CPT code 36902: Dialysis access angioplasty2026 Medicare rate & RVUs in Merced

Reports catheter-based balloon angioplasty of a stenosis in the peripheral segment of a hemodialysis access circuit, with circuit imaging included.

CMS RVU26DEffective Oct 1, 2026One payment locality130.7K Medicare services in 2024

In Merced, Medicare pays $1,279.16 for 36902 in the office and $204.37 when it’s performed in a hospital or facility.

$1,279.16Office (non-facility)
$204.37Hospital or facility
+7.4%vs the national office rate ($1,190.74)

Check a contract rate as a % of Medicare · 36902 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 36902 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Merced
  2. What 36902 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 36902 covers

An interventional radiologist or vascular surgeon uses needle or catheter access to evaluate a hemodialysis fistula or graft and perform balloon angioplasty for a stenosis in its peripheral dialysis segment. These procedures commonly address access dysfunction, such as impaired flow or elevated circuit pressures, and are performed in an angiography suite or hospital outpatient setting. The code includes the diagnostic imaging and catheter placement needed to evaluate the circuit during the intervention.

Report this code when balloon angioplasty is performed in the peripheral segment; the documented lesion location and treatment should support that selection. Diagnostic angiography of the same circuit is included rather than separately reported as a diagnostic-only service. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When separate procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Medicare does not pay assistant-at-surgery services, co-surgeons, or team surgery for this code.

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.

How Merced compares for 36902

Across 109 of 109 payment localities, the office rate for 36902 runs from $1,036.76 in Arkansas to $1,643.03 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). Merced pays $1,279.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

36902 in Merced vs other payment areas
  1. Merced · this page$1,279.16
  2. Bakersfield · California$1,281.23+$2.07
  3. Chico · California$1,279.16
  4. El Centro · California$1,279.28+$0.12
  5. Fresno · California$1,279.16
  6. Hanford-Corcoran · California$1,279.16

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

36902 in every other Medicare payment locality
Payment localityOfficeFacility
MaderaCalifornia$1,279.16$204.37
ModestoCalifornia$1,279.16$204.37
NapaCalifornia$1,509.80$217.31
Oxnard-Thousand Oaks-VenturaCalifornia$1,369.79$210.66
ReddingCalifornia$1,279.16$204.37
Rest Of CaliforniaCalifornia$1,279.16$204.37
Riverside-San Bernardino-OntarioCalifornia$1,286.94$212.15
Sacramento-Roseville-FolsomCalifornia$1,349.78$209.28

36902 rates by state

Office rate range in each state. Select a state to see its payment localities.

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.

$1,036.76

$1,461.10

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

View every state and territory as a table
36902 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,324.211
AL$1,054.131
AR$1,036.761
AZ$1,155.991
CA$1,279.16–$1,643.0329
CO$1,251.961
CT$1,276.661
DC$1,381.621
DE$1,176.991
FL$1,158.43–$1,268.903
GA$1,086.35–$1,212.202
GU$1,318.901
HI$1,318.901
IA$1,090.441
ID$1,097.321
IL$1,116.47–$1,237.664
IN$1,104.701
KS$1,081.911
KY$1,076.661
LA$1,073.65–$1,134.462
MA$1,241.87–$1,390.372
MD$1,202.46–$1,381.623
ME$1,100.90–$1,172.782
MI$1,106.03–$1,171.912
MN$1,203.081
MO$1,050.82–$1,142.343
MS$1,044.161
MT$1,190.691
NC$1,114.431
ND$1,176.461
NE$1,098.061
NH$1,229.121
NJ$1,292.23–$1,363.792
NM$1,111.801
NV$1,187.741
NY$1,133.13–$1,412.195
OH$1,103.121
OK$1,077.381
OR$1,179.56–$1,299.142
PA$1,106.65–$1,239.602
PR$1,201.481
RI$1,224.441
SC$1,110.421
SD$1,174.771
TN$1,087.751
TX$1,098.19–$1,246.868
UT$1,127.731
VA$1,166.51–$1,381.622
VI$1,201.481
VT$1,168.771
WA$1,240.54–$1,423.342
WI$1,131.711
WV$1,068.881
WY$1,184.491

See 36902 in every payment locality

How the 36902 rate is calculated

Each of 36902’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 36902

RVUs × geographic indexes × conversion factor

Work4.71

4.71 RVUs× 1.000 GPCI

Practice expense30.22

30.22 RVUs× 1.000 GPCI

Malpractice0.72

0.72 RVUs× 1.000 GPCI

Adjusted RVUs

35.6500

Conversion factor

$33.4009

Medicare rate

$1,190.74

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Merced inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,563

Code
36902
Physician work
4.71
Practice expense
30.22
Malpractice
0.72

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 36902 in Merced
ComponentRVULocality factorAdjusted
Physician work4.71× 1.0174.7901
Practice expense30.22× 1.09633.1211
Malpractice0.72× 0.5360.3859
Total RVUs38.2971
Conversion factor× 33.4009

Office rate, Merced$1279.16

Office: (4.71 × 1.017 + 30.22 × 1.096 + 0.72 × 0.536) × $33.4009 = $1279.16

Facility: (4.71 × 1.017 + 0.86 × 1.096 + 0.72 × 0.536) × $33.4009 = $204.37

Open 36902 in the RVU calculator

Payment rules and modifiers for 36902

The CMS indicators that decide how 36902 is paid alongside other services.

