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CPT code 36245: Selective catheterization, first-order abdominal or leg branch2026 Medicare rate & RVUs in Washington, DC area

Reports selective catheter placement into a first-order abdominal, pelvic, or lower-extremity artery branch during diagnostic angiography or an endovascular procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality28.1K Medicare services in 2024

In Washington, DC area, Medicare pays $1,391.51 for 36245 in the office and $223.32 when it’s performed in a hospital or facility.

$1,391.51Office (non-facility)
$223.32Hospital or facility
+16.1%vs the national office rate ($1,198.76)

Check a contract rate as a % of Medicare · 36245 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 36245 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 36245 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 36245 covers

This service covers advancing a catheter beyond the access vessel into a first-order branch of the abdominal, pelvic, or lower-extremity arterial tree. Examples of first-order abdominal branches include the celiac and superior mesenteric arteries. Interventional radiologists, vascular surgeons, and other physicians who perform angiography or endovascular procedures commonly place these catheters in hospital and outpatient settings. The code describes catheter position, not the imaging interpretation or treatment performed through the catheter.

Select this level when documentation identifies the catheterized branch and supports first-order placement; a catheter left in the aorta is not selective placement. Report higher-order branches at the appropriate level, and use the dedicated renal artery codes for services covered by that renal family. If the same session includes multiple procedures, CMS pays the highest-valued procedure in full and the others at 50%. For a bilateral procedure reported with modifier 50, CMS pays 150%.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Washington, DC area compares for 36245

Across 109 of 109 payment localities, the office rate for 36245 runs from $1,041.19 in Arkansas to $1,652.35 in San Benito County, CA. Washington, DC area pays $1,391.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

36245 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$1,391.51
  2. Los Angeles, CA · California$1,381.74−$9.77
  3. Miami, FL · Florida$1,284.45−$107.06
  4. Chicago, IL · Illinois$1,242.11−$149.40
  5. Manhattan, NY · New York$1,390.31−$1.20
  6. Alaska · Alaska$1,327.73−$63.78
  7. Alabama · Alabama$1,058.95−$332.56

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

36245 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$1,041.19$189.34
ArizonaArizona$1,163.04$202.11
Bakersfield, CACalifornia$1,288.20$201.33
Chico, CACalifornia$1,285.80$198.93
El Centro, CACalifornia$1,285.94$199.07
Fresno, CACalifornia$1,285.80$198.93
Hanford, CACalifornia$1,285.80$198.93
Madera, CACalifornia$1,285.80$198.93

36245 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$1,041.19

$1,469.07

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
36245 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,327.731
AL$1,058.951
AR$1,041.191
AZ$1,163.041
CA$1,285.80–$1,652.3529
CO$1,259.481
CT$1,286.261
DC$1,391.511
DE$1,184.391
FL$1,168.38–$1,284.453
GA$1,094.25–$1,221.292
GU$1,326.231
HI$1,326.231
IA$1,094.851
ID$1,102.121
IL$1,126.30–$1,249.504
IN$1,109.631
KS$1,086.711
KY$1,083.241
LA$1,080.40–$1,142.562
MA$1,249.34–$1,399.442
MD$1,210.14–$1,391.513
ME$1,106.40–$1,178.992
MI$1,113.83–$1,182.812
MN$1,208.081
MO$1,057.43–$1,149.923
MS$1,049.661
MT$1,198.701
NC$1,120.131
ND$1,181.701
NE$1,102.451
NH$1,236.941
NJ$1,301.32–$1,373.242
NM$1,119.981
NV$1,194.981
NY$1,139.29–$1,425.605
OH$1,110.361
OK$1,083.351
OR$1,186.15–$1,306.902
PA$1,113.64–$1,248.792
PR$1,209.531
RI$1,232.151
SC$1,117.031
SD$1,179.691
TN$1,092.751
TX$1,105.03–$1,254.878
UT$1,134.701
VA$1,172.99–$1,391.512
VI$1,209.531
VT$1,174.381
WA$1,247.85–$1,432.322
WI$1,136.091
WV$1,077.691
WY$1,191.291

