No office rate
Choose 36825 when the conduit is the patient’s own vein; choose 36830 when access is created with a nonautologous graft.
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CMS RVU26D · Effective 2026-10-01
36825 Dialysis access Medicare reimbursement rates in Ohio
Reports surgical creation of hemodialysis access using the patient’s own vein as a graft rather than a direct artery-to-vein connection. Compare 36825 office and facility rates across CMS payment localities in Ohio.
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 36825 in Ohio?
Ohio 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
$709.81
1 of 1 localities have a supported rate.
Payment area: Ohio
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 36825: Arteriovenous access with autologous vein graft
Reports surgical creation of hemodialysis access using the patient’s own vein as a graft rather than a direct artery-to-vein connection.
Code 36825 represents surgical creation of hemodialysis access using a vein from the same patient as a conduit, rather than joining a native artery and vein directly. A vascular surgeon typically uses this approach when an autogenous vein graft is selected to establish arteriovenous access. These procedures are generally performed in an operating room for patients needing long-term dialysis access.
Report the access-creation operation when the operative note identifies the patient’s vein as the conduit and distinguishes the construction from direct-anastomosis access or a prosthetic graft. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted. Modifier 50 is inappropriate for this code.
CMS billing rules for 36825
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.82 · 64%
- Practice expense (office) RVU4.22 · 20%
- Malpractice RVU3.55 · 16%
1.1K
Medicare services in 2024 · #2925 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.
36825 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
Code 36821 describes direct artery-to-vein access creation. Code 36825 uses an autologous vein graft rather than a direct anastomosis.
No office rate
Code 36818 describes direct access creation using the upper-arm cephalic vein. Code 36825 is for access constructed with an autologous graft.
No office rate
Code 36819 describes direct access creation using the upper-arm basilic vein. Code 36825 uses an autologous vein graft conduit.
Compare 36825 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
Ohio →
Office / nonfacility
Unavailable
Facility
$709.81
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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 36825 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
4,551
- Code
- 36825
- Physician work
- 13.82
- Practice expense
- 4.22
- Malpractice
- 3.55
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.82 | × 1.000 | 13.8200 |
| Practice expense | 4.22 | × 0.913 | 3.8529 |
| Malpractice | 3.55 | × 1.008 | 3.5784 |
| Total RVUs | 21.2513 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$709.81
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.82 | 1 |
| Practice expense | 4.22 | 0.913 |
| Malpractice | 3.55 | 1.008 |
(13.82 × 1 + 4.22 × 0.913 + 3.55 × 1.008) × $33.4009 = $709.81
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.
36825 billing questions
How is 36825 different from 36830?
Code 36825 uses the patient’s own vein as the graft conduit. Code 36830 describes access creation using a nonautologous graft.
When should a direct-anastomosis code be used instead?
Use a direct-anastomosis code when the surgeon connects the artery and vein directly without an interposed autologous graft. Codes 36818, 36819, 36820, and 36821 describe direct access creation in specified settings.
Does the 90-day global period include postoperative care?
Yes. The CMS global period includes the day-before preoperative visit and related postoperative care through day 90.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this code.
What documentation supports reporting 36825?
The operative note should identify the autologous vein conduit and describe creation of the access using a graft rather than a direct artery-to-vein connection.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple procedure reduction.
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.
4,54836820,,Av fusion/forearm vein,A,,12.74,3.89,NA,3.89,,3.24,19.87,19.87,0,090,0.09,0.84,0.07,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54936821,,Av fusion direct any site,A,,11.60,3.44,NA,3.44,,2.95,17.99,17.99,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,55036823,,Insertion of cannula(s),A,,22.41,11.02,NA,11.02,,6.00,39.43,39.43,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,55136825,,Artery-vein autograft,A,,13.82,4.22,NA,4.22,,3.55,21.59,21.59,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,55236830,,Artery-vein nonautograft,A,,11.73,3.45,NA,3.45,,3.00,18.18,18.18,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,55336831,,Open thrombect av fistula,A,,10.73,3.46,NA,3.46,,2.75,16.94,16.94,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,55436832,,Av fistula revision open,A,,13.16,4.13,NA,4.13,,3.32,20.61,20.61,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703