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CPT code 37238: Venous stenting, initial vein2026 Medicare rate & RVUs in Dallas, TX

Reports initial venous stent placement by open or percutaneous approach, including same-vessel angioplasty and imaging, for treated venous stenosis or obstruction.

CMS RVU26DEffective Oct 1, 2026One payment locality9.6K Medicare services in 2024

In Dallas, TX, Medicare pays $3,258.37 for 37238 in the office and $266.64 when it’s performed in a hospital or facility.

$3,258.37Office (non-facility)
$266.64Hospital or facility
−0.5%vs the national office rate ($3,274.62)

Check a contract rate as a % of Medicare · 37238 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 37238 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Dallas, TX
  2. What 37238 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 37238 covers

Code 37238 reports placement of one or more stents in the initial vein treated, using an open or percutaneous approach. It is used for venous narrowing or obstruction, such as iliac or central venous disease. Interventional radiologists and vascular surgeons commonly perform the procedure in an angiography suite or operating room. The code includes radiological supervision and interpretation and angioplasty performed in the same vein; multiple stents placed in that vein do not make it an additional vein.

Report 37238 for the initial vein and use 37239 for each additional vein treated. The operative or procedure report should identify the treated vein, the stent placement, and any same-vein angioplasty. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral adjustment is not appropriate for this code. Assistant-at-surgery payment requires documentation of 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 Dallas, TX compares for 37238

Across 109 of 109 payment localities, the office rate for 37238 runs from $2,826.39 in Arkansas to $4,619.17 in San Benito County, CA. Dallas, TX pays $3,258.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

37238 in Dallas, TX vs other payment areas
  1. Dallas, TX · this page$3,258.37
  2. Austin, TX · Texas$3,446.41+$188.04
  3. Beaumont, TX · Texas$2,998.40−$259.97
  4. Brazoria, TX · Texas$3,239.76−$18.61
  5. Fort Worth, TX · Texas$3,228.54−$29.83
  6. Galveston, TX · Texas$3,247.82−$10.55
  7. Houston, TX · Texas$3,270.52+$12.15

Other areas in Texas first, then benchmark localities. Bars start at $0.

Every other payment area

37238 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$3,115.75$265.19
Los Angeles, CACalifornia$3,824.45$271.02
Washington, DC areaDistrict of Columbia$3,830.42$292.01
Miami, FLFlorida$3,462.45$335.55
Chicago, ILIllinois$3,344.82$326.06
Manhattan, NYNew York$3,803.39$313.05
AlaskaAlaska$3,551.76$352.78
AlabamaAlabama$2,877.09$248.81

37238 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$2,826.39

$4,084.71

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
37238 office rate range by state
State / territoryOffice rate rangeLocalities
AK$3,551.761
AL$2,877.091
AR$2,826.391
AZ$3,174.531
CA$3,550.25–$4,619.1729
CO$3,462.251
CT$3,521.071
DC$3,830.421
DE$3,234.991
FL$3,161.85–$3,462.453
GA$2,954.64–$3,332.122
GU$3,673.181
HI$3,673.181
IA$2,991.551
ID$3,009.881
IL$3,033.77–$3,389.964
IN$3,031.671
KS$2,962.581
KY$2,934.051
LA$2,923.69–$3,101.102
MA$3,430.30–$3,867.212
MD$3,309.63–$3,830.423
ME$3,016.05–$3,232.012
MI$3,015.79–$3,196.762
MN$3,333.521
MO$2,854.51–$3,128.963
MS$2,841.741
MT$3,274.541
NC$3,056.231
ND$3,250.021
NE$3,015.051
NH$3,393.941
NJ$3,565.87–$3,775.672
NM$3,030.921
NV$3,270.741
NY$3,110.50–$3,896.605
OH$3,010.781
OK$2,940.491
OR$3,250.18–$3,604.222
PA$3,023.36–$3,410.652
PR$3,307.401
RI$3,374.091
SC$3,037.641
SD$3,247.121
TN$2,979.131
TX$2,998.40–$3,446.418
UT$3,088.211
VA$3,210.83–$3,830.422
VI$3,307.401
VT$3,223.801
WA$3,428.22–$3,966.162
WI$3,118.431
WV$2,894.701
WY$3,263.861

