36837 Prq av fstl crt uxtr sep acs
Also known as: percutaneous AV fistula, additional access site, PA fistula
Percutaneous arteriovenous fistula creation, subsequent access; separate access site.
In Plain Language
creating additional dialysis accesses using needle technique
Clinical Context
Used for creation of additional arteriovenous fistulas in different anatomic locations when initial percutaneous fistula inadequate.
RVU Breakdown
| Work RVU | 9.07 |
| Total RVU | 9.07 |
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 9.07, this code ranks in the 55th percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 36837?
CPT 36837 (Prq av fstl crt uxtr sep acs) is a Surgery code. Percutaneous arteriovenous fistula creation, subsequent access; separate access site.
What is the wRVU value for CPT 36837?
The work RVU for CPT 36837 is 9.07. This code is primarily used by Interventional Radiology, Nephrology, Vascular Surgery.
When is CPT 36837 used?
Used for creation of additional arteriovenous fistulas in different anatomic locations when initial percutaneous fistula inadequate.
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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.