$559.37
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.
On this page
CMS RVU26D · Effective 2026-10-01
36245 Selective catheterization Medicare reimbursement rates in Delaware
Reports selective catheter placement into a first-order abdominal, pelvic, or lower-extremity artery branch during diagnostic angiography or an endovascular procedure. Compare 36245 office and facility rates across CMS payment localities in Delaware.
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 36245 in Delaware?
Delaware 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
$1184.39
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$204.62
1 of 1 localities have a supported rate.
Payment area: Delaware
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 36245: First-order abdominal arterial catheterization
Reports selective catheter placement into a first-order abdominal, pelvic, or lower-extremity artery branch during diagnostic angiography or an endovascular procedure.
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%.
CMS billing rules for 36245
- 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%.
Where the value comes from
- Work RVU4.53 · 13%
- Practice expense (office) RVU30.50 · 85%
- Malpractice RVU0.86 · 2%
28.1K
Medicare services in 2024 · #994 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.
36245 compared with similar codes
Office rates for Delaware, from the same CMS release.
$788.03
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.
$1,051.85
36215 covers first-order branches in the thoracic or brachiocephalic territory. 36245 is for the abdominal, pelvic, or lower-extremity arterial territory.
$1,211.43
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.
Compare 36245 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
Delaware →
Office / nonfacility
$1184.39
Facility
$204.62
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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 36245 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,455
- Code
- 36245
- Physician work
- 4.53
- Practice expense
- 30.50
- Malpractice
- 0.86
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.53 | × 1.005 | 4.5526 |
| Practice expense | 30.50 | × 0.988 | 30.1340 |
| Malpractice | 0.86 | × 0.899 | 0.7731 |
| Total RVUs | 35.4598 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$1184.39
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.53 | 1.005 |
| Practice expense | 30.5 | 0.988 |
| Malpractice | 0.86 | 0.899 |
(4.53 × 1.005 + 30.5 × 0.988 + 0.86 × 0.899) × $33.4009 = $1184.39
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.53 | 1.005 |
| Practice expense | 0.81 | 0.988 |
| Malpractice | 0.86 | 0.899 |
(4.53 × 1.005 + 0.81 × 0.988 + 0.86 × 0.899) × $33.4009 = $204.62
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.
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 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.
4,45236226,,Place cath vertebral art,A,,6.09,60.43,,1.85,,1.92,68.44,9.86,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,45336227,,Place cath xtrnl carotid,A,,2.04,5.50,,0.55,,0.65,8.19,3.24,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,45436228,,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
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503