Find policies, billing codes, payers, states, and providers

CPT 36907: Dialysis Access Balloon Angioplasty, Central Segment

CPT code 36907 describes balloon angioplasty of an obstructed central segment identified during a primary procedure on a patient’s dialysis circuit. This endovascular intervention re-establishes flow through a central dialysis outflow or inflow channel by intraluminal balloon dilation; radiological supervision and interpretation for necessary imaging are bundled into the code. The code matters nationally because maintaining functional dialysis access is critical to ongoing renal replacement therapy and care coordination across outpatient and inpatient settings.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. Readers will find a concise overview of clinical context and service setting, typical billing and coding considerations, and nationally oriented benchmarks where available. The publication also outlines common modifiers and related billing elements for claim submission and reimbursement workflows. Intended audiences include clinicians performing dialysis access interventions, interventional radiology teams, dialysis program administrators, and revenue cycle professionals who manage endovascular procedure coding and claims.

Customize your policy alerts

Sign up for cpt 36907 policy alerts

Get alerted when payer policies referencing 36907 are released or updated.

Monitor payer policy activity

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

Billing Code Overview

CPT code 36907 describes a balloon angioplasty performed on an obstructed central segment of a patient's dialysis circuit that is identified during a primary procedure on the dialysis access. The procedure involves intravascular balloon dilation within the vessel lumen to reopen the occluded channel. Radiological supervision and interpretation for any imaging required to perform the balloon angioplasty are included with this code.

Service type: Endovascular intervention (balloon angioplasty) on dialysis access

Typical site of service: Ambulatory surgical center or hospital interventional radiology suite during dialysis access procedures

Find policies, billing codes, payers, states, and providers

CPT 36907: Dialysis Access Balloon Angioplasty, Central Segment

Customize your policy alerts

Sign up for cpt 36907 policy alerts

Get alerted when payer policies referencing 36907 are released or updated.

Monitor payer policy activity

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

Billing Code Overview

Service type: Endovascular intervention (balloon angioplasty) on dialysis access

Typical site of service: Ambulatory surgical center or hospital interventional radiology suite during dialysis access procedures

Clinical & Coding Specifications

Clinical Context

A 62-year-old patient with end-stage renal disease (ESRD) presents with difficulty achieving adequate blood flow through a tunneled hemodialysis arteriovenous graft. During the primary dialysis circuit procedure, the interventionalist identifies a central intragraft stenosis/occluded central segment that prevents effective dialysis. Under conscious sedation in an outpatient vascular access center or interventional radiology suite, the provider performs percutaneous transluminal balloon angioplasty of the obstructed central segment using fluoroscopic guidance. Radiological supervision and interpretation for imaging (angiography) are included. The typical workflow includes pre-procedure assessment and consent, sterile preparation of the access site, introduction of vascular sheaths and guidewires, diagnostic angiography to localize the lesion, balloon selection and inflation to dilate the stenosis, post-dilation angiography to confirm vessel patency, hemostasis, and post-procedure monitoring. This procedure is commonly performed in ambulatory surgery centers, hospital outpatient departments, or interventional radiology suites and is billed when balloon angioplasty is performed to reopen an obstructed central segment of a dialysis circuit during the primary procedure.

Coding Specifications

Modifier	Description	When to Use
`11`	Normal or routine service	Use when the service is the usual, expected service by the performing provider.
`22`	Increased procedural services	Use when work, time, or intensity substantially exceeds the typical service for `36907`.
`52`	Reduced services	Use when the angioplasty is partially reduced or not completed as originally planned.
`53`	Discontinued procedure	Use when the procedure is started but terminated due to extenuating circumstances.
`59`	Distinct procedural service	Use when a separate, distinct procedure not normally reported together is performed in a different anatomical site.
`62`	Two surgeons	Use when two surgeons work together as primary surgeons on the procedure.
`66`	Surgical team	Use when a surgical team performs the procedure and team reporting is required.
`73`	Discontinued outpatient hospital/ASC procedure prior to anesthesia administration	Use when the outpatient angioplasty is discontinued before anesthesia for reasons such as patient instability.
`78`	Unplanned return to the operating/procedure room for a related procedure during the postoperative period	Use if the patient requires an unplanned repeat angioplasty in the OR/procedure room during the global period.
`79`	Unrelated procedure or service by the same physician during the postoperative period	Use when an unrelated procedure is performed during the global period.
`AQ`	Clinical Laboratory Improvement Amendments (CLIA) waived test performed in a non-laboratory setting	Use if waived point-of-care testing is performed in conjunction with the procedure.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery	Use when an advanced practice clinician assists in the procedure and payer requires this modifier.
`LT`	Left side	Use to indicate the left anatomical side when laterality reporting is required.
`RT`	Right side	Use to indicate the right anatomical side when laterality reporting is required.

