$647.28–$715.42
36901 reports diagnostic evaluation of the dialysis circuit. Choose 36902 when balloon angioplasty is performed in the peripheral segment.
On this page
CMS RVU26D · Effective 2026-10-01
36902 Dialysis access angioplasty Medicare reimbursement rates in Illinois
Reports catheter-based balloon angioplasty of a stenosis in the peripheral segment of a hemodialysis access circuit, with circuit imaging included. Compare 36902 office and facility rates across CMS payment localities in Illinois.
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.
What does Medicare pay for 36902 in Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
$1116.47–$1237.66
4 of 4 localities have a supported rate.
Facility setting
$221.13–$242.48
4 of 4 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 36902 pays more and less in Illinois
4 payment localities
$1116.47 to $1237.66
Interventional radiology
About 36902: Dialysis circuit peripheral angioplasty
Reports catheter-based balloon angioplasty of a stenosis in the peripheral segment of a hemodialysis access circuit, with circuit imaging included.
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.
CMS billing rules for 36902
- 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 RVU4.71 · 13%
- Practice expense (office) RVU30.22 · 85%
- Malpractice RVU0.72 · 2%
130.7K
Medicare services in 2024 · #488 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.
36902 compared with similar codes
Office rates for Illinois, from the same CMS release.
$4,425.04–$4,953.51
36903 represents peripheral-segment stent placement; 36902 represents balloon angioplasty without that stent placement.
$2,066.80–$2,290.90
36905 includes thrombectomy with peripheral-segment angioplasty. 36902 is the choice when angioplasty is performed without thrombectomy.
$546.46–$603.36
36907 is an add-on for angioplasty in the central dialysis segment. Code 36902 describes angioplasty in the peripheral segment.
Compare 36902 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
4 of 4 payment localities
Chicago →
Office / nonfacility
$1228.03
Facility
$242.48
East St. Louis →
Office / nonfacility
$1134.38
Facility
$232.18
Rest Of Illinois →
Office / nonfacility
$1116.47
Facility
$221.13
Suburban Chicago →
Office / nonfacility
$1237.66
Facility
$230.53
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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 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.
4,56036860,,External cannula declotting,A,,1.96,5.26,,0.47,,0.51,7.73,2.94,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56136861,,Cannula declotting,A,,2.46,0.59,NA,0.59,,0.65,3.70,3.70,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56236901,,Intro cath dialysis circuit,A,,3.28,16.76,,0.62,,0.51,20.55,4.41,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56336902,,Intro cath dialysis circuit,A,,4.71,30.22,,0.86,,0.72,35.65,6.29,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56436903,,Intro cath dialysis circuit,A,,6.23,136.52,,1.05,,1.03,143.78,8.31,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56536904,,Thrmbc/nfs dialysis circuit,A,,7.31,43.68,,1.16,,1.13,52.12,9.60,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56636905,,Thrmbc/nfs dialysis circuit,A,,8.78,55.95,,1.48,,1.29,66.02,11.55,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00