# CPT 36906

> Medicare paid $6,948.64 for CPT 36906 in the office (non-facility) setting and $538.19 in a facility under the Q3 2018 Physician Fee Schedule, effective July 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2018, when it increased 1.2%.

## What it is

Rescue of a clotted dialysis fistula or graft in which a stent is placed as part of the same session. Clot is removed or dissolved through a sheath in the access, the circuit is imaged, and a stent is deployed across the narrowing in the peripheral segment that led to the clot, with any balloon work in that segment counted as part of the same procedure. What separates this entry from its neighbours is that a stent was needed, not just a balloon, on top of the clot removal.

## Selected release

- Release: Q3 2018 (2018 C)
- Effective: July 1 – September 30, 2018
- Status indicator: A
- Office (non-facility) national allowed amount: $6948.64
- Facility national allowed amount: $538.19
- Sequestration: not applied

## RVUs and formula

- Work RVU: 10.42
- Office (non-facility) practice expense RVU: 181.14
- Facility practice expense RVU: 3.07
- Malpractice RVU: 1.46
- Conversion factor: 35.9996
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2018)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18c1.zip
- Parsed file: PPRRVU18_JUL.csv, row 8,495
- Canonical page: https://localishealth.com/cpt/36906/2018/A
- Release-specific citation URL: https://localishealth.com/cpt/36906/2018/C
- Last significant update: 2026-08-04T03:08:27+00:00
