Billing code 36905: Dialysis thrombectomyMedicare rate & RVUs in Redding
Reports percutaneous removal or dissolution of thrombus in a dialysis access circuit together with balloon angioplasty of a stenosis in its peripheral segment.
In Redding, Medicare pays $2,369.52 for 36905 in the office and $375.52 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 36905 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 36905 covers
This service treats a thrombosed or occluded hemodialysis access, such as an arteriovenous fistula or graft. A vascular surgeon or interventional radiologist accesses the circuit percutaneously, removes or dissolves thrombus, and uses a balloon to treat a stenosis in the peripheral portion of the circuit. Imaging and radiological supervision associated with the intervention are included. The service is commonly performed in a hospital or an outpatient vascular access setting when restoring access flow requires both clot treatment and angioplasty.
Select this code when thrombectomy or thrombolytic treatment and peripheral-segment balloon angioplasty are performed in the same dialysis circuit. Use a different code when the procedure lacks one of those elements or uses stenting instead of balloon angioplasty. The report should identify the treated access, thrombus treatment, angioplasty site, and relevant findings. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted; co-surgeons require supporting documentation, and team surgery is 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 36905
Across 109 of 109 payment localities, the office rate for 36905 runs from $1,920.73 in Arkansas to $3,043.39 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). Redding pays $2,369.52. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Redding · this page$2,369.52
- Bakersfield · California$2,373.26+$3.74
- Chico · California$2,369.52
- El Centro · California$2,369.74+$0.22
- Fresno · California$2,369.52
- Hanford-Corcoran · California$2,369.52
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$2,544.66+$175.14
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| MaderaCalifornia | $2,369.52 | $375.52 |
| MercedCalifornia | $2,369.52 | $375.52 |
| ModestoCalifornia | $2,369.52 | $375.52 |
| NapaCalifornia | $2,796.68 | $398.78 |
| Oxnard-Thousand Oaks-VenturaCalifornia | $2,537.21 | $386.74 |
| Rest Of CaliforniaCalifornia | $2,369.52 | $375.52 |
| Riverside-San Bernardino-OntarioCalifornia | $2,383.48 | $389.47 |
| Sacramento-Roseville-FolsomCalifornia | $2,500.30 | $384.40 |
| SalinasCalifornia | $2,491.36 | $382.74 |
| San Diego-Chula Vista-CarlsbadCalifornia | $2,560.47 | $384.53 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | $2,975.88 | $410.60 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | $2,974.41 | $409.13 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | $3,043.39 | $419.90 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | $3,037.41 | $413.91 |
| San Luis Obispo-Paso RoblesCalifornia | $2,449.88 | $377.64 |
| Santa Cruz-WatsonvilleCalifornia | $2,593.08 | $382.57 |
| Santa Maria-Santa BarbaraCalifornia | $2,503.56 | $382.21 |
| Santa Rosa-PetalumaCalifornia | $2,620.01 | $385.86 |
| StocktonCalifornia | $2,369.52 | $375.52 |
| VallejoCalifornia | $2,794.56 | $396.67 |
| VisaliaCalifornia | $2,369.52 | $375.52 |
| Yuba CityCalifornia | $2,369.52 | $375.52 |
| Dc + Md/Va SuburbsDistrict of Columbia | $2,558.48 | $415.28 |
| MiamiFlorida | $2,347.63 | $453.69 |
| ChicagoIllinois | $2,272.32 | $443.88 |
| ManhattanNew York | $2,551.89 | $437.81 |
| Alaska*Alaska | $2,453.88 | $516.28 |
