Billing code 36902: Dialysis access angioplastyMedicare rate & RVUs in Salinas
Reports catheter-based balloon angioplasty of a stenosis in the peripheral segment of a hemodialysis access circuit, with circuit imaging included.
In Salinas, Medicare pays $1,344.95 for 36902 in the office and $208.38 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Salinas 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). Salinas pays $1,344.95. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Salinas · this page$1,344.95
- Bakersfield · California$1,281.23−$63.72
- Chico · California$1,279.16−$65.79
- El Centro · California$1,279.28−$65.67
- Fresno · California$1,279.16−$65.79
- Hanford-Corcoran · California$1,279.16−$65.79
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$1,373.83+$28.88
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| MaderaCalifornia | $1,279.16 | $204.37 |
| MercedCalifornia | $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 |
| San Diego-Chula Vista-CarlsbadCalifornia | $1,382.28 | $209.43 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | $1,606.52 | $223.80 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | $1,605.70 | $222.99 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | $1,643.03 | $228.93 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | $1,639.69 | $225.59 |
| San Luis Obispo-Paso RoblesCalifornia | $1,322.56 | $205.60 |
| Santa Cruz-WatsonvilleCalifornia | $1,399.90 | $208.41 |
| Santa Maria-Santa BarbaraCalifornia | $1,351.54 | $208.11 |
| Santa Rosa-PetalumaCalifornia | $1,414.44 | $210.20 |
| StocktonCalifornia | $1,279.16 | $204.37 |
| VallejoCalifornia | $1,508.62 | $216.13 |
| VisaliaCalifornia | $1,279.16 | $204.37 |
| Yuba CityCalifornia | $1,279.16 | $204.37 |
| Dc + Md/Va SuburbsDistrict of Columbia | $1,381.62 | $226.42 |
| MiamiFlorida | $1,268.90 | $248.04 |
| ChicagoIllinois | $1,228.03 | $242.48 |
| ManhattanNew York | $1,378.42 | $238.91 |
| Alaska*Alaska | $1,324.21 | $279.82 |
| AlabamaAlabama | $1,054.13 | $196.06 |
| ArkansasArkansas | $1,036.76 | $194.38 |
| ArizonaArizona | $1,155.99 | $205.74 |
| ColoradoColorado | $1,251.96 | $208.55 |
| ConnecticutConnecticut | $1,276.66 | $220.50 |
| DelawareDelaware | $1,176.99 | $208.10 |
| Fort LauderdaleFlorida | $1,223.30 | $229.90 |
| Rest Of FloridaFlorida | $1,158.43 | $220.92 |
| AtlantaGeorgia | $1,212.20 | $215.86 |
| Rest Of GeorgiaGeorgia | $1,086.35 | $211.61 |
| Hawaii, GuamHawaii | $1,318.90 | $203.90 |
| IowaIowa | $1,090.44 | $193.15 |
| IdahoIdaho | $1,097.32 | $195.12 |
| East St. LouisIllinois | $1,134.38 | $232.18 |
| Rest Of IllinoisIllinois | $1,116.47 | $221.13 |
| Suburban ChicagoIllinois | $1,237.66 | $230.53 |
| IndianaIndiana | $1,104.70 | $195.63 |
| KansasKansas | $1,081.91 | $195.41 |
| KentuckyKentucky | $1,076.66 | $204.86 |
| New OrleansLouisiana | $1,134.46 | $211.67 |
| Rest Of LouisianaLouisiana | $1,073.65 | $205.78 |
| Metropolitan BostonMassachusetts | $1,390.37 | $219.47 |
| Rest Of MassachusettsMassachusetts | $1,241.87 | $209.25 |
| Baltimore/Surr. CntysMaryland | $1,272.64 | $220.41 |
| Rest Of MarylandMaryland | $1,202.46 | $210.04 |
| Rest Of MaineMaine | $1,100.90 | $198.70 |
| Southern MaineMaine | $1,172.78 | $200.96 |
| DetroitMichigan | $1,171.91 | $225.58 |
| Rest Of MichiganMichigan | $1,106.03 | $210.69 |
| MinnesotaMinnesota | $1,203.08 | $193.99 |
| Metropolitan Kansas CityMissouri | $1,128.62 | $207.79 |
| Metropolitan St. LouisMissouri | $1,142.34 | $208.76 |
| Rest Of MissouriMissouri | $1,050.82 | $205.50 |
| MississippiMississippi | $1,044.16 | $199.82 |
| Montana**Montana | $1,190.69 | $210.04 |
| North CarolinaNorth Carolina | $1,114.43 | $199.49 |
| North Dakota**North Dakota | $1,176.46 | $195.81 |
| NebraskaNebraska | $1,098.06 | $192.92 |
| New HampshireNew Hampshire | $1,229.12 | $208.26 |
| Northern NjNew Jersey | $1,363.79 | $226.23 |
| Rest Of New JerseyNew Jersey | $1,292.23 | $221.36 |
