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

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 Connecticut, Medicare pays $119.54 for 36248 in the office and $43.27 when it’s performed in a hospital or facility.

$119.54Office (non-facility)
$43.27Hospital or facility
+6.5%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 Connecticut
  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 Connecticut 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. Connecticut pays $119.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

36248 in Connecticut vs other payment areas
  1. Connecticut · this page$119.54
  2. Los Angeles, CA · California$126.04+$6.50
  3. Washington, DC area · District of Columbia$127.88+$8.34
  4. Miami, FL · Florida$121.45+$1.91
  5. Chicago, IL · Illinois$118.02−$1.52
  6. Manhattan, NY · New York$128.90+$9.36
  7. Alaska · Alaska$131.70+$12.16

Other areas in Connecticut 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
ArizonaArizona$109.31$40.69
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

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 Connecticut 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

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 36248 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.98× 1.0200.9996
Practice expense2.26× 1.0772.4340
Malpractice0.12× 1.2100.1452
Total RVUs3.5788
Conversion factor× 33.4009

Office rate, Connecticut$119.54

Office: (0.98 × 1.02 + 2.26 × 1.077 + 0.12 × 1.21) × $33.4009 = $119.54

Facility: (0.98 × 1.02 + 0.14 × 1.077 + 0.12 × 1.21) × $33.4009 = $43.27

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, Connecticut
Primary code
36245Selective catheterization, first-order abdominal or leg branchCan provide the primary selective placement when 36248 reports additional qualifying branches.$1,286.26
36246Selective catheterization, second-order branchCan provide the primary selective placement when 36248 reports additional qualifying branches.$854.74
36247Selective catheterization, third order or beyondCan provide the primary selective placement when 36248 reports additional qualifying branches.$1,453.68
Used instead
36251Renal angiography, unilateral, main arteryUse the renal artery code family for the applicable unilateral renal angiography service.$1,315.32
36252Renal angiography, bilateral, first-order arteriesUse the renal artery code family for the applicable bilateral renal angiography service.$1,440.89

How 36248 has changed in Connecticut

36248 · Office / nonfacility

$119.54

Effective 2026-10-01

The base rate is $1.67 higher than on 2025-10-01, moving from $117.87 to $119.54 (1.4%).

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

    $117.87changed to$119.54

    • 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 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $122.71changed to$117.87

    • 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

    $120.71changed to$122.71

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $128.48changed to$120.71

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.38 changed to 2.30
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $133.48changed to$128.48

    • 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 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $146.12changed to$133.48

    • 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

    $154.32changed to$146.12

    • 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 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $161.96changed to$154.32

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.99 changed to 2.80
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $170.59changed to$161.96

    • 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

    $170.67changed to$170.59

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $172.37changed to$170.67

    • 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
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $172.18changed to$172.37

    • 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

    $171.33changed to$172.18

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $172.01changed to$171.33

    • 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 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $174.85changed to$172.01

    • 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 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $174.85

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$119.54$43.27RVU26D
2026-07-01$119.54$43.27RVU26C
2026-04-01$119.54$43.27RVU26B
2026-01-01$119.54$43.27RVU26A
2025-10-01$117.87$48.35RVU25D
2025-07-01$117.87$48.35RVU25C
2025-04-01$117.87$48.35RVU25B
2025-01-01$117.87$48.35RVU25A
2024-10-01$122.71$48.99RVU24D
2024-07-01$122.71$48.99RVU24C
2024-04-01$122.71$48.99RVU24B
2024-03-09$122.71$48.99RVU24AR
2024-01-01$120.71$48.19RVU24A
2023-10-01$128.48$50.06RVU23D
2023-07-01$128.48$50.06RVU23C
2023-04-01$128.48$50.06RVU23B
2023-01-01$128.48$50.06RVU23A
2022-10-01$133.48$50.60RVU22D
2022-07-01$133.48$50.60RVU22C
2022-04-01$133.48$50.60RVU22B
2022-01-01$133.48$50.60RVU22A
2021-10-01$146.12$51.67RVU21D
2021-07-01$146.12$51.67RVU21C
2021-04-01$146.12$51.67RVU21B
2021-01-01$146.12$51.67RVU21A
2020-10-01$154.32$53.50RVU20D
2020-07-01$154.32$53.50RVU20C
2020-04-01$154.32$53.50RVU20B
2020-01-01$154.32$53.50RVU20A
2019-10-01$161.96$54.16RVU19D
2019-07-01$161.96$54.16RVU19C
2019-04-01$161.96$54.16RVU19B
2019-01-01$161.96$54.16RVU19A
2018-10-01$170.59$54.10RVU18D
2018-07-01$170.59$54.10RVU18C
2018-04-01$170.59$54.10RVU18B
2018-01-01$170.59$54.10RVU18AR1
2017-10-01$170.67$54.42RVU17D
2017-07-01$170.67$54.42RVU17C
2017-04-01$170.67$54.42RVU17B
2017-01-01$170.67$54.42RVU17A
2016-10-01$172.37$55.17RVU16D
2016-07-01$172.37$55.17RVU16C
2016-04-01$172.37$55.17RVU16B
2016-01-01$172.37$55.17RVU16A
2015-10-01$172.18$54.96RVU15D
2015-07-01$172.18$54.96RVU15C
2015-04-01$171.33$54.69RVU15B
2015-01-01$171.33$54.69RVU15A
2014-10-01$172.01$56.87RVU14D
2014-07-01$172.01$56.87RVU14C
2014-04-01$172.01$56.87RVU14B
2014-01-01$172.01$56.87RVU14A
2013-10-01$174.85$54.75RVU13D
2013-07-01$174.85$54.75RVU13C
2013-04-01$174.85$54.75RVU13B
2013-01-01$174.85$54.75RVU13AR

Price 36248 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

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 ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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