{
    "code": "36902",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/36902/2019/A",
    "release_specific_url": "https://localishealth.com/cpt/36902/2019/A",
    "description": "Treatment of a narrowed dialysis fistula or graft, done through a needle stick into the access itself. Contrast is injected and images taken of the circuit from the arterial inflow through the graft or fistula and out along the draining veins, and then a balloon is tracked over a wire and inflated to stretch open the narrowed spot in the peripheral segment, which runs from the access up to about the level of the armpit. The imaging of the circuit and the balloon work are described together as a single procedure. Sibling codes distinguish what was actually done: imaging alone, imaging plus a balloon here, a stent, or removal of clot.",
    "answer": {
        "question": "How much did Medicare pay for CPT 36902 in Q1 2019?",
        "text": "Medicare paid $1,300.65 for CPT 36902 in the office (non-facility) setting and $251.55 in a facility under the Q1 2019 Physician Fee Schedule, effective January 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 2.2% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2019,
        "quarter": "A",
        "label": "Q1 2019",
        "effective": "January 1 – March 31, 2019",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 1300.65,
        "facility": 251.55,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 4.83,
        "practice_expense_non_facility": 30.59,
        "practice_expense_facility": 1.48,
        "malpractice": 0.67
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0391,
    "source": {
        "label": "Physician relative value file (Q1 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19a.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/A",
        "file": "PPRRVU19_V1213.csv",
        "row": 8704,
        "sha256": "027b1b615e25a1c68ccff88175acf40056bc59d858295f8e37b0c5a88a2e7d35"
    },
    "modified_at": "2026-08-04T03:08:45+00:00"
}