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

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 Utah, Medicare pays $107.29 for 36248 in the office and $40.73 when it’s performed in a hospital or facility.

$107.29Office (non-facility)
$40.73Hospital or facility
−4.4%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 Utah
  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 Utah 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. Utah pays $107.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

36248 in Utah vs other payment areas
  1. Utah · this page$107.29
  2. Los Angeles, CA · California$126.04+$18.75
  3. Washington, DC area · District of Columbia$127.88+$20.59
  4. Miami, FL · Florida$121.45+$14.16
  5. Chicago, IL · Illinois$118.02+$10.73
  6. Manhattan, NY · New York$128.90+$21.61
  7. Alaska · Alaska$131.70+$24.41

Other areas in Utah 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.

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 Utah 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

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 36248 in Utah
ComponentRVULocality factorAdjusted
Physician work0.98× 1.0000.9800
Practice expense2.26× 0.9402.1244
Malpractice0.12× 0.8980.1078
Total RVUs3.2122
Conversion factor× 33.4009

Office rate, Utah$107.29

Office: (0.98 × 1 + 2.26 × 0.94 + 0.12 × 0.898) × $33.4009 = $107.29

Facility: (0.98 × 1 + 0.14 × 0.94 + 0.12 × 0.898) × $33.4009 = $40.73

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 Utah

36248 · Office / nonfacility

$107.29

Effective 2026-10-01

The base rate is $2.81 higher than on 2025-10-01, moving from $104.48 to $107.29 (2.7%).

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

    $104.48changed to$107.29

    • 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 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $108.77changed to$104.48

    • 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

    $106.99changed to$108.77

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $112.43changed to$106.99

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.38 changed to 2.30
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930
  5. January 1, 2023

    RVU23A

    $115.28changed to$112.43

    • 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 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $125.77changed to$115.28

    • 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

    $133.62changed to$125.77

    • 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 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $140.91changed to$133.62

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.99 changed to 2.80
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $148.10changed to$140.91

    • 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

    $147.42changed to$148.10

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $148.14changed to$147.42

    • 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 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $148.01changed to$148.14

    • 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

    $147.28changed to$148.01

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $147.96changed to$147.28

    • 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 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $150.06changed to$147.96

    • 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 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $150.06

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$107.29$40.73RVU26D
2026-07-01$107.29$40.73RVU26C
2026-04-01$107.29$40.73RVU26B
2026-01-01$107.29$40.73RVU26A
2025-10-01$104.48$45.03RVU25D
2025-07-01$104.48$45.03RVU25C
2025-04-01$104.48$45.03RVU25B
2025-01-01$104.48$45.03RVU25A
2024-10-01$108.77$45.72RVU24D
2024-07-01$108.77$45.72RVU24C
2024-04-01$108.77$45.72RVU24B
2024-03-09$108.77$45.72RVU24AR
2024-01-01$106.99$44.97RVU24A
2023-10-01$112.43$46.53RVU23D
2023-07-01$112.43$46.53RVU23C
2023-04-01$112.43$46.53RVU23B
2023-01-01$112.43$46.53RVU23A
2022-10-01$115.28$46.90RVU22D
2022-07-01$115.28$46.90RVU22C
2022-04-01$115.28$46.90RVU22B
2022-01-01$115.28$46.90RVU22A
2021-10-01$125.77$47.85RVU21D
2021-07-01$125.77$47.85RVU21C
2021-04-01$125.77$47.85RVU21B
2021-01-01$125.77$47.85RVU21A
2020-10-01$133.62$50.01RVU20D
2020-07-01$133.62$50.01RVU20C
2020-04-01$133.62$50.01RVU20B
2020-01-01$133.62$50.01RVU20A
2019-10-01$140.91$51.04RVU19D
2019-07-01$140.91$51.04RVU19C
2019-04-01$140.91$51.04RVU19B
2019-01-01$140.91$51.04RVU19A
2018-10-01$148.10$50.98RVU18D
2018-07-01$148.10$50.98RVU18C
2018-04-01$148.10$50.98RVU18B
2018-01-01$148.10$50.98RVU18AR1
2017-10-01$147.42$51.15RVU17D
2017-07-01$147.42$51.15RVU17C
2017-04-01$147.42$51.15RVU17B
2017-01-01$147.42$51.15RVU17A
2016-10-01$148.14$51.75RVU16D
2016-07-01$148.14$51.75RVU16C
2016-04-01$148.14$51.75RVU16B
2016-01-01$148.14$51.75RVU16A
2015-10-01$148.01$51.60RVU15D
2015-07-01$148.01$51.60RVU15C
2015-04-01$147.28$51.35RVU15B
2015-01-01$147.28$51.35RVU15A
2014-10-01$147.96$53.15RVU14D
2014-07-01$147.96$53.15RVU14C
2014-04-01$147.96$53.15RVU14B
2014-01-01$147.96$53.15RVU14A
2013-10-01$150.06$50.96RVU13D
2013-07-01$150.06$50.96RVU13C
2013-04-01$150.06$50.96RVU13B
2013-01-01$150.06$50.96RVU13AR

Price 36248 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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 UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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