$581.68
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 in Houston
Office / nonfacility
$1814.54
Base rate per service
Facility setting
$185.04
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 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 rates for Houston, from the same CMS release.
$1,392.31
36908 reports stent placement in the central dialysis segment. 36909 addresses embolization of a branch vessel rather than stenting the central outflow.
$1,746.79
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.
The same code, a different location
How does Houston compare?
In Austin, the office rate for 36909 is $1910.67—$96.13 higher than the $1814.54 rate in Houston. Both use the same code, release and participation basis.
36909 across payment areas
Same release and payment basis · bars start at $0
Houston · This locality
$1814.54
$1910.67
$96.13 higher than Houston
$1665.68
$148.86 lower than Houston
$1797.89
$16.65 lower than Houston
$1808.07
$6.47 lower than Houston
$1791.76
$22.78 lower than Houston
$1802.28
$12.26 lower than Houston
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, 36909 ranges from $1571.76 in Arkansas to $2554.79 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 · 36909
Office
$1729.84
Facility
$172.55
$84.70 lower than Houston for the office setting.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 36909
Office
$2118.45
Facility
$177.16
$303.91 higher than Houston for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 36909
Office
$2121.94
Facility
$188.86
$307.40 higher than Houston for the office setting.
Miami
Florida · 36909
Office
$1918.95
Facility
$210.69
$104.41 higher than Houston for the office setting.
Chicago
Illinois · 36909
Office
$1854.90
Facility
$205.70
$40.36 higher than Houston for the office setting.
Manhattan
New York · 36909
Office
$2107.31
Facility
$200.48
$292.77 higher than Houston for the office setting.
Alaska*
Alaska · 36909
Office
$1981.66
Facility
$234.01
$167.12 higher than Houston for the office setting.
Alabama
Alabama · 36909
Office
$1599.46
Facility
$163.60
$215.08 lower than Houston for the office setting.
Arkansas
Arkansas · 36909
Office
$1571.76
Facility
$162.15
$242.78 lower than Houston for the office setting.
Arizona
Arizona · 36909
Office
$1761.99
Facility
$171.88
$52.55 lower than Houston for the office setting.
Bakersfield
California · 36909
Office
$1969.84
Facility
$171.32
$155.30 higher than Houston for the office setting.
Chico
California · 36909
Office
$1967.94
Facility
$169.42
$153.40 higher than Houston for the office setting.
El Centro
California · 36909
Office
$1968.05
Facility
$169.53
$153.51 higher than Houston for the office setting.
Fresno
California · 36909
Office
$1967.94
Facility
$169.42
$153.40 higher than Houston for the office setting.
Hanford-Corcoran
California · 36909
Office
$1967.94
Facility
$169.42
$153.40 higher than Houston for the office setting.
Madera
California · 36909
Office
$1967.94
Facility
$169.42
$153.40 higher than Houston for the office setting.
Merced
California · 36909
Office
$1967.94
Facility
$169.42
$153.40 higher than Houston for the office setting.
Modesto
California · 36909
Office
$1967.94
Facility
$169.42
$153.40 higher than Houston for the office setting.
Napa
California · 36909
Office
$2342.01
Facility
$179.19
$527.47 higher than Houston for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 36909
Office
$2114.12
Facility
$174.48
$299.58 higher than Houston for the office setting.
Redding
California · 36909
Office
$1967.94
Facility
$169.42
$153.40 higher than Houston for the office setting.
Rest Of California
California · 36909
Office
$1967.94
Facility
$169.42
$153.40 higher than Houston for the office setting.
Riverside-San Bernardino-Ontario
California · 36909
Office
$1975.16
Facility
$176.64
$160.62 higher than Houston for the office setting.
Sacramento-Roseville-Folsom
California · 36909
Office
$2081.71
Facility
$173.24
$267.17 higher than Houston for the office setting.
Salinas
California · 36909
Office
$2074.40
Facility
$172.49
$259.86 higher than Houston for the office setting.
