Billing code 36248: Selective catheterizationMedicare rate & RVUs
Report 36248 for additional qualifying selective catheter placements in abdominal, pelvic, or lower-extremity arterial branches within a vascular family.
Medicare pays $112.23 for 36248 nationally in the office and $41.42 in a hospital or facility. Local office rates run $99.64–$147.33.
Medicare rate · 36248
Selective catheterization
- Work RVUs
- 0.98
- Total RVUs
- 3.36
- Global days
- ZZZ
National rate · 2026
$112.23
Office setting, before claim adjustments.
See every locality for 36248 →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 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
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$99.64 to $147.33
109 of 109 payment localities
36248 rates by state
Office rate range in each state. Select a state to see its payment localities.
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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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $131.70 | 1 |
| AL | $101.05 | 1 |
| AR | $99.64 | 1 |
| AZ | $109.31 | 1 |
| CA | $118.17–$147.33 | 29 |
| CO | $116.57 | 1 |
| CT | $119.54 | 1 |
| DC | $127.88 | 1 |
| DE | $111.08 | 1 |
| FL | $110.92–$121.45 | 3 |
| GA | $104.84–$114.34 | 2 |
| GU | $120.88 | 1 |
| HI | $120.88 | 1 |
| IA | $103.39 | 1 |
| ID | $104.08 | 1 |
| IL | $107.92–$118.02 | 4 |
| IN | $104.66 | 1 |
| KS | $102.99 | 1 |
| KY | $103.51 | 1 |
| LA | $103.38–$108.32 | 2 |
| MA | $115.94–$127.77 | 2 |
| MD | $113.13–$127.88 | 3 |
| ME | $104.67–$110.07 | 2 |
| MI | $106.18–$112.33 | 2 |
| MN | $111.59 | 1 |
| MO | $101.71–$108.61 | 3 |
| MS | $100.69 | 1 |
| MT | $112.22 | 1 |
| NC | $105.72 | 1 |
| ND | $109.85 | 1 |
| NE | $103.92 | 1 |
| NH | $114.82 | 1 |
| NJ | $120.87–$126.64 | 2 |
| NM | $106.77 | 1 |
| NV | $111.63 | 1 |
| NY | $107.26–$132.02 | 5 |
| OH | $105.69 | 1 |
| OK | $103.26 | 1 |
| OR | $110.73–$120.10 | 2 |
| PA | $105.82–$116.68 | 2 |
| PR | $113.00 | 1 |
| RI | $114.91 | 1 |
| SC | $105.89 | 1 |
| SD | $109.57 | 1 |
| TN | $103.50 | 1 |
| TX | $105.15–$116.21 | 8 |
| UT | $107.29 | 1 |
| VA | $109.77–$127.88 | 2 |
| VI | $113.00 | 1 |
| VT | $109.49 | 1 |
| WA | $115.70–$130.27 | 2 |
| WI | $106.28 | 1 |
| WV | $104.07 | 1 |
| WY | $111.18 | 1 |
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
| 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 catheterization
- 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 catheterization
- 36246 describes a second-order selective placement. 36248 is an add-on for additional qualifying branch placements within the vascular family.
- 36247Selective catheterization
- 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
Show the CMS file lines behind this rate
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