CPT code 36247: Selective catheterization, third order or beyond2026 Medicare rate & RVUs

Medicare pays $1,356.08 for 36247 nationally in the office and $258.86 in a hospital or facility. Local office rates run $1,181.23–$1,860.19.

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

What 36247 covers

This service covers selective catheter advancement into a third-order-or-more branch of the abdominal, pelvic, or lower-extremity arterial system. Interventional radiologists, vascular surgeons, and other physicians performing catheter-based vascular care may report it during peripheral angiography, embolization, or endovascular treatment for conditions such as peripheral arterial disease or bleeding. The code represents catheter selection, not the imaging study or the therapeutic work itself.

Choose the code based on the order of the branch reached within its vascular family and the most selective catheter position documented. It represents the initial third-order-or-more selection; additional qualifying branch selections may be reported with 36248. Document the artery entered, its branch order, catheter position, and any additional selections. Diagnostic imaging or treatment may be separately reportable when supported by the applicable coding rules. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and others at 50%. Modifier 50 bilateral reporting is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

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.

Where 36247 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

36247 rates by state

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

How the 36247 rate is calculated

Each of 36247’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.

Payment rules and modifiers for 36247

The CMS indicators that decide how 36247 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

36247 compared with similar codes

How to choose

36245Selective catheterizationFirst-order abdominal or leg branch

Use 36245 for first-order branch selection; this code requires catheter advancement to a third-order-or-more branch.

36246Selective catheterizationSecond-order branch

Use 36246 when the selected branch is second order. This code applies when the catheter reaches a third-order-or-more branch.

36248Selective catheterizationAdditional abdominal or limb branch

36248 reports additional qualifying branch selections. This code represents the initial third-order-or-more selection.

36200Aortic catheterizationNonselective placement

36200 describes nonselective catheter placement in the aorta. This code requires selective advancement into a distal arterial branch.

Codes related to 36247

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

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

Open CMS sourceHow we calculate rates