San Diego-Chula Vista-Carlsbad
California · 36909
Office
$2135.82
Facility
$173.20
$321.28 higher than Houston for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 36909
Office
$2497.93
Facility
$184.14
$683.39 higher than Houston for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 36909
Office
$2497.17
Facility
$183.38
$682.63 higher than Houston for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 36909
Office
$2554.79
Facility
$188.49
$740.25 higher than Houston for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 36909
Office
$2551.68
Facility
$185.38
$737.14 higher than Houston for the office setting.
San Luis Obispo-Paso Robles
California · 36909
Office
$2039.32
Facility
$170.23
$224.78 higher than Houston for the office setting.
Santa Cruz-Watsonville
California · 36909
Office
$2166.02
Facility
$172.22
$351.48 higher than Houston for the office setting.
Santa Maria-Santa Barbara
California · 36909
Office
$2085.61
Facility
$172.23
$271.07 higher than Houston for the office setting.
Santa Rosa-Petaluma
California · 36909
Office
$2188.81
Facility
$173.67
$374.27 higher than Houston for the office setting.
Stockton
California · 36909
Office
$1967.94
Facility
$169.42
$153.40 higher than Houston for the office setting.
Vallejo
California · 36909
Office
$2340.92
Facility
$178.10
$526.38 higher than Houston for the office setting.
Visalia
California · 36909
Office
$1967.94
Facility
$169.42
$153.40 higher than Houston for the office setting.
Yuba City
California · 36909
Office
$1967.94
Facility
$169.42
$153.40 higher than Houston for the office setting.
Colorado
Colorado · 36909
Office
$1919.63
Facility
$173.62
$105.09 higher than Houston for the office setting.
Connecticut
Connecticut · 36909
Office
$1951.88
Facility
$184.54
$137.34 higher than Houston for the office setting.
Delaware
Delaware · 36909
Office
$1795.17
Facility
$173.87
$19.37 lower than Houston for the office setting.
Fort Lauderdale
Florida · 36909
Office
$1856.34
Facility
$194.02
$41.80 higher than Houston for the office setting.
Rest Of Florida
Florida · 36909
Office
$1754.89
Facility
$186.11
$59.65 lower than Houston for the office setting.
Atlanta
Georgia · 36909
Office
$1848.14
Facility
$180.89
$33.60 higher than Houston for the office setting.
Rest Of Georgia
Georgia · 36909
Office
$1641.69
Facility
$177.93
$172.85 lower than Houston for the office setting.
Hawaii, Guam
Hawaii · 36909
Office
$2034.68
Facility
$168.88
$220.14 higher than Houston for the office setting.
Iowa
Iowa · 36909
Office
$1662.08
Facility
$160.58
$152.46 lower than Houston for the office setting.
Idaho
Idaho · 36909
Office
$1672.08
Facility
$162.37
$142.46 lower than Houston for the office setting.
East St. Louis
Illinois · 36909
Office
$1706.56
Facility
$196.86
$107.98 lower than Houston for the office setting.
Rest Of Illinois
Illinois · 36909
Office
$1684.85
Facility
$186.63
$129.69 lower than Houston for the office setting.
Suburban Chicago
Illinois · 36909
Office
$1879.71
Facility
$194.42
$65.17 higher than Houston for the office setting.
Indiana
Indiana · 36909
Office
$1683.99
Facility
$162.80
$130.55 lower than Houston for the office setting.
Kansas
Kansas · 36909
Office
$1646.21
Facility
$162.76
$168.33 lower than Houston for the office setting.
Kentucky
Kentucky · 36909
Office
$1630.51
Facility
$171.67
$184.03 lower than Houston for the office setting.
New Orleans
Louisiana · 36909
Office
$1721.78
Facility
$177.61
$92.76 lower than Houston for the office setting.
Rest Of Louisiana
Louisiana · 36909
Office
$1624.83
Facility
$172.56
$189.71 lower than Houston for the office setting.
Metropolitan Boston
Massachusetts · 36909
Office
$2141.76
Facility
$182.43
$327.22 higher than Houston for the office setting.
Rest Of Massachusetts
Massachusetts · 36909
Office
$1902.26
Facility
$174.30
$87.72 higher than Houston for the office setting.
Baltimore/Surr. Cntys
Maryland · 36909
Office
$1945.31
Facility
$184.53
$130.77 higher than Houston for the office setting.
