CPT code 36245: Selective catheterization, first-order abdominal or leg branch2026 Medicare rate & RVUs in South Dakota
Reports selective catheter placement into a first-order abdominal, pelvic, or lower-extremity artery branch during diagnostic angiography or an endovascular procedure.
In South Dakota, Medicare pays $1,179.69 for 36245 in the office and $188.01 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 South Dakota 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. South Dakota pays $1,179.69. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$1,179.69
- Los Angeles, CA · California$1,381.74+$202.05
- Washington, DC area · District of Columbia$1,391.51+$211.82
- Miami, FL · Florida$1,284.45+$104.76
- Chicago, IL · Illinois$1,242.11+$62.42
- Manhattan, NY · New York$1,390.31+$210.62
- Alaska · Alaska$1,327.73+$148.04
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,058.95 | $191.24 |
| 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 |
| Merced, CACalifornia | $1,285.80 | $198.93 |
| Modesto, CACalifornia | $1,285.80 | $198.93 |
| Napa, CACalifornia | $1,518.11 | $211.09 |
| Oxnard, CACalifornia | $1,377.57 | $205.42 |
| Redding, CACalifornia | $1,285.80 | $198.93 |
| Rest of CaliforniaCalifornia | $1,285.80 | $198.93 |
| Riverside, CACalifornia | $1,295.06 | $208.18 |
| Sacramento, CACalifornia | $1,356.93 | $203.61 |
| Salinas, CACalifornia | $1,352.10 | $202.75 |
| San Diego, CACalifornia | $1,389.81 | $203.77 |
| Marin County, CACalifornia | $1,615.27 | $217.01 |
| San Francisco, CACalifornia | $1,614.29 | $216.04 |
| San Benito County, CACalifornia | $1,652.35 | $222.36 |
| Santa Clara County, CACalifornia | $1,648.36 | $218.37 |
| San Luis Obispo, CACalifornia | $1,329.61 | $200.09 |
| Santa Cruz, CACalifornia | $1,407.63 | $202.75 |
| Santa Maria, CACalifornia | $1,358.78 | $202.48 |
| Santa Rosa, CACalifornia | $1,422.24 | $204.46 |
| Stockton, CACalifornia | $1,285.80 | $198.93 |
| Vallejo, CACalifornia | $1,516.71 | $209.68 |
| Visalia, CACalifornia | $1,285.80 | $198.93 |
| Yuba City, CACalifornia | $1,285.80 | $198.93 |
| ColoradoColorado | $1,259.48 | $204.34 |
| ConnecticutConnecticut | $1,286.26 | $218.23 |
| DelawareDelaware | $1,184.39 | $204.62 |
| Fort Lauderdale, FLFlorida | $1,235.21 | $230.65 |
| Rest of FloridaFlorida | $1,168.38 | $220.34 |
| Atlanta, GAGeorgia | $1,221.29 | $213.75 |
| Rest of GeorgiaGeorgia | $1,094.25 | $209.68 |
| Hawaii, Guam, HIHawaii | $1,326.23 | $198.70 |
| IowaIowa | $1,094.85 | $187.46 |
| IdahoIdaho | $1,102.12 | $189.78 |
| East St. Louis, ILIllinois | $1,146.39 | $234.05 |
| Rest of IllinoisIllinois | $1,126.30 | $220.90 |
| Suburban Chicago, ILIllinois | $1,249.50 | $231.05 |
| IndianaIndiana | $1,109.63 | $190.35 |
| KansasKansas | $1,086.71 | $190.24 |
| KentuckyKentucky | $1,083.24 | $201.64 |
| New Orleans, LALouisiana | $1,142.56 | $209.40 |
| Rest of LouisianaLouisiana | $1,080.40 | $202.77 |
| Metropolitan Boston, MAMassachusetts | $1,399.44 | $215.38 |
| Rest of MassachusettsMassachusetts | $1,249.34 | $205.11 |
| Baltimore area, MDMaryland | $1,282.35 | $218.29 |
