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CMS RVU26D · Effective 2026-10-01

36905 in Salinas

Office / nonfacility

$2491.36

Base rate per service

Facility setting

$382.74

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.

Vascular intervention

About 36905: Dialysis circuit thrombectomy with angioplasty

Reports percutaneous removal or dissolution of thrombus in a dialysis access circuit together with balloon angioplasty of a stenosis in its peripheral segment.

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.

CMS billing rules for 36905

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 paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU8.78 · 13%
  • Practice expense (office) RVU55.95 · 85%
  • Malpractice RVU1.29 · 2%

22.2K

Medicare services in 2024 · #1107 by national volume

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.

36905 compared with similar codes

Office rates for Salinas, from the same CMS release.

36904

Dialysis thrombectomy

Without peripheral angioplasty or stent

$1,962.88

36904 covers dialysis-circuit thrombectomy or thrombolytic treatment without peripheral balloon angioplasty. Choose 36905 when that angioplasty is also performed.

36902

Dialysis access angioplasty

Peripheral segment

$1,344.95

36902 covers peripheral balloon angioplasty without thrombectomy or thrombolytic treatment. When both clot treatment and peripheral angioplasty are performed, use 36905 rather than reporting both codes.

36906

Dialysis access intervention

Central-segment angioplasty

$6,780.79

Both codes include thrombectomy or thrombolytic treatment, but 36906 is for peripheral-segment stent placement; 36905 is for balloon angioplasty there.

36907

Dialysis angioplasty

Central segment

$648.60

36907 is an add-on for central-segment balloon angioplasty, not the primary thrombectomy service. It may accompany 36905 when that separate central treatment is performed.

The same code, a different location

How does Salinas compare?

In Bakersfield, the office rate for 36905 is $2373.26—$118.10 lower than the $2491.36 rate in Salinas. Both use the same code, release and participation basis.

36905 across payment areas

Same release and payment basis · bars start at $0

  1. Salinas · This locality

    $2491.36

  2. Bakersfield

    $2373.26

    $118.10 lower than Salinas

  3. Chico

    $2369.52

    $121.84 lower than Salinas

  4. El Centro

    $2369.74

    $121.62 lower than Salinas

  5. Fresno

    $2369.52

    $121.84 lower than Salinas

  6. Hanford-Corcoran

    $2369.52

    $121.84 lower than Salinas

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

    $2544.66

    $53.30 higher than Salinas

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, 36905 ranges from $1920.73 in Arkansas to $3043.39 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 · 36905

    Office

    $2369.52

    Facility

    $375.52

    $121.84 lower than Salinas for the office setting.

  • Merced

    California · 36905

    Office

    $2369.52

    Facility

    $375.52

    $121.84 lower than Salinas for the office setting.

  • Modesto

    California · 36905

    Office

    $2369.52

    Facility

    $375.52

    $121.84 lower than Salinas for the office setting.

  • Napa

    California · 36905

    Office

    $2796.68

    Facility

    $398.78

    $305.32 higher than Salinas for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36905

    Office

    $2537.21

    Facility

    $386.74

    $45.85 higher than Salinas for the office setting.

  • Redding

    California · 36905

    Office

    $2369.52

    Facility

    $375.52

    $121.84 lower than Salinas for the office setting.

  • Rest Of California

    California · 36905

    Office

    $2369.52

    Facility

    $375.52

    $121.84 lower than Salinas for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36905

    Office

    $2383.48

    Facility

    $389.47

    $107.88 lower than Salinas for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36905

    Office

    $2500.30

    Facility

    $384.40

    $8.94 higher than Salinas for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36905

    Office

    $2560.47

    Facility

    $384.53

    $69.11 higher than Salinas for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36905

    Office

    $2975.88

    Facility

    $410.60

    $484.52 higher than Salinas for the office setting.

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

    California · 36905

    Office

    $2974.41

    Facility

    $409.13

    $483.05 higher than Salinas for the office setting.

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

    California · 36905

    Office

    $3043.39

    Facility

    $419.90

    $552.03 higher than Salinas for the office setting.

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

    California · 36905

    Office

    $3037.41

    Facility

    $413.91

    $546.05 higher than Salinas for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36905

    Office

    $2449.88

    Facility

    $377.64

    $41.48 lower than Salinas for the office setting.

