CPT code 37246: Arterial angioplasty, initial artery2026 Medicare rate & RVUs in Queens, NY
Report 37246 for balloon angioplasty of the first treated artery in a vascular territory covered by this code family, excluding lower-extremity occlusive disease.
In Queens, NY, Medicare pays $2,049.12 for 37246 in the office and $349.12 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 37246 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 37246 covers
This code covers balloon dilation of a narrowed artery through an open or percutaneous approach. Interventional radiologists, vascular surgeons, and other qualified physicians may perform it in a hospital or outpatient setting. The code includes imaging and radiological supervision and interpretation needed to guide angioplasty within that artery. It applies to arterial sites outside the separately coded lower-extremity occlusive-disease, coronary, and intracranial services.
Report 37246 for the first artery treated; use 37247 for each additional artery treated in the same session. Count arteries, not lesions, and document the treated vessel, approach, balloon treatment, and any additional arteries. If a stent is placed in the treated artery, its angioplasty is generally included in the stent service. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and others at 50%; bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery, 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 Queens, NY compares for 37246
Across 109 of 109 payment localities, the office rate for 37246 runs from $1,517.04 in Arkansas to $2,402.21 in San Benito County, CA. Queens, NY pays $2,049.12. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Queens, NY · this page$2,049.12
- Manhattan, NY · New York$2,026.09−$23.03
- NYC suburbs and Long Island, NY · New York$2,078.01+$28.89
- Poughkeepsie and northern NYC suburbs, NY · New York$1,906.19−$142.93
- Rest of New York · New York$1,659.56−$389.56
- Los Angeles, CA · California$2,010.53−$38.59
- Washington, DC area · District of Columbia$2,026.22−$22.90
Other areas in New York first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Miami, FLFlorida | $1,875.39 | $378.18 |
| Chicago, ILIllinois | $1,813.46 | $368.02 |
| AlaskaAlaska | $1,936.29 | $404.56 |
| AlabamaAlabama | $1,542.90 | $284.44 |
| ArkansasArkansas | $1,517.04 | $281.59 |
| ArizonaArizona | $1,694.40 | $300.75 |
| Bakersfield, CACalifornia | $1,874.84 | $298.52 |
| Chico, CACalifornia | $1,871.11 | $294.80 |
| El Centro, CACalifornia | $1,871.34 | $295.02 |
| Fresno, CACalifornia | $1,871.11 | $294.80 |
| Hanford, CACalifornia | $1,871.11 | $294.80 |
| Madera, CACalifornia | $1,871.11 | $294.80 |
| Merced, CACalifornia | $1,871.11 | $294.80 |
| Modesto, CACalifornia | $1,871.11 | $294.80 |
| Napa, CACalifornia | $2,207.50 | $311.90 |
| Oxnard, CACalifornia | $2,004.25 | $304.25 |
| Redding, CACalifornia | $1,871.11 | $294.80 |
| Rest of CaliforniaCalifornia | $1,871.11 | $294.80 |
| Riverside, CACalifornia | $1,885.53 | $309.22 |
| Sacramento, CACalifornia | $1,974.18 | $301.51 |
| Salinas, CACalifornia | $1,967.15 | $300.22 |
| San Diego, CACalifornia | $2,021.71 | $301.57 |
| Marin County, CACalifornia | $2,348.19 | $320.26 |
