CPT code 36248: Selective catheterization, additional abdominal or limb branch2026 Medicare rate & RVUs in Merced, CA
Report 36248 for additional qualifying selective catheter placements in abdominal, pelvic, or lower-extremity arterial branches within a vascular family.
In Merced, CA, Medicare pays $118.17 for 36248 in the office and $40.56 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Merced, CA 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. Merced, CA pays $118.17. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Merced, CA · this page$118.17
- Bakersfield, CA · California$118.53+$0.36
- Chico, CA · California$118.17
- El Centro, CA · California$118.19+$0.02
- Fresno, CA · California$118.17
- Hanford, CA · California$118.17
- Los Angeles, CA · California$126.04+$7.87
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $118.17 | $40.56 |
| Modesto, CACalifornia | $118.17 | $40.56 |
| Napa, CACalifornia | $136.32 | $42.99 |
| Oxnard, CACalifornia | $125.37 | $41.67 |
| Redding, CACalifornia | $118.17 | $40.56 |
| Rest of CaliforniaCalifornia | $118.17 | $40.56 |
| Riverside, CACalifornia | $119.47 | $41.87 |
| Sacramento, CACalifornia | $123.85 | $41.50 |
| Salinas, CACalifornia | $123.38 | $41.32 |
| San Diego, CACalifornia | $126.17 | $41.48 |
| Marin County, CACalifornia | $144.12 | $44.28 |
| San Francisco, CACalifornia | $143.98 | $44.14 |
| San Benito County, CACalifornia | $147.33 | $45.22 |
| Santa Clara County, CACalifornia | $146.78 | $44.67 |
| San Luis Obispo, CACalifornia | $121.42 | $40.76 |
| Santa Cruz, CACalifornia | $127.28 | $41.25 |
| Santa Maria, CACalifornia | $123.81 | $41.25 |
| Santa Rosa, CACalifornia | $128.56 | $41.61 |
| Stockton, CACalifornia | $118.17 | $40.56 |
| Vallejo, CACalifornia | $136.13 | $42.80 |
| Visalia, CACalifornia | $118.17 | $40.56 |
| Yuba City, CACalifornia | $118.17 | $40.56 |
| Washington, DC areaDistrict of Columbia | $127.88 | $44.47 |
| Miami, FLFlorida | $121.45 | $47.74 |
| Chicago, ILIllinois | $118.02 | $46.86 |
| Manhattan, NYNew York | $128.90 | $46.62 |
| AlaskaAlaska | $131.70 | $56.29 |
| AlabamaAlabama | $101.05 | $39.09 |
| ArkansasArkansas | $99.64 | $38.81 |
| ArizonaArizona | $109.31 | $40.69 |
| ColoradoColorado | $116.57 | $41.23 |
| ConnecticutConnecticut | $119.54 | $43.27 |
| DelawareDelaware | $111.08 | $41.12 |
| Fort Lauderdale, FLFlorida | $116.45 | $44.72 |
| Rest of FloridaFlorida | $110.92 | $43.23 |
| Atlanta, GAGeorgia | $114.34 | $42.40 |
| Rest of GeorgiaGeorgia | $104.84 | $41.68 |
| Hawaii, Guam, HIHawaii | $120.88 | $40.37 |
| IowaIowa | $103.39 | $38.60 |
| IdahoIdaho | $104.08 | $38.93 |
| East St. Louis, ILIllinois | $110.25 | $45.11 |
| Rest of IllinoisIllinois | $107.92 | $43.27 |
| Suburban Chicago, ILIllinois | $117.59 | $44.87 |
| IndianaIndiana | $104.66 | $39.02 |
| KansasKansas | $102.99 | $38.98 |
| KentuckyKentucky | $103.51 | $40.56 |
| New Orleans, LALouisiana | $108.32 | $41.69 |
| Rest of LouisianaLouisiana | $103.38 | $40.71 |
| Metropolitan Boston, MAMassachusetts | $127.77 | $43.23 |
| Rest of MassachusettsMassachusetts | $115.94 | $41.38 |
| Baltimore area, MDMaryland | $119.21 | $43.23 |
| Rest of MarylandMaryland | $113.13 | $41.47 |
| Rest of MaineMaine | $104.67 | $39.53 |
| Southern Maine, MEMaine | $110.07 | $39.90 |
| Detroit, MIMichigan | $112.33 | $44.00 |
| Rest of MichiganMichigan | $106.18 | $41.53 |
| MinnesotaMinnesota | $111.59 | $38.73 |
| Metropolitan Kansas City, MOMissouri | $107.53 | $41.04 |
| Metropolitan St. Louis, MOMissouri | $108.61 | $41.20 |
| Rest of MissouriMissouri | $101.71 | $40.67 |
| MississippiMississippi | $100.69 | $39.72 |
| MontanaMontana | $112.22 | $41.41 |
| North CarolinaNorth Carolina | $105.72 | $39.66 |
| North DakotaNorth Dakota | $109.85 | $39.04 |
| NebraskaNebraska | $103.92 | $38.56 |
| New HampshireNew Hampshire | $114.82 | $41.11 |
| Northern New JerseyNew Jersey | $126.64 | $44.50 |