  • Santa Cruz-Watsonville

    California · 36905

    Office

    $2593.08

    Facility

    $382.57

    $101.72 higher than Salinas for the office setting.

  • Santa Maria-Santa Barbara

    California · 36905

    Office

    $2503.56

    Facility

    $382.21

    $12.20 higher than Salinas for the office setting.

  • Santa Rosa-Petaluma

    California · 36905

    Office

    $2620.01

    Facility

    $385.86

    $128.65 higher than Salinas for the office setting.

  • Stockton

    California · 36905

    Office

    $2369.52

    Facility

    $375.52

    $121.84 lower than Salinas for the office setting.

  • Vallejo

    California · 36905

    Office

    $2794.56

    Facility

    $396.67

    $303.20 higher than Salinas for the office setting.

  • Visalia

    California · 36905

    Office

    $2369.52

    Facility

    $375.52

    $121.84 lower than Salinas for the office setting.

  • Yuba City

    California · 36905

    Office

    $2369.52

    Facility

    $375.52

    $121.84 lower than Salinas for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 36905

    Office

    $2558.48

    Facility

    $415.28

    $67.12 higher than Salinas for the office setting.

  • Miami

    Florida · 36905

    Office

    $2347.63

    Facility

    $453.69

    $143.73 lower than Salinas for the office setting.

  • Chicago

    Illinois · 36905

    Office

    $2272.32

    Facility

    $443.88

    $219.04 lower than Salinas for the office setting.

  • Manhattan

    New York · 36905

    Office

    $2551.89

    Facility

    $437.81

    $60.53 higher than Salinas for the office setting.

  • Alaska*

    Alaska · 36905

    Office

    $2453.88

    Facility

    $516.28

    $37.48 lower than Salinas for the office setting.

  • Alabama

    Alabama · 36905

    Office

    $1952.83

    Facility

    $360.90

    $538.53 lower than Salinas for the office setting.

  • Arkansas

    Arkansas · 36905

    Office

    $1920.73

    Facility

    $357.91

    $570.63 lower than Salinas for the office setting.

  • Arizona

    Arizona · 36905

    Office

    $2140.99

    Facility

    $378.04

    $350.37 lower than Salinas for the office setting.

  • Colorado

    Colorado · 36905

    Office

    $2318.81

    Facility

    $383.03

    $172.55 lower than Salinas for the office setting.

  • Connecticut

    Connecticut · 36905

    Office

    $2363.94

    Facility

    $404.50

    $127.42 lower than Salinas for the office setting.

  • Delaware

    Delaware · 36905

    Office

    $2179.82

    Facility

    $382.30

    $311.54 lower than Salinas for the office setting.

  • Fort Lauderdale

    Florida · 36905

    Office

    $2264.24

    Facility

    $421.24

    $227.12 lower than Salinas for the office setting.

  • Rest Of Florida

    Florida · 36905

    Office

    $2144.57

    Facility

    $405.28

    $346.79 lower than Salinas for the office setting.

  • Atlanta

    Georgia · 36905

    Office

    $2244.57

    Facility

    $396.11

    $246.79 lower than Salinas for the office setting.

  • Rest Of Georgia

    Georgia · 36905

    Office

    $2011.57

    Facility

    $388.71

    $479.79 lower than Salinas for the office setting.

  • Hawaii, Guam

    Hawaii · 36905

    Office

    $2443.01

    Facility

    $374.41

    $48.35 lower than Salinas for the office setting.

  • Iowa

    Iowa · 36905

    Office

    $2020.30

    Facility

    $355.60

    $471.06 lower than Salinas for the office setting.

  • Idaho

    Idaho · 36905

    Office

    $2032.92

    Facility

    $359.12

    $458.44 lower than Salinas for the office setting.

  • East St. Louis

    Illinois · 36905

    Office

    $2099.32

    Facility

    $425.52

    $392.04 lower than Salinas for the office setting.

  • Rest Of Illinois

    Illinois · 36905

    Office

    $2066.80

    Facility

    $405.74

    $424.56 lower than Salinas for the office setting.

  • Suburban Chicago

    Illinois · 36905

    Office

    $2290.90

    Facility

    $422.43

    $200.46 lower than Salinas for the office setting.

