CPT code 37244: Vascular embolization, hemorrhage or lymphatic leak2026 Medicare rate & RVUs in Iowa

Reports catheter-based embolization to control arterial or venous bleeding or a lymphatic leak, including the imaging guidance and procedural imaging services needed for treatment.

CMS RVU26DEffective Oct 1, 2026One payment locality14.5K Medicare services in 2024

In Iowa, Medicare pays $5,599.52 for 37244 in the office and $529.62 when it’s performed in a hospital or facility.

$5,599.52Office (non-facility)
$529.62Hospital or facility
−8.3%vs the national office rate ($6,107.02)

Check a contract rate as a % of Medicare · 37244 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 37244 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 37244 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 37244 covers

An interventional radiologist or vascular specialist uses catheter-based techniques to block a bleeding artery or vein, or a leaking lymphatic vessel. Typical cases include embolization of a vessel responsible for gastrointestinal bleeding, control of pelvic arterial bleeding after trauma, or treatment of a lymphatic leak. The procedure is generally performed in a hospital angiography or interventional radiology suite. The code includes the radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance needed to complete the embolization.

Select this code when the treatment addresses hemorrhage or a lymphatic leak; the indication distinguishes it from embolization for other purposes. The procedure report should identify the bleeding or leaking site, target vessel or vessels, clinical indication, and embolization performed. 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. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and 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 Iowa compares for 37244

Across 109 of 109 payment localities, the office rate for 37244 runs from $5,291.51 in Arkansas to $8,611.32 in San Benito County, CA. Iowa pays $5,599.52. The RVUs are the same everywhere; the geographic indexes change the dollars.

37244 in Iowa vs other payment areas
  1. Iowa · this page$5,599.52
  2. Los Angeles, CA · California$7,134.48+$1,534.96
  3. Washington, DC area · District of Columbia$7,135.21+$1,535.69
  4. Miami, FL · Florida$6,415.09+$815.57
  5. Chicago, IL · Illinois$6,204.37+$604.85
  6. Manhattan, NY · New York$7,074.13+$1,474.61
  7. Alaska · Alaska$6,672.55+$1,073.03

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

Every other payment area

37244 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$5,383.84$535.57
ArkansasArkansas$5,291.51$531.89
ArizonaArizona$5,925.81$556.71
Bakersfield, CACalifornia$6,633.92$561.12
Chico, CACalifornia$6,629.29$556.49
El Centro, CACalifornia$6,629.55$556.75
Fresno, CACalifornia$6,629.29$556.49
Hanford, CACalifornia$6,629.29$556.49

37244 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.

$5,291.51

$7,620.31

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

View every state and territory as a table
37244 office rate range by state
State / territoryOffice rate rangeLocalities
AK$6,672.551
AL$5,383.841
AR$5,291.511
AZ$5,925.811
CA$6,629.29–$8,611.3229
CO$6,460.121
CT$6,558.531
DC$7,135.211
DE$6,036.801
FL$5,885.97–$6,415.093
GA$5,511.17–$6,208.362
GU$6,853.801
HI$6,853.801
IA$5,599.521
ID$5,631.451
IL$5,647.89–$6,301.024
IN$5,671.371
KS$5,543.301
KY$5,480.191
LA$5,459.95–$5,783.102
MA$6,401.04–$7,207.722
MD$6,174.61–$7,135.213
ME$5,639.06–$6,037.692
MI$5,625.72–$5,945.802
MN$6,233.681
MO$5,331.79–$5,837.943
MS$5,314.171
MT$6,106.921
NC$5,712.841
ND$6,076.671
NE$5,643.421
NH$6,330.561
NJ$6,645.83–$7,036.002
NM$5,651.831
NV$6,104.091
NY$5,811.44–$7,239.405
OH$5,619.531
OK$5,495.571
OR$6,069.41–$6,723.592
PA$5,644.35–$6,354.872
PR$6,167.941
RI$6,295.081
SC$5,673.151
SD$6,073.091
TN$5,573.031
TX$5,598.67–$6,427.368
UT$5,765.331
VA$5,996.66–$7,135.212
VI$6,167.941
VT$6,025.701
WA$6,397.85–$7,393.082
WI$5,836.121
WV$5,394.401
WY$6,093.731

