$1,240.54–$1,423.34
Use 36902 for peripheral-segment angioplasty without a stent. Use 36903 when a peripheral-segment stent is placed; angioplasty in that same segment is included.
On this page
CMS RVU26D · Effective 2026-10-01
36903 Dialysis access stenting Medicare reimbursement rates in Washington
Reports angiography of a hemodialysis access circuit with stent placement in its peripheral segment, including angioplasty performed in that segment. Compare 36903 office and facility rates across CMS payment localities in Washington.
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 36903 in Washington?
Washington has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$5038.54–$5841.59
2 of 2 localities have a supported rate.
Facility setting
$273.90–$289.63
2 of 2 localities have a supported rate.
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 36903: Dialysis circuit stent placement
Reports angiography of a hemodialysis access circuit with stent placement in its peripheral segment, including angioplasty performed in that segment.
An interventional radiologist, vascular surgeon, or other qualified physician accesses a hemodialysis fistula or graft with needles or catheters, performs diagnostic angiography, and places a stent to treat a lesion in the peripheral dialysis segment. Typical cases involve a stenosis compromising access flow or dialysis function. The service may take place in an outpatient angiography suite or hospital procedure room. Angioplasty performed in the same peripheral segment is included in this code.
Report 36903 when the documented intervention includes peripheral-segment stent placement; angiography and the stent location should be clear in the procedure report. The code includes the imaging and its interpretation for the circuit evaluation and intervention, so those elements are not separately reported for the same service. It has a 0-day global period, with same-day preoperative and postoperative care included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 36903
- 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 RVU6.23 · 4%
- Practice expense (office) RVU136.52 · 95%
- Malpractice RVU1.03 · 1%
14.2K
Medicare services in 2024 · #1286 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.
36903 compared with similar codes
Office rates for Washington, from the same CMS release.
$6,200.25–$7,177.06
Both involve peripheral-segment stenting, but 36906 includes dialysis-circuit thrombectomy with thrombolysis. Use 36903 when the service does not include that thrombectomy treatment.
$1,452.62–$1,673.01
36908 is for stent placement in the central dialysis segment and is an add-on code. 36903 describes the primary intervention with stenting in the peripheral segment.
Compare 36903 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.
2 of 2 payment localities
Rest Of Washington →
Office / nonfacility
$5038.54
Facility
$273.90
Seattle (King Cnty) →
Office / nonfacility
$5841.59
Facility
$289.63
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36903 billing questions
When should 36903 be chosen instead of 36902?
Choose 36903 when a stent is placed in the peripheral dialysis segment. Code 36902 describes peripheral-segment angioplasty without stent placement.
Can angioplasty in the stented peripheral segment be reported separately?
No. Angioplasty performed in the same peripheral segment as the stent is included in 36903.
Is the diagnostic angiography separately billable with 36903?
The circuit angiography and its imaging and interpretation are included in 36903 for the service being reported.
Can 36907 or 36908 be reported with 36903?
They may be reported as add-on codes when a separate intervention is performed in the central dialysis segment: angioplasty for 36907 or stent placement for 36908.
Should modifier 50 be appended for treatment of both sides?
No. The descriptor or anatomy makes modifier 50 inappropriate for 36903.
What documentation supports 36903?
Document the access circuit evaluated, angiographic findings, the peripheral-segment site treated, and the stent placement. Record any angioplasty performed in that same segment as part of the service.
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.
4,56136861,,Cannula declotting,A,,2.46,0.59,NA,0.59,,0.65,3.70,3.70,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56236901,,Intro cath dialysis circuit,A,,3.28,16.76,,0.62,,0.51,20.55,4.41,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56336902,,Intro cath dialysis circuit,A,,4.71,30.22,,0.86,,0.72,35.65,6.29,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56436903,,Intro cath dialysis circuit,A,,6.23,136.52,,1.05,,1.03,143.78,8.31,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56536904,,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