FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

36254 in Delaware

Office / nonfacility

$1886.17

Base rate per service

Facility setting

$357.28

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Vascular catheterization

About 36254: Bilateral selective renal branch catheterization

Reports selective catheter placement in second-order or more distal renal artery branches on both sides, with diagnostic renal angiographic imaging.

This service covers selective catheter placement into second-order or more distal branches of the renal arteries on both sides, together with diagnostic renal angiographic imaging. It is typically performed by an interventional radiologist, vascular surgeon, or other physician evaluating suspected renovascular disease, such as renal artery stenosis. The catheterization must reach the more selective branch level bilaterally; imaging only the main renal arteries does not establish this code’s level of service.

Choose the code based on the documented catheter positions and the sides examined. The report should identify the right and left renal branches selected and describe the angiographic study. The code is priced as bilateral, so modifier 50 does not increase payment. It has a 0-day global period, with same-day preoperative and postoperative care included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple procedure reduction. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 36254

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
The code is already priced as bilateral; modifier 50 does not increase payment.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU7.70 · 13%
  • Practice expense (office) RVU47.75 · 84%
  • Malpractice RVU1.73 · 3%

138

Medicare services in 2024 · #4617 by national volume

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.

36254 compared with similar codes

Office rates for Delaware, from the same CMS release.

36251

Renal angiography

Unilateral, main artery

$1,211.43

36251 describes unilateral catheterization at the main renal artery level; 36254 requires more selective branch catheterization on both sides.

36252

Renal angiography

Bilateral, first-order arteries

$1,326.59

36252 is bilateral but at the main renal artery level. Choose 36254 when second-order or more distal branches are selectively catheterized on both sides.

36253

Renal angiography

Second-order or higher, unilateral

$1,876.16

36253 describes second-order-or-more renal branch catheterization on one side. 36254 is the corresponding bilateral code.

The same code, a different location

How does Delaware compare?

36254 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $1886.17

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $2192.86

    $306.69 higher than Delaware

  3. Dc + Md/Va Suburbs

    $2214.17

    $328.00 higher than Delaware

  4. Miami

    $2063.61

    $177.44 higher than Delaware

  5. Chicago

    $1994.47

    $108.30 higher than Delaware

  6. Manhattan

    $2218.56

    $332.39 higher than Delaware

  7. Alaska*

    $2116.18

    $230.01 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 36254 ranges from $1656.96 in Arkansas to $2616.29 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 36254

    Office

    $1685.42

    Facility

    $331.39

    $200.75 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 36254

    Office

    $1656.96

    Facility

    $327.69

    $229.21 lower than Delaware for the office setting.

  • Arizona

    Arizona · 36254

    Office

    $1852.10

    Facility

    $352.61

    $34.07 lower than Delaware for the office setting.

  • Bakersfield

    California · 36254

    Office

    $2045.27

    Facility

    $349.25

    $159.10 higher than Delaware for the office setting.

  • Chico

    California · 36254

    Office

    $2040.53

    Facility

    $344.51

    $154.36 higher than Delaware for the office setting.

  • El Centro

    California · 36254

    Office

    $2040.82

    Facility

    $344.80

    $154.65 higher than Delaware for the office setting.

  • Fresno

    California · 36254

    Office

    $2040.53

    Facility

    $344.51

    $154.36 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 36254

    Office

    $2040.53

    Facility

    $344.51

    $154.36 higher than Delaware for the office setting.

  • Madera

    California · 36254

    Office

    $2040.53

    Facility

    $344.51

    $154.36 higher than Delaware for the office setting.

  • Merced

    California · 36254

    Office

    $2040.53

    Facility

    $344.51

    $154.36 higher than Delaware for the office setting.

  • Modesto

    California · 36254

    Office

    $2040.53

    Facility

    $344.51

    $154.36 higher than Delaware for the office setting.

  • Napa

    California · 36254

    Office

    $2404.81

    Facility

    $365.26

    $518.64 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 36254

    Office

    $2185.55

    Facility

    $356.45

    $299.38 higher than Delaware for the office setting.

  • Redding

    California · 36254

    Office

    $2040.53

    Facility

    $344.51

    $154.36 higher than Delaware for the office setting.