  • Indiana

    Indiana · 36905

    Office

    $2046.56

    Facility

    $360.02

    $444.80 lower than Salinas for the office setting.

  • Kansas

    Kansas · 36905

    Office

    $2004.35

    Facility

    $359.66

    $487.01 lower than Salinas for the office setting.

  • Kentucky

    Kentucky · 36905

    Office

    $1994.03

    Facility

    $376.63

    $497.33 lower than Salinas for the office setting.

  • New Orleans

    Louisiana · 36905

    Office

    $2100.73

    Facility

    $388.72

    $390.63 lower than Salinas for the office setting.

  • Rest Of Louisiana

    Louisiana · 36905

    Office

    $1988.41

    Facility

    $378.29

    $502.95 lower than Salinas for the office setting.

  • Metropolitan Boston

    Massachusetts · 36905

    Office

    $2574.95

    Facility

    $402.65

    $83.59 higher than Salinas for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36905

    Office

    $2300.12

    Facility

    $384.35

    $191.24 lower than Salinas for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36905

    Office

    $2356.45

    Facility

    $404.29

    $134.91 lower than Salinas for the office setting.

  • Rest Of Maryland

    Maryland · 36905

    Office

    $2226.95

    Facility

    $385.77

    $264.41 lower than Salinas for the office setting.

  • Rest Of Maine

    Maine · 36905

    Office

    $2039.34

    Facility

    $365.54

    $452.02 lower than Salinas for the office setting.

  • Southern Maine

    Maine · 36905

    Office

    $2172.41

    Facility

    $369.44

    $318.95 lower than Salinas for the office setting.

  • Detroit

    Michigan · 36905

    Office

    $2169.28

    Facility

    $413.61

    $322.08 lower than Salinas for the office setting.

  • Rest Of Michigan

    Michigan · 36905

    Office

    $2048.10

    Facility

    $387.04

    $443.26 lower than Salinas for the office setting.

  • Minnesota

    Minnesota · 36905

    Office

    $2228.99

    Facility

    $356.88

    $262.37 lower than Salinas for the office setting.

  • Metropolitan Kansas City

    Missouri · 36905

    Office

    $2090.14

    Facility

    $381.77

    $401.22 lower than Salinas for the office setting.

  • Metropolitan St. Louis

    Missouri · 36905

    Office

    $2115.51

    Facility

    $383.49

    $375.85 lower than Salinas for the office setting.

  • Rest Of Missouri

    Missouri · 36905

    Office

    $1946.12

    Facility

    $377.84

    $545.24 lower than Salinas for the office setting.

  • Mississippi

    Mississippi · 36905

    Office

    $1934.12

    Facility

    $367.66

    $557.24 lower than Salinas for the office setting.

  • Montana**

    Montana · 36905

    Office

    $2205.04

    Facility

    $385.69

    $286.32 lower than Salinas for the office setting.

  • North Carolina

    North Carolina · 36905

    Office

    $2064.36

    Facility

    $366.91

    $427.00 lower than Salinas for the office setting.

  • North Dakota**

    North Dakota · 36905

    Office

    $2179.53

    Facility

    $360.19

    $311.83 lower than Salinas for the office setting.

  • Nebraska

    Nebraska · 36905

    Office

    $2034.43

    Facility

    $355.17

    $456.93 lower than Salinas for the office setting.

  • New Hampshire

    New Hampshire · 36905

    Office

    $2276.36

    Facility

    $382.42

    $215.00 lower than Salinas for the office setting.

  • Northern Nj

    New Jersey · 36905

    Office

    $2525.54

    Facility

    $415.10

    $34.18 higher than Salinas for the office setting.

  • Rest Of New Jersey

    New Jersey · 36905

    Office

    $2392.97

    Facility

    $406.24

    $98.39 lower than Salinas for the office setting.

  • New Mexico

    New Mexico · 36905

    Office

    $2058.68

    Facility

    $390.34

    $432.68 lower than Salinas for the office setting.

  • Nevada**

    Nevada · 36905

    Office

    $2199.80

    Facility

    $378.63

    $291.56 lower than Salinas for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36905

    Office

    $2614.02

    Facility

    $450.82

    $122.66 higher than Salinas for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36905

    Office

    $2404.91

    Facility

    $412.72

    $86.45 lower than Salinas for the office setting.