| Rest of New JerseyNew Jersey | $120.87 | $43.55 |
| New MexicoNew Mexico | $106.77 | $41.83 |
| NevadaNevada | $111.63 | $40.75 |
| NYC suburbs and Long Island, NYNew York | $132.02 | $47.83 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $121.71 | $44.18 |
| Queens, NYNew York | $129.83 | $46.13 |
| Rest of New YorkNew York | $107.26 | $39.99 |
| OhioOhio | $105.69 | $41.04 |
| OklahomaOklahoma | $103.26 | $40.02 |
| Portland, OROregon | $120.10 | $41.43 |
| Rest of OregonOregon | $110.73 | $40.21 |
| Metropolitan Philadelphia, PAPennsylvania | $116.68 | $42.97 |
| Rest of PennsylvaniaPennsylvania | $105.82 | $40.81 |
| Puerto RicoPuerto Rico | $113.00 | $41.41 |
| Rhode IslandRhode Island | $114.91 | $41.76 |
| South CarolinaSouth Carolina | $105.89 | $40.46 |
| South DakotaSouth Dakota | $109.57 | $38.76 |
| TennesseeTennessee | $103.50 | $39.14 |
| Austin, TXTexas | $116.21 | $41.30 |
| Beaumont, TXTexas | $105.15 | $40.71 |
| Brazoria, TXTexas | $110.93 | $40.76 |
| Dallas, TXTexas | $111.65 | $41.12 |
| Fort Worth, TXTexas | $110.95 | $41.13 |
| Galveston, TXTexas | $111.27 | $40.96 |
| Houston, TXTexas | $113.47 | $43.15 |
| Rest of TexasTexas | $107.99 | $40.79 |
| UtahUtah | $107.29 | $40.73 |
| VirginiaVirginia | $109.77 | $40.16 |
| Virgin Islands, VIUnited States Virgin Islands | $113.00 | $41.41 |
| VermontVermont | $109.49 | $39.39 |
| Rest of WashingtonWashington | $115.70 | $41.13 |
| King County, WAWashington | $130.27 | $43.38 |
| WisconsinWisconsin | $106.28 | $38.45 |
| West VirginiaWest Virginia | $104.07 | $42.53 |
| WyomingWyoming | $111.18 | $40.38 |
36248 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.
$99.64
$132.75
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 | $131.70 | 1 |
| AL | $101.05 | 1 |
| AR | $99.64 | 1 |
| AZ | $109.31 | 1 |
| CA | $118.17–$147.33 | 29 |
| CO | $116.57 | 1 |
| CT | $119.54 | 1 |
| DC | $127.88 | 1 |
| DE | $111.08 | 1 |
| FL | $110.92–$121.45 | 3 |
| GA | $104.84–$114.34 | 2 |
| GU | $120.88 | 1 |
| HI | $120.88 | 1 |
| IA | $103.39 | 1 |
| ID | $104.08 | 1 |
| IL | $107.92–$118.02 | 4 |
| IN | $104.66 | 1 |
| KS | $102.99 | 1 |
| KY | $103.51 | 1 |
| LA | $103.38–$108.32 | 2 |
| MA | $115.94–$127.77 | 2 |
| MD | $113.13–$127.88 | 3 |
| ME | $104.67–$110.07 | 2 |
| MI | $106.18–$112.33 | 2 |
| MN | $111.59 | 1 |
| MO | $101.71–$108.61 | 3 |
| MS | $100.69 | 1 |
| MT | $112.22 | 1 |
| NC | $105.72 | 1 |
| ND | $109.85 | 1 |
| NE | $103.92 | 1 |
| NH | $114.82 | 1 |
| NJ | $120.87–$126.64 | 2 |
| NM | $106.77 | 1 |
| NV | $111.63 | 1 |
| NY | $107.26–$132.02 | 5 |
| OH | $105.69 | 1 |
| OK | $103.26 | 1 |
| OR | $110.73–$120.10 | 2 |
| PA | $105.82–$116.68 | 2 |
| PR | $113.00 | 1 |
| RI | $114.91 | 1 |
| SC | $105.89 | 1 |
| SD | $109.57 | 1 |
| TN | $103.50 | 1 |
| TX | $105.15–$116.21 | 8 |
| UT | $107.29 | 1 |
| VA | $109.77–$127.88 | 2 |
| VI | $113.00 | 1 |
| VT | $109.49 | 1 |
| WA | $115.70–$130.27 | 2 |
| WI | $106.28 | 1 |
| WV | $104.07 | 1 |
| WY | $111.18 | 1 |
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
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 Merced, CA 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
15
- Locality
- Merced, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.98 | × 1.017 | 0.9967 |
| Practice expense | 2.26 | × 1.096 | 2.4770 |
| Malpractice | 0.12 | × 0.536 | 0.0643 |
| Total RVUs | 3.5379 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Merced, CA$118.17
Office: (0.98 × 1.017 + 2.26 × 1.096 + 0.12 × 0.536) × $33.4009 = $118.17
Facility: (0.98 × 1.017 + 0.14 × 1.096 + 0.12 × 0.536) × $33.4009 = $40.56
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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. |
How 36248 has changed in Merced, CA
36248 · Office / nonfacility
$118.17
Effective 2026-10-01
The base rate is $3.14 higher than on 2025-10-01, moving from $115.03 to $118.17 (2.7%).
