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CPT code 36252: Renal angiography, bilateral, first-order arteries2026 Medicare rate & RVUs in Nevada

Reports selective catheterization and angiographic evaluation of the first-order renal arteries on both sides, including associated imaging interpretation and flush aortography when performed.

CMS RVU26DEffective Oct 1, 2026One payment locality3.7K Medicare services in 2024

In Nevada, Medicare pays $1,336.20 for 36252 in the office and $301.41 when it’s performed in a hospital or facility.

$1,336.20Office (non-facility)
$301.41Hospital or facility
−0.5%vs the national office rate ($1,343.38)

Check a contract rate as a % of Medicare · 36252 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 36252 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 36252 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 36252 covers

This code describes diagnostic angiography requiring selective catheterization of the first-order renal arteries on both sides. It is commonly performed in an angiography suite or hospital procedure room by an interventional radiologist, vascular surgeon, or other physician performing renal vascular imaging to assess suspected stenosis or other renal arterial disease. The service includes the associated renal angiographic imaging and interpretation, as well as flush aortography when performed.

Choose this code when the documented work meets the bilateral, first-order renal artery level; catheterization of more distal or additional renal branches may call for a different code in the family. The report should support bilateral selective catheter positions and the angiographic study performed. The code packages the related catheter placement and imaging interpretation, so do not separately report those same components. It has a 0-day global period, with same-day preoperative and postoperative care included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. The code is already priced bilaterally, so modifier 50 does not increase payment. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.

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 Nevada compares for 36252

Across 109 of 109 payment localities, the office rate for 36252 runs from $1,167.90 in Arkansas to $1,819.52 in San Benito County, CA. Nevada pays $1,336.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

36252 in Nevada vs other payment areas
  1. Nevada · this page$1,336.20
  2. Los Angeles, CA · California$1,532.41+$196.21
  3. Washington, DC area · District of Columbia$1,552.08+$215.88
  4. Miami, FL · Florida$1,463.02+$126.82
  5. Chicago, IL · Illinois$1,414.31+$78.11
  6. Manhattan, NY · New York$1,560.47+$224.27
  7. Alaska · Alaska$1,500.75+$164.55

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

Every other payment area

36252 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,187.62$283.08
ArkansasArkansas$1,167.90$279.91
ArizonaArizona$1,302.96$301.24
Bakersfield, CACalifornia$1,431.38$298.38
Chico, CACalifornia$1,427.33$294.33
El Centro, CACalifornia$1,427.58$294.58
Fresno, CACalifornia$1,427.33$294.33
Hanford, CACalifornia$1,427.33$294.33

36252 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.

$1,167.90

$1,623.43

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
36252 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,500.751
AL$1,187.621
AR$1,167.901
AZ$1,302.961
CA$1,427.33–$1,819.5229
CO$1,403.961
CT$1,440.891
DC$1,552.081
DE$1,326.591
FL$1,320.97–$1,463.023
GA$1,236.83–$1,371.172
GU$1,469.781
HI$1,469.781
IA$1,222.241
ID$1,231.371
IL$1,277.73–$1,414.314
IN$1,239.541
KS$1,215.711
KY$1,219.911
LA$1,217.74–$1,286.712
MA$1,393.81–$1,555.402
MD$1,354.42–$1,552.083
ME$1,238.74–$1,315.472
MI$1,256.28–$1,339.692
MN$1,339.741
MO$1,193.82–$1,291.913
MS$1,181.131
MT$1,343.291
NC$1,253.551
ND$1,314.021
NE$1,229.901
NH$1,381.261
NJ$1,455.81–$1,532.492
NM$1,264.141
NV$1,336.201
NY$1,274.98–$1,602.875
OH$1,250.301
OK$1,217.391
OR$1,324.40–$1,453.512
PA$1,252.56–$1,400.932
PR$1,354.461
RI$1,377.671
SC$1,254.311
SD$1,310.561
TN$1,222.721
TX$1,243.17–$1,400.518
UT$1,273.871
VA$1,310.58–$1,552.082
VI$1,354.461
VT$1,308.221
WA$1,391.37–$1,589.222
WI$1,264.051
WV$1,223.931
WY$1,330.531