Rest Of Maryland
Maryland · 36909
Office
$1836.10
Facility
$175.42
$21.56 higher than Houston for the office setting.
Rest Of Maine
Maine · 36909
Office
$1675.41
Facility
$165.71
$139.13 lower than Houston for the office setting.
Southern Maine
Maine · 36909
Office
$1793.48
Facility
$167.26
$21.06 lower than Houston for the office setting.
Detroit
Michigan · 36909
Office
$1773.93
Facility
$190.37
$40.61 lower than Houston for the office setting.
Rest Of Michigan
Michigan · 36909
Office
$1675.14
Facility
$176.92
$139.40 lower than Houston for the office setting.
Minnesota
Minnesota · 36909
Office
$1849.06
Facility
$160.49
$34.52 higher than Houston for the office setting.
Metropolitan Kansas City
Missouri · 36909
Office
$1714.90
Facility
$174.01
$99.64 lower than Houston for the office setting.
Metropolitan St. Louis
Missouri · 36909
Office
$1737.04
Facility
$174.82
$77.50 lower than Houston for the office setting.
Rest Of Missouri
Missouri · 36909
Office
$1587.01
Facility
$172.48
$227.53 lower than Houston for the office setting.
Mississippi
Mississippi · 36909
Office
$1580.09
Facility
$167.20
$234.45 lower than Houston for the office setting.
Montana**
Montana · 36909
Office
$1816.63
Facility
$175.64
$2.09 higher than Houston for the office setting.
North Carolina
North Carolina · 36909
Office
$1697.37
Facility
$166.33
$117.17 lower than Houston for the office setting.
North Dakota**
North Dakota · 36909
Office
$1803.38
Facility
$162.40
$11.16 lower than Houston for the office setting.
Nebraska
Nebraska · 36909
Office
$1674.93
Facility
$160.30
$139.61 lower than Houston for the office setting.
New Hampshire
New Hampshire · 36909
Office
$1881.94
Facility
$173.67
$67.40 higher than Houston for the office setting.
Northern Nj
New Jersey · 36909
Office
$2092.26
Facility
$188.72
$277.72 higher than Houston for the office setting.
Rest Of New Jersey
New Jersey · 36909
Office
$1976.94
Facility
$184.98
$162.40 higher than Houston for the office setting.
New Mexico
New Mexico · 36909
Office
$1683.39
Facility
$178.61
$131.15 lower than Houston for the office setting.
Nevada**
Nevada · 36909
Office
$1814.60
Facility
$171.97
$0.06 higher than Houston for the office setting.
Nyc Suburbs/Long Island
New York · 36909
Office
$2158.19
Facility
$207.06
$343.65 higher than Houston for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 36909
Office
$1985.12
Facility
$188.24
$170.58 higher than Houston for the office setting.
Queens
New York · 36909
Office
$2137.28
Facility
$197.64
$322.74 higher than Houston for the office setting.
Rest Of New York
New York · 36909
Office
$1727.03
Facility
$168.09
$87.51 lower than Houston for the office setting.
Ohio
Ohio · 36909
Office
$1672.43
Facility
$174.21
$142.11 lower than Houston for the office setting.
Oklahoma
Oklahoma · 36909
Office
$1634.06
Facility
$168.66
$180.48 lower than Houston for the office setting.
Portland
Oregon · 36909
Office
$1997.36
Facility
$174.22
$182.82 higher than Houston for the office setting.
Rest Of Oregon
Oregon · 36909
Office
$1803.39
Facility
$168.97
$11.15 lower than Houston for the office setting.
Metropolitan Philadelphia
Pennsylvania · 36909
Office
$1891.47
Facility
$183.21
$76.93 higher than Houston for the office setting.
Rest Of Pennsylvania
Pennsylvania · 36909
Office
$1679.32
Facility
$172.90
$135.22 lower than Houston for the office setting.
Puerto Rico
Puerto Rico · 36909
Office
$1834.60
Facility
$175.56
$20.06 higher than Houston for the office setting.
Rhode Island
Rhode Island · 36909
Office
$1871.59
Facility
$176.45
$57.05 higher than Houston for the office setting.
South Carolina
South Carolina · 36909
Office
$1687.16
Facility
$170.89
$127.38 lower than Houston for the office setting.
