CPT code 37217: Carotid stenting, retrograde approach2026 Medicare rate & RVUs in Washington, DC area

Reports retrograde endovascular stenting of an innominate artery or intrathoracic common carotid artery lesion, including angioplasty when performed.

CMS RVU26DEffective Oct 1, 2026One payment locality285 Medicare services in 2024

In Washington, DC area, Medicare pays $1,060.44 for 37217 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,060.44Hospital or facility

Check a contract rate as a % of Medicare · 37217 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 37217 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 37217 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 37217 covers

This service places an intravascular stent in the innominate artery or intrathoracic portion of the common carotid artery using a retrograde approach. It is typically performed by a vascular surgeon, interventional radiologist, or another appropriately trained endovascular specialist in a hospital setting. Access may be open or percutaneous; the approach proceeds back toward the aortic arch from the target vessel. Angioplasty, when performed, and the procedure’s radiological supervision and interpretation are included.

Report 37217 for the treated vessel and retrograde approach, not for a stent in the cervical carotid artery. The operative report should identify the lesion’s arterial location, access method, direction of treatment, and stent placement. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

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.

How Washington, DC area compares for 37217

Across 109 of 109 payment localities, the facility rate for 37217 runs from $857.07 in Wisconsin to $1,245.49 in Alaska. Washington, DC area pays $1,060.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

37217 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$1,060.44
  2. Los Angeles, CA · California$977.26−$83.18
  3. Miami, FL · Florida$1,241.75+$181.31
  4. Chicago, IL · Illinois$1,201.84+$141.40
  5. Manhattan, NY · New York$1,144.02+$83.58
  6. Alaska · Alaska$1,245.49+$185.05
  7. Alabama · Alabama$888.05−$172.39

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

37217 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$877.13
ArizonaArizona—$950.58
Bakersfield, CACalifornia—$940.57
Chico, CACalifornia—$927.00
El Centro, CACalifornia—$927.84
Fresno, CACalifornia—$927.00
Hanford, CACalifornia—$927.00
Madera, CACalifornia—$927.00

37217 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
37217 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 37217 in every payment locality

How the 37217 rate is calculated

Each of 37217’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 37217

RVUs × geographic indexes × conversion factor

Office or facility?

Work19.87

19.87 RVUs× 1.000 GPCI

Practice expense4.43

4.43 RVUs× 1.000 GPCI

Malpractice5.02

5.02 RVUs× 1.000 GPCI

Adjusted RVUs

29.3200

Conversion factor

$33.4009

Medicare rate

$979.31

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,597

Code
37217
Physician work
19.87
Practice expense
4.43
Malpractice
5.02

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 37217 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work19.87× 1.05420.9430
Practice expense4.43× 1.1785.2185
Malpractice5.02× 1.1135.5873
Total RVUs31.7488
Conversion factor× 33.4009

Facility rate, Washington, DC area$1060.44

Facility: (19.87 × 1.054 + 4.43 × 1.178 + 5.02 × 1.113) × $33.4009 = $1060.44

Open 37217 in the RVU calculator

Payment rules and modifiers for 37217

37217 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 37217

Carotid stenting, retrograde approach

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 37217

Carotid stenting, retrograde approach

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

37217 without 50 · national facility

$979.31

Carotid stenting, retrograde approach

37217-50 · Bilateral: 150%

$1,468.97

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 37217 has changed in Washington, DC area

37217 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2014

    RVU14A

    No ratechanged toNo rate

    Held through RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.