  • Rest Of California

    California · 36254

    Office

    $2040.53

    Facility

    $344.51

    $154.36 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 36254

    Office

    $2059.11

    Facility

    $363.09

    $172.94 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 36254

    Office

    $2152.28

    Facility

    $352.58

    $266.11 higher than Delaware for the office setting.

  • Salinas

    California · 36254

    Office

    $2144.61

    Facility

    $351.10

    $258.44 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 36254

    Office

    $2203.71

    Facility

    $352.95

    $317.54 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 36254

    Office

    $2556.94

    Facility

    $375.02

    $670.77 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 36254

    Office

    $2554.98

    Facility

    $373.05

    $668.81 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 36254

    Office

    $2616.29

    Facility

    $384.84

    $730.12 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 36254

    Office

    $2608.25

    Facility

    $376.81

    $722.08 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 36254

    Office

    $2109.11

    Facility

    $346.55

    $222.94 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 36254

    Office

    $2231.35

    Facility

    $351.19

    $345.18 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 36254

    Office

    $2155.01

    Facility

    $350.66

    $268.84 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 36254

    Office

    $2254.40

    Facility

    $354.12

    $368.23 higher than Delaware for the office setting.

  • Stockton

    California · 36254

    Office

    $2040.53

    Facility

    $344.51

    $154.36 higher than Delaware for the office setting.

  • Vallejo

    California · 36254

    Office

    $2401.98

    Facility

    $362.42

    $515.81 higher than Delaware for the office setting.

  • Visalia

    California · 36254

    Office

    $2040.53

    Facility

    $344.51

    $154.36 higher than Delaware for the office setting.

  • Yuba City

    California · 36254

    Office

    $2040.53

    Facility

    $344.51

    $154.36 higher than Delaware for the office setting.

  • Colorado

    Colorado · 36254

    Office

    $2002.37

    Facility

    $355.87

    $116.20 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 36254

    Office

    $2049.95

    Facility

    $383.33

    $163.78 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 36254

    Office

    $1977.29

    Facility

    $409.71

    $91.12 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 36254

    Office

    $1868.75

    Facility

    $389.38

    $17.42 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 36254

    Office

    $1947.77

    Facility

    $375.54

    $61.60 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 36254

    Office

    $1748.71

    Facility

    $368.37

    $137.46 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 36254

    Office

    $2104.04

    Facility

    $344.57

    $217.87 higher than Delaware for the office setting.

  • Iowa

    Iowa · 36254

    Office

    $1739.45

    Facility

    $323.52

    $146.72 lower than Delaware for the office setting.

  • Idaho

    Idaho · 36254

    Office

    $1751.82

    Facility

    $328.15

    $134.35 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 36254

    Office

    $1840.86

    Facility

    $417.20

    $45.31 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 36254

    Office

    $1803.64

    Facility

    $390.81

    $82.53 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 36254

    Office

    $1999.33

    Facility

    $410.09

    $113.16 higher than Delaware for the office setting.

  • Indiana

    Indiana · 36254

    Office

    $1763.74

    Facility

    $329.24

    $122.43 lower than Delaware for the office setting.

  • Kansas

    Kansas · 36254

    Office

    $1728.09

    Facility

    $329.19

    $158.08 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 36254

    Office

    $1727.92

    Facility

    $352.22

    $158.25 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 36254

    Office

    $1823.62

    Facility

    $367.46

    $62.55 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 36254

    Office

    $1724.02

    Facility

    $354.52

    $162.15 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 36254

    Office

    $2223.46

    Facility

    $375.79

    $337.29 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 36254

    Office

    $1986.78

    Facility

    $357.30

    $100.61 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 36254

    Office

    $2044.10

    Facility

    $383.67

    $157.93 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 36254

    Office

    $1926.84

    Facility

    $360.80

    $40.67 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 36254

    Office

    $1760.43

    Facility

    $336.76

    $125.74 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 36254

    Office

    $1874.19

    Facility

    $340.65

    $11.98 lower than Delaware for the office setting.

  • Detroit

    Michigan · 36254

    Office

    $1893.68

    Facility

    $400.38

    $7.51 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 36254

    Office

    $1778.56

    Facility

    $365.73

    $107.61 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 36254

    Office

    $1915.44

    Facility

    $323.10

    $29.27 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 36254

    Office

    $1811.25

    Facility

    $358.18

    $74.92 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 36254

    Office

    $1833.42

    Facility

    $360.24

    $52.75 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 36254

    Office

    $1688.27

    Facility

    $354.35

    $197.90 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 36254

    Office

    $1673.09

    Facility

    $340.73

    $213.08 lower than Delaware for the office setting.