| AlabamaAlabama | $1,952.83 | $360.90 |
| ArkansasArkansas | $1,920.73 | $357.91 |
| ArizonaArizona | $2,140.99 | $378.04 |
| ColoradoColorado | $2,318.81 | $383.03 |
| ConnecticutConnecticut | $2,363.94 | $404.50 |
| DelawareDelaware | $2,179.82 | $382.30 |
| Fort LauderdaleFlorida | $2,264.24 | $421.24 |
| Rest Of FloridaFlorida | $2,144.57 | $405.28 |
| AtlantaGeorgia | $2,244.57 | $396.11 |
| Rest Of GeorgiaGeorgia | $2,011.57 | $388.71 |
| Hawaii, GuamHawaii | $2,443.01 | $374.41 |
| IowaIowa | $2,020.30 | $355.60 |
| IdahoIdaho | $2,032.92 | $359.12 |
| East St. LouisIllinois | $2,099.32 | $425.52 |
| Rest Of IllinoisIllinois | $2,066.80 | $405.74 |
| Suburban ChicagoIllinois | $2,290.90 | $422.43 |
| IndianaIndiana | $2,046.56 | $360.02 |
| KansasKansas | $2,004.35 | $359.66 |
| KentuckyKentucky | $1,994.03 | $376.63 |
| New OrleansLouisiana | $2,100.73 | $388.72 |
| Rest Of LouisianaLouisiana | $1,988.41 | $378.29 |
| Metropolitan BostonMassachusetts | $2,574.95 | $402.65 |
| Rest Of MassachusettsMassachusetts | $2,300.12 | $384.35 |
| Baltimore/Surr. CntysMaryland | $2,356.45 | $404.29 |
| Rest Of MarylandMaryland | $2,226.95 | $385.77 |
| Rest Of MaineMaine | $2,039.34 | $365.54 |
| Southern MaineMaine | $2,172.41 | $369.44 |
| DetroitMichigan | $2,169.28 | $413.61 |
| Rest Of MichiganMichigan | $2,048.10 | $387.04 |
| MinnesotaMinnesota | $2,228.99 | $356.88 |
| Metropolitan Kansas CityMissouri | $2,090.14 | $381.77 |
| Metropolitan St. LouisMissouri | $2,115.51 | $383.49 |
| Rest Of MissouriMissouri | $1,946.12 | $377.84 |
| MississippiMississippi | $1,934.12 | $367.66 |
| Montana**Montana | $2,205.04 | $385.69 |
| North CarolinaNorth Carolina | $2,064.36 | $366.91 |
| North Dakota**North Dakota | $2,179.53 | $360.19 |
| NebraskaNebraska | $2,034.43 | $355.17 |
| New HampshireNew Hampshire | $2,276.36 | $382.42 |
| Northern NjNew Jersey | $2,525.54 | $415.10 |
| Rest Of New JerseyNew Jersey | $2,392.97 | $406.24 |
| New MexicoNew Mexico | $2,058.68 | $390.34 |
| Nevada**Nevada | $2,199.80 | $378.63 |
| Nyc Suburbs/Long IslandNew York | $2,614.02 | $450.82 |
| Poughkpsie/N Nyc SuburbsNew York | $2,404.91 | $412.72 |
| QueensNew York | $2,583.06 | $432.59 |
| Rest Of New YorkNew York | $2,098.89 | $370.51 |
| OhioOhio | $2,042.89 | $381.82 |
| OklahomaOklahoma | $1,995.56 | $370.88 |
| PortlandOregon | $2,406.22 | $384.93 |
| Rest Of OregonOregon | $2,184.86 | $372.79 |
| Metropolitan PhiladelphiaPennsylvania | $2,295.34 | $401.40 |
| Rest Of PennsylvaniaPennsylvania | $2,049.52 | $379.36 |
| Puerto RicoPuerto Rico | $2,225.04 | $385.68 |
| Rhode IslandRhode Island | $2,267.72 | $388.33 |
| South CarolinaSouth Carolina | $2,056.64 | $375.56 |
| South Dakota**South Dakota | $2,176.52 | $357.17 |
| TennesseeTennessee | $2,015.12 | $361.33 |
| AustinTexas | $2,309.19 | $384.32 |
| BeaumontTexas | $2,033.88 | $378.27 |
| BrazoriaTexas | $2,181.18 | $378.20 |
| DallasTexas | $2,194.17 | $382.10 |
| Fort WorthTexas | $2,176.05 | $382.17 |
| GalvestonTexas | $2,186.98 | $380.37 |
| HoustonTexas | $2,210.59 | $403.98 |
| Rest Of TexasTexas | $2,105.64 | $379.08 |
| UtahUtah | $2,088.61 | $378.42 |
| VirginiaVirginia | $2,160.69 | $372.27 |
| Virgin IslandsUnited States Virgin Islands | $2,225.04 | $385.68 |
| VermontVermont | $2,165.15 | $364.00 |
| Rest Of WashingtonWashington | $2,297.69 | $381.91 |
| Seattle (King Cnty)Washington | $2,636.12 | $403.78 |
| WisconsinWisconsin | $2,096.82 | $353.89 |
| West VirginiaWest Virginia | $1,978.89 | $397.88 |
| Wyoming**Wyoming | $2,193.92 | $374.58 |
36905 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.
