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

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 Baltimore area, MD, Medicare pays $119.21 for 36248 in the office and $43.23 when it’s performed in a hospital or facility.

$119.21Office (non-facility)
$43.23Hospital or facility
+6.2%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 Baltimore area, MD
  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 Baltimore area, MD 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. Baltimore area, MD pays $119.21. The RVUs are the same everywhere; the geographic indexes change the dollars.

36248 in Baltimore area, MD vs other payment areas
  1. Baltimore area, MD · this page$119.21
  2. Rest of Maryland · Maryland$113.13−$6.08
  3. Los Angeles, CA · California$126.04+$6.83
  4. Washington, DC area · District of Columbia$127.88+$8.67
  5. Miami, FL · Florida$121.45+$2.24
  6. Chicago, IL · Illinois$118.02−$1.19
  7. Manhattan, NY · New York$128.90+$9.69

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

Every other payment area

36248 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$131.70$56.29
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

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
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 Baltimore area, MD 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

60

Locality
Baltimore area, MD
Physician work
1.016
Practice expense
1.073
Malpractice
1.237
Office calculation for 36248 in Baltimore area, MD
ComponentRVULocality factorAdjusted
Physician work0.98× 1.0160.9957
Practice expense2.26× 1.0732.4250
Malpractice0.12× 1.2370.1484
Total RVUs3.5691
Conversion factor× 33.4009

Office rate, Baltimore area, MD$119.21

Office: (0.98 × 1.016 + 2.26 × 1.073 + 0.12 × 1.237) × $33.4009 = $119.21

Facility: (0.98 × 1.016 + 0.14 × 1.073 + 0.12 × 1.237) × $33.4009 = $43.23

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.

How 36248 has changed in Baltimore area, MD

36248 · Office / nonfacility

$119.21

Effective 2026-10-01

The base rate is $1.93 higher than on 2025-10-01, moving from $117.28 to $119.21 (1.6%).

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

    $117.28changed to$119.21

    • 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 1.020 changed to 1.016
    • Practice expense GPCI 1.078 changed to 1.073
    • Malpractice GPCI 1.309 changed to 1.237

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $122.05changed to$117.28

    • 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

    $120.06changed to$122.05

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $128.05changed to$120.06

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.38 changed to 2.30
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.087 changed to 1.078
    • Malpractice GPCI 1.311 changed to 1.309
  5. January 1, 2023

    RVU23A

    $133.10changed to$128.05

    • 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 1.028 changed to 1.024
    • Practice expense GPCI 1.096 changed to 1.087
    • Malpractice GPCI 1.313 changed to 1.311

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $145.82changed to$133.10

    • 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

    $153.23changed to$145.82

    • 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 1.026 changed to 1.028
    • Practice expense GPCI 1.095 changed to 1.096
    • Malpractice GPCI 1.304 changed to 1.313

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $160.36changed to$153.23

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.99 changed to 2.80
    • Work GPCI 1.023 changed to 1.026
    • Malpractice GPCI 1.295 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $168.86changed to$160.36

    • 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

    $168.23changed to$168.86

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.096 changed to 1.095
    • Malpractice GPCI 1.238 changed to 1.295

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $169.33changed to$168.23

    • 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 1.097 changed to 1.096
    • Malpractice GPCI 1.181 changed to 1.238

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $169.15changed to$169.33

    • 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

    $168.31changed to$169.15

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $169.65changed to$168.31

    • 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
    • Work GPCI 1.025 changed to 1.023
    • Malpractice GPCI 1.194 changed to 1.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $173.23changed to$169.65

    • 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
    • Work GPCI 1.027 changed to 1.025
    • Malpractice GPCI 1.206 changed to 1.194

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $173.23

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$119.21$43.23RVU26D
2026-07-01$119.21$43.23RVU26C
2026-04-01$119.21$43.23RVU26B
2026-01-01$119.21$43.23RVU26A
2025-10-01$117.28$48.59RVU25D
2025-07-01$117.28$48.59RVU25C
2025-04-01$117.28$48.59RVU25B
2025-01-01$117.28$48.59RVU25A
2024-10-01$122.05$49.21RVU24D
2024-07-01$122.05$49.21RVU24C
2024-04-01$122.05$49.21RVU24B
2024-03-09$122.05$49.21RVU24AR
2024-01-01$120.06$48.41RVU24A
2023-10-01$128.05$50.69RVU23D
2023-07-01$128.05$50.69RVU23C
2023-04-01$128.05$50.69RVU23B
2023-01-01$128.05$50.69RVU23A
2022-10-01$133.10$51.55RVU22D
2022-07-01$133.10$51.55RVU22C
2022-04-01$133.10$51.55RVU22B
2022-01-01$133.10$51.55RVU22A
2021-10-01$145.82$52.89RVU21D
2021-07-01$145.82$52.89RVU21C
2021-04-01$145.82$52.89RVU21B
2021-01-01$145.82$52.89RVU21A
2020-10-01$153.23$54.04RVU20D
2020-07-01$153.23$54.04RVU20C
2020-04-01$153.23$54.04RVU20B
2020-01-01$153.23$54.04RVU20A
2019-10-01$160.36$54.21RVU19D
2019-07-01$160.36$54.21RVU19C
2019-04-01$160.36$54.21RVU19B
2019-01-01$160.36$54.21RVU19A
2018-10-01$168.86$54.15RVU18D
2018-07-01$168.86$54.15RVU18C
2018-04-01$168.86$54.15RVU18B
2018-01-01$168.86$54.15RVU18AR1
2017-10-01$168.23$54.16RVU17D
2017-07-01$168.23$54.16RVU17C
2017-04-01$168.23$54.16RVU17B
2017-01-01$168.23$54.16RVU17A
2016-10-01$169.33$54.64RVU16D
2016-07-01$169.33$54.64RVU16C
2016-04-01$169.33$54.64RVU16B
2016-01-01$169.33$54.64RVU16A
2015-10-01$169.15$54.44RVU15D
2015-07-01$169.15$54.44RVU15C
2015-04-01$168.31$54.17RVU15B
2015-01-01$168.31$54.17RVU15A
2014-10-01$169.65$56.47RVU14D
2014-07-01$169.65$56.47RVU14C
2014-04-01$169.65$56.47RVU14B
2014-01-01$169.65$56.47RVU14A
2013-10-01$173.23$54.55RVU13D
2013-07-01$173.23$54.55RVU13C
2013-04-01$173.23$54.55RVU13B
2013-01-01$173.23$54.55RVU13AR

Price 36248 for an earlier date of service

Where the Baltimore area, MD rate applies

Baltimore area, MD is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in Maryland. Some span more than one payment area; confirm with the service ZIP.

  • Baltimore
  • Aberdeen
  • Aberdeen Proving Ground
  • Abingdon
  • Annapolis
  • Annapolis Neck
  • Arbutus
  • Arden on the Severn

Browse all communities in Maryland

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 Baltimore area, MDGPCI2026.csv, line 60 (RVU26D)

Open CMS sourceHow we calculate rates

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