| San Francisco, CACalifornia | $2,346.67 | $318.74 |
| San Benito County, CACalifornia | $2,402.21 | $328.27 |
| Santa Clara County, CACalifornia | $2,395.99 | $322.04 |
| San Luis Obispo, CACalifornia | $1,934.48 | $296.32 |
| Santa Cruz, CACalifornia | $2,047.39 | $299.93 |
| Santa Maria, CACalifornia | $1,976.78 | $299.79 |
| Santa Rosa, CACalifornia | $2,068.60 | $302.44 |
| Stockton, CACalifornia | $1,871.11 | $294.80 |
| Vallejo, CACalifornia | $2,205.31 | $309.71 |
| Visalia, CACalifornia | $1,871.11 | $294.80 |
| Yuba City, CACalifornia | $1,871.11 | $294.80 |
| ColoradoColorado | $1,833.78 | $303.49 |
| ConnecticutConnecticut | $1,873.97 | $324.98 |
| DelawareDelaware | $1,725.47 | $304.49 |
| Fort Lauderdale, FLFlorida | $1,801.85 | $344.91 |
| Rest of FloridaFlorida | $1,704.21 | $329.25 |
| Atlanta, GAGeorgia | $1,779.79 | $318.54 |
| Rest of GeorgiaGeorgia | $1,595.97 | $313.06 |
| Hawaii, Guam, HIHawaii | $1,929.58 | $294.30 |
| IowaIowa | $1,594.28 | $278.29 |
| IdahoIdaho | $1,605.05 | $281.87 |
| East St. Louis, ILIllinois | $1,674.03 | $350.84 |
| Rest of IllinoisIllinois | $1,643.52 | $330.41 |
| Suburban Chicago, ILIllinois | $1,822.47 | $345.40 |
| IndianaIndiana | $1,615.95 | $282.70 |
| KansasKansas | $1,582.86 | $282.69 |
| KentuckyKentucky | $1,579.15 | $300.56 |
| New Orleans, LALouisiana | $1,665.67 | $312.29 |
| Rest of LouisianaLouisiana | $1,575.18 | $302.34 |
| Metropolitan Boston, MAMassachusetts | $2,036.85 | $319.59 |
| Rest of MassachusettsMassachusetts | $1,819.20 | $304.73 |
| Baltimore area, MDMaryland | $1,868.37 | $325.13 |
| Rest of MarylandMaryland | $1,762.83 | $307.33 |
| Rest of MaineMaine | $1,611.72 | $288.54 |
| Southern Maine, MEMaine | $1,716.75 | $291.46 |
| Detroit, MIMichigan | $1,725.66 | $337.75 |
| Rest of MichiganMichigan | $1,624.10 | $310.98 |
| MinnesotaMinnesota | $1,757.76 | $277.81 |
| Metropolitan Kansas City, MOMissouri | $1,655.61 | $305.10 |
| Metropolitan St. Louis, MOMissouri | $1,675.89 | $306.68 |
| Rest of MissouriMissouri | $1,542.01 | $302.24 |
| MississippiMississippi | $1,530.01 | $291.69 |
| MontanaMontana | $1,746.44 | $308.20 |
| North CarolinaNorth Carolina | $1,631.64 | $289.76 |
| North DakotaNorth Dakota | $1,719.95 | $281.70 |
| NebraskaNebraska | $1,605.22 | $277.73 |
| New HampshireNew Hampshire | $1,801.36 | $304.15 |
| Northern New JerseyNew Jersey | $1,999.73 | $331.37 |
| Rest of New JerseyNew Jersey | $1,895.58 | $325.01 |
| New MexicoNew Mexico | $1,633.22 | $314.35 |
| NevadaNevada | $1,740.53 | $300.85 |
| OhioOhio | $1,618.68 | $305.57 |
| OklahomaOklahoma | $1,578.87 | $294.52 |
| Portland, OROregon | $1,902.30 | $304.41 |
| Rest of OregonOregon | $1,727.35 | $294.86 |
| Metropolitan Philadelphia, PAPennsylvania | $1,819.70 | $322.49 |
| Rest of PennsylvaniaPennsylvania | $1,623.23 | $302.93 |
| Puerto RicoPuerto Rico | $1,762.07 | $308.01 |
| Rhode IslandRhode Island | $1,794.66 | $308.96 |
| South CarolinaSouth Carolina | $1,627.82 | $298.89 |
| South DakotaSouth Dakota | $1,716.81 | $278.57 |
| TennesseeTennessee | $1,591.71 | $284.35 |
| Austin, TXTexas | $1,827.36 | $305.70 |
| Beaumont, TXTexas | $1,610.73 | $301.93 |
| Brazoria, TXTexas | $1,725.25 | $299.95 |