| Rest of MarylandMaryland | $1,210.14 | $206.57 |
| Rest of MaineMaine | $1,106.40 | $194.06 |
| Southern Maine, MEMaine | $1,178.99 | $196.24 |
| Detroit, MIMichigan | $1,182.81 | $225.84 |
| Rest of MichiganMichigan | $1,113.83 | $208.44 |
| MinnesotaMinnesota | $1,208.08 | $187.65 |
| Metropolitan Kansas City, MOMissouri | $1,135.96 | $204.77 |
| Metropolitan St. Louis, MOMissouri | $1,149.92 | $205.84 |
| Rest of MissouriMissouri | $1,057.43 | $202.61 |
| MississippiMississippi | $1,049.66 | $195.83 |
| MontanaMontana | $1,198.70 | $207.03 |
| North CarolinaNorth Carolina | $1,120.13 | $194.90 |
| North DakotaNorth Dakota | $1,181.70 | $190.02 |
| NebraskaNebraska | $1,102.45 | $187.14 |
| New HampshireNew Hampshire | $1,236.94 | $204.60 |
| Northern New JerseyNew Jersey | $1,373.24 | $222.90 |
| Rest of New JerseyNew Jersey | $1,301.32 | $218.41 |
| New MexicoNew Mexico | $1,119.98 | $210.61 |
| NevadaNevada | $1,194.98 | $202.32 |
| NYC suburbs and Long Island, NYNew York | $1,425.60 | $246.50 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,308.38 | $222.50 |
| Queens, NYNew York | $1,406.55 | $234.39 |
| Rest of New YorkNew York | $1,139.29 | $197.20 |
| OhioOhio | $1,110.36 | $204.96 |
| OklahomaOklahoma | $1,083.35 | $197.79 |
| Portland, OROregon | $1,306.90 | $205.16 |
| Rest of OregonOregon | $1,186.15 | $198.45 |
| Metropolitan Philadelphia, PAPennsylvania | $1,248.79 | $216.46 |
| Rest of PennsylvaniaPennsylvania | $1,113.64 | $203.29 |
| Puerto RicoPuerto Rico | $1,209.53 | $206.95 |
| Rhode IslandRhode Island | $1,232.15 | $207.75 |
| South CarolinaSouth Carolina | $1,117.03 | $200.72 |
| TennesseeTennessee | $1,092.75 | $191.32 |
| Austin, TXTexas | $1,254.87 | $205.68 |
| Beaumont, TXTexas | $1,105.03 | $202.61 |
| Brazoria, TXTexas | $1,184.48 | $201.73 |
| Dallas, TXTexas | $1,191.97 | $204.26 |
| Fort Worth, TXTexas | $1,182.15 | $204.36 |
| Galveston, TXTexas | $1,187.90 | $203.17 |
| Houston, TXTexas | $1,203.64 | $218.91 |
| Rest of TexasTexas | $1,144.02 | $202.92 |
| UtahUtah | $1,134.70 | $202.53 |
| VirginiaVirginia | $1,172.99 | $198.18 |
| Virgin Islands, VIUnited States Virgin Islands | $1,209.53 | $206.95 |
| VermontVermont | $1,174.38 | $192.62 |
| Rest of WashingtonWashington | $1,247.85 | $203.62 |
| King County, WAWashington | $1,432.32 | $215.54 |
| WisconsinWisconsin | $1,136.09 | $186.07 |
| West VirginiaWest Virginia | $1,077.69 | $215.92 |
| WyomingWyoming | $1,191.29 | $199.62 |
36245 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,327.73 | 1 |
| AL | $1,058.95 | 1 |
| AR | $1,041.19 | 1 |
| AZ | $1,163.04 | 1 |
| CA | $1,285.80–$1,652.35 | 29 |
| CO | $1,259.48 | 1 |
| CT | $1,286.26 | 1 |
| DC | $1,391.51 | 1 |
| DE | $1,184.39 | 1 |
| FL | $1,168.38–$1,284.45 | 3 |
| GA | $1,094.25–$1,221.29 | 2 |
| GU | $1,326.23 | 1 |
| HI | $1,326.23 | 1 |
| IA | $1,094.85 | 1 |
| ID | $1,102.12 | 1 |
| IL | $1,126.30–$1,249.50 | 4 |
| IN | $1,109.63 | 1 |
| KS | $1,086.71 | 1 |
| KY | $1,083.24 | 1 |
| LA | $1,080.40–$1,142.56 | 2 |
| MA | $1,249.34–$1,399.44 | 2 |
| MD | $1,210.14–$1,391.51 | 3 |
| ME | $1,106.40–$1,178.99 | 2 |
