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CPT code 36248: Selective catheterization, additional abdominal or limb branch2026 Medicare rate & RVUs in Arizona

Report 36248 for additional qualifying selective catheter placements in abdominal, pelvic, or lower-extremity arterial branches within a vascular family.

CMS RVU26DEffective Oct 1, 2026One payment locality45.7K Medicare services in 2024

In Arizona, Medicare pays $109.31 for 36248 in the office and $40.69 when it’s performed in a hospital or facility.

$109.31Office (non-facility)
$40.69Hospital or facility
−2.6%vs the national office rate ($112.23)

Check a contract rate as a % of Medicare · 36248 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 36248 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arizona
  2. What 36248 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 36248 covers

Code 36248 captures additional selective catheter placement in qualifying second- or third-order abdominal, pelvic, or lower-extremity arterial branches within a vascular family. Interventional radiologists, vascular surgeons, and other physicians may perform this work during catheter angiography or endovascular treatment. The code represents placement in an additional branch, not simply another image or contrast injection from an unchanged catheter position.

Report 36248 with the applicable primary selective catheter placement code, such as 36245, 36246, or 36247. The documented vessel names, catheter positions, and sequence of selections should support that an additional qualifying branch was catheterized. As an add-on code, 36248 is billed only with a primary procedure and is paid within that procedure’s global period.

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 Arizona compares for 36248

Across 109 of 109 payment localities, the office rate for 36248 runs from $99.64 in Arkansas to $147.33 in San Benito County, CA. Arizona pays $109.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

36248 in Arizona vs other payment areas
  1. Arizona · this page$109.31
  2. Los Angeles, CA · California$126.04+$16.73
  3. Washington, DC area · District of Columbia$127.88+$18.57
  4. Miami, FL · Florida$121.45+$12.14
  5. Chicago, IL · Illinois$118.02+$8.71
  6. Manhattan, NY · New York$128.90+$19.59
  7. Alaska · Alaska$131.70+$22.39

Other areas in Arizona first, then benchmark localities. Bars start at $0.

Every other payment area

36248 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$101.05$39.09
ArkansasArkansas$99.64$38.81
Bakersfield, CACalifornia$118.53$40.92
Chico, CACalifornia$118.17$40.56
El Centro, CACalifornia$118.19$40.58
Fresno, CACalifornia$118.17$40.56
Hanford, CACalifornia$118.17$40.56
Madera, CACalifornia$118.17$40.56

36248 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.

$99.64

$132.75

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

View every state and territory as a table
36248 office rate range by state
State / territoryOffice rate rangeLocalities
AK$131.701
AL$101.051
AR$99.641
AZ$109.311
CA$118.17–$147.3329
CO$116.571
CT$119.541
DC$127.881
DE$111.081
FL$110.92–$121.453
GA$104.84–$114.342
GU$120.881
HI$120.881
IA$103.391
ID$104.081
IL$107.92–$118.024
IN$104.661
KS$102.991
KY$103.511
LA$103.38–$108.322
MA$115.94–$127.772
MD$113.13–$127.883
ME$104.67–$110.072
MI$106.18–$112.332
MN$111.591
MO$101.71–$108.613
MS$100.691
MT$112.221
NC$105.721
ND$109.851
NE$103.921
NH$114.821
NJ$120.87–$126.642
NM$106.771
NV$111.631
NY$107.26–$132.025
OH$105.691
OK$103.261
OR$110.73–$120.102
PA$105.82–$116.682
PR$113.001
RI$114.911
SC$105.891
SD$109.571
TN$103.501
TX$105.15–$116.218
UT$107.291
VA$109.77–$127.882
VI$113.001
VT$109.491
WA$115.70–$130.272
WI$106.281
WV$104.071
WY$111.181

See 36248 in every payment locality

How the 36248 rate is calculated

Each of 36248’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 · 36248

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.98

0.98 RVUs× 1.000 GPCI

Practice expense2.26

2.26 RVUs× 1.000 GPCI

Malpractice0.12

0.12 RVUs× 1.000 GPCI

Adjusted RVUs

3.3600

Conversion factor

$33.4009

Medicare rate

$112.23

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

The exact Arizona inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,458

Code
36248
Physician work
0.98
Practice expense
2.26
Malpractice
0.12

GPCI2026.csv

6

Locality
Arizona
Physician work
1.000
Practice expense
0.969
Malpractice
0.856
Office calculation for 36248 in Arizona
ComponentRVULocality factorAdjusted
Physician work0.98× 1.0000.9800
Practice expense2.26× 0.9692.1899
Malpractice0.12× 0.8560.1027
Total RVUs3.2727
Conversion factor× 33.4009

