36901 is for diagnostic imaging alone. Choose 36902 when balloon angioplasty is performed in the peripheral dialysis segment.
On this page
CMS RVU26D · Effective 2026-10-01
36901 in Visalia
Office / nonfacility
$734.09
Base rate per service
Facility setting
$143.24
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.
Dialysis access imaging
About 36901: Dialysis circuit diagnostic angiography
Reports diagnostic contrast imaging of a dialysis fistula or graft circuit when the study evaluates access dysfunction without a circuit intervention.
36901 covers percutaneous entry into an arteriovenous dialysis fistula or graft and diagnostic contrast imaging of the circuit. The study traces flow from the arterial anastomosis and adjacent artery through venous outflow, including central veins, with catheter or needle placement, contrast injections, imaging, and interpretation. Interventional radiologists and vascular surgeons commonly perform it in an angiography suite to evaluate suspected stenosis, poor dialysis flows, prolonged bleeding, or other access dysfunction.
Report 36901 when diagnostic imaging is performed without a circuit intervention. If angioplasty, stenting, or thrombectomy is performed, choose the corresponding intervention code, which includes the diagnostic work; do not separately report 36901 for that circuit. The record should identify the access, findings, imaging extent, and whether treatment occurred. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this single-circuit service. Medicare does not pay assistant-at-surgery services; co-surgeons and team surgery are not permitted.
CMS billing rules for 36901
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.28 · 16%
- Practice expense (office) RVU16.76 · 82%
- Malpractice RVU0.51 · 2%
37.9K
Medicare services in 2024 · #891 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.
36901 compared with similar codes
Office rates for Visalia, from the same CMS release.
36901 reports diagnostic imaging without circuit treatment. Choose 36903 when a stent is placed in the peripheral dialysis segment.
Use 36901 for diagnostic imaging alone; 36904 describes dialysis circuit thrombectomy or thrombolysis.
36907 is an add-on for central-segment angioplasty, not a replacement for the primary circuit imaging code. Report it with an eligible primary dialysis circuit code when that treatment is performed.
The same code, a different location
How does Visalia compare?
In Bakersfield, the office rate for 36901 is $735.55—$1.46 higher than the $734.09 rate in Visalia. Both use the same code, release and participation basis.
36901 across payment areas
Same release and payment basis · bars start at $0
Visalia · This locality
$734.09
$735.55
$1.46 higher than Visalia
$734.09
The same base rate than Visalia
$734.17
$0.08 higher than Visalia
$734.09
The same base rate than Visalia
$734.09
The same base rate than Visalia
$53.51 higher than Visalia
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, 36901 ranges from $599.20 in Arkansas to $937.97 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 · 36901
Office
$734.09
Facility
$143.24
The same base rate than Visalia for the office setting.
Merced
California · 36901
Office
$734.09
Facility
$143.24
The same base rate than Visalia for the office setting.
Modesto
California · 36901
Office
$734.09
Facility
$143.24
The same base rate than Visalia for the office setting.
Napa
California · 36901
Office
$862.93
Facility
$152.40
$128.84 higher than Visalia for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 36901
Office
$784.92
Facility
$147.71
$50.83 higher than Visalia for the office setting.
Redding
California · 36901
Office
$734.09
Facility
$143.24
The same base rate than Visalia for the office setting.
Rest Of California
California · 36901
Office
$734.09
Facility
$143.24
The same base rate than Visalia for the office setting.
Riverside-San Bernardino-Ontario
California · 36901
Office
$739.60
Facility
$148.75
$5.51 higher than Visalia for the office setting.
Sacramento-Roseville-Folsom
California · 36901
Office
$773.68
Facility
$146.71
$39.59 higher than Visalia for the office setting.
Salinas
California · 36901
Office
$770.89
Facility
$146.08
$36.80 higher than Visalia for the office setting.
San Diego-Chula Vista-Carlsbad
California · 36901
Office
$791.59
Facility
$146.84
$57.50 higher than Visalia for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 36901
Office
$917.10
Facility
$156.98
$183.01 higher than Visalia for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 36901
Office
$916.52
Facility
$156.40
$182.43 higher than Visalia for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 36901
Office
$937.97
Facility
$160.60
$203.88 higher than Visalia for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 36901
Office
$935.60
Facility
$158.23
$201.51 higher than Visalia for the office setting.
