Billing code 36245: Selective catheterizationMedicare rate & RVUs
Reports selective catheter placement into a first-order abdominal, pelvic, or lower-extremity artery branch during diagnostic angiography or an endovascular procedure.
Medicare pays $1,198.76 for 36245 nationally in the office and $207.09 in a hospital or facility. Local office rates run $1,041.19–$1,652.35.
Medicare rate · 36245
Selective catheterization
Swap in your local Medicare rate.
- Work RVUs
- 4.53
- Total RVUs
- 35.89
- Global days
- XXX
National rate · 2026
$1,198.76
Office setting, before claim adjustments.
See every locality for 36245 → · Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 10 sections
What 36245 covers
This service covers advancing a catheter beyond the access vessel into a first-order branch of the abdominal, pelvic, or lower-extremity arterial tree. Examples of first-order abdominal branches include the celiac and superior mesenteric arteries. Interventional radiologists, vascular surgeons, and other physicians who perform angiography or endovascular procedures commonly place these catheters in hospital and outpatient settings. The code describes catheter position, not the imaging interpretation or treatment performed through the catheter.
Select this level when documentation identifies the catheterized branch and supports first-order placement; a catheter left in the aorta is not selective placement. Report higher-order branches at the appropriate level, and use the dedicated renal artery codes for services covered by that renal family. If the same session includes multiple procedures, CMS pays the highest-valued procedure in full and the others at 50%. For a bilateral procedure reported with modifier 50, CMS pays 150%.
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 36245 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$1041.19 to $1652.35
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $1,058.95 | $191.24 |
| Alaska* | $1,327.73 | $271.60 |
| Arizona | $1,163.04 | $202.11 |
| Arkansas | $1,041.19 | $189.34 |
| Atlanta | $1,221.29 | $213.75 |
| Austin | $1,254.87 | $205.68 |
| Bakersfield | $1,288.20 | $201.33 |
| Baltimore/Surr. Cntys | $1,282.35 | $218.29 |
| Beaumont | $1,105.03 | $202.61 |
| Brazoria | $1,184.48 | $201.73 |
| Chicago | $1,242.11 | $245.48 |
| Chico | $1,285.80 | $198.93 |
| Colorado | $1,259.48 | $204.34 |
| Connecticut | $1,286.26 | $218.23 |
| Dallas | $1,191.97 | $204.26 |
| Dc + Md/Va Suburbs | $1,391.51 | $223.32 |
| Delaware | $1,184.39 | $204.62 |
| Detroit | $1,182.81 | $225.84 |
| East St. Louis | $1,146.39 | $234.05 |
| El Centro | $1,285.94 | $199.07 |
| Fort Lauderdale | $1,235.21 | $230.65 |
| Fort Worth | $1,182.15 | $204.36 |
| Fresno | $1,285.80 | $198.93 |
| Galveston | $1,187.90 | $203.17 |
| Hanford-Corcoran | $1,285.80 | $198.93 |
| Hawaii, Guam | $1,326.23 | $198.70 |
| Houston | $1,203.64 | $218.91 |
| Idaho | $1,102.12 | $189.78 |
| Indiana | $1,109.63 | $190.35 |
| Iowa | $1,094.85 | $187.46 |
| Kansas | $1,086.71 | $190.24 |
| Kentucky | $1,083.24 | $201.64 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $1,381.74 | $208.59 |
| Madera | $1,285.80 | $198.93 |
| Manhattan | $1,390.31 | $237.98 |