Office rate, Arizona$109.31

Office: (0.98 × 1 + 2.26 × 0.969 + 0.12 × 0.856) × $33.4009 = $109.31

Facility: (0.98 × 1 + 0.14 × 0.969 + 0.12 × 0.856) × $33.4009 = $40.69

Open 36248 in the RVU calculator

Payment rules and modifiers for 36248

The CMS indicators that decide how 36248 is paid alongside other services.

CMS payment indicators · 36248

Selective catheterization, additional abdominal or limb branch

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
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.

Codes related to 36248

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

Codes related to 36248
CodeHow it relatesOffice range, Arizona
Primary code
36245Selective catheterization, first-order abdominal or leg branchCan provide the primary selective placement when 36248 reports additional qualifying branches.$1,163.04
36246Selective catheterization, second-order branchCan provide the primary selective placement when 36248 reports additional qualifying branches.$774.31
36247Selective catheterization, third order or beyondCan provide the primary selective placement when 36248 reports additional qualifying branches.$1,316.40
Used instead
36251Renal angiography, unilateral, main arteryUse the renal artery code family for the applicable unilateral renal angiography service.$1,189.70
36252Renal angiography, bilateral, first-order arteriesUse the renal artery code family for the applicable bilateral renal angiography service.$1,302.96

How 36248 has changed in Arizona

36248 · Office / nonfacility

$109.31

Effective 2026-10-01

The base rate is $2.09 higher than on 2025-10-01, moving from $107.22 to $109.31 (1.9%).

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

    $107.22changed to$109.31

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.01 changed to 0.98
    • Practice expense RVU 2.25 changed to 2.26
    • Malpractice RVU 0.13 changed to 0.12
    • Practice expense GPCI 0.975 changed to 0.969
    • Malpractice GPCI 0.854 changed to 0.856

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $111.68changed to$107.22

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.30 changed to 2.25
    • Malpractice RVU 0.12 changed to 0.13

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $109.86changed to$111.68

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $115.37changed to$109.86

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.38 changed to 2.30
    • Practice expense GPCI 0.963 changed to 0.975
    • Malpractice GPCI 0.855 changed to 0.854

  5. January 1, 2023

    RVU23A

    $118.19changed to$115.37

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.43 changed to 2.38
    • Malpractice RVU 0.11 changed to 0.12
    • Practice expense GPCI 0.951 changed to 0.963
    • Malpractice GPCI 0.857 changed to 0.855

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $129.06changed to$118.19

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.71 changed to 2.43
    • Malpractice RVU 0.13 changed to 0.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $136.92changed to$129.06

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.80 changed to 2.71
    • Malpractice RVU 0.11 changed to 0.13
    • Practice expense GPCI 0.961 changed to 0.951
    • Malpractice GPCI 0.846 changed to 0.857

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $144.34changed to$136.92

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.99 changed to 2.80
    • Practice expense GPCI 0.971 changed to 0.961
    • Malpractice GPCI 0.834 changed to 0.846

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $151.87changed to$144.34

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.21 changed to 2.99

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $153.22changed to$151.87

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.986 changed to 0.971
    • Malpractice GPCI 0.856 changed to 0.834

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $155.94changed to$153.22

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.24 changed to 3.21
    • Malpractice RVU 0.12 changed to 0.11
    • Practice expense GPCI 1.000 changed to 0.986
    • Malpractice GPCI 0.877 changed to 0.856

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $155.78changed to$155.94

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.22 changed to 3.24

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $155.01changed to$155.78

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $154.99changed to$155.01

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.21 changed to 3.22
    • Malpractice RVU 0.15 changed to 0.12
    • Practice expense GPCI 0.989 changed to 1.000
    • Malpractice GPCI 0.946 changed to 0.877

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $157.01changed to$154.99

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.52 changed to 3.21
    • Malpractice RVU 0.16 changed to 0.15
    • Practice expense GPCI 0.978 changed to 0.989
    • Malpractice GPCI 1.015 changed to 0.946