San Luis Obispo-Paso Robles
California · 36901
Office
$758.16
Facility
$144.13
$24.07 higher than Visalia for the office setting.
Santa Cruz-Watsonville
California · 36901
Office
$801.14
Facility
$146.15
$67.05 higher than Visalia for the office setting.
Santa Maria-Santa Barbara
California · 36901
Office
$774.48
Facility
$145.90
$40.39 higher than Visalia for the office setting.
Santa Rosa-Petaluma
California · 36901
Office
$809.41
Facility
$147.40
$75.32 higher than Visalia for the office setting.
Stockton
California · 36901
Office
$734.09
Facility
$143.24
The same base rate than Visalia for the office setting.
Vallejo
California · 36901
Office
$862.09
Facility
$151.57
$128.00 higher than Visalia for the office setting.
Yuba City
California · 36901
Office
$734.09
Facility
$143.24
The same base rate than Visalia for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 36901
Office
$793.87
Facility
$158.82
$59.78 higher than Visalia for the office setting.
Miami
Florida · 36901
Office
$735.39
Facility
$174.19
$1.30 higher than Visalia for the office setting.
Chicago
Illinois · 36901
Office
$712.01
Facility
$170.23
$22.08 lower than Visalia for the office setting.
Manhattan
New York · 36901
Office
$794.07
Facility
$167.65
$59.98 higher than Visalia for the office setting.
Alaska*
Alaska · 36901
Office
$769.90
Facility
$195.77
$35.81 higher than Visalia for the office setting.
Alabama
Alabama · 36901
Office
$609.02
Facility
$137.32
$125.07 lower than Visalia for the office setting.
Arkansas
Arkansas · 36901
Office
$599.20
Facility
$136.12
$134.89 lower than Visalia for the office setting.
Arizona
Arizona · 36901
Office
$666.58
Facility
$144.20
$67.51 lower than Visalia for the office setting.
Colorado
Colorado · 36901
Office
$719.80
Facility
$146.21
$14.29 lower than Visalia for the office setting.
Connecticut
Connecticut · 36901
Office
$735.26
Facility
$154.66
$1.17 higher than Visalia for the office setting.
Delaware
Delaware · 36901
Office
$678.50
Facility
$145.88
$55.59 lower than Visalia for the office setting.
Fort Lauderdale
Florida · 36901
Office
$707.43
Facility
$161.33
$26.66 lower than Visalia for the office setting.
Rest Of Florida
Florida · 36901
Office
$670.33
Facility
$154.96
$63.76 lower than Visalia for the office setting.
Atlanta
Georgia · 36901
Office
$699.10
Facility
$151.38
$34.99 lower than Visalia for the office setting.
Rest Of Georgia
Georgia · 36901
Office
$629.20
Facility
$148.33
$104.89 lower than Visalia for the office setting.
Hawaii, Guam
Hawaii · 36901
Office
$755.91
Facility
$142.96
$21.82 higher than Visalia for the office setting.
Iowa
Iowa · 36901
Office
$628.53
Facility
$135.27
$105.56 lower than Visalia for the office setting.
Idaho
Idaho · 36901
Office
$632.63
Facility
$136.66
$101.46 lower than Visalia for the office setting.
East St. Louis
Illinois · 36901
Office
$658.88
Facility
$162.91
$75.21 lower than Visalia for the office setting.
Rest Of Illinois
Illinois · 36901
Office
$647.28
Facility
$155.09
$86.81 lower than Visalia for the office setting.
Suburban Chicago
Illinois · 36901
Office
$715.42
Facility
$161.77
$18.67 lower than Visalia for the office setting.
Indiana
Indiana · 36901
Office
$636.77
Facility
$137.03
$97.32 lower than Visalia for the office setting.
Kansas
Kansas · 36901
Office
$624.20
Facility
$136.86
$109.89 lower than Visalia for the office setting.
Kentucky
Kentucky · 36901
Office
$622.80
Facility
$143.55
$111.29 lower than Visalia for the office setting.