| Merced | $1,285.80 | $198.93 |
| Metropolitan Boston | $1,399.44 | $215.38 |
| Metropolitan Kansas City | $1,135.96 | $204.77 |
| Metropolitan Philadelphia | $1,248.79 | $216.46 |
| Metropolitan St. Louis | $1,149.92 | $205.84 |
| Miami | $1,284.45 | $252.12 |
| Minnesota | $1,208.08 | $187.65 |
| Mississippi | $1,049.66 | $195.83 |
| Modesto | $1,285.80 | $198.93 |
| Montana** | $1,198.70 | $207.03 |
| Napa | $1,518.11 | $211.09 |
| Nebraska | $1,102.45 | $187.14 |
| Nevada** | $1,194.98 | $202.32 |
| New Hampshire | $1,236.94 | $204.60 |
| New Mexico | $1,119.98 | $210.61 |
| New Orleans | $1,142.56 | $209.40 |
| North Carolina | $1,120.13 | $194.90 |
| North Dakota** | $1,181.70 | $190.02 |
| Northern Nj | $1,373.24 | $222.90 |
| Nyc Suburbs/Long Island | $1,425.60 | $246.50 |
| Ohio | $1,110.36 | $204.96 |
| Oklahoma | $1,083.35 | $197.79 |
| Oxnard-Thousand Oaks-Ventura | $1,377.57 | $205.42 |
| Portland | $1,306.90 | $205.16 |
| Poughkpsie/N Nyc Suburbs | $1,308.38 | $222.50 |
| Puerto Rico | $1,209.53 | $206.95 |
| Queens | $1,406.55 | $234.39 |
| Redding | $1,285.80 | $198.93 |
| Rest Of California | $1,285.80 | $198.93 |
| Rest Of Florida | $1,168.38 | $220.34 |
| Rest Of Georgia | $1,094.25 | $209.68 |
| Rest Of Illinois | $1,126.30 | $220.90 |
| Rest Of Louisiana | $1,080.40 | $202.77 |
| Rest Of Maine | $1,106.40 | $194.06 |
| Rest Of Maryland | $1,210.14 | $206.57 |
| Rest Of Massachusetts | $1,249.34 | $205.11 |
| Rest Of Michigan | $1,113.83 | $208.44 |
| Rest Of Missouri | $1,057.43 | $202.61 |
| Rest Of New Jersey | $1,301.32 | $218.41 |
| Rest Of New York | $1,139.29 | $197.20 |
| Rest Of Oregon | $1,186.15 | $198.45 |
| Rest Of Pennsylvania | $1,113.64 | $203.29 |
| Rest Of Texas | $1,144.02 | $202.92 |
| Rest Of Washington | $1,247.85 | $203.62 |
| Rhode Island | $1,232.15 | $207.75 |
| Riverside-San Bernardino-Ontario | $1,295.06 | $208.18 |
| Sacramento-Roseville-Folsom | $1,356.93 | $203.61 |
| Salinas | $1,352.10 | $202.75 |
| San Diego-Chula Vista-Carlsbad | $1,389.81 | $203.77 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $1,615.27 | $217.01 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $1,614.29 | $216.04 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $1,652.35 | $222.36 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $1,648.36 | $218.37 |
| San Luis Obispo-Paso Robles | $1,329.61 | $200.09 |
| Santa Cruz-Watsonville | $1,407.63 | $202.75 |
| Santa Maria-Santa Barbara | $1,358.78 | $202.48 |
| Santa Rosa-Petaluma | $1,422.24 | $204.46 |
| Seattle (King Cnty) | $1,432.32 | $215.54 |
| South Carolina | $1,117.03 | $200.72 |
| South Dakota** | $1,179.69 | $188.01 |
| Southern Maine | $1,178.99 | $196.24 |
| Stockton | $1,285.80 | $198.93 |
| Suburban Chicago | $1,249.50 | $231.05 |
| Tennessee | $1,092.75 | $191.32 |
| Utah | $1,134.70 | $202.53 |
| Vallejo | $1,516.71 | $209.68 |
| Vermont | $1,174.38 | $192.62 |
| Virgin Islands | $1,209.53 | $206.95 |
| Virginia | $1,172.99 | $198.18 |
| Visalia | $1,285.80 | $198.93 |
| West Virginia | $1,077.69 | $215.92 |
| Wisconsin | $1,136.09 | $186.07 |
| Wyoming** | $1,191.29 | $199.62 |
| Yuba City | $1,285.80 | $198.93 |
36245 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.
