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    v1.0.30
    OpenPayerBilling CodesDialysis Circuit ProceduresCPT cpt-36906-dialysis-circuit-thrombectomy-stent-placement
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    CPT 36906: Dialysis Circuit Thrombectomy, Angioplasty, and Stent Placement

    Medicare pays $6186 and commercial payers pay $3820 on average nationally for this procedure.

    CPT code 36906 describes a fluoroscopy-guided dialysis circuit procedure in which a catheter is introduced to extract a clot (thrombectomy) and/or deliver a clot-dissolving drug (pharmacologic thrombolysis), followed by dilation of a narrowed segment and placement of a stent; the service includes diagnostic angiography and radiological supervision and interpretation. Service type: image-guided endovascular thrombectomy with angioplasty and stent placement. Typical site of service: hospital interventional radiology suite or ambulatory surgical center with fluoroscopic capability.

    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

    Across national payers, Medicare's mean rate of $6,186.40 sits between BUCA's average commercial mean of $3,819.70 and several higher commercial payers; Medicare is roughly $2,366.70 higher than BUCA on average, signaling Medicare reimbursements are substantially above this commercial benchmark but below the highest commercial means. This positions Medicare nearer the middle of the national spectrum for CPT 36906 when compared to large commercial plans.

    Dispersion measured as P75 minus P25 highlights variability: UnitedHealth Group shows the widest interquartile spread at $9,725.00 ($11,149.50 - $1,421.50), followed by Cigna at $7,471.60 and Blue Cross Blue Shield at $4,186.00. Aetna's spread is $4,986.00 and BUCA's is $5,551.50; Medicare is tight with a spread of $840.00 ($6,464 - $5,624). Thus UnitedHealth Group and Cigna display the greatest rate variability while Medicare is the tightest.

    National Payer Mean Reimbursement Rates

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    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 62-year-old patient with end-stage renal disease (N18.6) and dependence on renal dialysis (Z99.2) presents with acute decreased dialysis circuit flow and prolonged bleeding from the arteriovenous graft. Imaging and physical exam suggest thrombotic occlusion of the graft with an underlying stenotic lesion at the venous anastomosis. The interventional team performs the procedure under fluoroscopic guidance: percutaneous access to the dialysis circuit, diagnostic angiography to define the clot and a focal narrowing, mechanical thrombectomy and/or pharmacologic thrombolytic infusion to remove the clot, followed by balloon angioplasty of the stenotic segment and deployment of a stent to maintain lumen patency. Radiological supervision and interpretation are performed throughout.

    Pre-procedure workflow includes review of recent dialysis session notes, anticoagulation status, and cross-sectional imaging if available. The patient is consented for endovascular thrombectomy with possible thrombolytic therapy and stent placement. Intra-procedure workflow includes vascular access, contrast angiography to localize thrombus and stenosis, thrombectomy/thrombolysis, angioplasty, stent deployment, completion angiography, and hemostasis. Post-procedure care includes monitoring for bleeding or hematoma, neurovascular checks, dialysis scheduling adjustments, and documentation of devices placed and radiology interpretation.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure

    Related Modifiers

    9 rows

    ModifierDescriptionWhen to Use
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    76Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
    78CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
    79Modifier 79 indicates a surgical procedure performed during the postoperative global period of a prior surgery that is unrelated to the original procedure. Per AMA/CPT and CMS guidance, it is…- Use modifier 79 when the same physician (or same‑specialty physician in the same group) performs a surgical procedure during the postoperative global period of a prior surgery and the new procedure…
    50Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    2086S0129X
    208C00000X
    207V00000X
    207QA0401X
    207ZC0008X
    163WN0003X
    3245S0500X
    175F00000X

    Related Payer Policy Updates

    Specialty: Dialysis/Renal Replacement1 / 3

    10 rows

    PolicyPayerEffective Date
    Percutaneous Arteriovenous Fistula CreationAmeriHealth Caritas2026-08-01
    Dialysis Services (ESRD) Coverage and Provider RequirementsMississippi Division of Medicaid2026-08-01
    Total Parenteral Nutrition and Intradialytic Parenteral NutritionCentene2026-05-01
    End Stage Renal Disease (ESRD): Renal Dialysispriority health2026-02-01
    Dialysis services (acute and chronic hemodialysis and peritoneal dialysis)UnitedHealthcare2026-01-01
    Home Hemodialysis (HHD) Coverage Criteriasierra health and life2026-01-01
    Home Hemodialysis (HHD) — Coverage CriteriaUnitedHealthcare2026-01-01
    Staff-Assisted Home HemodialysisCigna2025-11-15
    Parsabiv (etelcalcetide) Coverage for Secondary HyperparathyroidismMolina Healthcare2025-10-09
    DefenCath (taurolidine/heparin catheter lock) CoverageMass General Brigham Health Plan2025-09-01

    Related Codes

    CPT-36901-DIALYSIS-CIRCUIT-CONTRAST-ANGIOGRAPHY-FLUOROSCOPIC-EVALUATION

    CPT 36901: Dialysis Circuit Angiography with Fluoroscopic Contrast

    CPT-36902-DIALYSIS-CIRCUIT-ANGIOGRAPHY-BALLOON-ANGIOPLASTY

    CPT 36902: Dialysis Circuit Angiography with Balloon Angioplasty

    CPT-36903-DIALYSIS-ACCESS-ANGIOGRAPHY-WITH-STENT-PLACEMENT

    CPT 36903: Dialysis Access Angiography with Intravascular Stent Placement

    CPT-36904-DIALYSIS-CIRCUIT-THROMBECTOMY-THROMBOLYSIS

    CPT 36904: Dialysis Circuit Thrombectomy with Pharmacologic Thrombolysis

    CPT-36905-DIALYSIS-CIRCUIT-THROMBECTOMY-ANGIOPLASTY-ANGIOGRAPHY

    CPT 36905: Dialysis Circuit Thrombectomy with Angioplasty

    CPT-36907-DIALYSIS-ACCESS-BALLOON-ANGIOPLASTY-CENTRAL-SEGMENT

    CPT 36907: Balloon Angioplasty of Obstructed Central Segment

    CPT-36908-DIALYSIS-CIRCUIT-INTRAVASCULAR-STENT-PLACEMENT

    CPT 36908: Intravascular Stent Placement for Dialysis Circuit

    CPT-36909-DIALYSIS-CIRCUIT-ENDOVASCULAR-OCCLUSION-EMBOLIZATION

    CPT 36909: Permanent Endovascular Occlusion of Dialysis Circuit

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    36901
    Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all imaging and radiological supervision and interpretation necessary to perform the angiography
    Often performed as the initial intraprocedural step to map the dialysis circuit before thrombectomy or intervention; contained in the diagnostic component of the full procedure
    36902Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography and percutaneous transluminal angioplasty of the peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplastyUsed when balloon angioplasty of a peripheral dialysis segment is performed without thrombectomy or stent, or when angioplasty is a separate billed service
    36907Transluminal balloon angioplasty, central dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the dialysis circuitApplied when angioplasty is performed in the central segment of the dialysis circuit; may be part of a staged or adjunct procedure to maintain central venous patency
    36908Transluminal balloon angioplasty, central dialysis segment, with stent placement, including all imaging and radiological supervision and interpretation necessary to perform the stent placement within the dialysis circuitDirectly related for central segment stent placement; similar clinical intent to 36906 but differs by anatomic segment or combination of services — billing relationship depends on exact vessels treated and whether thrombectomy was performed