CPT code 36903: Dialysis access stenting2026 Medicare rate & RVUs in Redding

Reports angiography of a hemodialysis access circuit with stent placement in its peripheral segment, including angioplasty performed in that segment.

CMS RVU26DEffective Oct 1, 2026One payment locality14.2K Medicare services in 2024

In Redding, Medicare pays $5,227.71 for 36903 in the office and $268.50 when it’s performed in a hospital or facility.

$5,227.71Office (non-facility)
$268.50Hospital or facility
+8.9%vs the national office rate ($4,802.38)

Check a contract rate as a % of Medicare · 36903 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 36903 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding
  2. What 36903 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 36903 covers

An interventional radiologist, vascular surgeon, or other qualified physician accesses a hemodialysis fistula or graft with needles or catheters, performs diagnostic angiography, and places a stent to treat a lesion in the peripheral dialysis segment. Typical cases involve a stenosis compromising access flow or dialysis function. The service may take place in an outpatient angiography suite or hospital procedure room. Angioplasty performed in the same peripheral segment is included in this code.

Report 36903 when the documented intervention includes peripheral-segment stent placement; angiography and the stent location should be clear in the procedure report. The code includes the imaging and its interpretation for the circuit evaluation and intervention, so those elements are not separately reported for the same service. It has a 0-day global period, with same-day preoperative and postoperative care included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.

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 Redding compares for 36903

Across 109 of 109 payment localities, the office rate for 36903 runs from $4,142.75 in Arkansas to $6,824.78 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). Redding pays $5,227.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

36903 in Redding vs other payment areas
  1. Redding · this page$5,227.71
  2. Bakersfield · California$5,230.63+$2.92
  3. Chico · California$5,227.71
  4. El Centro · California$5,227.88+$0.17
  5. Fresno · California$5,227.71
  6. Hanford-Corcoran · California$5,227.71

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

Every other payment area

36903 in every other Medicare payment locality
Payment localityOfficeFacility
MaderaCalifornia$5,227.71$268.50
MercedCalifornia$5,227.71$268.50
ModestoCalifornia$5,227.71$268.50
NapaCalifornia$6,248.61$284.90
Oxnard-Thousand Oaks-VenturaCalifornia$5,625.14$276.80
Rest Of CaliforniaCalifornia$5,227.71$268.50
Riverside-San Bernardino-OntarioCalifornia$5,238.82$279.62
Sacramento-Roseville-FolsomCalifornia$5,537.17$274.81

36903 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.

$4,142.75

$6,026.25

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

View every state and territory as a table
36903 office rate range by state
State / territoryOffice rate rangeLocalities
AK$5,187.371
AL$4,217.461
AR$4,142.751
AZ$4,656.071
CA$5,227.71–$6,824.7829
CO$5,089.181
CT$5,164.881
DC$5,629.171
DE$4,745.231
FL$4,619.05–$5,041.943
GA$4,316.52–$4,882.882
GU$5,412.601
HI$5,412.601
IA$4,394.051
ID$4,419.461
IL$4,425.04–$4,953.514
IN$4,451.831
KS$4,347.571
KY$4,293.311
LA$4,276.55–$4,538.032
MA$5,040.40–$5,691.752
MD$4,856.36–$5,629.173
ME$4,424.59–$4,748.652
MI$4,410.11–$4,666.392
MN$4,910.401
MO$4,172.22–$4,583.583
MS$4,159.581
MT$4,802.311
NC$4,484.451
ND$4,781.951
NE$4,429.871
NH$4,985.041
NJ$5,233.55–$5,547.412
NM$4,430.831
NV$4,801.201
NY$4,564.17–$5,707.005
OH$4,405.951
OK$4,306.801
OR$4,773.92–$5,303.052
PA$4,426.58–$4,999.722
PR$4,852.021
RI$4,953.101
SC$4,450.671
SD$4,779.541
TN$4,371.501
TX$4,389.55–$5,063.358
UT$4,525.281
VA$4,714.75–$5,629.172
VI$4,852.021
VT$4,739.791
WA$5,038.54–$5,841.592
WI$4,587.061
WV$4,219.861
WY$4,793.441

See 36903 in every payment locality

How the 36903 rate is calculated

Each of 36903’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 · 36903

RVUs × geographic indexes × conversion factor

Work6.23

6.23 RVUs× 1.000 GPCI

Practice expense136.52

136.52 RVUs× 1.000 GPCI

Malpractice1.03

1.03 RVUs× 1.000 GPCI

Adjusted RVUs

143.7800

Conversion factor

$33.4009

Medicare rate

$4,802.38

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

The exact Redding inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,564

Code
36903
Physician work
6.23
Practice expense
136.52
Malpractice
1.03

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 36903 in Redding
ComponentRVULocality factorAdjusted
Physician work6.23× 1.0176.3359
Practice expense136.52× 1.096149.6259
Malpractice1.03× 0.5360.5521
Total RVUs156.5139
Conversion factor× 33.4009

Office rate, Redding$5227.71

Office: (6.23 × 1.017 + 136.52 × 1.096 + 1.03 × 0.536) × $33.4009 = $5227.71

Facility: (6.23 × 1.017 + 1.05 × 1.096 + 1.03 × 0.536) × $33.4009 = $268.50

Open 36903 in the RVU calculator

Payment rules and modifiers for 36903

The CMS indicators that decide how 36903 is paid alongside other services.