| MI | $1,113.83–$1,182.81 | 2 |
| MN | $1,208.08 | 1 |
| MO | $1,057.43–$1,149.92 | 3 |
| MS | $1,049.66 | 1 |
| MT | $1,198.70 | 1 |
| NC | $1,120.13 | 1 |
| ND | $1,181.70 | 1 |
| NE | $1,102.45 | 1 |
| NH | $1,236.94 | 1 |
| NJ | $1,301.32–$1,373.24 | 2 |
| NM | $1,119.98 | 1 |
| NV | $1,194.98 | 1 |
| NY | $1,139.29–$1,425.60 | 5 |
| OH | $1,110.36 | 1 |
| OK | $1,083.35 | 1 |
| OR | $1,186.15–$1,306.90 | 2 |
| PA | $1,113.64–$1,248.79 | 2 |
| PR | $1,209.53 | 1 |
| RI | $1,232.15 | 1 |
| SC | $1,117.03 | 1 |
| SD | $1,179.69 | 1 |
| TN | $1,092.75 | 1 |
| TX | $1,105.03–$1,254.87 | 8 |
| UT | $1,134.70 | 1 |
| VA | $1,172.99–$1,391.51 | 2 |
| VI | $1,209.53 | 1 |
| VT | $1,174.38 | 1 |
| WA | $1,247.85–$1,432.32 | 2 |
| WI | $1,136.09 | 1 |
| WV | $1,077.69 | 1 |
| WY | $1,191.29 | 1 |
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
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 South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.53 | × 1.000 | 4.5300 |
| Practice expense | 30.50 | × 1.000 | 30.5000 |
| Malpractice | 0.86 | × 0.336 | 0.2890 |
| Total RVUs | 35.3190 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$1179.69
Office: (4.53 × 1 + 30.5 × 1 + 0.86 × 0.336) × $33.4009 = $1179.69
Facility: (4.53 × 1 + 0.81 × 1 + 0.86 × 0.336) × $33.4009 = $188.01
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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).
How 36245 has changed in South Dakota
36245 · Office / nonfacility
$1179.69
Effective 2026-10-01
The base rate is $52.19 higher than on 2025-10-01, moving from $1127.50 to $1179.69 (4.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$1127.50changed to$1179.69
- 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
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1197.92changed to$1127.50
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 31.02 changed to 29.89
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1178.37changed to$1197.92
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1250.48changed to$1178.37
- 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
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$1312.76changed to$1250.48
- 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
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1382.94changed to$1312.76
- 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.
January 1, 2021
RVU21A
$1360.47changed to$1382.94
- 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
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1331.99changed to$1360.47
- 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
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1319.87changed to$1331.99
- 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.
January 1, 2018
RVU18AR1
$1307.14changed to$1319.87
- 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
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1379.54changed to$1307.14
- 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
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1381.07changed to$1379.54
- 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.
