$578.47
36907 reports angioplasty of the central dialysis segment. Use 36909 for embolization of a vessel arising from the circuit, not dilation of a narrowed central segment.
On this page
CMS RVU26D · Effective 2026-10-01
36909 Dialysis access embolization Medicare reimbursement rates in Montana
Reports embolization of vessel branches arising from a dialysis circuit as an add-on to a qualifying dialysis access procedure. Compare 36909 office and facility rates across CMS payment localities in Montana.
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 36909 in Montana?
Montana 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
$1816.63
1 of 1 localities have a supported rate.
Payment area: Montana**
One mapped payment locality.
Facility setting
$175.64
1 of 1 localities have a supported rate.
Payment area: Montana**
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 intervention
About 36909: Dialysis circuit branch embolization
Reports embolization of vessel branches arising from a dialysis circuit as an add-on to a qualifying dialysis access procedure.
This add-on reports embolization of one or more vessels arising from a hemodialysis access circuit, such as a collateral or accessory vein treated to redirect flow through the access. Interventional radiologists and vascular surgeons commonly perform the treatment in an angiography suite, using imaging to guide delivery of an embolic agent or device. It may be part of an intervention on an arteriovenous fistula or graft when the branch vessel itself is being occluded.
Report 36909 only with a qualifying primary dialysis circuit procedure, such as 36901–36906; it is not a standalone service. The record should identify the treated branch vessel or vessels, the reason for embolization, the treatment performed, and the associated primary procedure. The code includes the related radiological supervision and interpretation and imaging guidance when performed. CMS treats it as an add-on paid within the primary procedure’s global period.
CMS billing rules for 36909
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU4.02 · 7%
- Practice expense (office) RVU49.70 · 91%
- Malpractice RVU0.67 · 1%
3.2K
Medicare services in 2024 · #2139 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.
36909 compared with similar codes
Office rates for Montana, from the same CMS release.
$1,391.10
36908 reports stent placement in the central dialysis segment. 36909 addresses embolization of a branch vessel rather than stenting the central outflow.
$1,740.78
36904 reports thrombectomy of the dialysis circuit. 36909 reports branch-vessel embolization and is added to a qualifying primary procedure when both services are performed.
Compare 36909 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
Montana** →
Office / nonfacility
$1816.63
Facility
$175.64
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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 36909 in Montana**.
PPRRVU2026_Oct_nonQPP.csv
4,570
- Code
- 36909
- Physician work
- 4.02
- Practice expense
- 49.70
- Malpractice
- 0.67
GPCI2026.csv
71
- Locality
- Montana**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.02 | × 1.000 | 4.0200 |
| Practice expense | 49.70 | × 1.000 | 49.7000 |
| Malpractice | 0.67 | × 0.998 | 0.6687 |
| Total RVUs | 54.3887 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Montana**$1816.63
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.02 | 1 |
| Practice expense | 49.7 | 1 |
| Malpractice | 0.67 | 0.998 |
(4.02 × 1 + 49.7 × 1 + 0.67 × 0.998) × $33.4009 = $1816.63
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.02 | 1 |
| Practice expense | 0.57 | 1 |
| Malpractice | 0.67 | 0.998 |
(4.02 × 1 + 0.57 × 1 + 0.67 × 0.998) × $33.4009 = $175.64
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.
36909 billing questions
Can 36909 be reported by itself?
No. It is an add-on and must be reported with a qualifying primary dialysis circuit procedure, such as 36901–36906.
How is embolization different from angioplasty or stent placement?
36909 reports occlusion of a vessel arising from the dialysis circuit. Angioplasty or stenting treats a narrowed segment of the circuit rather than embolizing a branch vessel.
Does 36909 include imaging guidance and interpretation?
Yes. The code includes the related radiological supervision and interpretation, including imaging guidance when performed.
What should the procedure note document?
Document the vessel or vessels embolized, the clinical reason for treatment, the embolization performed, and the qualifying primary dialysis circuit procedure.
Is 36909 paid separately from the primary procedure’s global period?
No. CMS identifies it as an add-on paid within the primary procedure’s global period.
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.
4,56736906,,Thrmbc/nfs dialysis circuit,A,,10.16,165.43,,1.67,,1.50,177.09,13.33,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56836907,,Balo angiop ctr dialysis seg,A,,2.93,13.94,,0.44,,0.45,17.32,3.82,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56936908,,Stent plmt ctr dialysis seg,A,,4.14,36.82,,0.61,,0.69,41.65,5.44,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,57036909,,Dialysis circuit embolj,A,,4.02,49.70,,0.57,,0.67,54.39,5.26,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,5713700F,,Psych disorders assessed,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,57237140,,Revision of circulation,A,,39.00,14.55,NA,14.55,,10.45,64.00,64.00,0,090,0.09,0.84,0.07,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,57337145,,Revision of circulation,A,,36.08,13.70,NA,13.70,,9.67,59.45,59.45,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875