New Orleans
Louisiana · 36901
Office
$655.68
Facility
$148.39
$78.41 lower than Visalia for the office setting.
Rest Of Louisiana
Louisiana · 36901
Office
$621.30
Facility
$144.20
$112.79 lower than Visalia for the office setting.
Metropolitan Boston
Massachusetts · 36901
Office
$797.61
Facility
$153.93
$63.52 higher than Visalia for the office setting.
Rest Of Massachusetts
Massachusetts · 36901
Office
$714.35
Facility
$146.69
$19.74 lower than Visalia for the office setting.
Baltimore/Surr. Cntys
Maryland · 36901
Office
$733.04
Facility
$154.60
$1.05 lower than Visalia for the office setting.
Rest Of Maryland
Maryland · 36901
Office
$692.80
Facility
$147.25
$41.29 lower than Visalia for the office setting.
Rest Of Maine
Maine · 36901
Office
$635.17
Facility
$139.20
$98.92 lower than Visalia for the office setting.
Southern Maine
Maine · 36901
Office
$675.06
Facility
$140.83
$59.03 lower than Visalia for the office setting.
Detroit
Michigan · 36901
Office
$678.48
Facility
$158.26
$55.61 lower than Visalia for the office setting.
Rest Of Michigan
Michigan · 36901
Office
$639.88
Facility
$147.69
$94.21 lower than Visalia for the office setting.
Minnesota
Minnesota · 36901
Office
$690.63
Facility
$135.91
$43.46 lower than Visalia for the office setting.
Metropolitan Kansas City
Missouri · 36901
Office
$651.85
Facility
$145.64
$82.24 lower than Visalia for the office setting.
Metropolitan St. Louis
Missouri · 36901
Office
$659.55
Facility
$146.34
$74.54 lower than Visalia for the office setting.
Rest Of Missouri
Missouri · 36901
Office
$608.69
Facility
$144.00
$125.40 lower than Visalia for the office setting.
Mississippi
Mississippi · 36901
Office
$604.13
Facility
$139.97
$129.96 lower than Visalia for the office setting.
Montana**
Montana · 36901
Office
$686.35
Facility
$147.26
$47.74 lower than Visalia for the office setting.
North Carolina
North Carolina · 36901
Office
$642.73
Facility
$139.76
$91.36 lower than Visalia for the office setting.
North Dakota**
North Dakota · 36901
Office
$676.27
Facility
$137.18
$57.82 lower than Visalia for the office setting.
Nebraska
Nebraska · 36901
Office
$632.69
Facility
$135.11
$101.40 lower than Visalia for the office setting.
New Hampshire
New Hampshire · 36901
Office
$707.21
Facility
$146.02
$26.88 lower than Visalia for the office setting.
Northern Nj
New Jersey · 36901
Office
$784.02
Facility
$158.67
$49.93 higher than Visalia for the office setting.
Rest Of New Jersey
New Jersey · 36901
Office
$743.92
Facility
$155.24
$9.83 higher than Visalia for the office setting.
New Mexico
New Mexico · 36901
Office
$643.35
Facility
$149.00
$90.74 lower than Visalia for the office setting.
Nevada**
Nevada · 36901
Office
$684.10
Facility
$144.47
$49.99 lower than Visalia for the office setting.
Nyc Suburbs/Long Island
New York · 36901
Office
$813.80
Facility
$172.82
$79.71 higher than Visalia for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 36901
Office
$748.08
Facility
$157.77
$13.99 higher than Visalia for the office setting.
Queens
New York · 36901
Office
$802.81
Facility
$165.61
$68.72 higher than Visalia for the office setting.
Rest Of New York
New York · 36901
Office
$653.34
Facility
$141.20
$80.75 lower than Visalia for the office setting.
Ohio
Ohio · 36901
Office
$637.82
Facility
$145.63
$96.27 lower than Visalia for the office setting.
Oklahoma
Oklahoma · 36901
Office
$622.69
Facility
$141.28
$111.40 lower than Visalia for the office setting.
Portland
Oregon · 36901
Office
$745.92
Facility
$146.99
$11.83 higher than Visalia for the office setting.
