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CPT code 37239: Venous stenting, each additional vein2026 Medicare rate & RVUs in Puerto Rico

Reports stent placement in each additional vein treated during a venous intervention, beyond the first vein reported with the primary stent code.

CMS RVU26DEffective Oct 1, 2026One payment locality3.5K Medicare services in 2024

In Puerto Rico, Medicare pays $1,676.37 for 37239 in the office and $131.47 when it’s performed in a hospital or facility.

$1,676.37Office (non-facility)
$131.47Hospital or facility
+1.0%vs the national office rate ($1,659.69)

Check a contract rate as a % of Medicare · 37239 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 37239 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 37239 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 37239 covers

Code 37239 represents stent placement in an additional vein during an open or percutaneous venous intervention. It may be used for venous obstruction or stenosis treated by specialists such as interventional radiologists or vascular surgeons, including in iliac or central veins. The code counts additional veins treated, not the number of stents placed in one vein. Balloon angioplasty performed in the same vein as the stent is included in the stent service.

Report 37239 with the primary code for the first treated vein, 37238. The operative or procedure report should identify the additional vein treated and document the stent placement; it should distinguish that vein from the first vein and any other treated sites. Under the CMS payment rule, this add-on code is billed only with a primary procedure and is paid within that procedure's global period.

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 Puerto Rico compares for 37239

Across 109 of 109 payment localities, the office rate for 37239 runs from $1,432.55 in Arkansas to $2,343.26 in San Benito County, CA. Puerto Rico pays $1,676.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

37239 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$1,676.37
  2. Los Angeles, CA · California$1,939.43+$263.06
  3. Washington, DC area · District of Columbia$1,941.82+$265.45
  4. Miami, FL · Florida$1,753.09+$76.72
  5. Chicago, IL · Illinois$1,693.60+$17.23
  6. Manhattan, NY · New York$1,927.42+$251.05
  7. Alaska · Alaska$1,799.58+$123.21

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

Every other payment area

37239 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,458.25$121.17
ArkansasArkansas$1,432.55$119.92
ArizonaArizona$1,609.02$128.30
Bakersfield, CACalifornia$1,801.97$127.18
Chico, CACalifornia$1,800.33$125.55
El Centro, CACalifornia$1,800.43$125.64
Fresno, CACalifornia$1,800.33$125.55
Hanford, CACalifornia$1,800.33$125.55

37239 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.

$1,432.55

$2,071.80

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

View every state and territory as a table
37239 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,799.581
AL$1,458.251
AR$1,432.551
AZ$1,609.021
CA$1,800.33–$2,343.2629
CO$1,755.301
CT$1,784.591
DC$1,941.821
DE$1,639.671
FL$1,601.71–$1,753.093
GA$1,496.82–$1,688.632
GU$1,862.801
HI$1,862.801
IA$1,516.641
ID$1,525.861
IL$1,536.53–$1,717.254
IN$1,536.911
KS$1,501.781
KY$1,486.731
LA$1,481.40–$1,571.332
MA$1,739.03–$1,960.862
MD$1,677.56–$1,941.823
ME$1,528.79–$1,638.532
MI$1,527.98–$1,619.202
MN$1,690.571
MO$1,446.23–$1,585.663
MS$1,440.051
MT$1,659.651
NC$1,549.191
ND$1,647.991
NE$1,528.611
NH$1,720.501
NJ$1,807.44–$1,914.032
NM$1,535.571
NV$1,657.941
NY$1,576.68–$1,974.435
OH$1,525.601
OK$1,490.181
OR$1,647.67–$1,827.482
PA$1,532.07–$1,728.512
PR$1,676.371
RI$1,710.331
SC$1,539.461
SD$1,646.611
TN$1,510.141
TX$1,519.41–$1,747.148
UT$1,565.091
VA$1,627.66–$1,941.822
VI$1,676.371
VT$1,634.521
WA$1,738.03–$2,011.222
WI$1,581.241
WV$1,466.041
WY$1,654.571

See 37239 in every payment locality

How the 37239 rate is calculated

Each of 37239’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 · 37239

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.90

2.90 RVUs× 1.000 GPCI

Practice expense46.20

46.20 RVUs× 1.000 GPCI

Malpractice0.59

0.59 RVUs× 1.000 GPCI

Adjusted RVUs

49.6900

Conversion factor

$33.4009

Medicare rate

$1,659.69

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,602

Code
37239
Physician work
2.90
Practice expense
46.20
Malpractice
0.59

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 37239 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work2.90× 1.0002.9000
Practice expense46.20× 1.01146.7082
Malpractice0.59× 0.9850.5811
Total RVUs50.1893
Conversion factor× 33.4009

Office rate, Puerto Rico$1676.37

Office: (2.9 × 1 + 46.2 × 1.011 + 0.59 × 0.985) × $33.4009 = $1676.37

Facility: (2.9 × 1 + 0.45 × 1.011 + 0.59 × 0.985) × $33.4009 = $131.47

Open 37239 in the RVU calculator

Payment rules and modifiers for 37239

The CMS indicators that decide how 37239 is paid alongside other services.

CMS payment indicators · 37239

Venous stenting, each additional vein

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

Codes related to 37239

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

Codes related to 37239
CodeHow it relatesOffice range, Puerto Rico
Primary code
37238Venous stenting, initial veinPrimary venous stent code for the first treated vein.$3,307.40
Used instead
37237Arterial stent, each additional arteryReports each additional artery treated with a stent rather than an additional vein.$1,227.11
37248Venous angioplasty, initial veinVenous balloon angioplasty for the first vein when stent placement is not reported.$1,316.71
37249Venous angioplasty, each additional veinVenous balloon angioplasty for an additional vein when stent placement is not reported.$430.70

How 37239 has changed in Puerto Rico

37239 · Office / nonfacility

$1676.37

Effective 2026-10-01

The base rate is $96.11 higher than on 2025-10-01, moving from $1580.26 to $1676.37 (6.1%).

