$1,259.48
Use 36245 for first-order branch selection; this code requires catheter advancement to a third-order-or-more branch.
On this page
CMS RVU26D · Effective 2026-10-01
36247 Selective catheterization Medicare reimbursement rates in Colorado
Reports selective catheter advancement into a third-order-or-more abdominal, pelvic, or lower-extremity artery branch during angiography or endovascular treatment. Compare 36247 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 36247 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$1423.28
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
$255.84
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Vascular catheterization
About 36247: Third-order abdominal or leg artery catheterization
Reports selective catheter advancement into a third-order-or-more abdominal, pelvic, or lower-extremity artery branch during angiography or endovascular treatment.
This service covers selective catheter advancement into a third-order-or-more branch of the abdominal, pelvic, or lower-extremity arterial system. Interventional radiologists, vascular surgeons, and other physicians performing catheter-based vascular care may report it during peripheral angiography, embolization, or endovascular treatment for conditions such as peripheral arterial disease or bleeding. The code represents catheter selection, not the imaging study or the therapeutic work itself.
Choose the code based on the order of the branch reached within its vascular family and the most selective catheter position documented. It represents the initial third-order-or-more selection; additional qualifying branch selections may be reported with 36248. Document the artery entered, its branch order, catheter position, and any additional selections. Diagnostic imaging or treatment may be separately reportable when supported by the applicable coding rules. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and others at 50%. Modifier 50 bilateral reporting is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 36247
- 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
- Bilateral procedure with modifier 50 is paid at 150%.
- 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 RVU5.89 · 15%
- Practice expense (office) RVU33.72 · 83%
- Malpractice RVU0.99 · 2%
65.6K
Medicare services in 2024 · #691 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.
36247 compared with similar codes
Office rates for Colorado, from the same CMS release.
$830.60
Use 36246 when the selected branch is second order. This code applies when the catheter reaches a third-order-or-more branch.
$116.57
36248 reports additional qualifying branch selections. This code represents the initial third-order-or-more selection.
$592.18
36200 describes nonselective catheter placement in the aorta. This code requires selective advancement into a distal arterial branch.
Compare 36247 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
$1423.28
Facility
$255.84
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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 36247 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
4,457
- Code
- 36247
- Physician work
- 5.89
- Practice expense
- 33.72
- Malpractice
- 0.99
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.89 | × 1.012 | 5.9607 |
| Practice expense | 33.72 | × 1.064 | 35.8781 |
| Malpractice | 0.99 | × 0.781 | 0.7732 |
| Total RVUs | 42.6120 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$1423.28
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.89 | 1.012 |
| Practice expense | 33.72 | 1.064 |
| Malpractice | 0.99 | 0.781 |
(5.89 × 1.012 + 33.72 × 1.064 + 0.99 × 0.781) × $33.4009 = $1423.28
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.89 | 1.012 |
| Practice expense | 0.87 | 1.064 |
| Malpractice | 0.99 | 0.781 |
(5.89 × 1.012 + 0.87 × 1.064 + 0.99 × 0.781) × $33.4009 = $255.84
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.
36247 billing questions
How do I distinguish this code from 36246?
Use 36246 when the catheter reaches a second-order branch. Use 36247 when it is advanced into a third-order-or-more branch within the vascular family.
When is 36248 reported with this code?
Report 36248 for each additional qualifying second-order-or-more selective branch reached within the same vascular family, when supported by the procedure documentation.
Does this code include angiographic imaging or treatment?
No. It represents selective catheter placement. Angiography or an endovascular treatment may be separately reportable when the service and documentation meet the applicable coding requirements.
What should the catheterization report document?
Identify the artery reached, its branch order within the vascular family, the catheter position, and any additional branches selected.
How does Medicare handle bilateral work and multiple procedures?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery 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 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.
4,45436228,,Place cath intracranial art,A,,4.14,40.57,,1.16,,1.43,46.14,6.73,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,45536245,,Ins cath abd/l-ext art 1st,A,,4.53,30.50,,0.81,,0.86,35.89,6.20,0,XXX,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,45636246,,Ins cath abd/l-ext art 2nd,A,,4.89,17.95,,0.69,,1.05,23.89,6.63,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,45736247,,Ins cath abd/l-ext art 3rd,A,,5.89,33.72,,0.87,,0.99,40.60,7.75,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,45836248,,Ins cath abd/l-ext art addl,A,,0.98,2.26,,0.14,,0.12,3.36,1.24,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,45936251,,Ins cath ren art 1st unilat,A,,4.97,30.79,,0.80,,0.95,36.71,6.72,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46036252,,Ins cath ren art 1st bilat,A,,6.57,32.17,,1.22,,1.48,40.22,9.27,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899