| New MexicoNew Mexico | $1,111.80 | $212.54 |
| Nevada**Nevada | $1,187.74 | $206.10 |
| Nyc Suburbs/Long IslandNew York | $1,412.19 | $246.20 |
| Poughkpsie/N Nyc SuburbsNew York | $1,298.76 | $224.95 |
| QueensNew York | $1,395.15 | $236.02 |
| Rest Of New YorkNew York | $1,133.13 | $201.51 |
| OhioOhio | $1,103.12 | $207.78 |
| OklahomaOklahoma | $1,077.38 | $201.66 |
| PortlandOregon | $1,299.14 | $209.64 |
| Rest Of OregonOregon | $1,179.56 | $202.83 |
| Metropolitan PhiladelphiaPennsylvania | $1,239.60 | $218.74 |
| Rest Of PennsylvaniaPennsylvania | $1,106.65 | $206.41 |
| Puerto RicoPuerto Rico | $1,201.48 | $210.05 |
| Rhode IslandRhode Island | $1,224.44 | $211.43 |
| South CarolinaSouth Carolina | $1,110.42 | $204.30 |
| South Dakota**South Dakota | $1,174.77 | $194.12 |
| TennesseeTennessee | $1,087.75 | $196.34 |
| AustinTexas | $1,246.86 | $209.33 |
| BeaumontTexas | $1,098.19 | $205.80 |
| BrazoriaTexas | $1,177.63 | $205.80 |
| DallasTexas | $1,184.71 | $207.98 |
| Fort WorthTexas | $1,174.92 | $208.00 |
| GalvestonTexas | $1,180.80 | $207.01 |
| HoustonTexas | $1,193.98 | $220.19 |
| Rest Of TexasTexas | $1,136.93 | $206.29 |
| UtahUtah | $1,127.73 | $205.92 |
| VirginiaVirginia | $1,166.51 | $202.53 |
| Virgin IslandsUnited States Virgin Islands | $1,201.48 | $210.05 |
| VermontVermont | $1,168.77 | $197.92 |
| Rest Of WashingtonWashington | $1,240.54 | $207.91 |
| Seattle (King Cnty)Washington | $1,423.34 | $220.08 |
| WisconsinWisconsin | $1,131.71 | $192.24 |
| West VirginiaWest Virginia | $1,068.88 | $216.69 |
| Wyoming**Wyoming | $1,184.49 | $203.84 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,324.21 | 1 |
| AL | $1,054.13 | 1 |
| AR | $1,036.76 | 1 |
| AZ | $1,155.99 | 1 |
| CA | $1,279.16–$1,643.03 | 29 |
| CO | $1,251.96 | 1 |
| CT | $1,276.66 | 1 |
| DC | $1,381.62 | 1 |
| DE | $1,176.99 | 1 |
| FL | $1,158.43–$1,268.90 | 3 |
| GA | $1,086.35–$1,212.20 | 2 |
| GU | $1,318.90 | 1 |
| HI | $1,318.90 | 1 |
| IA | $1,090.44 | 1 |
| ID | $1,097.32 | 1 |
| IL | $1,116.47–$1,237.66 | 4 |
| IN | $1,104.70 | 1 |
| KS | $1,081.91 | 1 |
| KY | $1,076.66 | 1 |
| LA | $1,073.65–$1,134.46 | 2 |
| MA | $1,241.87–$1,390.37 | 2 |
| MD | $1,202.46–$1,381.62 | 3 |
| ME | $1,100.90–$1,172.78 | 2 |
| MI | $1,106.03–$1,171.91 | 2 |
| MN | $1,203.08 | 1 |
| MO | $1,050.82–$1,142.34 | 3 |
| MS | $1,044.16 | 1 |
| MT | $1,190.69 | 1 |
| NC | $1,114.43 | 1 |
| ND | $1,176.46 | 1 |
| NE | $1,098.06 | 1 |
| NH | $1,229.12 | 1 |
| NJ | $1,292.23–$1,363.79 | 2 |
| NM | $1,111.80 | 1 |
| NV | $1,187.74 | 1 |
| NY | $1,133.13–$1,412.19 | 5 |
| OH | $1,103.12 | 1 |
| OK | $1,077.38 | 1 |
| OR | $1,179.56–$1,299.14 | 2 |
| PA | $1,106.65–$1,239.60 | 2 |
| PR | $1,201.48 | 1 |
| RI | $1,224.44 | 1 |
| SC | $1,110.42 | 1 |
| SD | $1,174.77 | 1 |
| TN | $1,087.75 | 1 |
| TX | $1,098.19–$1,246.86 | 8 |
| UT | $1,127.73 | 1 |
| VA | $1,166.51–$1,381.62 | 2 |
| VI | $1,201.48 | 1 |
| VT | $1,168.77 | 1 |
| WA | $1,240.54–$1,423.34 | 2 |
| WI | $1,131.71 | 1 |
| WV | $1,068.88 | 1 |
| WY | $1,184.49 | 1 |
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 Salinas 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
22
- Locality
- Salinas
- Physician work
- 1.031
- Practice expense
- 1.159
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.71 | × 1.031 | 4.8560 |
| Practice expense | 30.22 | × 1.159 | 35.0250 |
| Malpractice | 0.72 | × 0.536 | 0.3859 |
| Total RVUs | 40.2669 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Salinas$1344.95
Office: (4.71 × 1.031 + 30.22 × 1.159 + 0.72 × 0.536) × $33.4009 = $1344.95
Facility: (4.71 × 1.031 + 0.86 × 1.159 + 0.72 × 0.536) × $33.4009 = $208.38
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
| 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) | 0 | Not permitted. |
| 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
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%).
