CPT code 36832: Fistula revision2026 Medicare rate & RVUs in Utah
Reports open surgical revision of a hemodialysis arteriovenous fistula when the access needs repair or reconstruction and thrombectomy is not performed.
CMS doesn’t publish an office rate for 36832 in Utah.
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 36832 covers
This service covers open repair or reconfiguration of an existing arteriovenous fistula used for hemodialysis. A vascular surgeon or another surgeon experienced in dialysis access may revise a fistula to address a structural or functional problem, such as a narrowed segment or an aneurysmal area. The operation is performed in a surgical setting and is distinct from creating a new access or removing clot from the fistula as part of the revision.
Report 36832 when the operative work revises the existing fistula without thrombectomy; when revision includes thrombectomy, the related code is 36833. The operative report should identify the access, the problem treated, the open revision performed, and whether clot removal was part of the operation. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
36832 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $668.80 |
How the 36832 rate is calculated
Each of 36832’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 · 36832
RVUs × geographic indexes × conversion factor
Work13.16
13.16 RVUs× 1.000 GPCI
Practice expense4.13
4.13 RVUs× 1.000 GPCI
Malpractice3.32
3.32 RVUs× 1.000 GPCI
Adjusted RVUs
20.6100
Conversion factor
$33.4009
Medicare rate
$688.39
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36832
36832 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 36832
Fistula revision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 36832
Fistula revision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
36832 without 51 · national facility
$688.39
Fistula revision
36832-51 · Second procedure: 50%
$344.20
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
36832 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 36833Fistula revision
- Choose 36833 when open fistula revision includes thrombectomy. Code 36832 is for revision without thrombectomy.
- 36831Fistula thrombectomy
- 36831 is open clot removal without revision. If the surgeon revises the fistula without thrombectomy, use 36832.
- 36821Dialysis access
- 36821 describes creation of a new direct arteriovenous connection. Code 36832 revises an existing fistula.
- 36830AV graft creation
- 36830 describes creation of an arteriovenous access using a nonautologous graft; it is not revision of an existing fistula.
36832 billing questions
How is 36832 different from 36833?
Use 36832 for open fistula revision without thrombectomy. When thrombectomy is performed as part of the revision, use 36833.
Can 36831 be reported with 36832 for clot removal?
36831 describes open thrombectomy without revision. When thrombectomy accompanies the open revision, 36833 is the corresponding code rather than separately reporting 36831 for that work.
What should the operative note document?
Document the existing dialysis fistula, the structural or functional problem, the open revision performed, and whether thrombectomy was included.
Can modifier 50 be used for a bilateral fistula revision?
CMS identifies bilateral adjustment as inappropriate for this code. The descriptor or anatomy makes modifier 50 unsuitable.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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