See 37238 in every payment locality

How the 37238 rate is calculated

Each of 37238’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 · 37238

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.89

5.89 RVUs× 1.000 GPCI

Practice expense90.91

90.91 RVUs× 1.000 GPCI

Malpractice1.24

1.24 RVUs× 1.000 GPCI

Adjusted RVUs

98.0400

Conversion factor

$33.4009

Medicare rate

$3,274.62

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

The exact Dallas, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,601

Code
37238
Physician work
5.89
Practice expense
90.91
Malpractice
1.24

GPCI2026.csv

99

Locality
Dallas, TX
Physician work
1.009
Practice expense
0.996
Malpractice
0.858
Office calculation for 37238 in Dallas, TX
ComponentRVULocality factorAdjusted
Physician work5.89× 1.0095.9430
Practice expense90.91× 0.99690.5464
Malpractice1.24× 0.8581.0639
Total RVUs97.5533
Conversion factor× 33.4009

Office rate, Dallas, TX$3258.37

Office: (5.89 × 1.009 + 90.91 × 0.996 + 1.24 × 0.858) × $33.4009 = $3258.37

Facility: (5.89 × 1.009 + 0.98 × 0.996 + 1.24 × 0.858) × $33.4009 = $266.64

Open 37238 in the RVU calculator

Payment rules and modifiers for 37238

The CMS indicators that decide how 37238 is paid alongside other services.

CMS payment indicators · 37238

Venous stenting, initial vein

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

37238 without 51 · national office

$3,274.62

Venous stenting, initial vein

37238-51 · Second procedure: 50%

$1,637.31

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 37238

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 37238
CodeHow it relatesOffice range, Dallas, TX
Add-on codes
37239Venous stenting, each additional veinAdd-on code for each additional vein treated after the initial vein.$1,651.59
Same family
37236Arterial stent, first treated arteryInitial-vessel stent code for an artery rather than a vein.$2,583.48
37237Arterial stent, each additional arteryAdd-on stent code for each additional artery.$1,208.45
Used instead
37248Venous angioplasty, initial veinReports venous angioplasty when a stent is not placed.$1,298.34
Often billed with
37252Intravascular ultrasound, first noncoronary vesselMay be reported for separately documented noncoronary intravascular ultrasound during the encounter.$890.95

How 37238 has changed in Dallas, TX

37238 · Office / nonfacility

$3258.37

Effective 2026-10-01

The base rate is $103.63 higher than on 2025-10-01, moving from $3154.74 to $3258.37 (3.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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, 2026

    RVU26A

    $3154.74changed to$3258.37

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.04 changed to 5.89
    • Practice expense RVU 89.76 changed to 90.91
    • Malpractice RVU 1.18 changed to 1.24
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.996
    • Malpractice GPCI 0.877 changed to 0.858

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $3390.90changed to$3154.74

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 94.05 changed to 89.76
    • Malpractice RVU 1.20 changed to 1.18

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $3335.56changed to$3390.90

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $3574.08changed to$3335.56

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 96.87 changed to 94.05
    • Malpractice RVU 1.14 changed to 1.20
    • Work GPCI 1.017 changed to 1.011
    • Practice expense GPCI 1.017 changed to 1.007
    • Malpractice GPCI 0.711 changed to 0.877

  5. January 1, 2023

    RVU23A

    $3797.73changed to$3574.08

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 100.31 changed to 96.87
    • Malpractice RVU 1.18 changed to 1.14
    • Work GPCI 1.023 changed to 1.017
    • Practice expense GPCI 1.026 changed to 1.017
    • Malpractice GPCI 0.546 changed to 0.711

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $4060.29changed to$3797.73

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 106.77 changed to 100.31
    • Malpractice RVU 1.17 changed to 1.18

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $3310.59changed to$4060.29

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 83.21 changed to 106.77
    • Malpractice RVU 1.08 changed to 1.17
    • Work GPCI 1.018 changed to 1.023
    • Practice expense GPCI 1.020 changed to 1.026
    • Malpractice GPCI 0.657 changed to 0.546

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $3741.54changed to$3310.59

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 95.60 changed to 83.21
    • Malpractice RVU 1.00 changed to 1.08
    • Work GPCI 1.012 changed to 1.018
    • Practice expense GPCI 1.014 changed to 1.020
    • Malpractice GPCI 0.768 changed to 0.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $4301.30changed to$3741.54

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 111.13 changed to 95.60
    • Malpractice RVU 0.89 changed to 1.00

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $4233.03changed to$4301.30

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 109.80 changed to 111.13
    • Malpractice RVU 0.91 changed to 0.89
    • Work GPCI 1.015 changed to 1.012
    • Practice expense GPCI 1.012 changed to 1.014
    • Malpractice GPCI 0.770 changed to 0.768