  • Queens

    New York · 36905

    Office

    $2583.06

    Facility

    $432.59

    $91.70 higher than Salinas for the office setting.

  • Rest Of New York

    New York · 36905

    Office

    $2098.89

    Facility

    $370.51

    $392.47 lower than Salinas for the office setting.

  • Ohio

    Ohio · 36905

    Office

    $2042.89

    Facility

    $381.82

    $448.47 lower than Salinas for the office setting.

  • Oklahoma

    Oklahoma · 36905

    Office

    $1995.56

    Facility

    $370.88

    $495.80 lower than Salinas for the office setting.

  • Portland

    Oregon · 36905

    Office

    $2406.22

    Facility

    $384.93

    $85.14 lower than Salinas for the office setting.

  • Rest Of Oregon

    Oregon · 36905

    Office

    $2184.86

    Facility

    $372.79

    $306.50 lower than Salinas for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36905

    Office

    $2295.34

    Facility

    $401.40

    $196.02 lower than Salinas for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36905

    Office

    $2049.52

    Facility

    $379.36

    $441.84 lower than Salinas for the office setting.

  • Puerto Rico

    Puerto Rico · 36905

    Office

    $2225.04

    Facility

    $385.68

    $266.32 lower than Salinas for the office setting.

  • Rhode Island

    Rhode Island · 36905

    Office

    $2267.72

    Facility

    $388.33

    $223.64 lower than Salinas for the office setting.

  • South Carolina

    South Carolina · 36905

    Office

    $2056.64

    Facility

    $375.56

    $434.72 lower than Salinas for the office setting.

  • South Dakota**

    South Dakota · 36905

    Office

    $2176.52

    Facility

    $357.17

    $314.84 lower than Salinas for the office setting.

  • Tennessee

    Tennessee · 36905

    Office

    $2015.12

    Facility

    $361.33

    $476.24 lower than Salinas for the office setting.

  • Austin

    Texas · 36905

    Office

    $2309.19

    Facility

    $384.32

    $182.17 lower than Salinas for the office setting.

  • Beaumont

    Texas · 36905

    Office

    $2033.88

    Facility

    $378.27

    $457.48 lower than Salinas for the office setting.

  • Brazoria

    Texas · 36905

    Office

    $2181.18

    Facility

    $378.20

    $310.18 lower than Salinas for the office setting.

  • Dallas

    Texas · 36905

    Office

    $2194.17

    Facility

    $382.10

    $297.19 lower than Salinas for the office setting.

  • Fort Worth

    Texas · 36905

    Office

    $2176.05

    Facility

    $382.17

    $315.31 lower than Salinas for the office setting.

  • Galveston

    Texas · 36905

    Office

    $2186.98

    Facility

    $380.37

    $304.38 lower than Salinas for the office setting.

  • Houston

    Texas · 36905

    Office

    $2210.59

    Facility

    $403.98

    $280.77 lower than Salinas for the office setting.

  • Rest Of Texas

    Texas · 36905

    Office

    $2105.64

    Facility

    $379.08

    $385.72 lower than Salinas for the office setting.

  • Utah

    Utah · 36905

    Office

    $2088.61

    Facility

    $378.42

    $402.75 lower than Salinas for the office setting.

  • Virginia

    Virginia · 36905

    Office

    $2160.69

    Facility

    $372.27

    $330.67 lower than Salinas for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36905

    Office

    $2225.04

    Facility

    $385.68

    $266.32 lower than Salinas for the office setting.

  • Vermont

    Vermont · 36905

    Office

    $2165.15

    Facility

    $364.00

    $326.21 lower than Salinas for the office setting.

  • Rest Of Washington

    Washington · 36905

    Office

    $2297.69

    Facility

    $381.91

    $193.67 lower than Salinas for the office setting.

  • Seattle (King Cnty)

    Washington · 36905

    Office

    $2636.12

    Facility

    $403.78

    $144.76 higher than Salinas for the office setting.

  • Wisconsin

    Wisconsin · 36905

    Office

    $2096.82

    Facility

    $353.89

    $394.54 lower than Salinas for the office setting.