Taxonomy Code	Specialty	Notes
`208100000X`	Vascular Surgery	Common performing specialty for dialysis circuit interventions.
`208600000X`	Radiology — Diagnostic	Interprets imaging; may perform in interventional radiology settings.
`2086S0102X`	Interventional Radiology	Procedural specialty directly performing balloon angioplasty of dialysis access.
`363LF0000X`	Nephrology	Referring and co-managing specialty; may perform dialysis access procedures in some settings.
`208000000X`	General Surgery	Performs vascular access and angioplasty in some institutions.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I77.6`	Arterial aneurysm of other sites	May be relevant if vascular abnormalities are identified during access evaluation (included as a less common association).
`T82.858A`	Other specified mechanical complication of vascular graft, initial encounter	Relevant for dysfunction of arteriovenous grafts causing obstruction requiring angioplasty.
`I65.29`	Occlusion and stenosis of other carotid artery	Less directly related but represents central vessel stenosis concepts; included when central vessel stenosis is the target.
`N18.6`	End stage renal disease	Primary underlying condition necessitating hemodialysis and creation/maintenance of dialysis circuit.
`I97.1`	Postprocedural hemorrhage and hematoma of a circulatory system organ or structure	Possible complication to monitor for after angioplasty procedures.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`36000`	Introduction of needle or intracatheter, vein	Used for initial vascular access or venous puncture prior to sheath placement for angiography.
`36215`	Selective catheter placement, arterial system; each first order thoracic, abdominal, or pelvic branch	Used when selective catheterization is required for diagnostic angiography during access evaluation (note: arterial code example when arterial imaging is needed).
`37220`	Revascularization, endovascular, open or percutaneous, central or peripheral artery, including angioplasty	Sometimes reported for peripheral arterial interventions; not generally reported with `36907` but may be relevant when additional arterial interventions are performed.
`36908`	Transcatheter placement of intravascular stent(s), dialysis circuit (e.g., arteriovenous graft or fistula)	Performed if angioplasty alone (`36907`) is insufficient and stent placement is required.
`76937`	Ultrasound guidance for vascular access requiring imaging documentation	Used when ultrasound guidance is employed for vascular access or lesion localization prior to angioplasty.

CPT 36901: Fluoroscopic Dialysis Circuit Contrast Angiography

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 and Pharmacologic Thrombolysis

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

CPT 36905: Dialysis Circuit Thrombectomy with Balloon Angioplasty and Angiography

CPT-36906-DIALYSIS-CIRCUIT-THROMBECTOMY-STENT-PLACEMENT

CPT 36906: Dialysis Circuit Thrombectomy with Angioplasty and Stent

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 or Embolization of Dialysis Circuit