See 37244 in every payment locality

How the 37244 rate is calculated

Each of 37244’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 · 37244

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.41

13.41 RVUs× 1.000 GPCI

Practice expense167.90

167.90 RVUs× 1.000 GPCI

Malpractice1.53

1.53 RVUs× 1.000 GPCI

Adjusted RVUs

182.8400

Conversion factor

$33.4009

Medicare rate

$6,107.02

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

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,606

Code
37244
Physician work
13.41
Practice expense
167.90
Malpractice
1.53

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 37244 in Iowa
ComponentRVULocality factorAdjusted
Physician work13.41× 1.00013.4100
Practice expense167.90× 0.915153.6285
Malpractice1.53× 0.3970.6074
Total RVUs167.6459
Conversion factor× 33.4009

Office rate, Iowa$5599.52

Office: (13.41 × 1 + 167.9 × 0.915 + 1.53 × 0.397) × $33.4009 = $5599.52

Facility: (13.41 × 1 + 2.01 × 0.915 + 1.53 × 0.397) × $33.4009 = $529.62

Open 37244 in the RVU calculator

Payment rules and modifiers for 37244

The CMS indicators that decide how 37244 is paid alongside other services.

CMS payment indicators · 37244

Vascular embolization, hemorrhage or lymphatic leak

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)1Not paid (statutory restriction).
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

37244 without 51 · national office

$6,107.02

Vascular embolization, hemorrhage or lymphatic leak

37244-51 · Second procedure: 50%

$3,053.51

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

How 37244 has changed in Iowa

37244 · Office / nonfacility

$5599.52

Effective 2026-10-01

The base rate is $111.05 higher than on 2025-10-01, moving from $5488.47 to $5599.52 (2.0%).

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

    $5488.47changed to$5599.52

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 13.75 changed to 13.41
    • Practice expense RVU 170.05 changed to 167.90
    • Malpractice RVU 1.47 changed to 1.53
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $5850.70changed to$5488.47

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 176.70 changed to 170.05
    • Malpractice RVU 1.50 changed to 1.47

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $5755.21changed to$5850.70

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $6163.54changed to$5755.21

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 184.06 changed to 176.70
    • Malpractice RVU 1.45 changed to 1.50
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457
  5. January 1, 2023

    RVU23A

    $6475.72changed to$6163.54

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 190.53 changed to 184.06
    • Malpractice RVU 1.33 changed to 1.45
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $6775.54changed to$6475.72

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 198.34 changed to 190.53
    • Malpractice RVU 1.26 changed to 1.33

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $6596.22changed to$6775.54

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 185.77 changed to 198.34
    • Malpractice RVU 1.25 changed to 1.26
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $6420.06changed to$6596.22

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 180.66 changed to 185.77
    • Malpractice RVU 1.26 changed to 1.25
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $6283.23changed to$6420.06

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 176.68 changed to 180.66
    • Malpractice RVU 1.27 changed to 1.26

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $6202.22changed to$6283.23

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 175.66 changed to 176.68
    • Malpractice RVU 1.36 changed to 1.27
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $6238.35changed to$6202.22

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 14.00 changed to 13.75
    • Practice expense RVU 178.03 changed to 175.66
    • Malpractice RVU 1.46 changed to 1.36
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $6292.46changed to$6238.35

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 178.83 changed to 178.03
    • Malpractice RVU 1.79 changed to 1.46

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $6261.15changed to$6292.46

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $6183.67changed to$6261.15

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 176.95 changed to 178.83
    • Malpractice RVU 1.64 changed to 1.79
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$6183.67

