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.

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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.

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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.

Customize your policy alerts

Sign up for cpt 36906 policy alerts

Get alerted when payer policies referencing 36906 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

National Reimbursement Benchmarks

National Payer Mean Reimbursement Rates

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 Code	Description	Relationship to This Procedure
`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
`36902`	Introduction 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 angioplasty	Used when balloon angioplasty of a peripheral dialysis segment is performed without thrombectomy or stent, or when angioplasty is a separate billed service
`36907`	Transluminal balloon angioplasty, central dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the dialysis circuit	Applied 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
`36908`	Transluminal 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 circuit	Directly 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

Related Modifiers

9 rows

Modifier	Description	When to Use
26	Modifier 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…
59	Modifier 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…
62	Modifier 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…
76	Modifier -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…
78	CPT 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…
79	Modifier 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…
50	Modifier –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…
52	Modifier ‑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…
53	Modifier 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	Specialty	Notes
2086S0129X	Vascular Surgery Physician	A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
208C00000X	Colon & Rectal Surgery Physician	A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by m…
207V00000X	Obstetrics & Gynecology Physician	An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproducti…
207QA0401X	Addiction Medicine (Family Medicine) Physician	A family medicine physician who specializes in the diagnosis and treatment of addictions.
207ZC0008X	Clinical Informatics (Pathology) Physician	Physicians who practice Clinical Informatics collaborate with other health care and information technology professionals to analyze, design, implement…
163WN0003X	Low-Risk Neonatal Registered Nurse	Nursing Service Providers · Registered Nurse
3245S0500X	Children's Substance Abuse Rehabilitation Facility	A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the tre…
175F00000X	Naturopath	Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural…

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.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.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.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.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`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
`36902`	Introduction 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 angioplasty	Used when balloon angioplasty of a peripheral dialysis segment is performed without thrombectomy or stent, or when angioplasty is a separate billed service
`36907`	Transluminal balloon angioplasty, central dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the dialysis circuit	Applied 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
`36908`	Transluminal 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 circuit	Directly 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

Related Modifiers

9 rows

Modifier	Description	When to Use
26	Modifier 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…
59	Modifier 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…
62	Modifier 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…
76	Modifier -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…
78	CPT 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…
79	Modifier 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…
50	Modifier –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…
52	Modifier ‑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…
53	Modifier 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	Specialty	Notes
2086S0129X	Vascular Surgery Physician	A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
208C00000X	Colon & Rectal Surgery Physician	A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by m…
207V00000X	Obstetrics & Gynecology Physician	An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproducti…
207QA0401X	Addiction Medicine (Family Medicine) Physician	A family medicine physician who specializes in the diagnosis and treatment of addictions.
207ZC0008X	Clinical Informatics (Pathology) Physician	Physicians who practice Clinical Informatics collaborate with other health care and information technology professionals to analyze, design, implement…
163WN0003X	Low-Risk Neonatal Registered Nurse	Nursing Service Providers · Registered Nurse
3245S0500X	Children's Substance Abuse Rehabilitation Facility	A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the tre…
175F00000X	Naturopath	Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural…

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.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.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.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.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 36906: Dialysis Circuit Thrombectomy, Angioplasty, and Stent Placement

Sign up for cpt 36906 policy alerts

National Reimbursement Benchmarks

OpenPayer

CPT 36906: Dialysis Circuit Thrombectomy, Angioplasty, and Stent Placement

Sign up for cpt 36906 policy alerts

National Reimbursement Benchmarks

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

CPT 36906: Dialysis Circuit Thrombectomy, Angioplasty, and Stent Placement

Sign up for cpt 36906 policy alerts

National Reimbursement Benchmarks

CPT 36906: Dialysis Circuit Thrombectomy, Angioplasty, and Stent Placement

Sign up for cpt 36906 policy alerts

National Reimbursement Benchmarks

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What procedures and services are included in CPT 36906?

Where is CPT 36906 typically performed?

Which modifiers are commonly referenced for billing CPT 36906?

What are the national payer mean reimbursement benchmarks and how do payers compare?

Which related CPT codes should be considered when coding procedures associated with dialysis circuit thrombectomy and stent placement?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What procedures and services are included in CPT 36906?

Where is CPT 36906 typically performed?

Which modifiers are commonly referenced for billing CPT 36906?

What are the national payer mean reimbursement benchmarks and how do payers compare?

Which related CPT codes should be considered when coding procedures associated with dialysis circuit thrombectomy and stent placement?

References