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CMS RVU26D · Effective 2026-10-01

36860 in Merced

Office / nonfacility

$268.26

Base rate per service

Facility setting

$92.91

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.

Dialysis access

About 36860: External dialysis cannula declotting

Reports clearing clot from an external cannula associated with an arteriovenous shunt or fistula when the access itself is not revised.

This service clears thrombus from an external cannula used with an arteriovenous shunt or fistula for hemodialysis. It is distinct from removing clot from the access circuit itself or surgically revising the access. A physician who manages dialysis access, commonly a vascular surgeon or access surgeon, may perform it when cannula obstruction interferes with use of the access.

Report the code when documentation identifies the external cannula as the site of clot and shows that declotting was performed without access revision. Record the access involved, the obstructing clot, the work performed, and the result. CMS assigns 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. An assistant at surgery is not paid; co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 36860

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 not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.96 · 25%
  • Practice expense (office) RVU5.26 · 68%
  • Malpractice RVU0.51 · 7%

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.

36860 compared with similar codes

Office rates for Merced, from the same CMS release.

36831

Fistula thrombectomy

Open, without revision

No office rate

Choose 36860 when declotting is confined to the external cannula and the access is not revised. Choose 36831 for open thrombectomy of the arteriovenous fistula.

36861

Cannula declotting

Internal cannula

No office rate

These codes distinguish external-cannula declotting without revision from related cannula declotting associated with revision. Base selection on the documented procedure performed.

36833

Fistula revision

Open, with thrombectomy

No office rate

Code 36833 addresses revision of the fistula with thrombectomy; 36860 is limited to declotting the external cannula without access revision.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 36860 is $269.64—$1.38 higher than the $268.26 rate in Merced. Both use the same code, release and participation basis.

36860 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $268.26

  2. Bakersfield

    $269.64

    $1.38 higher than Merced

  3. Chico

    $268.26

    The same base rate than Merced

  4. El Centro

    $268.35

    $0.09 higher than Merced

  5. Fresno

    $268.26

    The same base rate than Merced

  6. Hanford-Corcoran

    $268.26

    The same base rate than Merced

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

    $287.30

    $19.04 higher than Merced

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, 36860 ranges from $225.16 in Arkansas to $335.14 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

  • Madera

    California · 36860

    Office

    $268.26

    Facility

    $92.91

    The same base rate than Merced for the office setting.

  • Modesto

    California · 36860

    Office

    $268.26

    Facility

    $92.91

    The same base rate than Merced for the office setting.

  • Napa

    California · 36860

    Office

    $309.80

    Facility

    $98.93

    $41.54 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36860

    Office

    $285.58

    Facility

    $96.47

    $17.32 higher than Merced for the office setting.

  • Redding

    California · 36860

    Office

    $268.26

    Facility

    $92.91

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 36860

    Office

    $268.26

    Facility

    $92.91

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36860

    Office

    $273.73

    Facility

    $98.38

    $5.47 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36860

    Office

    $281.28

    Facility

    $95.21

    $13.02 higher than Merced for the office setting.

  • Salinas

    California · 36860

    Office

    $280.25

    Facility

    $94.82

    $11.99 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36860

    Office

    $286.79

    Facility

    $95.44

    $18.53 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36860

    Office

    $327.22

    Facility

    $101.64

    $58.96 higher than Merced for the office setting.

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

    California · 36860

    Office

    $326.65

    Facility

    $101.06

    $58.39 higher than Merced for the office setting.

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

    California · 36860

    Office

    $335.14

    Facility

    $104.43

    $66.88 higher than Merced for the office setting.

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

    California · 36860

    Office

    $332.77

    Facility

    $102.07

    $64.51 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36860

    Office

    $275.82

    Facility

    $93.59

    $7.56 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 36860

    Office

    $289.43

    Facility

    $95.04

    $21.17 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 36860

    Office

    $281.28

    Facility

    $94.73

    $13.02 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 36860

    Office

    $292.31

    Facility

    $95.84

    $24.05 higher than Merced for the office setting.

  • Stockton

    California · 36860

    Office

    $268.26

    Facility

    $92.91

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 36860

    Office

    $308.97

    Facility

    $98.10

    $40.71 higher than Merced for the office setting.

