CPT 36905
Global 000 ActiveThrmbc/nfs dialysis circuit
CPT 36905 Billing & Documentation Guide
CPT code 36905 (Thrmbc/nfs dialysis circuit) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 8.78, a non-facility practice expense RVU of 55.95, and a malpractice RVU of 1.29, a total non-facility RVU of 66.02 and facility RVU of 11.55. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $2286.46, though rates vary from $1920.73 to $3043.39 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36905, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 36905 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 36905 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 36905
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 8.78 | 8.78 |
| Practice Expense RVU | 55.95 | 1.48 |
| Malpractice RVU | 1.29 | 1.29 |
| Total RVU | 66.02 | 11.55 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36905
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $2538.42 | $385.63 | $2369.52 - $3043.39 | 29 |
| Florida | $2252.15 | $426.74 | $2144.57 - $2347.63 | 3 |
| Georgia | $2128.07 | $392.41 | $2011.57 - $2244.57 | 2 |
| Illinois | $2182.34 | $424.39 | $2066.8 - $2290.9 | 4 |
| Michigan | $2108.69 | $400.33 | $2048.1 - $2169.28 | 2 |
| North Carolina | $2064.36 | $366.91 | $2064.36 - $2064.36 | 1 |
| New York | $2450.55 | $420.89 | $2098.89 - $2614.02 | 5 |
| Ohio | $2042.89 | $381.82 | $2042.89 - $2042.89 | 1 |
| Pennsylvania | $2172.43 | $390.38 | $2049.52 - $2295.34 | 2 |
| Texas | $2174.71 | $383.56 | $2033.88 - $2309.19 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 36905
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36905 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01844 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01916 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01924 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01925 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01926 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01930 | Column 1 (primary), can be billed with modifier | Yes | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0230T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 36905
What does CPT code 36905 mean? +
CPT code 36905 represents: Thrmbc/nfs dialysis circuit. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 000.
What is the Medicare reimbursement for CPT 36905? +
The 2026 Medicare national average non-facility payment for CPT 36905 is $2286.46. Rates range from $1920.73 to $3043.39 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36905? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 36905? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on April 17, 2026.
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