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

    $1580.26changed to$1676.37

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.97 changed to 2.90
    • Practice expense RVU 44.98 changed to 46.20
    • Malpractice RVU 0.60 changed to 0.59
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1695.29changed to$1580.26

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 47.05 changed to 44.98
    • Malpractice RVU 0.59 changed to 0.60

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1667.62changed to$1695.29

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1763.68changed to$1667.62

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 48.12 changed to 47.05
    • Malpractice RVU 0.58 changed to 0.59
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $1750.95changed to$1763.68

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $1852.75changed to$1750.95

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 49.57 changed to 48.12
    • Malpractice RVU 0.61 changed to 0.58
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $2004.92changed to$1852.75

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 53.45 changed to 49.57
    • Malpractice RVU 0.62 changed to 0.61

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $1521.14changed to$2004.92

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 38.28 changed to 53.45
    • Malpractice RVU 0.60 changed to 0.62
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $1776.07changed to$1521.14

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 45.40 changed to 38.28
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $2071.03changed to$1776.07

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 53.59 changed to 45.40

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $1752.91changed to$2071.03

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 53.14 changed to 53.59
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $1484.58changed to$1752.91

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 54.36 changed to 53.14
    • Malpractice RVU 0.58 changed to 0.60
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $1485.00changed to$1484.58

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 54.14 changed to 54.36
    • Malpractice RVU 0.64 changed to 0.58

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $1477.61changed to$1485.00

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $1464.09changed to$1477.61

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 54.55 changed to 54.14
    • Malpractice RVU 0.56 changed to 0.64
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    No ratechanged to$1464.09

    Held through RVU14B, RVU14C, RVU14D.

  17. 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$1,676.37$131.47RVU26D
2026-07-01$1,676.37$131.47RVU26C
2026-04-01$1,676.37$131.47RVU26B
2026-01-01$1,676.37$131.47RVU26A
2025-10-01$1,580.26$142.81RVU25D
2025-07-01$1,580.26$142.81RVU25C
2025-04-01$1,580.26$142.81RVU25B
2025-01-01$1,580.26$142.81RVU25A
2024-10-01$1,695.29$145.64RVU24D
2024-07-01$1,695.29$145.64RVU24C
2024-04-01$1,695.29$145.64RVU24B
2024-03-09$1,695.29$145.64RVU24AR
2024-01-01$1,667.62$143.26RVU24A
2023-10-01$1,763.68$147.99RVU23D
2023-07-01$1,750.95$148.09RVU23C
2023-04-01$1,750.95$148.09RVU23B
2023-01-01$1,750.95$148.09RVU23A
2022-10-01$1,852.75$152.20RVU22D
2022-07-01$1,852.75$152.20RVU22C
2022-04-01$1,852.75$152.20RVU22B
2022-01-01$1,852.75$152.20RVU22A
2021-10-01$2,004.92$154.16RVU21D
2021-07-01$2,004.92$154.16RVU21C
2021-04-01$2,004.92$154.16RVU21B
2021-01-01$2,004.92$154.16RVU21A
2020-10-01$1,521.14$159.87RVU20D
2020-07-01$1,521.14$159.87RVU20C
2020-04-01$1,521.14$159.87RVU20B
2020-01-01$1,521.14$159.87RVU20A
2019-10-01$1,776.07$159.29RVU19D
2019-07-01$1,776.07$159.29RVU19C
2019-04-01$1,776.07$159.29RVU19B
2019-01-01$1,776.07$159.29RVU19A
2018-10-01$2,071.03$159.48RVU18D
2018-07-01$2,071.03$159.48RVU18C
2018-04-01$2,071.03$159.48RVU18B
2018-01-01$2,071.03$159.48RVU18AR1
2017-10-01$1,752.91$146.53RVU17D
2017-07-01$1,752.91$146.53RVU17C
2017-04-01$1,752.91$146.53RVU17B
2017-01-01$1,752.91$146.53RVU17A
2016-10-01$1,484.58$133.63RVU16D
2016-07-01$1,484.58$133.63RVU16C
2016-04-01$1,484.58$133.63RVU16B
2016-01-01$1,484.58$133.63RVU16A
2015-10-01$1,485.00$134.23RVU15D
2015-07-01$1,485.00$134.23RVU15C
2015-04-01$1,477.61$133.57RVU15B
2015-01-01$1,477.61$133.57RVU15A
2014-10-01$1,464.09$133.15RVU14D
2014-07-01$1,464.09$133.15RVU14C
2014-04-01$1,464.09$133.15RVU14B
2014-01-01$1,464.09$133.15RVU14A
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 37239 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

37239 billing questions

When is 37239 reported instead of 37238?

Use 37238 for the first vein treated with a stent. Report 37239 for each additional vein treated in the procedure.

Is 37239 counted per stent or per vein?

It is counted per additional vein treated, not per stent. Multiple stents placed in one vein do not make that vein an additional vein.

Can 37239 be billed by itself?

No. It is an add-on code and must be reported with a primary procedure, typically 37238 for the first venous stent.

Is angioplasty separately reported in the stented vein?

Angioplasty performed in the same vein as the stent is included in the stent service. The report should identify the vein in which the stent was placed.

What documentation supports reporting an additional unit?

Document each additional vein treated and the stent placement in that vein. The record should make clear which vein was treated first and which veins support add-on reporting.

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 37239PPRRVU2026_Oct_nonQPP.csv, line 4,602 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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