See 36252 in every payment locality

How the 36252 rate is calculated

Each of 36252’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 · 36252

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.57

6.57 RVUs× 1.000 GPCI

Practice expense32.17

32.17 RVUs× 1.000 GPCI

Malpractice1.48

1.48 RVUs× 1.000 GPCI

Adjusted RVUs

40.2200

Conversion factor

$33.4009

Medicare rate

$1,343.38

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,460

Code
36252
Physician work
6.57
Practice expense
32.17
Malpractice
1.48

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 36252 in Nevada
ComponentRVULocality factorAdjusted
Physician work6.57× 1.0006.5700
Practice expense32.17× 1.00132.2022
Malpractice1.48× 0.8331.2328
Total RVUs40.0050
Conversion factor× 33.4009

Office rate, Nevada$1336.20

Office: (6.57 × 1 + 32.17 × 1.001 + 1.48 × 0.833) × $33.4009 = $1336.20

Facility: (6.57 × 1 + 1.22 × 1.001 + 1.48 × 0.833) × $33.4009 = $301.41

Open 36252 in the RVU calculator

Payment rules and modifiers for 36252

The CMS indicators that decide how 36252 is paid alongside other services.

CMS payment indicators · 36252

Renal angiography, bilateral, first-order arteries

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

36252 without 51 · national office

$1,343.38

Renal angiography, bilateral, first-order arteries

36252-51 · Second procedure: 50%

$671.69

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 36252

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 36252
CodeHow it relatesOffice range, Nevada
Same family
36251Renal angiography, unilateral, main arteryUnilateral counterpart for first-order renal artery angiography.$1,221.88
36253Renal angiography, second-order or higher, unilateralUnilateral renal angiography involving second-order or more selective catheterization.$1,894.23
36254Renal catheterization, second-order or more, bilateralBilateral renal angiography involving second-order or more selective catheterization.$1,901.81

How 36252 has changed in Nevada

36252 · Office / nonfacility

$1336.20

Effective 2026-10-01

The base rate is $57.84 higher than on 2025-10-01, moving from $1278.36 to $1336.20 (4.5%).

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

    $1278.36changed to$1336.20

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.74 changed to 6.57
    • Practice expense RVU 31.54 changed to 32.17
    • Malpractice RVU 1.47 changed to 1.48
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1358.38changed to$1278.36

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 32.81 changed to 31.54
    • Malpractice RVU 1.49 changed to 1.47

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1336.21changed to$1358.38

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1418.93changed to$1336.21

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 33.54 changed to 32.81
    • Malpractice RVU 1.45 changed to 1.49
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $1506.52changed to$1418.93

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 34.76 changed to 33.54
    • Malpractice RVU 1.48 changed to 1.45
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1585.29changed to$1506.52

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 36.70 changed to 34.76
    • Malpractice RVU 1.45 changed to 1.48

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1552.63changed to$1585.29

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 34.65 changed to 36.70
    • Malpractice RVU 1.42 changed to 1.45
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1545.77changed to$1552.63

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 34.22 changed to 34.65
    • Malpractice RVU 1.47 changed to 1.42
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1543.71changed to$1545.77

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 34.21 changed to 34.22

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1552.58changed to$1543.71

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 33.94 changed to 34.21
    • Malpractice RVU 1.48 changed to 1.47
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1643.03changed to$1552.58

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 6.99 changed to 6.74
    • Practice expense RVU 35.53 changed to 33.94
    • Malpractice RVU 1.55 changed to 1.48
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1645.96changed to$1643.03

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 35.46 changed to 35.53
    • Malpractice RVU 1.54 changed to 1.55

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1637.77changed to$1645.96

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1635.81changed to$1637.77

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 35.35 changed to 35.46
    • Malpractice RVU 1.24 changed to 1.54
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1753.40changed to$1635.81

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 40.59 changed to 35.35
    • Malpractice RVU 1.30 changed to 1.24
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$1753.40

