$1,201.48
36902 represents peripheral-segment angioplasty as part of the primary dialysis-circuit service. Use 36907 for angioplasty in the central segment; both may be reported when both segments are treated.
On this page
CMS RVU26D · Effective 2026-10-01
36907 Dialysis angioplasty Medicare reimbursement rates in Puerto Rico
Reports balloon dilation of a central vein in a dialysis access circuit, such as treatment of central venous narrowing during an access intervention. Compare 36907 office and facility rates across CMS payment localities in Puerto Rico.
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 36907 in Puerto Rico?
Puerto Rico 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
$583.40
1 of 1 localities have a supported rate.
Payment area: Puerto Rico
One mapped payment locality.
Facility setting
$127.53
1 of 1 localities have a supported rate.
Payment area: Puerto Rico
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 36907: Central dialysis segment balloon angioplasty
Reports balloon dilation of a central vein in a dialysis access circuit, such as treatment of central venous narrowing during an access intervention.
This add-on describes balloon dilation of a narrowed central portion of a hemodialysis access circuit. It is commonly performed by an interventional radiologist, vascular surgeon, or other qualified physician during fistulography or a related access intervention. A typical clinical situation is central venous narrowing associated with arm swelling, difficult dialysis access, or elevated venous pressures. Imaging used to guide and assess the angioplasty is part of the intervention.
Report 36907 with an eligible primary dialysis-circuit procedure, such as 36901–36906; it is not reported by itself. The primary code reflects the other work performed in the circuit, while this add-on identifies central-segment angioplasty. Documentation should establish the treated central lesion and the balloon treatment performed. CMS treats this as an add-on paid within the primary procedure’s global period, rather than as a separate primary procedure.
CMS billing rules for 36907
- 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 RVU2.93 · 17%
- Practice expense (office) RVU13.94 · 80%
- Malpractice RVU0.45 · 3%
36.7K
Medicare services in 2024 · #901 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.
36907 compared with similar codes
Office rates for Puerto Rico, from the same CMS release.
$2,225.04
36905 describes thrombectomy with peripheral-segment angioplasty. Add 36907 when central-segment angioplasty is also performed during the qualifying dialysis-circuit procedure.
$1,404.33
36908 identifies central-segment stent placement. Choose it for central stenting rather than reporting 36907 for angioplasty that is included in that stent treatment.
$692.29
36901 represents the primary dialysis-circuit imaging service without peripheral angioplasty. Add 36907 when central-segment balloon angioplasty is performed.
Compare 36907 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
Puerto Rico →
Office / nonfacility
$583.40
Facility
$127.53
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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 36907 in Puerto Rico.
PPRRVU2026_Oct_nonQPP.csv
4,568
- Code
- 36907
- Physician work
- 2.93
- Practice expense
- 13.94
- Malpractice
- 0.45
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 13.94 | × 1.011 | 14.0933 |
| Malpractice | 0.45 | × 0.985 | 0.4432 |
| Total RVUs | 17.4666 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Puerto Rico$583.40
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.93 | 1 |
| Practice expense | 13.94 | 1.011 |
| Malpractice | 0.45 | 0.985 |
(2.93 × 1 + 13.94 × 1.011 + 0.45 × 0.985) × $33.4009 = $583.40
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.93 | 1 |
| Practice expense | 0.44 | 1.011 |
| Malpractice | 0.45 | 0.985 |
(2.93 × 1 + 0.44 × 1.011 + 0.45 × 0.985) × $33.4009 = $127.53
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.
36907 billing questions
When is 36907 reported with 36902?
Report both when the session includes the service represented by 36902 and balloon angioplasty in the central dialysis segment. The 36902 service addresses angioplasty in the peripheral segment; 36907 identifies central-segment angioplasty.
Can 36907 be billed without a primary code?
No. It is an add-on and must be reported with an eligible primary dialysis-circuit procedure, such as a code from 36901–36906.
Is 36907 reported for each central lesion or balloon inflation?
Report the add-on for the central-segment angioplasty service, not separately for each balloon inflation. The record should identify the treated lesion and the intervention performed.
Can 36907 be reported when a central stent is placed?
When central-segment stent placement is performed, compare 36908, which represents that stent service. Do not separately use 36907 to describe angioplasty that is part of the stent treatment.
How does the global-period rule affect 36907?
CMS classifies 36907 as an add-on paid within the primary procedure’s global period. It is reported with the primary service, not as a stand-alone procedure.
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.
4,56536904,,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
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
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336