No office rate
Both codes concern cannula insertion, but their full descriptors distinguish the services. Verify the documented procedure against each descriptor rather than selecting by the shared short description.
On this page
CMS RVU26D · Effective 2026-10-01
36800 Cannula insertion Medicare reimbursement rates in Vermont
Reports surgical insertion of a cannula for hemodialysis access when the service is cannula placement rather than creation or revision of an arteriovenous access. Compare 36800 office and facility rates across CMS payment localities in Vermont.
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 36800 in Vermont?
Vermont 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
$102.90
1 of 1 localities have a supported rate.
Payment area: Vermont
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 36800: Surgical hemodialysis cannula insertion
Reports surgical insertion of a cannula for hemodialysis access when the service is cannula placement rather than creation or revision of an arteriovenous access.
This service involves surgically placing a cannula to provide vascular access for hemodialysis or another extracorporeal purpose. It is performed by a surgeon, commonly a vascular surgeon, in an operating room or other facility setting. The operative note should identify the vessels accessed, the cannula placement, and the purpose of the access so the service can be distinguished from construction of an arteriovenous fistula or graft.
Report the code for the cannula insertion itself, not for creating or revising a fistula or graft. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
CMS billing rules for 36800
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.37 · 74%
- Practice expense (office) RVU0.58 · 18%
- Malpractice RVU0.27 · 8%
5.8K
Medicare services in 2024 · #1780 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.
36800 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
This is another cannula-insertion code with a distinct descriptor. Choose based on the actual cannula service documented, not simply the fact that dialysis access was involved.
No office rate
Use 36821 for direct creation of an arteriovenous fistula. Use 36800 when the documented service is insertion of a cannula, not fistula construction.
No office rate
Code 36825 describes creation of arteriovenous access with an autogenous graft; 36800 describes cannula insertion.
Compare 36800 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
Vermont →
Office / nonfacility
Unavailable
Facility
$102.90
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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 36800 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
4,543
- Code
- 36800
- Physician work
- 2.37
- Practice expense
- 0.58
- Malpractice
- 0.27
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.37 | × 1.000 | 2.3700 |
| Practice expense | 0.58 | × 0.990 | 0.5742 |
| Malpractice | 0.27 | × 0.506 | 0.1366 |
| Total RVUs | 3.0808 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$102.90
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.37 | 1 |
| Practice expense | 0.58 | 0.99 |
| Malpractice | 0.27 | 0.506 |
(2.37 × 1 + 0.58 × 0.99 + 0.27 × 0.506) × $33.4009 = $102.90
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.
36800 billing questions
How is this different from an arteriovenous fistula code?
This code reports surgical cannula placement. Codes such as 36821 describe construction of an arteriovenous fistula, a different access procedure.
What documentation supports reporting this service?
Document the cannula placement, the vessels involved, and the clinical purpose of the access. The operative record should make clear that the service was cannula insertion rather than fistula or graft construction.
Can modifier 50 be reported for bilateral cannula insertion?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Is an assistant surgeon payable?
No. Medicare's statutory restriction prevents assistant-at-surgery payment for this code. Co-surgeons and team surgery are also not permitted.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full; other procedures performed in that session are subject to the standard multiple-procedure reduction.
What care is included in the global period?
The code has a 0-day global period. Same-day preoperative and postoperative care is included.
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.
4,54036640,,Insertion catheter artery,A,,2.05,0.83,NA,0.83,,0.14,3.02,3.02,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54136660,,Insertion catheter artery,A,,1.37,0.28,NA,0.28,,0.07,1.72,1.72,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54236680,,Insert needle bone cavity,A,,1.17,0.33,NA,0.33,,0.23,1.73,1.73,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54336800,,Insertion of cannula,A,,2.37,0.58,NA,0.58,,0.27,3.22,3.22,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54436810,,Insertion of cannula,A,,3.86,1.11,NA,1.11,,0.34,5.31,5.31,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54536815,,Insertion of cannula,A,,2.55,0.50,NA,0.50,,0.64,3.69,3.69,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,54636818,,Av fuse uppr arm cephalic,A,,12.08,3.69,NA,3.69,,3.05,18.82,18.82,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817