CPT 36821Arteriovenous anastomosis, open; direct, any site

Vascular AccessGlobal Period: 90 days

RVU Values (2026 CMS Fee Schedule)

11.85
Work RVU
10.81
PE RVU
0.79
MP RVU
23.45
Total RVU
Estimated Medicare Payment: $794.72 (CF: $33.89)
Global Period: 90 days

Common Modifiers

-LT, -RT

Related ICD-10 Codes

N18.6, Z99.2

Billing Tips

When billing CPT 36821, ensure your operative note clearly documents the procedure performed, clinical indication, and any complications or additional work that would support modifier usage. Always verify the code against the current AMA CPT Professional Edition before claim submission.

For multi-procedure cases, use our Case Builder to automatically calculate adjusted wRVUs with proper MPPR ranking.

Related CPT Codes in Vascular Access

CPT 36568 — Insertion of peripherally inserted central venous catheter ( CPT 36561 — Insertion of tunneled centrally inserted central venous acce CPT 36640 — Arterial catheterization for prolonged infusion therapy (che CPT 36830 — Creation of arteriovenous fistula by other than direct arter
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