$1,920.73
$2,706.46
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $2,453.88 | 1 |
| AL | $1,952.83 | 1 |
| AR | $1,920.73 | 1 |
| AZ | $2,140.99 | 1 |
| CA | $2,369.52–$3,043.39 | 29 |
| CO | $2,318.81 | 1 |
| CT | $2,363.94 | 1 |
| DC | $2,558.48 | 1 |
| DE | $2,179.82 | 1 |
| FL | $2,144.57–$2,347.63 | 3 |
| GA | $2,011.57–$2,244.57 | 2 |
| GU | $2,443.01 | 1 |
| HI | $2,443.01 | 1 |
| IA | $2,020.30 | 1 |
| ID | $2,032.92 | 1 |
| IL | $2,066.80–$2,290.90 | 4 |
| IN | $2,046.56 | 1 |
| KS | $2,004.35 | 1 |
| KY | $1,994.03 | 1 |
| LA | $1,988.41–$2,100.73 | 2 |
| MA | $2,300.12–$2,574.95 | 2 |
| MD | $2,226.95–$2,558.48 | 3 |
| ME | $2,039.34–$2,172.41 | 2 |
| MI | $2,048.10–$2,169.28 | 2 |
| MN | $2,228.99 | 1 |
| MO | $1,946.12–$2,115.51 | 3 |
| MS | $1,934.12 | 1 |
| MT | $2,205.04 | 1 |
| NC | $2,064.36 | 1 |
| ND | $2,179.53 | 1 |
| NE | $2,034.43 | 1 |
| NH | $2,276.36 | 1 |
| NJ | $2,392.97–$2,525.54 | 2 |
| NM | $2,058.68 | 1 |
| NV | $2,199.80 | 1 |
| NY | $2,098.89–$2,614.02 | 5 |
| OH | $2,042.89 | 1 |
| OK | $1,995.56 | 1 |
| OR | $2,184.86–$2,406.22 | 2 |
| PA | $2,049.52–$2,295.34 | 2 |
| PR | $2,225.04 | 1 |
| RI | $2,267.72 | 1 |
| SC | $2,056.64 | 1 |
| SD | $2,176.52 | 1 |
| TN | $2,015.12 | 1 |
| TX | $2,033.88–$2,309.19 | 8 |
| UT | $2,088.61 | 1 |
| VA | $2,160.69–$2,558.48 | 2 |
| VI | $2,225.04 | 1 |
| VT | $2,165.15 | 1 |
| WA | $2,297.69–$2,636.12 | 2 |
| WI | $2,096.82 | 1 |
| WV | $1,978.89 | 1 |
| WY | $2,193.92 | 1 |
How the 36905 rate is calculated
Each of 36905’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 · 36905
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 8.78Practice expense 55.95Malpractice 1.29
All indexes start 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
4,566
- Code
- 36905
- Physician work
- 8.78
- Practice expense
- 55.95
- Malpractice
- 1.29
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.78 | × 1.017 | 8.9293 |
| Practice expense | 55.95 | × 1.096 | 61.3212 |
| Malpractice | 1.29 | × 0.536 | 0.6914 |
| Total RVUs | 70.9419 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Redding$2369.52
Office: (8.78 × 1.017 + 55.95 × 1.096 + 1.29 × 0.536) × $33.4009 = $2369.52
Facility: (8.78 × 1.017 + 1.48 × 1.096 + 1.29 × 0.536) × $33.4009 = $375.52
Payment rules and modifiers for 36905
The CMS indicators that decide how 36905 is paid alongside other services.
CMS payment indicators · 36905
Dialysis thrombectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
36905 without 51 · national office
$2,205.13
Dialysis thrombectomy
36905-51 · Second procedure: 50%
$1,102.57
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%).
How 36905 has changed in Redding
36905 · Office / nonfacility
$2369.52
Effective 2026-10-01
The base rate is $132.80 higher than on 2025-10-01, moving from $2236.72 to $2369.52 (5.9%).
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
$2236.72changed to$2369.52
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 9.00 changed to 8.78
- Practice expense RVU 54.27 changed to 55.95
- Malpractice RVU 1.26 changed to 1.29
- 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.
January 1, 2025
RVU25A
Earliest loaded release: $2236.72
Held through RVU25B, RVU25C, RVU25D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $2,369.52 | $375.52 | RVU26D |
| 2026-07-01 | $2,369.52 | $375.52 | RVU26C |
| 2026-04-01 | $2,369.52 | $375.52 | RVU26B |
| 2026-01-01 | $2,369.52 | $375.52 | RVU26A |
| 2025-10-01 | $2,236.72 | $413.12 | RVU25D |
| 2025-07-01 | $2,236.72 | $413.12 | RVU25C |
| 2025-04-01 | $2,236.72 | $413.12 | RVU25B |
| 2025-01-01 | $2,236.72 | $413.12 | RVU25A |
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.
36905 billing questions
When is this code selected instead of 36904?
Use 36905 when thrombectomy or thrombolytic treatment is accompanied by balloon angioplasty in the peripheral dialysis-circuit segment. Code 36904 describes circuit thrombectomy without that peripheral angioplasty.
Can 36902 also be reported for the peripheral angioplasty?
No. The peripheral balloon angioplasty is included in 36905 when performed with the circuit thrombectomy or thrombolytic treatment.
How does 36905 differ from 36906?
Both include dialysis-circuit thrombectomy or thrombolytic treatment. Use 36905 when the peripheral lesion is treated with balloon angioplasty; 36906 represents peripheral-segment stent placement.
Can central-segment treatment be reported separately?
A separately performed central-segment balloon angioplasty may be reported with add-on code 36907. Central-segment stent placement is represented by add-on code 36908.
Should modifier 50 be appended for bilateral access treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
What documentation supports reporting 36905?
Document the dialysis access treated, the thrombectomy or thrombolytic work, and the peripheral-segment stenosis treated with balloon angioplasty. Include the procedural findings and imaging that support those services.
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
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