$1,041.19
$1,469.07
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,327.73 | 1 |
| AL | $1,058.95 | 1 |
| AR | $1,041.19 | 1 |
| AZ | $1,163.04 | 1 |
| CA | $1,285.80–$1,652.35 | 29 |
| CO | $1,259.48 | 1 |
| CT | $1,286.26 | 1 |
| DC | $1,391.51 | 1 |
| DE | $1,184.39 | 1 |
| FL | $1,168.38–$1,284.45 | 3 |
| GA | $1,094.25–$1,221.29 | 2 |
| GU | $1,326.23 | 1 |
| HI | $1,326.23 | 1 |
| IA | $1,094.85 | 1 |
| ID | $1,102.12 | 1 |
| IL | $1,126.30–$1,249.50 | 4 |
| IN | $1,109.63 | 1 |
| KS | $1,086.71 | 1 |
| KY | $1,083.24 | 1 |
| LA | $1,080.40–$1,142.56 | 2 |
| MA | $1,249.34–$1,399.44 | 2 |
| MD | $1,210.14–$1,391.51 | 3 |
| ME | $1,106.40–$1,178.99 | 2 |
| MI | $1,113.83–$1,182.81 | 2 |
| MN | $1,208.08 | 1 |
| MO | $1,057.43–$1,149.92 | 3 |
| MS | $1,049.66 | 1 |
| MT | $1,198.70 | 1 |
| NC | $1,120.13 | 1 |
| ND | $1,181.70 | 1 |
| NE | $1,102.45 | 1 |
| NH | $1,236.94 | 1 |
| NJ | $1,301.32–$1,373.24 | 2 |
| NM | $1,119.98 | 1 |
| NV | $1,194.98 | 1 |
| NY | $1,139.29–$1,425.60 | 5 |
| OH | $1,110.36 | 1 |
| OK | $1,083.35 | 1 |
| OR | $1,186.15–$1,306.90 | 2 |
| PA | $1,113.64–$1,248.79 | 2 |
| PR | $1,209.53 | 1 |
| RI | $1,232.15 | 1 |
| SC | $1,117.03 | 1 |
| SD | $1,179.69 | 1 |
| TN | $1,092.75 | 1 |
| TX | $1,105.03–$1,254.87 | 8 |
| UT | $1,134.70 | 1 |
| VA | $1,172.99–$1,391.51 | 2 |
| VI | $1,209.53 | 1 |
| VT | $1,174.38 | 1 |
| WA | $1,247.85–$1,432.32 | 2 |
| WI | $1,136.09 | 1 |
| WV | $1,077.69 | 1 |
| WY | $1,191.29 | 1 |
How the 36245 rate is calculated
Each of 36245’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 · 36245
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.53Practice expense 30.50Malpractice 0.86
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 36245
The CMS indicators that decide how 36245 is paid alongside other services.
CMS payment indicators · 36245
Selective catheterization
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
36245 without 50 · national office
$1,198.76
Selective catheterization
36245-50 · Bilateral: 150%
$1,798.14
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
36245 compared with similar codes
Compare codes
36245 vs 36200 vs 36246 vs 36215 vs 36251: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 36200Aortic catheterization
- Choose 36200 when the catheter remains in the aorta without selective branch placement. Use 36245 when it is advanced into a first-order abdominal, pelvic, or lower-extremity branch.
- 36246Selective catheterization
- 36246 applies when the catheter reaches a second-order branch; 36245 is for a first-order branch. Follow the documented arterial route and final catheter position.
- 36215Arterial catheterization
- 36215 covers first-order branches in the thoracic or brachiocephalic territory. 36245 is for the abdominal, pelvic, or lower-extremity arterial territory.
- 36251Renal angiography
- For unilateral renal artery catheterization with diagnostic imaging, the renal-specific code family applies. 36245 describes first-order catheter placement in the broader abdominal, pelvic, or lower-extremity family.
36245 billing questions
How does this differ from 36200?
36245 represents selective placement into a first-order abdominal, pelvic, or lower-extremity branch. 36200 describes catheter placement in the aorta without that selective branch placement.
When should 36246 be reported instead?
Use 36246 when the catheter is advanced to a second-order branch within the vascular family. The documented catheter tip location and arterial route support the level.
Does 36245 include the angiogram or intervention?
The code represents catheter placement, not the imaging interpretation or treatment. Report imaging or an intervention separately only when supported and separately reportable under the applicable coding instructions.
How is bilateral catheterization handled?
When the procedure is bilateral and reported with modifier 50, CMS pays 150%. Documentation should identify the work on both sides.
What happens when other procedures are performed in the same session?
Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and the others at 50% when performed in the same session.
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
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