July 1, 2015
RVU15C
$1374.20changed to$1381.07
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1366.35changed to$1374.20
- 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
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$1024.29changed to$1366.35
- 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
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1024.29
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,179.69 | $188.01 | RVU26D |
| 2026-07-01 | $1,179.69 | $188.01 | RVU26C |
| 2026-04-01 | $1,179.69 | $188.01 | RVU26B |
| 2026-01-01 | $1,179.69 | $188.01 | RVU26A |
| 2025-10-01 | $1,127.50 | $207.57 | RVU25D |
| 2025-07-01 | $1,127.50 | $207.57 | RVU25C |
| 2025-04-01 | $1,127.50 | $207.57 | RVU25B |
| 2025-01-01 | $1,127.50 | $207.57 | RVU25A |
| 2024-10-01 | $1,197.92 | $211.94 | RVU24D |
| 2024-07-01 | $1,197.92 | $211.94 | RVU24C |
| 2024-04-01 | $1,197.92 | $211.94 | RVU24B |
| 2024-03-09 | $1,197.92 | $211.94 | RVU24AR |
| 2024-01-01 | $1,178.37 | $208.48 | RVU24A |
| 2023-10-01 | $1,250.48 | $215.56 | RVU23D |
| 2023-07-01 | $1,250.48 | $215.56 | RVU23C |
| 2023-04-01 | $1,250.48 | $215.56 | RVU23B |
| 2023-01-01 | $1,250.48 | $215.56 | RVU23A |
| 2022-10-01 | $1,312.76 | $219.55 | RVU22D |
| 2022-07-01 | $1,312.76 | $219.55 | RVU22C |
| 2022-04-01 | $1,312.76 | $219.55 | RVU22B |
| 2022-01-01 | $1,312.76 | $219.55 | RVU22A |
| 2021-10-01 | $1,382.94 | $221.35 | RVU21D |
| 2021-07-01 | $1,382.94 | $221.35 | RVU21C |
| 2021-04-01 | $1,382.94 | $221.35 | RVU21B |
| 2021-01-01 | $1,382.94 | $221.35 | RVU21A |
| 2020-10-01 | $1,360.47 | $230.87 | RVU20D |
| 2020-07-01 | $1,360.47 | $230.87 | RVU20C |
| 2020-04-01 | $1,360.47 | $230.87 | RVU20B |
| 2020-01-01 | $1,360.47 | $230.87 | RVU20A |
| 2019-10-01 | $1,331.99 | $231.35 | RVU19D |
| 2019-07-01 | $1,331.99 | $231.35 | RVU19C |
| 2019-04-01 | $1,331.99 | $231.35 | RVU19B |
| 2019-01-01 | $1,331.99 | $231.35 | RVU19A |
| 2018-10-01 | $1,319.87 | $232.32 | RVU18D |
| 2018-07-01 | $1,319.87 | $232.32 | RVU18C |
| 2018-04-01 | $1,319.87 | $232.32 | RVU18B |
| 2018-01-01 | $1,319.87 | $232.32 | RVU18AR1 |
| 2017-10-01 | $1,307.14 | $233.35 | RVU17D |
| 2017-07-01 | $1,307.14 | $233.35 | RVU17C |
| 2017-04-01 | $1,307.14 | $233.35 | RVU17B |
| 2017-01-01 | $1,307.14 | $233.35 | RVU17A |
| 2016-10-01 | $1,379.54 | $245.98 | RVU16D |
| 2016-07-01 | $1,379.54 | $245.98 | RVU16C |
| 2016-04-01 | $1,379.54 | $245.98 | RVU16B |
| 2016-01-01 | $1,379.54 | $245.98 | RVU16A |
| 2015-10-01 | $1,381.07 | $246.65 | RVU15D |
| 2015-07-01 | $1,381.07 | $246.65 | RVU15C |
| 2015-04-01 | $1,374.20 | $245.42 | RVU15B |
| 2015-01-01 | $1,374.20 | $245.42 | RVU15A |
| 2014-10-01 | $1,366.35 | $248.32 | RVU14D |
| 2014-07-01 | $1,366.35 | $248.32 | RVU14C |
| 2014-04-01 | $1,366.35 | $248.32 | RVU14B |
| 2014-01-01 | $1,366.35 | $248.32 | RVU14A |
| 2013-10-01 | $1,024.29 | $227.81 | RVU13D |
| 2013-07-01 | $1,024.29 | $227.81 | RVU13C |
| 2013-04-01 | $1,024.29 | $227.81 | RVU13B |
| 2013-01-01 | $1,024.29 | $227.81 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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
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Fee sheets
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Your codes at your locality, with payer contracts beside Medicare.
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