| Dallas, TXTexas | $1,736.34 | $303.85 |
| Fort Worth, TXTexas | $1,722.18 | $304.07 |
| Galveston, TXTexas | $1,730.34 | $302.17 |
| Houston, TXTexas | $1,754.87 | $326.70 |
| Rest of TexasTexas | $1,667.04 | $302.14 |
| UtahUtah | $1,653.55 | $301.60 |
| VirginiaVirginia | $1,708.32 | $294.53 |
| Virgin Islands, VIUnited States Virgin Islands | $1,762.07 | $308.01 |
| VermontVermont | $1,709.69 | $285.83 |
| Rest of WashingtonWashington | $1,816.91 | $302.44 |
| King County, WAWashington | $2,084.27 | $319.54 |
| WisconsinWisconsin | $1,653.67 | $275.83 |
| West VirginiaWest Virginia | $1,572.78 | $322.94 |
| WyomingWyoming | $1,734.90 | $296.65 |
37246 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.
$1,517.04
$2,136.66
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,936.29 | 1 |
| AL | $1,542.90 | 1 |
| AR | $1,517.04 | 1 |
| AZ | $1,694.40 | 1 |
| CA | $1,871.11–$2,402.21 | 29 |
| CO | $1,833.78 | 1 |
| CT | $1,873.97 | 1 |
| DC | $2,026.22 | 1 |
| DE | $1,725.47 | 1 |
| FL | $1,704.21–$1,875.39 | 3 |
| GA | $1,595.97–$1,779.79 | 2 |
| GU | $1,929.58 | 1 |
| HI | $1,929.58 | 1 |
| IA | $1,594.28 | 1 |
| ID | $1,605.05 | 1 |
| IL | $1,643.52–$1,822.47 | 4 |
| IN | $1,615.95 | 1 |
| KS | $1,582.86 | 1 |
| KY | $1,579.15 | 1 |
| LA | $1,575.18–$1,665.67 | 2 |
| MA | $1,819.20–$2,036.85 | 2 |
| MD | $1,762.83–$2,026.22 | 3 |
| ME | $1,611.72–$1,716.75 | 2 |
| MI | $1,624.10–$1,725.66 | 2 |
| MN | $1,757.76 | 1 |
| MO | $1,542.01–$1,675.89 | 3 |
| MS | $1,530.01 | 1 |
| MT | $1,746.44 | 1 |
| NC | $1,631.64 | 1 |
| ND | $1,719.95 | 1 |
| NE | $1,605.22 | 1 |
| NH | $1,801.36 | 1 |
| NJ | $1,895.58–$1,999.73 | 2 |
| NM | $1,633.22 | 1 |
| NV | $1,740.53 | 1 |
| NY | $1,659.56–$2,078.01 | 5 |
| OH | $1,618.68 | 1 |
| OK | $1,578.87 | 1 |
| OR | $1,727.35–$1,902.30 | 2 |
| PA | $1,623.23–$1,819.70 | 2 |
| PR | $1,762.07 | 1 |
| RI | $1,794.66 | 1 |
| SC | $1,627.82 | 1 |
| SD | $1,716.81 | 1 |
| TN | $1,591.71 | 1 |
| TX | $1,610.73–$1,827.36 | 8 |
| UT | $1,653.55 | 1 |
| VA | $1,708.32–$2,026.22 | 2 |
| VI | $1,762.07 | 1 |
| VT | $1,709.69 | 1 |
| WA | $1,816.91–$2,084.27 | 2 |
| WI | $1,653.67 | 1 |
| WV | $1,572.78 | 1 |
| WY | $1,734.90 | 1 |
How the 37246 rate is calculated
Each of 37246’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 · 37246
RVUs × geographic indexes × conversion factor
Work6.83
6.83 RVUs× 1.000 GPCI
Practice expense44.12
44.12 RVUs× 1.000 GPCI
Malpractice1.34
1.34 RVUs× 1.000 GPCI
Adjusted RVUs
52.2900
Conversion factor
$33.4009
Medicare rate
$1,746.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Queens, NY inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,607
- Code
- 37246
- Physician work
- 6.83
- Practice expense
- 44.12
- Malpractice
- 1.34
GPCI2026.csv
81
- Locality
- Queens, NY
- Physician work
- 1.064
- Practice expense
- 1.182
- Malpractice
- 1.442
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.83 | × 1.064 | 7.2671 |
| Practice expense | 44.12 | × 1.182 | 52.1498 |
| Malpractice | 1.34 | × 1.442 | 1.9323 |
| Total RVUs | 61.3492 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Queens, NY$2049.12
Office: (6.83 × 1.064 + 44.12 × 1.182 + 1.34 × 1.442) × $33.4009 = $2049.12
Facility: (6.83 × 1.064 + 1.06 × 1.182 + 1.34 × 1.442) × $33.4009 = $349.12