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $157.01

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$109.31$40.69RVU26D
2026-07-01$109.31$40.69RVU26C
2026-04-01$109.31$40.69RVU26B
2026-01-01$109.31$40.69RVU26A
2025-10-01$107.22$45.09RVU25D
2025-07-01$107.22$45.09RVU25C
2025-04-01$107.22$45.09RVU25B
2025-01-01$107.22$45.09RVU25A
2024-10-01$111.68$45.79RVU24D
2024-07-01$111.68$45.79RVU24C
2024-04-01$111.68$45.79RVU24B
2024-03-09$111.68$45.79RVU24AR
2024-01-01$109.86$45.05RVU24A
2023-10-01$115.37$46.84RVU23D
2023-07-01$115.37$46.84RVU23C
2023-04-01$115.37$46.84RVU23B
2023-01-01$115.37$46.84RVU23A
2022-10-01$118.19$47.43RVU22D
2022-07-01$118.19$47.43RVU22C
2022-04-01$118.19$47.43RVU22B
2022-01-01$118.19$47.43RVU22A
2021-10-01$129.06$48.42RVU21D
2021-07-01$129.06$48.42RVU21C
2021-04-01$129.06$48.42RVU21B
2021-01-01$129.06$48.42RVU21A
2020-10-01$136.92$49.87RVU20D
2020-07-01$136.92$49.87RVU20C
2020-04-01$136.92$49.87RVU20B
2020-01-01$136.92$49.87RVU20A
2019-10-01$144.34$50.20RVU19D
2019-07-01$144.34$50.20RVU19C
2019-04-01$144.34$50.20RVU19B
2019-01-01$144.34$50.20RVU19A
2018-10-01$151.87$50.15RVU18D
2018-07-01$151.87$50.15RVU18C
2018-04-01$151.87$50.15RVU18B
2018-01-01$151.87$50.15RVU18AR1
2017-10-01$153.22$50.60RVU17D
2017-07-01$153.22$50.60RVU17C
2017-04-01$153.22$50.60RVU17B
2017-01-01$153.22$50.60RVU17A
2016-10-01$155.94$51.39RVU16D
2016-07-01$155.94$51.39RVU16C
2016-04-01$155.94$51.39RVU16B
2016-01-01$155.94$51.39RVU16A
2015-10-01$155.78$51.21RVU15D
2015-07-01$155.78$51.21RVU15C
2015-04-01$155.01$50.96RVU15B
2015-01-01$155.01$50.96RVU15A
2014-10-01$154.99$52.96RVU14D
2014-07-01$154.99$52.96RVU14C
2014-04-01$154.99$52.96RVU14B
2014-01-01$154.99$52.96RVU14A
2013-10-01$157.01$51.20RVU13D
2013-07-01$157.01$51.20RVU13C
2013-04-01$157.01$51.20RVU13B
2013-01-01$157.01$51.20RVU13AR

Price 36248 for an earlier date of service

Where the Arizona rate applies

Arizona is a Medicare payment area, not a city. Our Census mapping connects it to 467 cities and communities in Arizona. Some span more than one payment area; confirm with the service ZIP.

  • Aguila
  • Ajo
  • Ak Chin
  • Ak-Chin Village
  • Alamo Lake
  • Ali Chuk
  • Ali Chukson
  • Ali Molina

Browse all communities in Arizona

36248 billing questions

Which primary code should accompany 36248?

Report it with the applicable primary selective catheter placement code, such as 36245, 36246, or 36247. The primary code reflects the catheter placement that establishes the service in that vascular family.

Is 36248 reported for another angiographic image?

No. It represents catheter placement in an additional qualifying arterial branch, not repeat imaging from the same catheter position.

What documentation supports an additional unit?

Document the named arteries catheterized, catheter tip positions, and sequence of selective placements. The record should distinguish each additional qualifying branch from imaging or injections performed from an existing position.

Can 36248 be billed by itself?

No. It is an add-on code and must be billed with an applicable primary procedure; CMS pays it within that procedure’s global period.

Does the code apply to renal artery catheterization?

Renal artery catheterization has its own code family. Select the code family that describes the service performed rather than treating renal selections as additional abdominal or lower-extremity branches under 36248.

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 36248PPRRVU2026_Oct_nonQPP.csv, line 4,458 (RVU26D)
Geographic factors for ArizonaGPCI2026.csv, line 6 (RVU26D)

Open CMS sourceHow we calculate rates

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