  • Montana**

    Montana · 36254

    Office

    $1909.75

    Facility

    $362.28

    $23.58 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 36254

    Office

    $1782.15

    Facility

    $338.36

    $104.02 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 36254

    Office

    $1875.54

    Facility

    $328.08

    $10.63 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 36254

    Office

    $1751.12

    Facility

    $322.81

    $135.05 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 36254

    Office

    $1968.03

    Facility

    $357.12

    $81.86 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 36254

    Office

    $2185.18

    Facility

    $390.12

    $299.01 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 36254

    Office

    $2072.49

    Facility

    $382.66

    $186.32 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 36254

    Office

    $1789.10

    Facility

    $370.08

    $97.07 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 36254

    Office

    $1901.81

    Facility

    $352.80

    $15.64 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 36254

    Office

    $2277.28

    Facility

    $437.34

    $391.11 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 36254

    Office

    $2085.09

    Facility

    $390.61

    $198.92 higher than Delaware for the office setting.

  • Queens

    New York · 36254

    Office

    $2242.13

    Facility

    $413.03

    $355.96 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 36254

    Office

    $1812.96

    Facility

    $342.87

    $73.21 lower than Delaware for the office setting.

  • Ohio

    Ohio · 36254

    Office

    $1771.57

    Facility

    $358.74

    $114.60 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 36254

    Office

    $1726.32

    Facility

    $344.44

    $159.85 lower than Delaware for the office setting.

  • Portland

    Oregon · 36254

    Office

    $2076.22

    Facility

    $356.99

    $190.05 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 36254

    Office

    $1886.32

    Facility

    $345.05

    $0.15 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 36254

    Office

    $1991.04

    Facility

    $380.13

    $104.87 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 36254

    Office

    $1775.90

    Facility

    $355.33

    $110.27 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 36254

    Office

    $1926.54

    Facility

    $362.05

    $40.37 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 36254

    Office

    $1961.14

    Facility

    $362.61

    $74.97 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 36254

    Office

    $1779.98

    Facility

    $350.13

    $106.19 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 36254

    Office

    $1871.50

    Facility

    $324.03

    $14.67 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 36254

    Office

    $1737.97

    Facility

    $331.33

    $148.20 lower than Delaware for the office setting.

  • Austin

    Texas · 36254

    Office

    $1996.29

    Facility

    $359.08

    $110.12 higher than Delaware for the office setting.

  • Beaumont

    Texas · 36254

    Office

    $1762.22

    Facility

    $354.03

    $123.95 lower than Delaware for the office setting.

  • Brazoria

    Texas · 36254

    Office

    $1884.85

    Facility

    $351.32

    $1.32 lower than Delaware for the office setting.

  • Dallas

    Texas · 36254

    Office

    $1897.59

    Facility

    $356.32

    $11.42 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 36254

    Office

    $1882.40

    Facility

    $356.60

    $3.77 lower than Delaware for the office setting.

  • Galveston

    Texas · 36254

    Office

    $1890.82

    Facility

    $354.19

    $4.65 higher than Delaware for the office setting.

  • Houston

    Texas · 36254

    Office

    $1922.48

    Facility

    $385.85

    $36.31 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 36254

    Office

    $1822.92

    Facility

    $354.38

    $63.25 lower than Delaware for the office setting.

  • Utah

    Utah · 36254

    Office

    $1808.28

    Facility

    $353.66

    $77.89 lower than Delaware for the office setting.

  • Virginia

    Virginia · 36254

    Office

    $1865.76

    Facility

    $344.61

    $20.41 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 36254

    Office

    $1926.54

    Facility

    $362.05

    $40.37 higher than Delaware for the office setting.

  • Vermont

    Vermont · 36254

    Office

    $1865.37

    Facility

    $333.38

    $20.80 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 36254

    Office

    $1983.93

    Facility

    $354.45

    $97.76 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 36254

    Office

    $2274.19

    Facility

    $375.45

    $388.02 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 36254

    Office

    $1802.89

    Facility

    $320.42

    $83.28 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 36254

    Office

    $1725.84

    Facility

    $381.09

    $160.33 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 36254

    Office

    $1894.84

    Facility

    $347.38

    $8.67 higher than Delaware for the office setting.

