CPT code 36836 represents a percutaneous procedure to create an arteriovenous fistula between a peripheral artery and peripheral vein in the upper limb to establish hemodialysis access. This procedure is a key option in vascular access management for patients requiring chronic dialysis because it can provide durable access with potentially lower infection and complication rates compared with central venous catheters.

Major national payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. Readers will find an overview of clinical context for arteriovenous fistula creation, expected sites of service, and commonly observed billing and coverage considerations. The publication summarizes typical payment and policy themes across payers, highlights where national coverage practices align or diverge, and notes common modifiers and reporting practices when available. Where payer-specific benchmarks and policy updates are available, those are summarized to help coding, billing, and administrative teams understand reimbursement pathways and documentation expectations for this procedure nationally.

Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related service-line specifics is noted where applicable elsewhere in the full publication.