Payment rules and modifiers for 37246
The CMS indicators that decide how 37246 is paid alongside other services.
CMS payment indicators · 37246
Arterial angioplasty, initial artery
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
37246 without 50 · national office
$1,746.53
Arterial angioplasty, initial artery
37246-50 · Bilateral: 150%
$2,619.80
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 37246 has changed in Queens, NY
37246 · Office / nonfacility
$2049.12
Effective 2026-10-01
The base rate is $86.73 higher than on 2025-10-01, moving from $1962.39 to $2049.12 (4.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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, 2026
RVU26A
$1962.39changed to$2049.12
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 7.00 changed to 6.83
- Practice expense RVU 42.89 changed to 44.12
- Work GPCI 1.065 changed to 1.064
- Practice expense GPCI 1.195 changed to 1.182
- Malpractice GPCI 1.462 changed to 1.442
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$2102.74changed to$1962.39
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 45.02 changed to 42.89
- Malpractice RVU 1.31 changed to 1.34
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$2068.42changed to$2102.74
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$2248.26changed to$2068.42
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 46.47 changed to 45.02
- Malpractice RVU 1.26 changed to 1.31
- Work GPCI 1.061 changed to 1.065
- Practice expense GPCI 1.212 changed to 1.195
- Malpractice GPCI 2.061 changed to 1.462
January 1, 2023
RVU23A
$2435.75changed to$2248.26
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 48.61 changed to 46.47
- Malpractice RVU 1.24 changed to 1.26
- Work GPCI 1.056 changed to 1.061
- Practice expense GPCI 1.228 changed to 1.212
- Malpractice GPCI 2.661 changed to 2.061
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$2570.13changed to$2435.75
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 51.34 changed to 48.61
- Malpractice RVU 1.21 changed to 1.24
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$2564.90changed to$2570.13
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 50.20 changed to 51.34
- Malpractice RVU 1.15 changed to 1.21
- Work GPCI 1.054 changed to 1.056
- Practice expense GPCI 1.214 changed to 1.228
- Malpractice GPCI 2.391 changed to 2.661
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$2563.18changed to$2564.90
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 51.17 changed to 50.20
- Malpractice RVU 1.11 changed to 1.15
- Work GPCI 1.052 changed to 1.054
- Practice expense GPCI 1.200 changed to 1.214
- Malpractice GPCI 2.121 changed to 2.391
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$2616.50changed to$2563.18
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 52.54 changed to 51.17
- Malpractice RVU 1.07 changed to 1.11
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$2613.60changed to$2616.50
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 52.40 changed to 52.54
- Malpractice RVU 1.20 changed to 1.07
- Malpractice GPCI 2.151 changed to 2.121
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$2613.60