See 36245 in every payment locality

How the 36245 rate is calculated

Each of 36245’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 36245

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.53

4.53 RVUs× 1.000 GPCI

Practice expense30.50

30.50 RVUs× 1.000 GPCI

Malpractice0.86

0.86 RVUs× 1.000 GPCI

Adjusted RVUs

35.8900

Conversion factor

$33.4009

Medicare rate

$1,198.76

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,455

Code
36245
Physician work
4.53
Practice expense
30.50
Malpractice
0.86

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 36245 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work4.53× 1.0544.7746
Practice expense30.50× 1.17835.9290
Malpractice0.86× 1.1130.9572
Total RVUs41.6608
Conversion factor× 33.4009

Office rate, Washington, DC area$1391.51

Office: (4.53 × 1.054 + 30.5 × 1.178 + 0.86 × 1.113) × $33.4009 = $1391.51

Facility: (4.53 × 1.054 + 0.81 × 1.178 + 0.86 × 1.113) × $33.4009 = $223.32

Open 36245 in the RVU calculator

Payment rules and modifiers for 36245

The CMS indicators that decide how 36245 is paid alongside other services.

CMS payment indicators · 36245

Selective catheterization, first-order abdominal or leg branch

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

36245 without 50 · national office

$1,198.76

Selective catheterization, first-order abdominal or leg branch

36245-50 · Bilateral: 150%

$1,798.14

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 36245

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 36245
CodeHow it relatesOffice range, Washington, DC area
Same family
36246Selective catheterization, second-order branchReports catheter placement at the second-order branch level.$917.45
36247Selective catheterization, third order or beyondReports catheter placement at the third-order branch level.$1,570.91
36248Selective catheterization, additional abdominal or limb branchUsed for additional selective branch catheterization beyond the primary levels.$127.88
Used instead
36200Aortic catheterization, nonselective placementDescribes aortic catheter placement when the catheter is not selectively advanced into a branch.$654.78
36251Renal angiography, unilateral, main arteryRenal-specific code for unilateral renal artery catheterization and diagnostic imaging.$1,421.75
36215Arterial catheterization, first-order thoracic branchCovers first-order catheter placement in the thoracic or brachiocephalic arterial territory.$1,235.37

How 36245 has changed in Washington, DC area

36245 · Office / nonfacility

$1391.51

Effective 2026-10-01

The base rate is $48.70 higher than on 2025-10-01, moving from $1342.81 to $1391.51 (3.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $1342.81changed to$1391.51

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.65 changed to 4.53
    • Practice expense RVU 29.89 changed to 30.50
    • Malpractice RVU 0.83 changed to 0.86
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1426.71changed to$1342.81

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 31.02 changed to 29.89

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1403.43changed to$1426.71

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1514.58changed to$1403.43

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 31.96 changed to 31.02
    • Malpractice RVU 0.80 changed to 0.83
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $1616.93changed to$1514.58

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 33.01 changed to 31.96
    • Malpractice RVU 0.79 changed to 0.80
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1702.73changed to$1616.93

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 34.72 changed to 33.01
    • Malpractice RVU 0.76 changed to 0.79

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1655.57changed to$1702.73

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 32.76 changed to 34.72
    • Malpractice RVU 0.78 changed to 0.76
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1600.22changed to$1655.57

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 32.01 changed to 32.76
    • Malpractice RVU 0.77 changed to 0.78
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1585.90changed to$1600.22

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 31.71 changed to 32.01
    • Malpractice RVU 0.78 changed to 0.77

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1571.44changed to$1585.90

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 31.46 changed to 31.71
    • Malpractice RVU 0.79 changed to 0.78
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1659.61changed to$1571.44

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 4.90 changed to 4.65
    • Practice expense RVU 33.29 changed to 31.46
    • Malpractice RVU 0.85 changed to 0.79
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1661.73changed to$1659.61

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 33.19 changed to 33.29
    • Malpractice RVU 0.86 changed to 0.85

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1653.46changed to$1661.73

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1637.64changed to$1653.46

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 32.88 changed to 33.19
    • Malpractice RVU 0.87 changed to 0.86
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1221.56changed to$1637.64

