36836 Prq av fstl crtj uxtr 1 acs
Also known as: percutaneous AV fistula, PA fistula, needle-based fistula
Percutaneous arteriovenous fistula creation, first access; single needle approach (including ultrasound guidance, when performed).
In Plain Language
creating a dialysis access without surgery using a needle
Clinical Context
Newer minimally invasive technique for creating arteriovenous fistula. Single needle approach requiring specialized equipment.
RVU Breakdown
| Work RVU | 7.02 |
| Total RVU | 7.02 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 7.02, this code ranks in the 45th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 36836?
CPT 36836 (Prq av fstl crtj uxtr 1 acs) is a Surgery code. Percutaneous arteriovenous fistula creation, first access; single needle approach (including ultrasound guidance, when performed).
What is the wRVU value for CPT 36836?
The work RVU for CPT 36836 is 7.02. This code is primarily used by Interventional Radiology, Nephrology, Vascular Surgery.
When is CPT 36836 used?
Newer minimally invasive technique for creating arteriovenous fistula. Single needle approach requiring specialized equipment.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.