  • West Virginia

    West Virginia · 36905

    Office

    $1978.89

    Facility

    $397.88

    $512.47 lower than Salinas for the office setting.

  • Wyoming**

    Wyoming · 36905

    Office

    $2193.92

    Facility

    $374.58

    $297.44 lower than Salinas for the office setting.

See how rates vary across the country

36905 · 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.

$1,920.73

$2,706.46

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$2,453.881
AL$1,952.831
AR$1,920.731
AZ$2,140.991
CA$2,369.52–$3,043.3929
CO$2,318.811
CT$2,363.941
DC$2,558.481
DE$2,179.821
FL$2,144.57–$2,347.633
GA$2,011.57–$2,244.572
GU$2,443.011
HI$2,443.011
IA$2,020.301
ID$2,032.921
IL$2,066.80–$2,290.904
IN$2,046.561
KS$2,004.351
KY$1,994.031
LA$1,988.41–$2,100.732
MA$2,300.12–$2,574.952
MD$2,226.95–$2,558.483
ME$2,039.34–$2,172.412
MI$2,048.10–$2,169.282
MN$2,228.991
MO$1,946.12–$2,115.513
MS$1,934.121
MT$2,205.041
NC$2,064.361
ND$2,179.531
NE$2,034.431
NH$2,276.361
NJ$2,392.97–$2,525.542
NM$2,058.681
NV$2,199.801
NY$2,098.89–$2,614.025
OH$2,042.891
OK$1,995.561
OR$2,184.86–$2,406.222
PA$2,049.52–$2,295.342
PR$2,225.041
RI$2,267.721
SC$2,056.641
SD$2,176.521
TN$2,015.121
TX$2,033.88–$2,309.198
UT$2,088.611
VA$2,160.69–$2,558.482
VI$2,225.041
VT$2,165.151
WA$2,297.69–$2,636.122
WI$2,096.821
WV$1,978.891
WY$2,193.921

Explore 36905 on the national rate map →

Where does this rate apply?

Salinas is a Medicare payment area. Our Census mapping connects it to 30 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 36905 in Salinas, the physician’s office rate is $2491.36 and the facility-setting rate is $382.74: a difference of $2108.62.

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 36905 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$2740.50

$2491.36 × 110% = $2740.50

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.

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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 36905 in Salinas.

PPRRVU2026_Oct_nonQPP.csv

4,566

Code
36905
Physician work
8.78
Practice expense
55.95
Malpractice
1.29

GPCI2026.csv

22

Locality
Salinas
Physician work
1.031
Practice expense
1.159
Malpractice
0.536
Office / nonfacility calculation for 36905 in Salinas
ComponentRVULocality factorAdjusted
Physician work8.78× 1.0319.0522
Practice expense55.95× 1.15964.8461
Malpractice1.29× 0.5360.6914
Total RVUs74.5897
Conversion factor× 33.4009

Office / nonfacility rate, Salinas$2491.36

Open 36905 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work8.781.031
Practice expense55.951.159
Malpractice1.290.536

(8.78 × 1.031 + 55.95 × 1.159 + 1.29 × 0.536) × $33.4009 = $2491.36

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work8.781.031
Practice expense1.481.159
Malpractice1.290.536

(8.78 × 1.031 + 1.48 × 1.159 + 1.29 × 0.536) × $33.4009 = $382.74

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

36905 · Office / nonfacility

$2491.36

Effective 2026-10-01

The base rate is $122.14 higher than on 2025-10-01, moving from $2369.22 to $2491.36 (5.2%).

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

    $2369.22changed to$2491.36

    • 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 1.035 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.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $2369.22

    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$2491.36$382.74RVU26D
2026-07-01$2491.36$382.74RVU26C
2026-04-01$2491.36$382.74RVU26B
2026-01-01$2491.36$382.74RVU26A
2025-10-01$2369.22$425.50RVU25D
2025-07-01$2369.22$425.50RVU25C
2025-04-01$2369.22$425.50RVU25B
2025-01-01$2369.22$425.50RVU25A

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 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 36905PPRRVU2026_Oct_nonQPP.csv, line 4,566 (RVU26D)
Geographic factors for SalinasGPCI2026.csv, line 22 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet