CPT code 37218: Carotid stenting, antegrade intrathoracic approach2026 Medicare rate & RVUs in Arkansas
Reports antegrade stent placement in the intrathoracic common carotid or innominate artery, including angioplasty when performed during treatment.
In Arkansas, Medicare pays $663.82 for 37218 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 37218 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 37218 covers
This service treats a lesion in the intrathoracic common carotid or innominate artery by placing an intravascular stent in an antegrade direction. Angioplasty of the treated vessel is included when performed. Vascular surgeons and interventional specialists typically perform the procedure in a hospital setting, using catheter-based imaging to guide treatment of a proximal supra-aortic vessel lesion.
Select this code when the treated vessel and antegrade approach meet its scope; distinguish it from retrograde treatment and stenting of the cervical carotid artery. The operative report should identify the target vessel, approach, lesion, stent placement, and any angioplasty performed. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. 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 Arkansas compares for 37218
Across 109 of 109 payment localities, the facility rate for 37218 runs from $653.13 in Wisconsin to $937.52 in Alaska. Arkansas pays $663.82. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arkansas · this page$663.82
- Los Angeles, CA · California$747.33+$83.51
- Washington, DC area · District of Columbia$806.55+$142.73
- Miami, FL · Florida$930.48+$266.66
- Chicago, IL · Illinois$900.76+$236.94
- Manhattan, NY · New York$865.64+$201.82
- Alaska · Alaska$937.52+$273.70
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $672.19 |
| ArizonaArizona | — | $720.21 |
| Bakersfield, CACalifornia | — | $717.83 |
| Chico, CACalifornia | — | $708.14 |
| El Centro, CACalifornia | — | $708.74 |
| Fresno, CACalifornia | — | $708.14 |
| Hanford, CACalifornia | — | $708.14 |
| Madera, CACalifornia | — | $708.14 |
| Merced, CACalifornia | — | $708.14 |
| Modesto, CACalifornia | — | $708.14 |
| Napa, CACalifornia | — | $758.40 |
| Oxnard, CACalifornia | — | $736.04 |
| Redding, CACalifornia | — | $708.14 |
| Rest of CaliforniaCalifornia | — | $708.14 |
| Riverside, CACalifornia | — | $746.53 |
| Sacramento, CACalifornia | — | $726.78 |
| Salinas, CACalifornia | — | $723.81 |
| San Diego, CACalifornia | — | $729.30 |
| Marin County, CACalifornia | — | $780.97 |
| San Francisco, CACalifornia | — | $776.91 |
| San Benito County, CACalifornia | — | $801.93 |
| Santa Clara County, CACalifornia | — | $785.31 |
| San Luis Obispo, CACalifornia | — | $714.25 |
| Santa Cruz, CACalifornia | — | $726.96 |
| Santa Maria, CACalifornia | — | $723.36 |
| Santa Rosa, CACalifornia | — | $733.13 |
| Stockton, CACalifornia | — | $708.14 |
| Vallejo, CACalifornia | — | $752.54 |
| Visalia, CACalifornia | — | $708.14 |
| Yuba City, CACalifornia | — | $708.14 |
| ColoradoColorado | — | $730.50 |
| ConnecticutConnecticut | — | $787.48 |
| DelawareDelaware | — | $730.45 |
| Fort Lauderdale, FLFlorida | — | $840.30 |
| Rest of FloridaFlorida | — | $795.73 |
| Atlanta, GAGeorgia | — | $769.58 |
| Rest of GeorgiaGeorgia | — | $749.46 |
| Hawaii, Guam, HIHawaii | — | $710.94 |
| IowaIowa | — | $657.66 |
| IdahoIdaho | — | $667.46 |
| East St. Louis, ILIllinois | — | $851.73 |
| Rest of IllinoisIllinois | — | $796.80 |
| Suburban Chicago, ILIllinois | — | $841.34 |
| IndianaIndiana | — | $670.01 |
| KansasKansas | — | $668.90 |
| KentuckyKentucky | — | $715.91 |
| New Orleans, LALouisiana | — | $749.72 |
| Rest of LouisianaLouisiana | — | $720.49 |
| Metropolitan Boston, MAMassachusetts | — | $775.91 |
| Rest of MassachusettsMassachusetts | — | $732.77 |
| Baltimore area, MDMaryland | — | $788.22 |
| Rest of MarylandMaryland | — | $738.54 |
| Rest of MaineMaine | — | $685.28 |
| Southern Maine, MEMaine | — | $696.43 |
| Detroit, MIMichigan | — | $818.89 |
| Rest of MichiganMichigan | — | $744.91 |
| MinnesotaMinnesota | — | $661.77 |
| Metropolitan Kansas City, MOMissouri | — | $730.42 |
| Metropolitan St. Louis, MOMissouri | — | $735.26 |
| Rest of MissouriMissouri | — | $719.14 |
| MississippiMississippi | — | $690.89 |
| MontanaMontana | — | $741.59 |
| North CarolinaNorth Carolina | — | $689.16 |
| North DakotaNorth Dakota | — | $670.81 |
| NebraskaNebraska | — | $656.53 |
| New HampshireNew Hampshire | — | $732.71 |
| Northern New JerseyNew Jersey | — | $802.94 |
| Rest of New JerseyNew Jersey | — | $785.70 |
| New MexicoNew Mexico | — | $754.09 |
| NevadaNevada | — | $722.01 |
| NYC suburbs and Long Island, NYNew York | — | $901.88 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $802.04 |
| Queens, NYNew York | — | $851.26 |
| Rest of New YorkNew York | — | $699.22 |
| OhioOhio | — | $730.44 |
| OklahomaOklahoma | — | $699.98 |
| Portland, OROregon | — | $734.66 |
| Rest of OregonOregon | — | $705.75 |
| Metropolitan Philadelphia, PAPennsylvania | — | $779.38 |
| Rest of PennsylvaniaPennsylvania | — | $723.62 |
| Puerto RicoPuerto Rico | — | $741.60 |
| Rhode IslandRhode Island | — | $742.73 |
| South CarolinaSouth Carolina | — | $713.11 |
| South DakotaSouth Dakota | — | $662.44 |
| TennesseeTennessee | — | $673.55 |
| Austin, TXTexas | — | $737.40 |
| Beaumont, TXTexas | — | $720.57 |
| Brazoria, TXTexas | — | $718.09 |
| Dallas, TXTexas | — | $728.61 |
| Fort Worth, TXTexas | — | $728.74 |
| Galveston, TXTexas | — | $724.12 |
| Houston, TXTexas | — | $789.64 |
| Rest of TexasTexas | — | $723.00 |
| UtahUtah | — | $721.12 |
| VirginiaVirginia | — | $704.27 |
| Virgin Islands, VIUnited States Virgin Islands | — | $741.60 |
| VermontVermont | — | $681.34 |
| Rest of WashingtonWashington | — | $727.02 |
| King County, WAWashington | — | $776.19 |
| WisconsinWisconsin | — | $653.13 |
| West VirginiaWest Virginia | — | $774.77 |
| WyomingWyoming | — | $710.74 |
37218 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 37218 rate is calculated
Each of 37218’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 · 37218
RVUs × geographic indexes × conversion factor
Work14.38
14.38 RVUs× 1.000 GPCI
Practice expense4.25
4.25 RVUs× 1.000 GPCI
Malpractice3.58
3.58 RVUs× 1.000 GPCI
Adjusted RVUs
22.2100
Conversion factor
$33.4009
Medicare rate
$741.83
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arkansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,598
- Code
- 37218
- Physician work
- 14.38
- Practice expense
- 4.25
- Malpractice
- 3.58
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.38 | × 1.000 | 14.3800 |
| Practice expense | 4.25 | × 0.859 | 3.6507 |
| Malpractice | 3.58 | × 0.515 | 1.8437 |
| Total RVUs | 19.8745 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$663.82
Facility: (14.38 × 1 + 4.25 × 0.859 + 3.58 × 0.515) × $33.4009 = $663.82
Payment rules and modifiers for 37218
37218 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 37218
Carotid stenting, antegrade intrathoracic approach
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 37218
Carotid stenting, antegrade intrathoracic 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
37218 without 50 · national facility
$741.83
Carotid stenting, antegrade intrathoracic approach
37218-50 · Bilateral: 150%
$1,112.75
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).
How 37218 has changed in Arkansas
37218 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
January 1, 2015
RVU15A
No ratechanged toNo rate
Held through 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.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $663.82 | RVU26D |
| 2026-07-01 | Not available in this setting | $663.82 | RVU26C |
| 2026-04-01 | Not available in this setting | $663.82 | RVU26B |
| 2026-01-01 | Not available in this setting | $663.82 | RVU26A |
| 2025-10-01 | Not available in this setting | $707.23 | RVU25D |
| 2025-07-01 | Not available in this setting | $707.23 | RVU25C |
| 2025-04-01 | Not available in this setting | $707.23 | RVU25B |
| 2025-01-01 | Not available in this setting | $707.23 | RVU25A |
| 2024-10-01 | Not available in this setting | $723.97 | RVU24D |
| 2024-07-01 | Not available in this setting | $723.97 | RVU24C |
| 2024-04-01 | Not available in this setting | $723.97 | RVU24B |
| 2024-03-09 | Not available in this setting | $723.97 | RVU24AR |
| 2024-01-01 | Not available in this setting | $712.15 | RVU24A |
| 2023-10-01 | Not available in this setting | $728.89 | RVU23D |
| 2023-07-01 | Not available in this setting | $728.89 | RVU23C |
| 2023-04-01 | Not available in this setting | $728.89 | RVU23B |
| 2023-01-01 | Not available in this setting | $728.89 | RVU23A |
| 2022-10-01 | Not available in this setting | $735.82 | RVU22D |
| 2022-07-01 | Not available in this setting | $735.82 | RVU22C |
| 2022-04-01 | Not available in this setting | $735.82 | RVU22B |
| 2022-01-01 | Not available in this setting | $735.82 | RVU22A |
| 2021-10-01 | Not available in this setting | $741.94 | RVU21D |
| 2021-07-01 | Not available in this setting | $741.94 | RVU21C |
| 2021-04-01 | Not available in this setting | $741.94 | RVU21B |
| 2021-01-01 | Not available in this setting | $741.94 | RVU21A |
| 2020-10-01 | Not available in this setting | $772.36 | RVU20D |
| 2020-07-01 | Not available in this setting | $772.36 | RVU20C |
| 2020-04-01 | Not available in this setting | $772.36 | RVU20B |
| 2020-01-01 | Not available in this setting | $772.36 | RVU20A |
| 2019-10-01 | Not available in this setting | $779.53 | RVU19D |
| 2019-07-01 | Not available in this setting | $779.53 | RVU19C |
| 2019-04-01 | Not available in this setting | $779.53 | RVU19B |
| 2019-01-01 | Not available in this setting | $779.53 | RVU19A |
| 2018-10-01 | Not available in this setting | $775.76 | RVU18D |
| 2018-07-01 | Not available in this setting | $775.76 | RVU18C |
| 2018-04-01 | Not available in this setting | $775.76 | RVU18B |
| 2018-01-01 | Not available in this setting | $775.76 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $774.96 | RVU17D |
| 2017-07-01 | Not available in this setting | $774.96 | RVU17C |
| 2017-04-01 | Not available in this setting | $774.96 | RVU17B |
| 2017-01-01 | Not available in this setting | $774.96 | RVU17A |
| 2016-10-01 | Not available in this setting | $782.06 | RVU16D |
| 2016-07-01 | Not available in this setting | $782.06 | RVU16C |
| 2016-04-01 | Not available in this setting | $782.06 | RVU16B |
| 2016-01-01 | Not available in this setting | $782.06 | RVU16A |
| 2015-10-01 | Not available in this setting | $783.93 | RVU15D |
| 2015-07-01 | Not available in this setting | $783.93 | RVU15C |
| 2015-04-01 | Not available in this setting | $780.03 | RVU15B |
| 2015-01-01 | Not available in this setting | $780.03 | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
37218 billing questions
How does 37218 differ from 37217?
The distinction is the direction of treatment: 37218 is for an antegrade approach, while 37217 is for a retrograde approach to the specified proximal vessel.
Is angioplasty of the treated vessel reported separately?
Angioplasty performed as part of the stent treatment is included in 37218.
When should 37215 or 37216 be considered instead?
Those codes describe stenting in the cervical carotid artery. Use 37218 for antegrade treatment of the intrathoracic common carotid or innominate artery.
What documentation supports reporting 37218?
Document the treated vessel and lesion, the antegrade approach, and the stent placement; also describe angioplasty if performed.
Can an assistant-at-surgery be paid for this procedure?
CMS 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
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