  • Visalia

    California · 36860

    Office

    $268.26

    Facility

    $92.91

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 36860

    Office

    $268.26

    Facility

    $92.91

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 36860

    Office

    $294.92

    Facility

    $106.45

    $26.66 higher than Merced for the office setting.

  • Miami

    Florida · 36860

    Office

    $291.44

    Facility

    $124.89

    $23.18 higher than Merced for the office setting.

  • Chicago

    Illinois · 36860

    Office

    $281.59

    Facility

    $120.80

    $13.33 higher than Merced for the office setting.

  • Manhattan

    New York · 36860

    Office

    $300.82

    Facility

    $114.91

    $32.56 higher than Merced for the office setting.

  • Alaska*

    Alaska · 36860

    Office

    $294.69

    Facility

    $124.30

    $26.43 higher than Merced for the office setting.

  • Alabama

    Alabama · 36860

    Office

    $228.83

    Facility

    $88.84

    $39.43 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 36860

    Office

    $225.16

    Facility

    $87.72

    $43.10 lower than Merced for the office setting.

  • Arizona

    Arizona · 36860

    Office

    $250.29

    Facility

    $95.26

    $17.97 lower than Merced for the office setting.

  • Colorado

    Colorado · 36860

    Office

    $266.49

    Facility

    $96.26

    $1.77 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 36860

    Office

    $276.60

    Facility

    $104.29

    $8.34 higher than Merced for the office setting.

  • Delaware

    Delaware · 36860

    Office

    $254.69

    Facility

    $96.62

    $13.57 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 36860

    Office

    $274.24

    Facility

    $112.17

    $5.98 higher than Merced for the office setting.

  • Rest Of Florida

    Florida · 36860

    Office

    $259.03

    Facility

    $106.08

    $9.23 lower than Merced for the office setting.

  • Atlanta

    Georgia · 36860

    Office

    $264.62

    Facility

    $102.07

    $3.64 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 36860

    Office

    $242.49

    Facility

    $99.77

    $25.77 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 36860

    Office

    $275.09

    Facility

    $93.18

    $6.83 higher than Merced for the office setting.

  • Iowa

    Iowa · 36860

    Office

    $232.98

    Facility

    $86.59

    $35.28 lower than Merced for the office setting.

  • Idaho

    Idaho · 36860

    Office

    $235.16

    Facility

    $87.97

    $33.10 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 36860

    Office

    $261.41

    Facility

    $114.22

    $6.85 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 36860

    Office

    $252.49

    Facility

    $106.42

    $15.77 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 36860

    Office

    $276.54

    Facility

    $112.23

    $8.28 higher than Merced for the office setting.

  • Indiana

    Indiana · 36860

    Office

    $236.61

    Facility

    $88.30

    $31.65 lower than Merced for the office setting.

  • Kansas

    Kansas · 36860

    Office

    $232.87

    Facility

    $88.24

    $35.39 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 36860

    Office

    $237.24

    Facility

    $95.01

    $31.02 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 36860

    Office

    $250.14

    Facility

    $99.59

    $18.12 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 36860

    Office

    $237.27

    Facility

    $95.68

    $30.99 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 36860

    Office

    $293.08

    Facility

    $102.05

    $24.82 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36860

    Office

    $265.09

    Facility

    $96.62

    $3.17 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36860

    Office

    $276.10

    Facility

    $104.43

    $7.84 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 36860

    Office

    $259.56

    Facility

    $97.64

    $8.70 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 36860

    Office

    $237.69

    Facility

    $90.50

    $30.57 lower than Merced for the office setting.

  • Southern Maine

    Maine · 36860

    Office

    $250.32

    Facility

    $91.77

    $17.94 lower than Merced for the office setting.

  • Detroit

    Michigan · 36860

    Office

    $263.73

    Facility

    $109.33

    $4.53 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 36860

    Office

    $245.10

    Facility

    $99.03

    $23.16 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 36860

    Office

    $251.29

    Facility

    $86.66

    $16.97 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 36860

    Office

    $247.08

    Facility

    $96.85

    $21.18 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 36860

    Office

    $249.79

    Facility

    $97.48

    $18.47 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 36860

    Office

    $233.50

    Facility

    $95.59

    $34.76 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 36860

    Office

    $229.32

    Facility

    $91.57

    $38.94 lower than Merced for the office setting.