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $2,049.12 | $349.12 | RVU26D |
| 2026-07-01 | $2,049.12 | $349.12 | RVU26C |
| 2026-04-01 | $2,049.12 | $349.12 | RVU26B |
| 2026-01-01 | $2,049.12 | $349.12 | RVU26A |
| 2025-10-01 | $1,962.39 | $376.41 | RVU25D |
| 2025-07-01 | $1,962.39 | $376.41 | RVU25C |
| 2025-04-01 | $1,962.39 | $376.41 | RVU25B |
| 2025-01-01 | $1,962.39 | $376.41 | RVU25A |
| 2024-10-01 | $2,102.74 | $384.71 | RVU24D |
| 2024-07-01 | $2,102.74 | $384.71 | RVU24C |
| 2024-04-01 | $2,102.74 | $384.71 | RVU24B |
| 2024-03-09 | $2,102.74 | $384.71 | RVU24AR |
| 2024-01-01 | $2,068.42 | $378.43 | RVU24A |
| 2023-10-01 | $2,248.26 | $416.07 | RVU23D |
| 2023-07-01 | $2,248.26 | $416.07 | RVU23C |
| 2023-04-01 | $2,248.26 | $416.07 | RVU23B |
| 2023-01-01 | $2,248.26 | $416.07 | RVU23A |
| 2022-10-01 | $2,435.75 | $450.32 | RVU22D |
| 2022-07-01 | $2,435.75 | $450.32 | RVU22C |
| 2022-04-01 | $2,435.75 | $450.32 | RVU22B |
| 2022-01-01 | $2,435.75 | $450.32 | RVU22A |
| 2021-10-01 | $2,570.13 | $450.41 | RVU21D |
| 2021-07-01 | $2,570.13 | $450.41 | RVU21C |
| 2021-04-01 | $2,570.13 | $450.41 | RVU21B |
| 2021-01-01 | $2,570.13 | $450.41 | RVU21A |
| 2020-10-01 | $2,564.90 | $451.81 | RVU20D |
| 2020-07-01 | $2,564.90 | $451.81 | RVU20C |
| 2020-04-01 | $2,564.90 | $451.81 | RVU20B |
| 2020-01-01 | $2,564.90 | $451.81 | RVU20A |
| 2019-10-01 | $2,563.18 | $437.17 | RVU19D |
| 2019-07-01 | $2,563.18 | $437.17 | RVU19C |
| 2019-04-01 | $2,563.18 | $437.17 | RVU19B |
| 2019-01-01 | $2,563.18 | $437.17 | RVU19A |
| 2018-10-01 | $2,616.50 | $436.22 | RVU18D |
| 2018-07-01 | $2,616.50 | $436.22 | RVU18C |
| 2018-04-01 | $2,616.50 | $436.22 | RVU18B |
| 2018-01-01 | $2,616.50 | $436.22 | RVU18AR1 |
| 2017-10-01 | $2,613.60 | $446.93 | RVU17D |
| 2017-07-01 | $2,613.60 | $446.93 | RVU17C |
| 2017-04-01 | $2,613.60 | $446.93 | RVU17B |
| 2017-01-01 | $2,613.60 | $446.93 | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | 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 Queens, NY rate applies
Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.
- 37246 in New York · multiple payment areas
37246 billing questions
When should 37247 be reported with 37246?
Use 37246 for the first artery treated and 37247 for each additional artery treated in the same session. The count is by artery, not by lesion.
Can 37246 be reported when a stent is placed?
When a stent is placed in the treated artery, the angioplasty in that artery is generally included in the stent service. Do not separately report 37246 for that same-vessel dilation.
Does 37246 include imaging guidance?
Yes. Imaging and radiological supervision and interpretation needed to perform angioplasty within the treated artery are included.
How is bilateral treatment reported?
For a bilateral procedure, report modifier 50; CMS pays the bilateral service at 150%.
What same-session payment reductions apply?
The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50%. Same-day preoperative and postoperative care is included in the 0-day global period.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. 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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