36906 Thrmbc/nfs dialysis circuit
Also known as: repeat thrombectomy, second thrombectomy, declotting repeat
Thrombectomy, open; of mature arteriovenous fistula or graft (subsequent attempt); same day as original attempt.
In Plain Language
removing a clot again from a dialysis access on the same day
Clinical Context
Used when initial thrombectomy unsuccessful and second attempt needed same day. Indicates technical difficulty.
RVU Breakdown
| Work RVU | 10.16 |
| Total RVU | 10.16 |
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 10.16, this code ranks in the 59th percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 36906?
CPT 36906 (Thrmbc/nfs dialysis circuit) is a Surgery code. Thrombectomy, open; of mature arteriovenous fistula or graft (subsequent attempt); same day as original attempt.
What is the wRVU value for CPT 36906?
The work RVU for CPT 36906 is 10.16. This code is primarily used by Vascular Surgery, Nephrology, General Surgery.
When is CPT 36906 used?
Used when initial thrombectomy unsuccessful and second attempt needed same day. Indicates technical difficulty.
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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.