CPT code 36248: Selective catheterization, additional abdominal or limb branch2026 Medicare rate & RVUs in Missouri
Report 36248 for additional qualifying selective catheter placements in abdominal, pelvic, or lower-extremity arterial branches within a vascular family.
Medicare pays $101.71–$108.61 for 36248 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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.
Where 36248 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$101.71 to $108.61
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $107.53 | $41.04 |
| Metropolitan St. Louis, MO | $108.61 | $41.20 |
| Rest of Missouri | $101.71 | $40.67 |
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.
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. |
36248 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 36245Selective catheterizationFirst-order abdominal or leg branch
- 36245 reports a first-order abdominal, pelvic, or lower-extremity branch placement. Use 36248 for additional qualifying branch placements, not as the primary placement.
- 36246Selective catheterizationSecond-order branch
- 36246 describes a second-order selective placement. 36248 is an add-on for additional qualifying branch placements within the vascular family.
- 36247Selective catheterizationThird order or beyond
- 36247 describes a third-order-or-more selective placement. 36248 reports additional qualifying branch placements beyond the primary selection.
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
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