See how rates vary across the country

36254 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$1,656.96

$2,328.41

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$2,116.181
AL$1,685.421
AR$1,656.961
AZ$1,852.101
CA$2,040.53–$2,616.2929
CO$2,002.371
CT$2,049.951
DC$2,214.171
DE$1,886.171
FL$1,868.75–$2,063.613
GA$1,748.71–$1,947.772
GU$2,104.041
HI$2,104.041
IA$1,739.451
ID$1,751.821
IL$1,803.64–$1,999.334
IN$1,763.741
KS$1,728.091
KY$1,727.921
LA$1,724.02–$1,823.622
MA$1,986.78–$2,223.462
MD$1,926.84–$2,214.173
ME$1,760.43–$1,874.192
MI$1,778.56–$1,893.682
MN$1,915.441
MO$1,688.27–$1,833.423
MS$1,673.091
MT$1,909.751
NC$1,782.151
ND$1,875.541
NE$1,751.121
NH$1,968.031
NJ$2,072.49–$2,185.182
NM$1,789.101
NV$1,901.811
NY$1,812.96–$2,277.285
OH$1,771.571
OK$1,726.321
OR$1,886.32–$2,076.222
PA$1,775.90–$1,991.042
PR$1,926.541
RI$1,961.141
SC$1,779.981
SD$1,871.501
TN$1,737.971
TX$1,762.22–$1,996.298
UT$1,808.281
VA$1,865.76–$2,214.172
VI$1,926.541
VT$1,865.371
WA$1,983.93–$2,274.192
WI$1,802.891
WV$1,725.841
WY$1,894.841

Explore 36254 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 36254 in Delaware, the physician’s office rate is $1886.17 and the facility-setting rate is $357.28: a difference of $1528.89.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 36254 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$2074.79

$1886.17 × 110% = $2074.79

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 36254 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

4,462

Code
36254
Physician work
7.70
Practice expense
47.75
Malpractice
1.73

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 36254 in Delaware
ComponentRVULocality factorAdjusted
Physician work7.70× 1.0057.7385
Practice expense47.75× 0.98847.1770
Malpractice1.73× 0.8991.5553
Total RVUs56.4708
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$1886.17

Open 36254 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work7.71.005
Practice expense47.750.988
Malpractice1.730.899

(7.7 × 1.005 + 47.75 × 0.988 + 1.73 × 0.899) × $33.4009 = $1886.17

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work7.71.005
Practice expense1.420.988
Malpractice1.730.899

(7.7 × 1.005 + 1.42 × 0.988 + 1.73 × 0.899) × $33.4009 = $357.28

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

36254 · Office / nonfacility

$1886.17

Effective 2026-10-01

The base rate is $94.69 higher than on 2025-10-01, moving from $1791.48 to $1886.17 (5.3%).

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

    $1791.48changed to$1886.17

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.90 changed to 7.70
    • Practice expense RVU 46.15 changed to 47.75
    • Malpractice RVU 1.72 changed to 1.73
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $1791.48

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$1886.17$357.28RVU26D
2026-07-01$1886.17$357.28RVU26C
2026-04-01$1886.17$357.28RVU26B
2026-01-01$1886.17$357.28RVU26A
2025-10-01$1791.48$394.06RVU25D
2025-07-01$1791.48$394.06RVU25C
2025-04-01$1791.48$394.06RVU25B
2025-01-01$1791.48$394.06RVU25A

36254 billing questions

When should 36254 be selected instead of 36252?

Use 36254 when selective catheter placement reaches second-order or more distal renal artery branches on both sides. Code 36252 describes bilateral study at the main renal artery level.

Can 36254 be reported when distal branch selection is unilateral?

No. The bilateral code requires the qualifying branch-level service on both sides; 36253 is the unilateral second-order-or-more code.

Is renal angiographic imaging separately reported?

The diagnostic renal angiographic imaging is included in this service. The record should support the selective catheter positions and the imaging performed.

Should modifier 50 be appended?

The code is already priced as bilateral, and modifier 50 does not increase payment.

How does the multiple procedure reduction affect 36254?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

What are the assistant and global-period rules?

The code has a 0-day global period, so same-day preoperative and postoperative care is included. Assistant-at-surgery payment is restricted, and 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 36254PPRRVU2026_Oct_nonQPP.csv, line 4,462 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet