CPT 36907
Global ZZZ ActiveBalo angiop ctr dialysis seg
CPT 36907 Billing & Documentation Guide
CPT code 36907 (Balo angiop ctr dialysis seg) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.93, a non-facility practice expense RVU of 13.94, and a malpractice RVU of 0.45, a total non-facility RVU of 17.32 and facility RVU of 3.82. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $598.65, though rates vary from $505.56 to $788.09 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 36907, 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 36907 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 36907 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 36907
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.93 | 2.93 |
| Practice Expense RVU | 13.94 | 0.44 |
| Malpractice RVU | 0.45 | 0.45 |
| Total RVU | 17.32 | 3.82 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 36907
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 | $660.46 | $126.91 | $617.89 - $788.09 | 29 |
| Florida | $594.29 | $141.87 | $565.58 - $620.58 | 3 |
| Georgia | $560.19 | $130.02 | $531.1 - $589.27 | 2 |
| Illinois | $576.83 | $141.13 | $546.46 - $603.36 | 4 |
| Michigan | $556.22 | $132.82 | $539.93 - $572.52 | 2 |
| North Carolina | $541.88 | $121.18 | $541.88 - $541.88 | 1 |
| New York | $642.37 | $139.33 | $550.76 - $685.65 | 5 |
| Ohio | $538.12 | $126.43 | $538.12 - $538.12 | 1 |
| Pennsylvania | $570.88 | $129.21 | $539.5 - $602.26 | 2 |
| Texas | $570.76 | $126.83 | $535.53 - $603.99 | 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 36907
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 36907 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 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 |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 36907
What does CPT code 36907 mean? +
CPT code 36907 represents: Balo angiop ctr dialysis seg. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 36907? +
The 2026 Medicare national average non-facility payment for CPT 36907 is $598.65. Rates range from $505.56 to $788.09 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 36907? +
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 36907? +
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 June 1, 2026.
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