    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$5,599.52$529.62RVU26D
2026-07-01$5,599.52$529.62RVU26C
2026-04-01$5,599.52$529.62RVU26B
2026-01-01$5,599.52$529.62RVU26A
2025-10-01$5,488.47$586.69RVU25D
2025-07-01$5,488.47$586.69RVU25C
2025-04-01$5,488.47$586.69RVU25B
2025-01-01$5,488.47$586.69RVU25A
2024-10-01$5,850.70$599.66RVU24D
2024-07-01$5,850.70$599.66RVU24C
2024-04-01$5,850.70$599.66RVU24B
2024-03-09$5,850.70$599.66RVU24AR
2024-01-01$5,755.21$589.87RVU24A
2023-10-01$6,163.54$613.13RVU23D
2023-07-01$6,163.54$613.13RVU23C
2023-04-01$6,163.54$613.13RVU23B
2023-01-01$6,163.54$613.13RVU23A
2022-10-01$6,475.72$622.52RVU22D
2022-07-01$6,475.72$622.52RVU22C
2022-04-01$6,475.72$622.52RVU22B
2022-01-01$6,475.72$622.52RVU22A
2021-10-01$6,775.54$629.49RVU21D
2021-07-01$6,775.54$629.49RVU21C
2021-04-01$6,775.54$629.49RVU21B
2021-01-01$6,775.54$629.49RVU21A
2020-10-01$6,596.22$656.11RVU20D
2020-07-01$6,596.22$656.11RVU20C
2020-04-01$6,596.22$656.11RVU20B
2020-01-01$6,596.22$656.11RVU20A
2019-10-01$6,420.06$655.30RVU19D
2019-07-01$6,420.06$655.30RVU19C
2019-04-01$6,420.06$655.30RVU19B
2019-01-01$6,420.06$655.30RVU19A
2018-10-01$6,283.23$656.37RVU18D
2018-07-01$6,283.23$656.37RVU18C
2018-04-01$6,283.23$656.37RVU18B
2018-01-01$6,283.23$656.37RVU18AR1
2017-10-01$6,202.22$658.58RVU17D
2017-07-01$6,202.22$658.58RVU17C
2017-04-01$6,202.22$658.58RVU17B
2017-01-01$6,202.22$658.58RVU17A
2016-10-01$6,238.35$671.07RVU16D
2016-07-01$6,238.35$671.07RVU16C
2016-04-01$6,238.35$671.07RVU16B
2016-01-01$6,238.35$671.07RVU16A
2015-10-01$6,292.46$674.19RVU15D
2015-07-01$6,292.46$674.19RVU15C
2015-04-01$6,261.15$670.84RVU15B
2015-01-01$6,261.15$670.84RVU15A
2014-10-01$6,183.67$672.26RVU14D
2014-07-01$6,183.67$672.26RVU14C
2014-04-01$6,183.67$672.26RVU14B
2014-01-01$6,183.67$672.26RVU14A
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 37244 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

37244 billing questions

How does this code differ from 37242?

Use 37244 for embolization to treat hemorrhage or a lymphatic leak. Code 37242 is for arterial embolization for a purpose other than hemorrhage or tumor.

Are angiographic imaging and guidance separately reported?

The code includes the radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance needed to complete the embolization.

Should modifier 50 be appended for treatment on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What documentation supports reporting 37244?

Document the hemorrhage or lymphatic leak, its site and target vessel or vessels, and the embolization performed. The indication should support treatment of bleeding or a leak rather than another embolization purpose.

How does the multiple-procedure reduction affect payment?

For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction.

Can an assistant, co-surgeon, or surgical team be reported?

CMS restricts assistant-at-surgery payment for this code and does not permit co-surgeons or team surgery.

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 37244PPRRVU2026_Oct_nonQPP.csv, line 4,606 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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