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $4317.70changed to$4233.03

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 6.29 changed to 6.04
    • Practice expense RVU 112.42 changed to 109.80
    • Malpractice RVU 0.98 changed to 0.91
    • Work GPCI 1.018 changed to 1.015
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.772 changed to 0.770

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $4235.11changed to$4317.70

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 109.59 changed to 112.42
    • Malpractice RVU 1.14 changed to 0.98

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $4214.03changed to$4235.11

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $4232.04changed to$4214.03

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 109.43 changed to 109.59
    • Malpractice RVU 1.13 changed to 1.14
    • Work GPCI 1.014 changed to 1.018
    • Practice expense GPCI 1.013 changed to 1.009
    • Malpractice GPCI 0.803 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$4232.04

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$3,258.37$266.64RVU26D
2026-07-01$3,258.37$266.64RVU26C
2026-04-01$3,258.37$266.64RVU26B
2026-01-01$3,258.37$266.64RVU26A
2025-10-01$3,154.74$288.32RVU25D
2025-07-01$3,154.74$288.32RVU25C
2025-04-01$3,154.74$288.32RVU25B
2025-01-01$3,154.74$288.32RVU25A
2024-10-01$3,390.90$295.28RVU24D
2024-07-01$3,390.90$295.28RVU24C
2024-04-01$3,390.90$295.28RVU24B
2024-03-09$3,390.90$295.28RVU24AR
2024-01-01$3,335.56$290.47RVU24A
2023-10-01$3,574.08$294.90RVU23D
2023-07-01$3,574.08$294.90RVU23C
2023-04-01$3,574.08$294.90RVU23B
2023-01-01$3,574.08$294.90RVU23A
2022-10-01$3,797.73$296.84RVU22D
2022-07-01$3,797.73$296.84RVU22C
2022-04-01$3,797.73$296.84RVU22B
2022-01-01$3,797.73$296.84RVU22A
2021-10-01$4,060.29$299.47RVU21D
2021-07-01$4,060.29$299.47RVU21C
2021-04-01$4,060.29$299.47RVU21B
2021-01-01$4,060.29$299.47RVU21A
2020-10-01$3,310.59$312.30RVU20D
2020-07-01$3,310.59$312.30RVU20C
2020-04-01$3,310.59$312.30RVU20B
2020-01-01$3,310.59$312.30RVU20A
2019-10-01$3,741.54$313.01RVU19D
2019-07-01$3,741.54$313.01RVU19C
2019-04-01$3,741.54$313.01RVU19B
2019-01-01$3,741.54$313.01RVU19A
2018-10-01$4,301.30$310.36RVU18D
2018-07-01$4,301.30$310.36RVU18C
2018-04-01$4,301.30$310.36RVU18B
2018-01-01$4,301.30$310.36RVU18AR1
2017-10-01$4,233.03$310.90RVU17D
2017-07-01$4,233.03$310.90RVU17C
2017-04-01$4,233.03$310.90RVU17B
2017-01-01$4,233.03$310.90RVU17A
2016-10-01$4,317.70$326.44RVU16D
2016-07-01$4,317.70$326.44RVU16C
2016-04-01$4,317.70$326.44RVU16B
2016-01-01$4,317.70$326.44RVU16A
2015-10-01$4,235.11$331.33RVU15D
2015-07-01$4,235.11$331.33RVU15C
2015-04-01$4,214.03$329.68RVU15B
2015-01-01$4,214.03$329.68RVU15A
2014-10-01$4,232.04$333.93RVU14D
2014-07-01$4,232.04$333.93RVU14C
2014-04-01$4,232.04$333.93RVU14B
2014-01-01$4,232.04$333.93RVU14A
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 37238 for an earlier date of service

Where the Dallas, TX rate applies

Dallas, TX is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

37238 billing questions

When should 37238 be chosen over 37236?

Use 37238 for stent placement in a vein and 37236 for stent placement in an artery. The vessel treated determines which code applies.

How are additional stents or veins reported?

Multiple stents in the initial vein are reported with 37238. Use add-on code 37239 for each additional vein treated.

Can angioplasty in the stented vein be reported separately?

Angioplasty performed in the same vein is included in 37238. The code also includes radiological supervision and interpretation.

What documentation supports 37238?

The procedure report should identify the vein treated and document stent placement. It should also describe any angioplasty performed in that same vein.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

When is assistant-at-surgery payment allowed?

CMS allows assistant-at-surgery payment only when the record documents 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 37238PPRRVU2026_Oct_nonQPP.csv, line 4,601 (RVU26D)
Geographic factors for Dallas, TXGPCI2026.csv, line 99 (RVU26D)

Open CMS sourceHow we calculate rates

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