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See a sample rate comparisonCPT 36248 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ins Cath Abd L Ext Art Addl, Selective Catheter Placement Arterial System Additional Second Order Third Order And Beyond Abdominal Pelvic Or Lower Extremity Artery Branch Within A Vascular Family List In Addition To Code For Initial Second Or Third Order Vessel As Appropriate
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | $112.23 national non-facility rate (2026) · View Medicare rates for 36248 |
| Medicaid Fee Schedule | $90.115 median of the 8 states in the free preview · View Medicaid rates for 36248 |
National average reimbursement for CPT 36248 by major payers:
$164.43
$196.96
$203.52
$88.89
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CPT 36248
5 of 25 sample ratesHigher to lower in this preview
Marie Surovitsky
$931.84Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$356.58Published rateRobert Berg
Arcadia Obgyn PC
$232.55Published rateVivek Sehgal
Diagnostic Radiology Associates, LLC
$141.47Published rateChad Muntzinger
Town Center Orthopaedic Associates, P.C.
$59.57Published rate
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See a sample payer proposalCPT 36248 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36248 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 36248 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 36245-CPT | High | Catheter Placement Artery, Surgical Insertion Of A Thin Tube (Catheter) Into An Artery. The Catheter Is Guided To Branch Arteries In The Abdomen Pelvis Or Legs. Dye May Be Injected For X-Ray Examination. |
| 36246-CPT | High | Catheter Placement Artery, Surgical Insertion Of A Thin Tube (Catheter) Into An Artery. The Catheter Is Guided To Branch Arteries In The Abdomen Pelvis Or Legs. Dye May Be Injected For X-Ray Examination. |
| 36247-CPT | High | Catheter Placement Artery, Surgical Insertion Of A Thin Tube (Catheter) Into An Artery. The Catheter Is Guided To Branch Arteries In The Abdomen Pelvis Or Legs. Dye May Be Injected For X-Ray Examination. |
| 36248-CPT | Low | Ins Cath Abd L Ext Art Addl, Selective Catheter Placement Arterial System Additional Second Order Third Order And Beyond Abdominal Pelvic Or Lower Extremity Artery Branch Within A Vascular Family List In Addition To Code For Initial Second Or Third Order Vessel As Appropriate |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36248. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36248 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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