How 36902 has changed in Salinas
36902 · Office / nonfacility
$1344.95
Effective 2026-10-01
The base rate is $82.46 higher than on 2025-10-01, moving from $1262.49 to $1344.95 (6.5%).
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
$1262.49changed to$1344.95
- 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 1.035 changed to 1.031
- Practice expense GPCI 1.165 changed to 1.159
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1342.45changed to$1262.49
- 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.
October 1, 2024
RVU24D
$1442.66changed to$1342.45
- Conversion factor 34.6062 changed to 33.2875
- Practice expense RVU 31.90 changed to 29.98
- Malpractice RVU 0.68 changed to 0.72
- Work GPCI 1.064 changed to 1.035
- Practice expense GPCI 1.133 changed to 1.165
- Malpractice GPCI 0.597 changed to 0.560
July 1, 2022
RVU22C
$1502.41changed to$1442.66
- 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
- Work GPCI 1.058 changed to 1.064
- Practice expense GPCI 1.122 changed to 1.133
January 1, 2021
RVU21A
$1461.15changed to$1502.41
- 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 1.051 changed to 1.058
- Practice expense GPCI 1.112 changed to 1.122
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B.
January 1, 2020
RVU20A
$1405.95changed to$1461.15
- 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 1.026 changed to 1.051
- Practice expense GPCI 1.101 changed to 1.112
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1364.66changed to$1405.95
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 29.84 changed to 30.59
- Work GPCI 1.024 changed to 1.026
- Practice expense GPCI 1.092 changed to 1.101
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1316.57changed to$1364.66
- 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
- Practice expense GPCI 1.083 changed to 1.092
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$1316.57
Held through RVU17B, RVU17C, RVU17D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,344.95 | $208.38 | RVU26D |
| 2026-07-01 | $1,344.95 | $208.38 | RVU26C |
| 2026-04-01 | $1,344.95 | $208.38 | RVU26B |
| 2026-01-01 | $1,344.95 | $208.38 | RVU26A |
| 2025-10-01 | $1,262.49 | $229.96 | RVU25D |
| 2025-07-01 | $1,262.49 | $229.96 | RVU25C |
| 2025-04-01 | $1,262.49 | $229.96 | RVU25B |
| 2025-01-01 | $1,262.49 | $229.96 | RVU25A |
| 2024-10-01 | $1,342.45 | $235.67 | RVU24D |
| 2022-07-01 | $1,442.66 | $249.53 | RVU22C |
| 2021-04-01 | $1,502.41 | $249.61 | RVU21B |
| 2021-01-01 | $1,502.41 | $249.61 | RVU21A |
| 2020-10-01 | $1,461.15 | $255.59 | RVU20D |
| 2020-07-01 | $1,461.15 | $255.59 | RVU20C |
| 2020-04-01 | $1,461.15 | $255.59 | RVU20B |
| 2020-01-01 | $1,461.15 | $255.59 | RVU20A |
| 2019-10-01 | $1,405.95 | $250.89 | RVU19D |
| 2019-07-01 | $1,405.95 | $250.89 | RVU19C |
| 2019-04-01 | $1,405.95 | $250.89 | RVU19B |
| 2019-01-01 | $1,405.95 | $250.89 | RVU19A |
| 2018-10-01 | $1,364.66 | $249.79 | RVU18D |
| 2018-07-01 | $1,364.66 | $249.79 | RVU18C |
| 2018-04-01 | $1,364.66 | $249.79 | RVU18B |
| 2018-01-01 | $1,364.66 | $249.79 | RVU18AR1 |
| 2017-10-01 | $1,316.57 | $222.84 | RVU17D |
| 2017-07-01 | $1,316.57 | $222.84 | RVU17C |
| 2017-04-01 | $1,316.57 | $222.84 | RVU17B |
| 2017-01-01 | $1,316.57 | $222.84 | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Salinas rate applies
Salinas is a Medicare payment area, not a city. Our Census mapping connects it to 30 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
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
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