    • Conversion factor 34.0230 changed to 35.8228
    • Work RVU 4.67 changed to 4.90
    • Practice expense RVU 25.06 changed to 32.88
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1221.56

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,391.51$223.32RVU26D
2026-07-01$1,391.51$223.32RVU26C
2026-04-01$1,391.51$223.32RVU26B
2026-01-01$1,391.51$223.32RVU26A
2025-10-01$1,342.81$246.25RVU25D
2025-07-01$1,342.81$246.25RVU25C
2025-04-01$1,342.81$246.25RVU25B
2025-01-01$1,342.81$246.25RVU25A
2024-10-01$1,426.71$251.43RVU24D
2024-07-01$1,426.71$251.43RVU24C
2024-04-01$1,426.71$251.43RVU24B
2024-03-09$1,426.71$251.43RVU24AR
2024-01-01$1,403.43$247.33RVU24A
2023-10-01$1,514.58$258.19RVU23D
2023-07-01$1,514.58$258.19RVU23C
2023-04-01$1,514.58$258.19RVU23B
2023-01-01$1,514.58$258.19RVU23A
2022-10-01$1,616.93$265.72RVU22D
2022-07-01$1,616.93$265.72RVU22C
2022-04-01$1,616.93$265.72RVU22B
2022-01-01$1,616.93$265.72RVU22A
2021-10-01$1,702.73$267.00RVU21D
2021-07-01$1,702.73$267.00RVU21C
2021-04-01$1,702.73$267.00RVU21B
2021-01-01$1,702.73$267.00RVU21A
2020-10-01$1,655.57$276.32RVU20D
2020-07-01$1,655.57$276.32RVU20C
2020-04-01$1,655.57$276.32RVU20B
2020-01-01$1,655.57$276.32RVU20A
2019-10-01$1,600.22$273.95RVU19D
2019-07-01$1,600.22$273.95RVU19C
2019-04-01$1,600.22$273.95RVU19B
2019-01-01$1,600.22$273.95RVU19A
2018-10-01$1,585.90$275.41RVU18D
2018-07-01$1,585.90$275.41RVU18C
2018-04-01$1,585.90$275.41RVU18B
2018-01-01$1,585.90$275.41RVU18AR1
2017-10-01$1,571.44$277.53RVU17D
2017-07-01$1,571.44$277.53RVU17C
2017-04-01$1,571.44$277.53RVU17B
2017-01-01$1,571.44$277.53RVU17A
2016-10-01$1,659.61$293.67RVU16D
2016-07-01$1,659.61$293.67RVU16C
2016-04-01$1,659.61$293.67RVU16B
2016-01-01$1,659.61$293.67RVU16A
2015-10-01$1,661.73$294.76RVU15D
2015-07-01$1,661.73$294.76RVU15C
2015-04-01$1,653.46$293.29RVU15B
2015-01-01$1,653.46$293.29RVU15A
2014-10-01$1,637.64$293.77RVU14D
2014-07-01$1,637.64$293.77RVU14C
2014-04-01$1,637.64$293.77RVU14B
2014-01-01$1,637.64$293.77RVU14A
2013-10-01$1,221.56$267.37RVU13D
2013-07-01$1,221.56$267.37RVU13C
2013-04-01$1,221.56$267.37RVU13B
2013-01-01$1,221.56$267.37RVU13AR

Price 36245 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

36245 billing questions

How does this differ from 36200?

36245 represents selective placement into a first-order abdominal, pelvic, or lower-extremity branch. 36200 describes catheter placement in the aorta without that selective branch placement.

When should 36246 be reported instead?

Use 36246 when the catheter is advanced to a second-order branch within the vascular family. The documented catheter tip location and arterial route support the level.

Does 36245 include the angiogram or intervention?

The code represents catheter placement, not the imaging interpretation or treatment. Report imaging or an intervention separately only when supported and separately reportable under the applicable coding instructions.

How is bilateral catheterization handled?

When the procedure is bilateral and reported with modifier 50, CMS pays 150%. Documentation should identify the work on both sides.

What happens when other procedures are performed in the same session?

Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and the others at 50% when performed in the same session.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 36245PPRRVU2026_Oct_nonQPP.csv, line 4,455 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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