$1,140.07–$1,277.42
Use 36251 for the corresponding first-order renal angiographic service on one side; 36252 is the bilateral code.
On this page
CMS RVU26D · Effective 2026-10-01
36252 Renal angiography Medicare reimbursement rates in Pennsylvania
Reports selective catheterization and angiographic evaluation of the first-order renal arteries on both sides, including associated imaging interpretation and flush aortography when performed. Compare 36252 office and facility rates across CMS payment localities in Pennsylvania.
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 36252 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$1252.56–$1400.93
2 of 2 localities have a supported rate.
Facility setting
$303.57–$324.79
2 of 2 localities have a supported rate.
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 36252: Bilateral first-order renal angiography
Reports selective catheterization and angiographic evaluation of the first-order renal arteries on both sides, including associated imaging interpretation and flush aortography when performed.
This code describes diagnostic angiography requiring selective catheterization of the first-order renal arteries on both sides. It is commonly performed in an angiography suite or hospital procedure room by an interventional radiologist, vascular surgeon, or other physician performing renal vascular imaging to assess suspected stenosis or other renal arterial disease. The service includes the associated renal angiographic imaging and interpretation, as well as flush aortography when performed.
Choose this code when the documented work meets the bilateral, first-order renal artery level; catheterization of more distal or additional renal branches may call for a different code in the family. The report should support bilateral selective catheter positions and the angiographic study performed. The code packages the related catheter placement and imaging interpretation, so do not separately report those same components. It has a 0-day global period, with same-day preoperative and postoperative care included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. The code is already priced bilaterally, so modifier 50 does not increase payment. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 36252
- 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 RVU6.57 · 16%
- Practice expense (office) RVU32.17 · 80%
- Malpractice RVU1.48 · 4%
3.7K
Medicare services in 2024 · #2049 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.
36252 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$1,762.20–$1,974.30
36253 describes unilateral catheterization at the second-order level or beyond, rather than bilateral first-order work.
$1,775.90–$1,991.04
36254 applies to bilateral second-order-or-beyond renal catheterization; 36252 is for the first-order level.
$1,113.64–$1,248.79
36245 describes first-order abdominal or lower-extremity arterial catheter placement, not the bilateral renal angiographic service represented by 36252.
Compare 36252 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
$1400.93
Facility
$324.79
Rest Of Pennsylvania →
Office / nonfacility
$1252.56
Facility
$303.57
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36252 billing questions
When should I choose 36252 instead of 36251?
Use 36252 for the qualifying first-order renal angiographic service performed bilaterally. Code 36251 describes the unilateral service.
Does 36252 include the angiographic imaging and interpretation?
Yes. The code includes the associated renal angiography and radiological supervision and interpretation, with flush aortography when performed; do not separately report those same components.
Should modifier 50 be appended?
The code is already priced for bilateral work. Modifier 50 does not increase payment.
How is 36252 distinguished from 36254?
36252 represents bilateral first-order renal artery catheterization. 36254 is for bilateral catheterization at the second-order level or beyond.
What documentation supports reporting 36252?
Document selective catheter placement in both first-order renal arteries and the angiographic imaging performed, including any flush aortography.
Can an assistant or co-surgeon be reported for this service?
Assistant-at-surgery payment is restricted 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.
4,45736247,,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
4,46336260,,Insertion of infusion pump,A,,9.66,6.72,NA,6.72,,2.58,18.96,18.96,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00