Rest Of Oregon
Oregon · 36901
Office
$679.09
Facility
$142.16
$55.00 lower than Visalia for the office setting.
Metropolitan Philadelphia
Pennsylvania · 36901
Office
$714.60
Facility
$153.41
$19.49 lower than Visalia for the office setting.
Rest Of Pennsylvania
Pennsylvania · 36901
Office
$639.55
Facility
$144.66
$94.54 lower than Visalia for the office setting.
Puerto Rico
Puerto Rico · 36901
Office
$692.29
Facility
$147.27
$41.80 lower than Visalia for the office setting.
Rhode Island
Rhode Island · 36901
Office
$705.10
Facility
$148.22
$28.99 lower than Visalia for the office setting.
South Carolina
South Carolina · 36901
Office
$641.29
Facility
$143.17
$92.80 lower than Visalia for the office setting.
South Dakota**
South Dakota · 36901
Office
$675.08
Facility
$135.99
$59.01 lower than Visalia for the office setting.
Tennessee
Tennessee · 36901
Office
$627.56
Facility
$137.53
$106.53 lower than Visalia for the office setting.
Austin
Texas · 36901
Office
$717.13
Facility
$146.78
$16.96 lower than Visalia for the office setting.
Beaumont
Texas · 36901
Office
$634.80
Facility
$144.22
$99.29 lower than Visalia for the office setting.
Brazoria
Texas · 36901
Office
$678.48
Facility
$144.24
$55.61 lower than Visalia for the office setting.
Dallas
Texas · 36901
Office
$682.72
Facility
$145.78
$51.37 lower than Visalia for the office setting.
Fort Worth
Texas · 36901
Office
$677.34
Facility
$145.80
$56.75 lower than Visalia for the office setting.
Galveston
Texas · 36901
Office
$680.42
Facility
$145.10
$53.67 lower than Visalia for the office setting.
Houston
Texas · 36901
Office
$689.75
Facility
$154.43
$44.34 lower than Visalia for the office setting.
Rest Of Texas
Texas · 36901
Office
$656.19
Facility
$144.59
$77.90 lower than Visalia for the office setting.
Utah
Utah · 36901
Office
$651.06
Facility
$144.32
$83.03 lower than Visalia for the office setting.
Virginia
Virginia · 36901
Office
$671.86
Facility
$141.94
$62.23 lower than Visalia for the office setting.
Virgin Islands
United States Virgin Islands · 36901
Office
$692.29
Facility
$147.27
$41.80 lower than Visalia for the office setting.
Vermont
Vermont · 36901
Office
$672.38
Facility
$138.68
$61.71 lower than Visalia for the office setting.
Rest Of Washington
Washington · 36901
Office
$713.41
Facility
$145.75
$20.68 lower than Visalia for the office setting.
Seattle (King Cnty)
Washington · 36901
Office
$815.82
Facility
$154.36
$81.73 higher than Visalia for the office setting.
Wisconsin
Wisconsin · 36901
Office
$651.09
Facility
$134.64
$83.00 lower than Visalia for the office setting.
West Virginia
West Virginia · 36901
Office
$620.40
Facility
$151.93
$113.69 lower than Visalia for the office setting.
Wyoming**
Wyoming · 36901
Office
$681.96
Facility
$142.87
$52.13 lower than Visalia for the office setting.
