Billing code 36907: Dialysis angioplastyMedicare rate & RVUs in Texas
Reports balloon dilation of a central vein in a dialysis access circuit, such as treatment of central venous narrowing during an access intervention.
Medicare pays $535.53–$603.99 for 36907 in the office in Texas, from Beaumont to Austin. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 36907 covers
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.
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.
Where 36907 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$535.53 to $603.99
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $603.99 | $126.93 |
| Beaumont | $535.53 | $125.20 |
| Brazoria | $571.79 | $124.94 |
| Dallas | $575.39 | $126.28 |
| Fort Worth | $570.93 | $126.33 |
| Galveston | $573.44 | $125.69 |
| Houston | $581.68 | $133.92 |
| Rest Of Texas | $553.30 | $125.38 |
How the 36907 rate is calculated
Each of 36907’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 36907
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.93Practice expense 13.94Malpractice 0.45
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 36907
The CMS indicators that decide how 36907 is paid alongside other services.
CMS payment indicators · 36907
Dialysis angioplasty
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
36907 compared with similar codes
Compare codes
36907 vs 36902 vs 36905 vs 36908 vs 36901: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 36902Dialysis access angioplasty
- 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.
- 36905Dialysis thrombectomy
- 36905 describes thrombectomy with peripheral-segment angioplasty. Add 36907 when central-segment angioplasty is also performed during the qualifying dialysis-circuit procedure.
- 36908Stent placement
- 36908 identifies central-segment stent placement. Choose it for central stenting rather than reporting 36907 for angioplasty that is included in that stent treatment.
- 36901Circuit angiography
- 36901 represents the primary dialysis-circuit imaging service without peripheral angioplasty. Add 36907 when central-segment balloon angioplasty is performed.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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