  • Montana**

    Montana · 36860

    Office

    $258.15

    Facility

    $98.16

    $10.11 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 36860

    Office

    $240.27

    Facility

    $91.00

    $27.99 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 36860

    Office

    $248.07

    Facility

    $88.08

    $20.19 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 36860

    Office

    $234.07

    Facility

    $86.39

    $34.19 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 36860

    Office

    $263.26

    Facility

    $96.71

    $5.00 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 36860

    Office

    $291.58

    Facility

    $105.99

    $23.32 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 36860

    Office

    $278.62

    Facility

    $103.91

    $10.36 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 36860

    Office

    $247.03

    Facility

    $100.32

    $21.23 lower than Merced for the office setting.

  • Nevada**

    Nevada · 36860

    Office

    $255.52

    Facility

    $95.37

    $12.74 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36860

    Office

    $310.18

    Facility

    $119.95

    $41.92 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36860

    Office

    $281.40

    Facility

    $106.21

    $13.14 higher than Merced for the office setting.

  • Queens

    New York · 36860

    Office

    $301.88

    Facility

    $112.77

    $33.62 higher than Merced for the office setting.

  • Rest Of New York

    New York · 36860

    Office

    $244.35

    Facility

    $92.35

    $23.91 lower than Merced for the office setting.

  • Ohio

    Ohio · 36860

    Office

    $243.04

    Facility

    $96.97

    $25.22 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 36860

    Office

    $235.59

    Facility

    $92.72

    $32.67 lower than Merced for the office setting.

  • Portland

    Oregon · 36860

    Office

    $274.38

    Facility

    $96.63

    $6.12 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 36860

    Office

    $252.43

    Facility

    $93.08

    $15.83 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36860

    Office

    $269.86

    Facility

    $103.31

    $1.60 higher than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36860

    Office

    $242.85

    Facility

    $95.97

    $25.41 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 36860

    Office

    $259.87

    Facility

    $98.12

    $8.39 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 36860

    Office

    $263.39

    Facility

    $98.12

    $4.87 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 36860

    Office

    $242.28

    Facility

    $94.45

    $25.98 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 36860

    Office

    $246.88

    Facility

    $86.89

    $21.38 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 36860

    Office

    $234.31

    Facility

    $88.88

    $33.95 lower than Merced for the office setting.

  • Austin

    Texas · 36860

    Office

    $266.57

    Facility

    $97.30

    $1.69 lower than Merced for the office setting.

  • Beaumont

    Texas · 36860

    Office

    $241.17

    Facility

    $95.58

    $27.09 lower than Merced for the office setting.

  • Brazoria

    Texas · 36860

    Office

    $253.38

    Facility

    $94.83

    $14.88 lower than Merced for the office setting.

  • Dallas

    Texas · 36860

    Office

    $255.66

    Facility

    $96.31

    $12.60 lower than Merced for the office setting.

  • Fort Worth

    Texas · 36860

    Office

    $254.12

    Facility

    $96.37

    $14.14 lower than Merced for the office setting.

  • Galveston

    Texas · 36860

    Office

    $254.55

    Facility

    $95.68

    $13.71 lower than Merced for the office setting.

  • Houston

    Texas · 36860

    Office

    $263.89

    Facility

    $105.02

    $4.37 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 36860

    Office

    $247.58

    Facility

    $95.75

    $20.68 lower than Merced for the office setting.

  • Utah

    Utah · 36860

    Office

    $245.91

    Facility

    $95.52

    $22.35 lower than Merced for the office setting.

  • Virginia

    Virginia · 36860

    Office

    $250.19

    Facility

    $92.92

    $18.07 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36860

    Office

    $259.87

    Facility

    $98.12

    $8.39 lower than Merced for the office setting.

  • Vermont

    Vermont · 36860

    Office

    $248.02

    Facility

    $89.63

    $20.24 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 36860

    Office

    $264.28

    Facility

    $95.81

    $3.98 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 36860

    Office

    $298.23

    Facility

    $101.92

    $29.97 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 36860

    Office

    $239.02

    Facility

    $85.75

    $29.24 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 36860

    Office

    $242.52

    Facility

    $103.48

    $25.74 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 36860

    Office

    $253.76

    Facility

    $93.77

    $14.50 lower than Merced for the office setting.