See how rates vary across the country
36901 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$599.20
$836.03
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $769.90 | 1 |
| AL | $609.02 | 1 |
| AR | $599.20 | 1 |
| AZ | $666.58 | 1 |
| CA | $734.09–$937.97 | 29 |
| CO | $719.80 | 1 |
| CT | $735.26 | 1 |
| DC | $793.87 | 1 |
| DE | $678.50 | 1 |
| FL | $670.33–$735.39 | 3 |
| GA | $629.20–$699.10 | 2 |
| GU | $755.91 | 1 |
| HI | $755.91 | 1 |
| IA | $628.53 | 1 |
| ID | $632.63 | 1 |
| IL | $647.28–$715.42 | 4 |
| IN | $636.77 | 1 |
| KS | $624.20 | 1 |
| KY | $622.80 | 1 |
| LA | $621.30–$655.68 | 2 |
| MA | $714.35–$797.61 | 2 |
| MD | $692.80–$793.87 | 3 |
| ME | $635.17–$675.06 | 2 |
| MI | $639.88–$678.48 | 2 |
| MN | $690.63 | 1 |
| MO | $608.69–$659.55 | 3 |
| MS | $604.13 | 1 |
| MT | $686.35 | 1 |
| NC | $642.73 | 1 |
| ND | $676.27 | 1 |
| NE | $632.69 | 1 |
| NH | $707.21 | 1 |
| NJ | $743.92–$784.02 | 2 |
| NM | $643.35 | 1 |
| NV | $684.10 | 1 |
| NY | $653.34–$813.80 | 5 |
| OH | $637.82 | 1 |
| OK | $622.69 | 1 |
| OR | $679.09–$745.92 | 2 |
| PA | $639.55–$714.60 | 2 |
| PR | $692.29 | 1 |
| RI | $705.10 | 1 |
| SC | $641.29 | 1 |
| SD | $675.08 | 1 |
| TN | $627.56 | 1 |
| TX | $634.80–$717.13 | 8 |
| UT | $651.06 | 1 |
| VA | $671.86–$793.87 | 2 |
| VI | $692.29 | 1 |
| VT | $672.38 | 1 |
| WA | $713.41–$815.82 | 2 |
| WI | $651.09 | 1 |
| WV | $620.40 | 1 |
| WY | $681.96 | 1 |
Where does this rate apply?
Visalia is a Medicare payment area. Our Census mapping connects it to 70 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.
Why are the office and facility amounts different?
For 36901 in Visalia, the physician’s office rate is $734.09 and the facility-setting rate is $143.24: a difference of $590.85.
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 36901 in Visalia. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$807.50
$734.09 × 110% = $807.50
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.
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 36901 in Visalia.
PPRRVU2026_Oct_nonQPP.csv
4,562
- Code
- 36901
- Physician work
- 3.28
- Practice expense
- 16.76
- Malpractice
- 0.51
GPCI2026.csv
34
- Locality
- Visalia
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.28 | × 1.017 | 3.3358 |
| Practice expense | 16.76 | × 1.096 | 18.3690 |
| Malpractice | 0.51 | × 0.536 | 0.2734 |
| Total RVUs | 21.9781 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Visalia$734.09
Open 36901 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.28 | 1.017 |
| Practice expense | 16.76 | 1.096 |
| Malpractice | 0.51 | 0.536 |
(3.28 × 1.017 + 16.76 × 1.096 + 0.51 × 0.536) × $33.4009 = $734.09
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.28 | 1.017 |
| Practice expense | 0.62 | 1.096 |
| Malpractice | 0.51 | 0.536 |
(3.28 × 1.017 + 0.62 × 1.096 + 0.51 × 0.536) × $33.4009 = $143.24
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
36901 · Office / nonfacility
$734.09
Effective 2026-10-01
The base rate is $37.12 higher than on 2025-10-01, moving from $696.97 to $734.09 (5.3%).
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
$696.97changed to$734.09
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.36 changed to 3.28
- Practice expense RVU 16.33 changed to 16.76
- Malpractice RVU 0.52 changed to 0.51
- 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: $696.97
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
36901 billing questions
When should 36901 be reported instead of 36902?
Report 36901 for diagnostic circuit imaging without treatment. Use 36902 when balloon angioplasty is performed in the peripheral dialysis segment; its diagnostic imaging is included.
Can 36901 be billed separately when the circuit is treated?
No. When a circuit intervention such as angioplasty, stenting, or thrombectomy is performed, report the applicable intervention code rather than separately billing 36901 for the diagnostic imaging.
What imaging is included in 36901?
The service includes contrast imaging from the arterial anastomosis and adjacent artery through the venous outflow, including central veins, as well as the associated imaging interpretation.
Should modifier 50 be used for two-sided access?
No. Modifier 50 is inappropriate for this code, which describes imaging of a dialysis circuit rather than a paired bilateral service.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure. The code does not include a longer global follow-up period.
Can an assistant or co-surgeon be reported?
Medicare does not pay assistant-at-surgery services for this code. Co-surgeon and team-surgery reporting are not permitted.
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.
