$1,326.23
36245 reports a first-order abdominal, pelvic, or lower-extremity branch placement. Use 36248 for additional qualifying branch placements, not as the primary placement.
On this page
CMS RVU26D · Effective 2026-10-01
36248 Selective catheterization Medicare reimbursement rates in Guam
Report 36248 for additional qualifying selective catheter placements in abdominal, pelvic, or lower-extremity arterial branches within a vascular family. Compare 36248 office and facility rates across CMS payment localities in Guam.
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 36248 in Guam?
Guam 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
$120.88
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$40.37
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 36248: Additional selective arterial catheter placement
Report 36248 for additional qualifying selective catheter placements in abdominal, pelvic, or lower-extremity arterial branches within a vascular family.
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.
CMS billing rules for 36248
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.98 · 29%
- Practice expense (office) RVU2.26 · 67%
- Malpractice RVU0.12 · 4%
45.7K
Medicare services in 2024 · #814 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.
36248 compared with similar codes
Office rates for Guam, from the same CMS release.
$865.32
36246 describes a second-order selective placement. 36248 is an add-on for additional qualifying branch placements within the vascular family.
$1,496.46
36247 describes a third-order-or-more selective placement. 36248 reports additional qualifying branch placements beyond the primary selection.
Compare 36248 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
Hawaii, Guam →
Office / nonfacility
$120.88
Facility
$40.37
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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 36248 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
4,458
- Code
- 36248
- Physician work
- 0.98
- Practice expense
- 2.26
- Malpractice
- 0.12
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.98 | × 1.000 | 0.9800 |
| Practice expense | 2.26 | × 1.137 | 2.5696 |
| Malpractice | 0.12 | × 0.579 | 0.0695 |
| Total RVUs | 3.6191 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$120.88
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.98 | 1 |
| Practice expense | 2.26 | 1.137 |
| Malpractice | 0.12 | 0.579 |
(0.98 × 1 + 2.26 × 1.137 + 0.12 × 0.579) × $33.4009 = $120.88
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.98 | 1 |
| Practice expense | 0.14 | 1.137 |
| Malpractice | 0.12 | 0.579 |
(0.98 × 1 + 0.14 × 1.137 + 0.12 × 0.579) × $33.4009 = $40.37
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.
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 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.
4,45536245,,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
4,46136253,,Ins cath ren art 2nd+ unilat,A,,7.12,48.81,,1.13,,0.88,56.81,9.13,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014