South Dakota**
South Dakota · 36909
Office
$1801.82
Facility
$160.83
$12.72 lower than Houston for the office setting.
Tennessee
Tennessee · 36909
Office
$1655.25
Facility
$163.59
$159.29 lower than Houston for the office setting.
Utah
Utah · 36909
Office
$1714.79
Facility
$172.26
$99.75 lower than Houston for the office setting.
Virginia
Virginia · 36909
Office
$1781.88
Facility
$168.79
$32.66 lower than Houston for the office setting.
Virgin Islands
United States Virgin Islands · 36909
Office
$1834.60
Facility
$175.56
$20.06 higher than Houston for the office setting.
Vermont
Vermont · 36909
Office
$1789.02
Facility
$164.44
$25.52 lower than Houston for the office setting.
Rest Of Washington
Washington · 36909
Office
$1901.05
Facility
$173.09
$86.51 higher than Houston for the office setting.
Seattle (King Cnty)
Washington · 36909
Office
$2196.12
Facility
$182.63
$381.58 higher than Houston for the office setting.
Wisconsin
Wisconsin · 36909
Office
$1731.47
Facility
$159.40
$83.07 lower than Houston for the office setting.
West Virginia
West Virginia · 36909
Office
$1608.86
Facility
$182.84
$205.68 lower than Houston for the office setting.
Wyoming**
Wyoming · 36909
Office
$1810.86
Facility
$169.87
$3.68 lower than Houston for the office setting.
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 |
Where does this rate apply?
Houston is a Medicare payment area. Our Census mapping connects it to 46 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 36909 in Houston, the physician’s office rate is $1814.54 and the facility-setting rate is $185.04: a difference of $1629.50.
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 36909 in Houston. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1995.99
$1814.54 × 110% = $1995.99
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 36909 in Houston.
PPRRVU2026_Oct_nonQPP.csv
4,570
- Code
- 36909
- Physician work
- 4.02
- Practice expense
- 49.70
- Malpractice
- 0.67
GPCI2026.csv
102
- Locality
- Houston
- Physician work
- 1.008
- Practice expense
- 0.993
- Malpractice
- 1.376
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.02 | × 1.008 | 4.0522 |
| Practice expense | 49.70 | × 0.993 | 49.3521 |
| Malpractice | 0.67 | × 1.376 | 0.9219 |
| Total RVUs | 54.3262 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Houston$1814.54
Open 36909 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.02 | 1.008 |
| Practice expense | 49.7 | 0.993 |
| Malpractice | 0.67 | 1.376 |
(4.02 × 1.008 + 49.7 × 0.993 + 0.67 × 1.376) × $33.4009 = $1814.54
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.02 | 1.008 |
| Practice expense | 0.57 | 0.993 |
| Malpractice | 0.67 | 1.376 |
(4.02 × 1.008 + 0.57 × 0.993 + 0.67 × 1.376) × $33.4009 = $185.04
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
36909 · Office / nonfacility
$1814.54
Effective 2026-10-01
The base rate is $80.36 higher than on 2025-10-01, moving from $1734.18 to $1814.54 (4.6%).
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
$1734.18changed to$1814.54
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.12 changed to 4.02
- Practice expense RVU 48.36 changed to 49.70
- Malpractice RVU 0.66 changed to 0.67
- Work GPCI 1.014 changed to 1.008
- Practice expense GPCI 1.003 changed to 0.993
- Malpractice GPCI 1.409 changed to 1.376
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $1734.18
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 | $1814.54 | $185.04 | RVU26D |
| 2026-07-01 | $1814.54 | $185.04 | RVU26C |
| 2026-04-01 | $1814.54 | $185.04 | RVU26B |
| 2026-01-01 | $1814.54 | $185.04 | RVU26A |
| 2025-10-01 | $1734.18 | $200.25 | RVU25D |
| 2025-07-01 | $1734.18 | $200.25 | RVU25C |
| 2025-04-01 | $1734.18 | $200.25 | RVU25B |
| 2025-01-01 | $1734.18 | $200.25 | RVU25A |
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
9904412,TX,11,DALLAS,1.009,0.996,0.858
10004412,TX,28,FORT WORTH,1.009,0.986,0.871
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506