See how rates vary across the country

36860 · 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.

$225.16

$301.70

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$294.691
AL$228.831
AR$225.161
AZ$250.291
CA$268.26–$335.1429
CO$266.491
CT$276.601
DC$294.921
DE$254.691
FL$259.03–$291.443
GA$242.49–$264.622
GU$275.091
HI$275.091
IA$232.981
ID$235.161
IL$252.49–$281.594
IN$236.611
KS$232.871
KY$237.241
LA$237.27–$250.142
MA$265.09–$293.082
MD$259.56–$294.923
ME$237.69–$250.322
MI$245.10–$263.732
MN$251.291
MO$233.50–$249.793
MS$229.321
MT$258.151
NC$240.271
ND$248.071
NE$234.071
NH$263.261
NJ$278.62–$291.582
NM$247.031
NV$255.521
NY$244.35–$310.185
OH$243.041
OK$235.591
OR$252.43–$274.382
PA$242.85–$269.862
PR$259.871
RI$263.391
SC$242.281
SD$246.881
TN$234.311
TX$241.17–$266.578
UT$245.911
VA$250.19–$294.922
VI$259.871
VT$248.021
WA$264.28–$298.232
WI$239.021
WV$242.521
WY$253.761

Explore 36860 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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 36860 in Merced, the physician’s office rate is $268.26 and the facility-setting rate is $92.91: a difference of $175.35.

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 36860 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$295.09

$268.26 × 110% = $295.09

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 36860 in Merced.

PPRRVU2026_Oct_nonQPP.csv

4,560

Code
36860
Physician work
1.96
Practice expense
5.26
Malpractice
0.51

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 36860 in Merced
ComponentRVULocality factorAdjusted
Physician work1.96× 1.0171.9933
Practice expense5.26× 1.0965.7650
Malpractice0.51× 0.5360.2734
Total RVUs8.0316
Conversion factor× 33.4009

Office / nonfacility rate, Merced$268.26

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 36860 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.961.017
Practice expense5.261.096
Malpractice0.510.536

(1.96 × 1.017 + 5.26 × 1.096 + 0.51 × 0.536) × $33.4009 = $268.26

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.961.017
Practice expense0.471.096
Malpractice0.510.536

(1.96 × 1.017 + 0.47 × 1.096 + 0.51 × 0.536) × $33.4009 = $92.91

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

36860 · Office / nonfacility

$268.26

Effective 2026-10-01

The base rate is $36.47 higher than on 2025-10-01, moving from $231.79 to $268.26 (15.7%).

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

    $231.79changed to$268.26

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.01 changed to 1.96
    • Practice expense RVU 4.43 changed to 5.26
    • 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: $231.79

    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$268.26$92.91RVU26D
2026-07-01$268.26$92.91RVU26C
2026-04-01$268.26$92.91RVU26B
2026-01-01$268.26$92.91RVU26A
2025-10-01$231.79$102.03RVU25D
2025-07-01$231.79$102.03RVU25C
2025-04-01$231.79$102.03RVU25B
2025-01-01$231.79$102.03RVU25A

36860 billing questions

How is this different from 36831?

Use 36860 for clot cleared from the external cannula without revising the access. Code 36831 describes open thrombectomy of the arteriovenous fistula itself.

When would 36861 be considered instead?

36861 is the related cannula-declotting code associated with revision. This code is for declotting the external cannula without access revision.

What documentation supports reporting 36860?

Document that the clot was in the external cannula, the declotting work performed, and whether the access was revised. The record should distinguish cannula clearing from thrombectomy of the access.

Is same-day care included in the payment?

Yes. The code has a 0-day global period, which includes same-day preoperative and postoperative care.

Can modifier 50 or an assistant-at-surgery claim be reported?

Modifier 50 is inappropriate for this code. CMS does not pay an assistant at surgery for it.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full; other procedures are subject to the standard multiple procedure reduction. Co-surgeon and team-surgery billing are not permitted.

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 36860PPRRVU2026_Oct_nonQPP.csv, line 4,560 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet