# CPT 36902

> Medicare paid $1,334.59 for CPT 36902 in the office (non-facility) setting and $250.46 in a facility under the Q1 2020 Physician Fee Schedule, effective January 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 2.6% increase from the previous quarter.

## What it is

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.

## Selected release

- Release: Q1 2020 (2020 A)
- Effective: January 1 – March 31, 2020
- Status indicator: A
- Office (non-facility) national allowed amount: $1334.59
- Facility national allowed amount: $250.46
- Sequestration: not applied

## RVUs and formula

- Work RVU: 4.83
- Office (non-facility) practice expense RVU: 31.51
- Facility practice expense RVU: 1.47
- Malpractice RVU: 0.64
- Conversion factor: 36.0896
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2020)
- CMS file: https://www.cms.gov/files/zip/rvu20a-updated-01312020.zip
- Parsed file: PPRRVU20_Jan.csv, row 8,942
- Canonical page: https://localishealth.com/cpt/36902/2020/A
- Release-specific citation URL: https://localishealth.com/cpt/36902/2020/A
- Last significant update: 2026-08-04T03:09:22+00:00