  2. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,060.44RVU26D
2026-07-01Not available in this setting$1,060.44RVU26C
2026-04-01Not available in this setting$1,060.44RVU26B
2026-01-01Not available in this setting$1,060.44RVU26A
2025-10-01Not available in this setting$1,133.28RVU25D
2025-07-01Not available in this setting$1,133.28RVU25C
2025-04-01Not available in this setting$1,133.28RVU25B
2025-01-01Not available in this setting$1,133.28RVU25A
2024-10-01Not available in this setting$1,157.49RVU24D
2024-07-01Not available in this setting$1,157.49RVU24C
2024-04-01Not available in this setting$1,157.49RVU24B
2024-03-09Not available in this setting$1,157.49RVU24AR
2024-01-01Not available in this setting$1,138.60RVU24A
2023-10-01Not available in this setting$1,194.55RVU23D
2023-07-01Not available in this setting$1,194.55RVU23C
2023-04-01Not available in this setting$1,194.55RVU23B
2023-01-01Not available in this setting$1,194.55RVU23A
2022-10-01Not available in this setting$1,236.24RVU22D
2022-07-01Not available in this setting$1,236.24RVU22C
2022-04-01Not available in this setting$1,236.24RVU22B
2022-01-01Not available in this setting$1,236.24RVU22A
2021-10-01Not available in this setting$1,231.47RVU21D
2021-07-01Not available in this setting$1,231.47RVU21C
2021-04-01Not available in this setting$1,231.47RVU21B
2021-01-01Not available in this setting$1,231.47RVU21A
2020-10-01Not available in this setting$1,265.30RVU20D
2020-07-01Not available in this setting$1,265.30RVU20C
2020-04-01Not available in this setting$1,265.30RVU20B
2020-01-01Not available in this setting$1,265.30RVU20A
2019-10-01Not available in this setting$1,254.94RVU19D
2019-07-01Not available in this setting$1,254.94RVU19C
2019-04-01Not available in this setting$1,254.94RVU19B
2019-01-01Not available in this setting$1,254.94RVU19A
2018-10-01Not available in this setting$1,259.40RVU18D
2018-07-01Not available in this setting$1,259.40RVU18C
2018-04-01Not available in this setting$1,259.40RVU18B
2018-01-01Not available in this setting$1,259.40RVU18AR1
2017-10-01Not available in this setting$1,284.86RVU17D
2017-07-01Not available in this setting$1,284.86RVU17C
2017-04-01Not available in this setting$1,284.86RVU17B
2017-01-01Not available in this setting$1,284.86RVU17A
2016-10-01Not available in this setting$1,288.90RVU16D
2016-07-01Not available in this setting$1,288.90RVU16C
2016-04-01Not available in this setting$1,288.90RVU16B
2016-01-01Not available in this setting$1,288.90RVU16A
2015-10-01Not available in this setting$1,326.70RVU15D
2015-07-01Not available in this setting$1,326.70RVU15C
2015-04-01Not available in this setting$1,320.10RVU15B
2015-01-01Not available in this setting$1,320.10RVU15A
2014-10-01Not available in this setting$1,288.89RVU14D
2014-07-01Not available in this setting$1,288.89RVU14C
2014-04-01Not available in this setting$1,288.89RVU14B
2014-01-01Not available in this setting$1,288.89RVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 37217 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

37217 billing questions

How does 37217 differ from 37218?

Both address stenting of the innominate artery or intrathoracic common carotid artery. Use 37217 for the retrograde approach and 37218 for the antegrade approach.

Can angioplasty be billed separately with 37217?

Angioplasty performed as part of the stenting service is included. The code also includes the radiological supervision and interpretation for the intervention.

When is 37217 more appropriate than 37215 or 37216?

37217 is for retrograde stenting in the innominate artery or intrathoracic common carotid artery. Codes 37215 and 37216 address stenting in the extracranial carotid artery and distinguish use of embolic protection.

What documentation supports the retrograde approach?

Document the treated artery and lesion location, access method, direction of catheter treatment, and stent placement. The record should make clear that the target is the innominate artery or intrathoracic common carotid artery.

How does Medicare handle bilateral reporting and multiple procedures?

Bilateral reporting with modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

May an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 37217PPRRVU2026_Oct_nonQPP.csv, line 4,597 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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