$1,239.54
Use 36252 when renal angiography is performed bilaterally. This code is for one side; modifier 50 is inappropriate.
On this page
CMS RVU26D · Effective 2026-10-01
36251 Renal angiography Medicare reimbursement rates in Indiana
Report this service for selective catheterization and angiographic imaging of one kidney’s main renal artery and any accessory renal arteries. Compare 36251 office and facility rates across CMS payment localities in Indiana.
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 36251 in Indiana?
Indiana 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
$1134.76
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$206.19
1 of 1 localities have a supported rate.
Payment area: Indiana
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 imaging
About 36251: Unilateral main renal artery angiography
Report this service for selective catheterization and angiographic imaging of one kidney’s main renal artery and any accessory renal arteries.
An interventional radiologist, vascular surgeon, or interventional cardiologist selectively advances a catheter into the main renal artery and any accessory renal arteries on one side to obtain renal angiographic images. The service may help evaluate suspected renal artery narrowing or define anatomy during a renal artery intervention, typically in an angiography or catheterization suite. The code includes the imaging guidance and roadmapping needed for the renal angiography; it is not limited to catheter placement alone.
Report one unilateral service when the main renal artery and any accessory arteries on that side are evaluated. Use the branch-level renal code when catheterization extends to segmental or subsegmental branches, and the bilateral code when both kidneys are treated. The record should identify the side, catheterized vessels, and angiographic work performed. CMS 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 is inappropriate. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 36251
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU4.97 · 14%
- Practice expense (office) RVU30.79 · 84%
- Malpractice RVU0.95 · 3%
2.3K
Medicare services in 2024 · #2358 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.
36251 compared with similar codes
Office rates for Indiana, from the same CMS release.
$1,763.39
Use 36253 for unilateral catheterization of segmental or subsegmental renal artery branches. This code covers the main renal artery and accessory arteries.
$1,109.63
36245 describes first-order selective catheter placement in an abdominal, pelvic, or lower-extremity artery. This renal-specific service includes renal angiographic imaging and guidance.
Compare 36251 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
Indiana →
Office / nonfacility
$1134.76
Facility
$206.19
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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 36251 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
4,459
- Code
- 36251
- Physician work
- 4.97
- Practice expense
- 30.79
- Malpractice
- 0.95
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.97 | × 1.000 | 4.9700 |
| Practice expense | 30.79 | × 0.927 | 28.5423 |
| Malpractice | 0.95 | × 0.486 | 0.4617 |
| Total RVUs | 33.9740 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$1134.76
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.97 | 1 |
| Practice expense | 30.79 | 0.927 |
| Malpractice | 0.95 | 0.486 |
(4.97 × 1 + 30.79 × 0.927 + 0.95 × 0.486) × $33.4009 = $1134.76
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.97 | 1 |
| Practice expense | 0.8 | 0.927 |
| Malpractice | 0.95 | 0.486 |
(4.97 × 1 + 0.8 × 0.927 + 0.95 × 0.486) × $33.4009 = $206.19
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.
36251 billing questions
When should I report this instead of 36252?
Report this code for renal angiography on one side. Use 36252 when the service is bilateral; do not use modifier 50 to make this code bilateral.
Does this code include the angiographic imaging?
Yes. The renal angiographic imaging, intraprocedural roadmapping, and imaging guidance needed to complete the service are included.
How does 36251 differ from 36253?
This code covers the main renal artery and any accessory renal arteries on one side. Use 36253 when catheterization extends into segmental or subsegmental renal artery branches.
What documentation supports reporting this service?
Document the side, the renal arteries selectively catheterized, and the angiographic imaging performed. The report should make clear whether work was limited to the main and accessory arteries or extended into branch vessels.
How does the multiple-procedure rule affect payment?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are paid at 50%. Same-day preoperative and postoperative care is included in this code’s 0-day global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted for this service. CMS does not permit co-surgeons or team surgery.
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.
4,45636246,,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
4,46236254,,Ins cath ren art 2nd+ bilat,A,,7.70,47.75,,1.42,,1.73,57.18,10.85,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915