CPT 36906
Global 000 ActiveThrmbc/nfs dialysis circuit
CPT 36906 Billing & Documentation Guide
CPT code 36906 (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 10.16, a non-facility practice expense RVU of 165.43, and a malpractice RVU of 1.5, a total non-facility RVU of 177.09 and facility RVU of 13.33. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $6155.78, though rates vary from $5111.57 to $8371.32 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36906, 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 36906 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 36906 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 36906
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 10.16 | 10.16 |
| Practice Expense RVU | 165.43 | 1.67 |
| Malpractice RVU | 1.5 | 1.5 |
| Total RVU | 177.09 | 13.33 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36906
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 | $6916.89 | $444.69 | $6427.94 - $8371.32 | 29 |
| Florida | $5980.81 | $492.85 | $5697.04 - $6218.12 | 3 |
| Georgia | $5671.15 | $453.02 | $5327.83 - $6014.46 | 2 |
| Illinois | $5775.31 | $490.18 | $5462.45 - $6105.21 | 4 |
| Michigan | $5598.33 | $462.25 | $5440.71 - $5755.94 | 2 |
| North Carolina | $5526.67 | $423.41 | $5526.67 - $5526.67 | 1 |
| New York | $6587.82 | $485.78 | $5623.81 - $7023.94 | 5 |
| Ohio | $5434.65 | $440.78 | $5434.65 - $5434.65 | 1 |
| Pennsylvania | $5808.21 | $450.6 | $5459.12 - $6157.29 | 2 |
| Texas | $5827.62 | $442.67 | $5414.11 - $6230.41 | 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 36906
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36906 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 36906
What does CPT code 36906 mean? +
CPT code 36906 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 36906? +
The 2026 Medicare national average non-facility payment for CPT 36906 is $6155.78. Rates range from $5111.57 to $8371.32 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36906? +
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 36906? +
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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