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
$115.03changed to$118.17
- 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
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$120.01changed to$115.03
- 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.
March 9, 2024
RVU24AR
$118.05changed to$120.01
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$124.32changed to$118.05
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.38 changed to 2.30
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$127.73changed to$124.32
- 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
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$139.61changed to$127.73
- 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.
January 1, 2021
RVU21A
$147.75changed to$139.61
- 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
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$155.09changed to$147.75
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.99 changed to 2.80
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$163.42changed to$155.09
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.21 changed to 2.99
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$163.83changed to$163.42
- Conversion factor 35.8887 changed to 35.9996
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$163.83
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $118.17 | $40.56 | RVU26D |
| 2026-07-01 | $118.17 | $40.56 | RVU26C |
| 2026-04-01 | $118.17 | $40.56 | RVU26B |
| 2026-01-01 | $118.17 | $40.56 | RVU26A |
| 2025-10-01 | $115.03 | $45.38 | RVU25D |
| 2025-07-01 | $115.03 | $45.38 | RVU25C |
| 2025-04-01 | $115.03 | $45.38 | RVU25B |
| 2025-01-01 | $115.03 | $45.38 | RVU25A |
| 2024-10-01 | $120.01 | $46.15 | RVU24D |
| 2024-07-01 | $120.01 | $46.15 | RVU24C |
| 2024-04-01 | $120.01 | $46.15 | RVU24B |
| 2024-03-09 | $120.01 | $46.15 | RVU24AR |
| 2024-01-01 | $118.05 | $45.40 | RVU24A |
| 2023-10-01 | $124.32 | $47.54 | RVU23D |
| 2023-07-01 | $124.32 | $47.54 | RVU23C |
| 2023-04-01 | $124.32 | $47.54 | RVU23B |
| 2023-01-01 | $124.32 | $47.54 | RVU23A |
| 2022-10-01 | $127.73 | $48.49 | RVU22D |
| 2022-07-01 | $127.73 | $48.49 | RVU22C |
| 2022-04-01 | $127.73 | $48.49 | RVU22B |
| 2022-01-01 | $127.73 | $48.49 | RVU22A |
| 2021-10-01 | $139.61 | $49.31 | RVU21D |
| 2021-07-01 | $139.61 | $49.31 | RVU21C |
| 2021-04-01 | $139.61 | $49.31 | RVU21B |
| 2021-01-01 | $139.61 | $49.31 | RVU21A |
| 2020-10-01 | $147.75 | $50.83 | RVU20D |
| 2020-07-01 | $147.75 | $50.83 | RVU20C |
| 2020-04-01 | $147.75 | $50.83 | RVU20B |
| 2020-01-01 | $147.75 | $50.83 | RVU20A |
| 2019-10-01 | $155.09 | $50.97 | RVU19D |
| 2019-07-01 | $155.09 | $50.97 | RVU19C |
| 2019-04-01 | $155.09 | $50.97 | RVU19B |
| 2019-01-01 | $155.09 | $50.97 | RVU19A |
| 2018-10-01 | $163.42 | $50.91 | RVU18D |
| 2018-07-01 | $163.42 | $50.91 | RVU18C |
| 2018-04-01 | $163.42 | $50.91 | RVU18B |
| 2018-01-01 | $163.42 | $50.91 | RVU18AR1 |
| 2017-10-01 | $163.83 | $51.53 | RVU17D |
| 2017-07-01 | $163.83 | $51.53 | RVU17C |
| 2017-04-01 | $163.83 | $51.53 | RVU17B |
| 2017-01-01 | $163.83 | $51.53 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Merced, CA rate applies
Merced, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Merced
- Atwater
- Ballico
- Bear Creek
- Cressey
- Delhi
- Dos Palos
- Dos Palos Y
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
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