CPT 36902: Dialysis Circuit Angiography with Balloon Angioplasty
Medicare pays $1241 and commercial payers pay $1182 on average nationally for this procedure.
CPT code 36902 describes percutaneous dialysis circuit angiography with fluoroscopic needle or catheter placement, contrast injection and image capture to visualize the entire dialysis access circuit, followed by balloon angioplasty of an identified obstructed segment; service type: image-guided diagnostic angiography with therapeutic balloon dilation; typical site of service: outpatient or hospital-based interventional radiology or endovascular suite under fluoroscopic guidance.
For related coverage guidance, see recent payer policy updates: Percutaneous Arteriovenous Fistula Creation, Dialysis Services (ESRD) Coverage and Provider Requirements, Total Parenteral Nutrition and Intradialytic Parenteral Nutrition.
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National Reimbursement Benchmarks
Nationally, Medicare’s mean rate of $1,240.80 for CPT 36902 sits slightly above BUCA’s commercial average of $1,181.80, indicating Medicare reimbursement is modestly higher than this blended commercial benchmark. The proximity of those means suggests commercial arrangements captured by BUCA are competitive with public rates for this code, with differences on the order of roughly $59.00.
Dispersion varies across payers: Blue Cross Blue Shield shows a wide interquartile spread (P75–P25 = $1,274.00), and UnitedHealth Group is the widest with a spread of $1,568.00, indicating large variability in contracted rates. Aetna and Cigna are comparatively tighter, with spreads of $1,013.90 and $1,294.80 respectively, while BUCA’s spread is $1,109.50 and Medicare’s is narrow at $154.00, making Medicare the tightest and UnitedHealth Group the most dispersed.