CMS payment indicators · 36902

Dialysis access angioplasty

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

36902 without 51 · national office

$1,190.74

Dialysis access angioplasty

36902-51 · Second procedure: 50%

$595.37

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 36902 has changed in Merced

36902 · Office / nonfacility

$1279.16

Effective 2026-10-01

The base rate is $87.19 higher than on 2025-10-01, moving from $1191.97 to $1279.16 (7.3%).

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

    $1191.97changed to$1279.16

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.83 changed to 4.71
    • Practice expense RVU 28.87 changed to 30.22
    • Malpractice RVU 0.71 changed to 0.72
    • 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

    $1267.22changed to$1191.97

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 29.98 changed to 28.87
    • Malpractice RVU 0.72 changed to 0.71

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1246.54changed to$1267.22

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1306.83changed to$1246.54

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 30.80 changed to 29.98
    • Malpractice RVU 0.69 changed to 0.72
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $1361.40changed to$1306.83

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 31.90 changed to 30.80
    • Malpractice RVU 0.68 changed to 0.69
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1430.62changed to$1361.40

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 33.47 changed to 31.90
    • Malpractice RVU 0.66 changed to 0.68

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1408.68changed to$1430.62

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 31.51 changed to 33.47
    • Malpractice RVU 0.64 changed to 0.66
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1375.14changed to$1408.68

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 30.59 changed to 31.51
    • Malpractice RVU 0.67 changed to 0.64
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1344.63changed to$1375.14

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 29.84 changed to 30.59

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1312.34changed to$1344.63

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 4.24 changed to 4.83
    • Practice expense RVU 29.47 changed to 29.84
    • Malpractice RVU 0.70 changed to 0.67
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$1312.34

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,279.16$204.37RVU26D
2026-07-01$1,279.16$204.37RVU26C
2026-04-01$1,279.16$204.37RVU26B
2026-01-01$1,279.16$204.37RVU26A
2025-10-01$1,191.97$223.25RVU25D
2025-07-01$1,191.97$223.25RVU25C
2025-04-01$1,191.97$223.25RVU25B
2025-01-01$1,191.97$223.25RVU25A
2024-10-01$1,267.22$228.84RVU24D
2024-07-01$1,267.22$228.84RVU24C
2024-04-01$1,267.22$228.84RVU24B
2024-03-09$1,267.22$228.84RVU24AR
2024-01-01$1,246.54$225.11RVU24A
2023-10-01$1,306.83$234.03RVU23D
2023-07-01$1,306.83$234.03RVU23C
2023-04-01$1,306.83$234.03RVU23B
2023-01-01$1,306.83$234.03RVU23A
2022-10-01$1,361.40$239.89RVU22D
2022-07-01$1,361.40$239.89RVU22C
2022-04-01$1,361.40$239.89RVU22B
2022-01-01$1,361.40$239.89RVU22A
2021-10-01$1,430.62$241.46RVU21D
2021-07-01$1,430.62$241.46RVU21C
2021-04-01$1,430.62$241.46RVU21B
2021-01-01$1,430.62$241.46RVU21A
2020-10-01$1,408.68$248.66RVU20D
2020-07-01$1,408.68$248.66RVU20C
2020-04-01$1,408.68$248.66RVU20B
2020-01-01$1,408.68$248.66RVU20A
2019-10-01$1,375.14$248.41RVU19D
2019-07-01$1,375.14$248.41RVU19C
2019-04-01$1,375.14$248.41RVU19B
2019-01-01$1,375.14$248.41RVU19A
2018-10-01$1,344.63$248.13RVU18D
2018-07-01$1,344.63$248.13RVU18C
2018-04-01$1,344.63$248.13RVU18B
2018-01-01$1,344.63$248.13RVU18AR1
2017-10-01$1,312.34$222.65RVU17D
2017-07-01$1,312.34$222.65RVU17C
2017-04-01$1,312.34$222.65RVU17B
2017-01-01$1,312.34$222.65RVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 36902 for an earlier date of service

Where the Merced rate applies

Merced is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

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36902 billing questions

How does this differ from 36901?

Use 36901 for diagnostic evaluation of the dialysis circuit without the peripheral balloon angioplasty reported by 36902. The imaging needed for the angioplasty is included in 36902.

When is 36903 a better choice?

Use 36903 when a stent is placed in the peripheral dialysis segment. Code 36902 reports balloon angioplasty without that peripheral stent placement.

Can diagnostic angiography of the same circuit be billed separately?

The diagnostic imaging performed to evaluate the circuit during this intervention is included. Do not separately report 36901 for that same circuit service.

Can central-segment angioplasty be reported in the same session?

Yes. When angioplasty is also performed in the central dialysis segment, 36907 is the related add-on code; document the treated segment and intervention.

What documentation supports 36902?

Record the access circuit findings, the peripheral-segment stenosis treated, and the balloon angioplasty performed. The documentation should distinguish treatment in the peripheral segment from any central-segment intervention.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 36902PPRRVU2026_Oct_nonQPP.csv, line 4,563 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)

Open CMS sourceHow we calculate rates

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