36904 Thrmbc/nfs dialysis circuit
Also known as: thrombectomy with new access, declotting with new fistula, access revision
Thrombectomy, open; by creation of new arteriovenous fistula or graft.
In Plain Language
removing a clot from dialysis access and creating a new access
Clinical Context
Used when thrombectomy alone insufficient and new vascular access needed for future dialysis.
RVU Breakdown
| Work RVU | 7.31 |
| Total RVU | 7.31 |
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 7.31, this code ranks in the 47th 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 36904?
CPT 36904 (Thrmbc/nfs dialysis circuit) is a Surgery code. Thrombectomy, open; by creation of new arteriovenous fistula or graft.
What is the wRVU value for CPT 36904?
The work RVU for CPT 36904 is 7.31. This code is primarily used by Vascular Surgery, Nephrology, General Surgery.
When is CPT 36904 used?
Used when thrombectomy alone insufficient and new vascular access needed for future dialysis.
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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.