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,336.20$301.41RVU26D
2026-07-01$1,336.20$301.41RVU26C
2026-04-01$1,336.20$301.41RVU26B
2026-01-01$1,336.20$301.41RVU26A
2025-10-01$1,278.36$330.60RVU25D
2025-07-01$1,278.36$330.60RVU25C
2025-04-01$1,278.36$330.60RVU25B
2025-01-01$1,278.36$330.60RVU25A
2024-10-01$1,358.38$339.45RVU24D
2024-07-01$1,358.38$339.45RVU24C
2024-04-01$1,358.38$339.45RVU24B
2024-03-09$1,358.38$339.45RVU24AR
2024-01-01$1,336.21$333.91RVU24A
2023-10-01$1,418.93$357.24RVU23D
2023-07-01$1,418.93$357.24RVU23C
2023-04-01$1,418.93$357.24RVU23B
2023-01-01$1,418.93$357.24RVU23A
2022-10-01$1,506.52$381.47RVU22D
2022-07-01$1,506.52$381.47RVU22C
2022-04-01$1,506.52$381.47RVU22B
2022-01-01$1,506.52$381.47RVU22A
2021-10-01$1,585.29$383.57RVU21D
2021-07-01$1,585.29$383.57RVU21C
2021-04-01$1,585.29$383.57RVU21B
2021-01-01$1,585.29$383.57RVU21A
2020-10-01$1,552.63$384.05RVU20D
2020-07-01$1,552.63$384.05RVU20C
2020-04-01$1,552.63$384.05RVU20B
2020-01-01$1,552.63$384.05RVU20A
2019-10-01$1,545.77$375.11RVU19D
2019-07-01$1,545.77$375.11RVU19C
2019-04-01$1,545.77$375.11RVU19B
2019-01-01$1,545.77$375.11RVU19A
2018-10-01$1,543.71$375.43RVU18D
2018-07-01$1,543.71$375.43RVU18C
2018-04-01$1,543.71$375.43RVU18B
2018-01-01$1,543.71$375.43RVU18AR1
2017-10-01$1,552.58$379.57RVU17D
2017-07-01$1,552.58$379.57RVU17C
2017-04-01$1,552.58$379.57RVU17B
2017-01-01$1,552.58$379.57RVU17A
2016-10-01$1,643.03$396.71RVU16D
2016-07-01$1,643.03$396.71RVU16C
2016-04-01$1,643.03$396.71RVU16B
2016-01-01$1,643.03$396.71RVU16A
2015-10-01$1,645.96$398.17RVU15D
2015-07-01$1,645.96$398.17RVU15C
2015-04-01$1,637.77$396.19RVU15B
2015-01-01$1,637.77$396.19RVU15A
2014-10-01$1,635.81$392.04RVU14D
2014-07-01$1,635.81$392.04RVU14C
2014-04-01$1,635.81$392.04RVU14B
2014-01-01$1,635.81$392.04RVU14A
2013-10-01$1,753.40$382.66RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 36252 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

36252 billing questions

When should I choose 36252 instead of 36251?

Use 36252 for the qualifying first-order renal angiographic service performed bilaterally. Code 36251 describes the unilateral service.

Does 36252 include the angiographic imaging and interpretation?

Yes. The code includes the associated renal angiography and radiological supervision and interpretation, with flush aortography when performed; do not separately report those same components.

Should modifier 50 be appended?

The code is already priced for bilateral work. Modifier 50 does not increase payment.

How is 36252 distinguished from 36254?

36252 represents bilateral first-order renal artery catheterization. 36254 is for bilateral catheterization at the second-order level or beyond.

What documentation supports reporting 36252?

Document selective catheter placement in both first-order renal arteries and the angiographic imaging performed, including any flush aortography.

Can an assistant or co-surgeon be reported for this service?

Assistant-at-surgery payment is restricted for this code. Co-surgeons and team surgery are not permitted.

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 36252PPRRVU2026_Oct_nonQPP.csv, line 4,460 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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