No office rate
Both concern hemodialysis cannula insertion, but 36810 specifies an external arteriovenous configuration. Base selection on the configuration documented in the operative report.
On this page
CMS RVU26D · Effective 2026-10-01
36810 Dialysis cannula Medicare reimbursement rates in Minnesota
Reports surgical placement of external arteriovenous cannulation access for hemodialysis when access is established by cannulas rather than a fistula. Compare 36810 office and facility rates across CMS payment localities in Minnesota.
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 36810 in Minnesota?
Minnesota has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$170.44
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
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.
Vascular surgery
About 36810: External arteriovenous hemodialysis cannula insertion
Reports surgical placement of external arteriovenous cannulation access for hemodialysis when access is established by cannulas rather than a fistula.
This procedure establishes external arteriovenous access for hemodialysis by placing cannulas in an artery and vein, creating a route for extracorporeal blood flow without creating an arteriovenous fistula. A vascular surgeon typically performs it in an operating room or other surgical facility for a patient who needs dialysis access and is receiving this type of nonfistula access. The operative record should identify the access configuration and document the cannula placement.
Report 36810 for the external arteriovenous configuration; distinguish it from cannula insertion codes describing other configurations. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 36810
- 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 RVU3.86 · 73%
- Practice expense (office) RVU1.11 · 21%
- Malpractice RVU0.34 · 6%
59
Medicare services in 2024 · #5255 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.
36810 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
This is a neighboring cannula insertion code for a different access configuration. Distinguish it from 36810 using the operative description of the access.
No office rate
36835 identifies insertion of a Thomas shunt, rather than the external arteriovenous cannula access reported with 36810.
Compare 36810 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.
1 of 1 payment localities
Minnesota →
Office / nonfacility
Unavailable
Facility
$170.44
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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 36810 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
4,544
- Code
- 36810
- Physician work
- 3.86
- Practice expense
- 1.11
- Malpractice
- 0.34
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.86 | × 1.000 | 3.8600 |
| Practice expense | 1.11 | × 1.029 | 1.1422 |
| Malpractice | 0.34 | × 0.296 | 0.1006 |
| Total RVUs | 5.1028 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$170.44
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.86 | 1 |
| Practice expense | 1.11 | 1.029 |
| Malpractice | 0.34 | 0.296 |
(3.86 × 1 + 1.11 × 1.029 + 0.34 × 0.296) × $33.4009 = $170.44
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.
36810 billing questions
How does 36810 differ from 36800?
36810 describes external arteriovenous cannulation access. Use 36800 when the documented cannula configuration matches that code rather than the arteriovenous configuration.
When would 36815 be considered instead?
36815 is the neighboring cannula insertion code for a different access configuration. Select the code that matches the operative description, including whether the access is external or internal.
Can the cannula placement be billed with same-day care?
The 0-day global period includes same-day preoperative and postoperative care related to the procedure.
Does modifier 50 apply when access is placed bilaterally?
No. CMS identifies bilateral adjustment as inapplicable to 36810, and modifier 50 is inappropriate.
How does Medicare treat 36810 when other procedures occur in the same session?
The highest-valued procedure is paid in full; other procedures in the session are subject to the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be reported for 36810?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery 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.
4,54136660,,Insertion catheter artery,A,,1.37,0.28,NA,0.28,,0.07,1.72,1.72,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54236680,,Insert needle bone cavity,A,,1.17,0.33,NA,0.33,,0.23,1.73,1.73,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54336800,,Insertion of cannula,A,,2.37,0.58,NA,0.58,,0.27,3.22,3.22,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54436810,,Insertion of cannula,A,,3.86,1.11,NA,1.11,,0.34,5.31,5.31,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54536815,,Insertion of cannula,A,,2.55,0.50,NA,0.50,,0.64,3.69,3.69,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54636818,,Av fuse uppr arm cephalic,A,,12.08,3.69,NA,3.69,,3.05,18.82,18.82,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54736819,,Av fuse uppr arm basilic,A,,12.96,3.60,NA,3.60,,3.31,19.87,19.87,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002