CMS payment indicators · 36903

Dialysis access stenting

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

36903 without 51 · national office

$4,802.38

Dialysis access stenting

36903-51 · Second procedure: 50%

$2,401.19

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 36903 has changed in Redding

36903 · Office / nonfacility

$5227.71

Effective 2026-10-01

The base rate is $1059.36 higher than on 2025-10-01, moving from $4168.35 to $5227.71 (25.4%).

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

    $4168.35changed to$5227.71

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.39 changed to 6.23
    • Practice expense RVU 111.45 changed to 136.52
    • Malpractice RVU 1.02 changed to 1.03
    • 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

    $4495.00changed to$4168.35

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 117.09 changed to 111.45
    • Malpractice RVU 1.03 changed to 1.02

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $4421.63changed to$4495.00

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $4687.63changed to$4421.63

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 121.63 changed to 117.09
    • Malpractice RVU 0.98 changed to 1.03
    • 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

    $4939.28changed to$4687.63

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 127.30 changed to 121.63
    • Malpractice RVU 0.99 changed to 0.98
    • 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

    $5462.69changed to$4939.28

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 140.30 changed to 127.30
    • Malpractice RVU 0.96 changed to 0.99

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $5623.61changed to$5462.69

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 139.01 changed to 140.30
    • Malpractice RVU 0.93 changed to 0.96
    • 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

    $5861.47changed to$5623.61

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 144.87 changed to 139.01
    • Malpractice RVU 0.95 changed to 0.93
    • 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

    $6119.12changed to$5861.47

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 151.70 changed to 144.87

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $6082.93changed to$6119.12

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 5.85 changed to 6.39
    • Practice expense RVU 150.99 changed to 151.70
    • Malpractice RVU 0.96 changed to 0.95
    • 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$6082.93

    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$5,227.71$268.50RVU26D
2026-07-01$5,227.71$268.50RVU26C
2026-04-01$5,227.71$268.50RVU26B
2026-01-01$5,227.71$268.50RVU26A
2025-10-01$4,168.35$292.06RVU25D
2025-07-01$4,168.35$292.06RVU25C
2025-04-01$4,168.35$292.06RVU25B
2025-01-01$4,168.35$292.06RVU25A
2024-10-01$4,495.00$299.28RVU24D
2024-07-01$4,495.00$299.28RVU24C
2024-04-01$4,495.00$299.28RVU24B
2024-03-09$4,495.00$299.28RVU24AR
2024-01-01$4,421.63$294.40RVU24A
2023-10-01$4,687.63$306.13RVU23D
2023-07-01$4,687.63$306.13RVU23C
2023-04-01$4,687.63$306.13RVU23B
2023-01-01$4,687.63$306.13RVU23A
2022-10-01$4,939.28$314.63RVU22D
2022-07-01$4,939.28$314.63RVU22C
2022-04-01$4,939.28$314.63RVU22B
2022-01-01$4,939.28$314.63RVU22A
2021-10-01$5,462.69$316.62RVU21D
2021-07-01$5,462.69$316.62RVU21C
2021-04-01$5,462.69$316.62RVU21B
2021-01-01$5,462.69$316.62RVU21A
2020-10-01$5,623.61$328.21RVU20D
2020-07-01$5,623.61$328.21RVU20C
2020-04-01$5,623.61$328.21RVU20B
2020-01-01$5,623.61$328.21RVU20A
2019-10-01$5,861.47$327.29RVU19D
2019-07-01$5,861.47$327.29RVU19C
2019-04-01$5,861.47$327.29RVU19B
2019-01-01$5,861.47$327.29RVU19A
2018-10-01$6,119.12$327.32RVU18D
2018-07-01$6,119.12$327.32RVU18C
2018-04-01$6,119.12$327.32RVU18B
2018-01-01$6,119.12$327.32RVU18AR1
2017-10-01$6,082.93$304.55RVU17D
2017-07-01$6,082.93$304.55RVU17C
2017-04-01$6,082.93$304.55RVU17B
2017-01-01$6,082.93$304.55RVU17A
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 36903 for an earlier date of service

Where the Redding rate applies

Redding is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in California

36903 billing questions

When should 36903 be chosen instead of 36902?

Choose 36903 when a stent is placed in the peripheral dialysis segment. Code 36902 describes peripheral-segment angioplasty without stent placement.

Can angioplasty in the stented peripheral segment be reported separately?

No. Angioplasty performed in the same peripheral segment as the stent is included in 36903.

Is the diagnostic angiography separately billable with 36903?

The circuit angiography and its imaging and interpretation are included in 36903 for the service being reported.

Can 36907 or 36908 be reported with 36903?

They may be reported as add-on codes when a separate intervention is performed in the central dialysis segment: angioplasty for 36907 or stent placement for 36908.

Should modifier 50 be appended for treatment of both sides?

No. The descriptor or anatomy makes modifier 50 inappropriate for 36903.

What documentation supports 36903?

Document the access circuit evaluated, angiographic findings, the peripheral-segment site treated, and the stent placement. Record any angioplasty performed in that same segment as part of the service.

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 36903PPRRVU2026_Oct_nonQPP.csv, line 4,564 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

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