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

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

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.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`11`	Normal or routine service	Use when the service is the usual, expected service by the performing provider.
`22`	Increased procedural services	Use when work, time, or intensity substantially exceeds the typical service for `36907`.
`52`	Reduced services	Use when the angioplasty is partially reduced or not completed as originally planned.
`53`	Discontinued procedure	Use when the procedure is started but terminated due to extenuating circumstances.
`59`	Distinct procedural service	Use when a separate, distinct procedure not normally reported together is performed in a different anatomical site.
`62`	Two surgeons	Use when two surgeons work together as primary surgeons on the procedure.
`66`	Surgical team	Use when a surgical team performs the procedure and team reporting is required.
`73`	Discontinued outpatient hospital/ASC procedure prior to anesthesia administration	Use when the outpatient angioplasty is discontinued before anesthesia for reasons such as patient instability.
`78`	Unplanned return to the operating/procedure room for a related procedure during the postoperative period	Use if the patient requires an unplanned repeat angioplasty in the OR/procedure room during the global period.
`79`	Unrelated procedure or service by the same physician during the postoperative period	Use when an unrelated procedure is performed during the global period.
`AQ`	Clinical Laboratory Improvement Amendments (CLIA) waived test performed in a non-laboratory setting	Use if waived point-of-care testing is performed in conjunction with the procedure.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery	Use when an advanced practice clinician assists in the procedure and payer requires this modifier.
`LT`	Left side	Use to indicate the left anatomical side when laterality reporting is required.
`RT`	Right side	Use to indicate the right anatomical side when laterality reporting is required.

Taxonomy Code	Specialty	Notes
`208100000X`	Vascular Surgery	Common performing specialty for dialysis circuit interventions.
`208600000X`	Radiology — Diagnostic	Interprets imaging; may perform in interventional radiology settings.
`2086S0102X`	Interventional Radiology	Procedural specialty directly performing balloon angioplasty of dialysis access.
`363LF0000X`	Nephrology	Referring and co-managing specialty; may perform dialysis access procedures in some settings.
`208000000X`	General Surgery	Performs vascular access and angioplasty in some institutions.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I77.6`	Arterial aneurysm of other sites	May be relevant if vascular abnormalities are identified during access evaluation (included as a less common association).
`T82.858A`	Other specified mechanical complication of vascular graft, initial encounter	Relevant for dysfunction of arteriovenous grafts causing obstruction requiring angioplasty.
`I65.29`	Occlusion and stenosis of other carotid artery	Less directly related but represents central vessel stenosis concepts; included when central vessel stenosis is the target.
`N18.6`	End stage renal disease	Primary underlying condition necessitating hemodialysis and creation/maintenance of dialysis circuit.
`I97.1`	Postprocedural hemorrhage and hematoma of a circulatory system organ or structure	Possible complication to monitor for after angioplasty procedures.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`36000`	Introduction of needle or intracatheter, vein	Used for initial vascular access or venous puncture prior to sheath placement for angiography.
`36215`	Selective catheter placement, arterial system; each first order thoracic, abdominal, or pelvic branch	Used when selective catheterization is required for diagnostic angiography during access evaluation (note: arterial code example when arterial imaging is needed).
`37220`	Revascularization, endovascular, open or percutaneous, central or peripheral artery, including angioplasty	Sometimes reported for peripheral arterial interventions; not generally reported with `36907` but may be relevant when additional arterial interventions are performed.
`36908`	Transcatheter placement of intravascular stent(s), dialysis circuit (e.g., arteriovenous graft or fistula)	Performed if angioplasty alone (`36907`) is insufficient and stent placement is required.
`76937`	Ultrasound guidance for vascular access requiring imaging documentation	Used when ultrasound guidance is employed for vascular access or lesion localization prior to angioplasty.

CPT 36901: Fluoroscopic Dialysis Circuit Contrast Angiography

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 and Pharmacologic Thrombolysis

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

CPT 36905: Dialysis Circuit Thrombectomy with Balloon Angioplasty and Angiography

CPT-36906-DIALYSIS-CIRCUIT-THROMBECTOMY-STENT-PLACEMENT

CPT 36906: Dialysis Circuit Thrombectomy with Angioplasty and Stent

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 or Embolization of Dialysis Circuit

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

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 36907: Dialysis Access Balloon Angioplasty, Central Segment

Sign up for cpt 36907 policy alerts

Billing Code Overview

Catch payer policy changes before they impact reimbursement

Catch payer policy changes before they impact reimbursement

OpenPayer

CPT 36907: Dialysis Access Balloon Angioplasty, Central Segment

Sign up for cpt 36907 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References