.06

    Facility

    $465.70

    $749.12 higher than Fresno for the office setting.

  • Wisconsin

    Wisconsin · 36906

    Office

    $5648.22

    Facility

    $408.22

    $779.72 lower than Fresno for the office setting.

  • West Virginia

    West Virginia · 36906

    Office

    $5212.72

    Facility

    $459.52

    $1215.22 lower than Fresno for the office setting.

  • Wyoming**

    Wyoming · 36906

    Office

    $5901.94

    Facility

    $432.21

    $526.00 lower than Fresno for the office setting.

See how rates vary across the country

36906 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$5,111.57

$7,399.63

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$6,421.301
AL$5,202.531
AR$5,111.571
AZ$5,736.461
CA$6,427.94–$8,371.3229
CO$6,261.701
CT$6,357.741
DC$6,922.491
DE$5,845.301
FL$5,697.04–$6,218.123
GA$5,327.83–$6,014.462
GU$6,650.871
HI$6,650.871
IA$5,415.091
ID$5,446.521
IL$5,462.45–$6,105.214
IN$5,485.851
KS$5,359.671
KY$5,297.381
LA$5,277.43–$5,595.772
MA$6,203.08–$6,995.322
MD$5,980.56–$6,922.493
ME$5,453.99–$5,846.752
MI$5,440.71–$5,755.942
MN$6,039.931
MO$5,151.14–$5,649.843
MS$5,133.841
MT$5,914.871
NC$5,526.671
ND$5,885.211
NE$5,458.341
NH$6,135.251
NJ$6,441.75–$6,823.832
NM$5,466.421
NV$5,912.121
NY$5,623.81–$7,023.945
OH$5,434.651
OK$5,312.561
OR$5,877.98–$6,520.902
PA$5,459.12–$6,157.292
PR$5,974.991
RI$6,098.341
SC$5,487.511
SD$5,881.701
TN$5,388.951
TX$5,414.11–$6,230.418
UT$5,578.321
VA$5,806.30–$6,922.492
VI$5,974.991
VT$5,834.961
WA$6,200.25–$7,177.062
WI$5,648.221
WV$5,212.721
WY$5,901.941

Explore 36906 on the national rate map →

Where does this rate apply?

Fresno is a Medicare payment area. Our Census mapping connects it to 45 cities and communities in California, 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 36906 in Fresno, the physician’s office rate is $6427.94 and the facility-setting rate is $433.11: a difference of $5994.83.

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.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 36906 in Fresno. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$7070.73

$6427.94 × 110% = $7070.73

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.

Compare your contract offer →

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 36906 in Fresno.

PPRRVU2026_Oct_nonQPP.csv

4,567

Code
36906
Physician work
10.16
Practice expense
165.43
Malpractice
1.50

GPCI2026.csv

11

Locality
Fresno
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 36906 in Fresno
ComponentRVULocality factorAdjusted
Physician work10.16× 1.01710.3327
Practice expense165.43× 1.096181.3113
Malpractice1.50× 0.5360.8040
Total RVUs192.4480
Conversion factor× 33.4009

Office / nonfacility rate, Fresno$6427.94

Open 36906 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work10.161.017
Practice expense165.431.096
Malpractice1.50.536

(10.16 × 1.017 + 165.43 × 1.096 + 1.5 × 0.536) × $33.4009 = $6427.94

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work10.161.017
Practice expense1.671.096
Malpractice1.50.536

(10.16 × 1.017 + 1.67 × 1.096 + 1.5 × 0.536) × $33.4009 = $433.11

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

36906 · Office / nonfacility

$6427.94

Effective 2026-10-01

The base rate is $1119.59 higher than on 2025-10-01, moving from $5308.35 to $6427.94 (21.1%).

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

    $5308.35changed to$6427.94

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 10.42 changed to 10.16
    • Practice expense RVU 139.71 changed to 165.43
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $5308.35

    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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$6427.94$433.11RVU26D
2026-07-01$6427.94$433.11RVU26C
2026-04-01$6427.94$433.11RVU26B
2026-01-01$6427.94$433.11RVU26A
2025-10-01$5308.35$474.65RVU25D
2025-07-01$5308.35$474.65RVU25C
2025-04-01$5308.35$474.65RVU25B
2025-01-01$5308.35$474.65RVU25A

36906 billing questions

How does this differ from 36905?

Both include clot treatment in the dialysis circuit and balloon angioplasty. Use 36906 when the balloon treatment is in the central dialysis segment; 36905 identifies angioplasty in the peripheral segment.

Can 36906 be reported with 36907 for the same central angioplasty?

The central-segment balloon treatment is included in 36906. Do not separately report 36907 for that same angioplasty.

Is imaging separately reported with this service?

Imaging used for the dialysis-circuit intervention and its radiological supervision and interpretation are included in the service.

What should the procedure note support?

Document the dialysis access circuit, the mechanical clot removal or thrombolytic treatment performed, and the central-segment narrowing treated with a balloon.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeons are payable only when supporting documentation is provided.

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 36906PPRRVU2026_Oct_nonQPP.csv, line 4,567 (RVU26D)
Geographic factors for FresnoGPCI2026.csv, line 11 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet