CPT code 37246: Arterial angioplasty, initial artery2026 Medicare rate & RVUs in South Dakota

Report 37246 for balloon angioplasty of the first treated artery in a vascular territory covered by this code family, excluding lower-extremity occlusive disease.

CMS RVU26DEffective Oct 1, 2026One payment locality6.3K Medicare services in 2024

In South Dakota, Medicare pays $1,716.81 for 37246 in the office and $278.57 when it’s performed in a hospital or facility.

$1,716.81Office (non-facility)
$278.57Hospital or facility
−1.7%vs the national office rate ($1,746.53)

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.

We’ll open 37246 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 37246 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 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 South Dakota 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. South Dakota pays $1,716.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

37246 in South Dakota vs other payment areas
  1. South Dakota · this page$1,716.81
  2. Los Angeles, CA · California$2,010.53+$293.72
  3. Washington, DC area · District of Columbia$2,026.22+$309.41
  4. Miami, FL · Florida$1,875.39+$158.58
  5. Chicago, IL · Illinois$1,813.46+$96.65
  6. Manhattan, NY · New York$2,026.09+$309.28
  7. Alaska · Alaska$1,936.29+$219.48

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

Every other payment area

37246 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
37246 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,936.291
AL$1,542.901
AR$1,517.041
AZ$1,694.401
CA$1,871.11–$2,402.2129
CO$1,833.781
CT$1,873.971
DC$2,026.221
DE$1,725.471
FL$1,704.21–$1,875.393
GA$1,595.97–$1,779.792
GU$1,929.581
HI$1,929.581
IA$1,594.281
ID$1,605.051
IL$1,643.52–$1,822.474
IN$1,615.951
KS$1,582.861
KY$1,579.151
LA$1,575.18–$1,665.672
MA$1,819.20–$2,036.852
MD$1,762.83–$2,026.223
ME$1,611.72–$1,716.752
MI$1,624.10–$1,725.662
MN$1,757.761
MO$1,542.01–$1,675.893
MS$1,530.011
MT$1,746.441
NC$1,631.641
ND$1,719.951
NE$1,605.221
NH$1,801.361
NJ$1,895.58–$1,999.732
NM$1,633.221
NV$1,740.531
NY$1,659.56–$2,078.015
OH$1,618.681
OK$1,578.871
OR$1,727.35–$1,902.302
PA$1,623.23–$1,819.702
PR$1,762.071
RI$1,794.661
SC$1,627.821
SD$1,716.811
TN$1,591.711
TX$1,610.73–$1,827.368
UT$1,653.551
VA$1,708.32–$2,026.222
VI$1,762.071
VT$1,709.691
WA$1,816.91–$2,084.272
WI$1,653.671
WV$1,572.781
WY$1,734.901

See 37246 in every payment locality

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

Office or facility?

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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 37246 in South Dakota
ComponentRVULocality factorAdjusted
Physician work6.83× 1.0006.8300
Practice expense44.12× 1.00044.1200
Malpractice1.34× 0.3360.4502
Total RVUs51.4002
Conversion factor× 33.4009

Office rate, South Dakota$1716.81

Office: (6.83 × 1 + 44.12 × 1 + 1.34 × 0.336) × $33.4009 = $1716.81

Facility: (6.83 × 1 + 1.06 × 1 + 1.34 × 0.336) × $33.4009 = $278.57

Open 37246 in the RVU calculator

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

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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 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).

When to use modifier 50

How 37246 has changed in South Dakota

37246 · Office / nonfacility

$1716.81

Effective 2026-10-01

The base rate is $86.49 higher than on 2025-10-01, moving from $1630.32 to $1716.81 (5.3%).

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

    $1630.32changed to$1716.81

    • 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
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1748.27changed to$1630.32

    • 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.

  3. March 9, 2024

    RVU24AR

    $1719.74changed to$1748.27

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1827.49changed to$1719.74

    • 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
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $1939.34changed to$1827.49

    • 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
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $2050.31changed to$1939.34

    • 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.

  7. January 1, 2021

    RVU21A

    $2079.60changed to$2050.31

    • 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
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $2111.96changed to$2079.60

    • 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
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $2158.40changed to$2111.96

    • 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.

  10. January 1, 2018

    RVU18AR1

    $2148.80changed to$2158.40

    • 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 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$2148.80

    Held through RVU17B, RVU17C, RVU17D.

  12. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,716.81$278.57RVU26D
2026-07-01$1,716.81$278.57RVU26C
2026-04-01$1,716.81$278.57RVU26B
2026-01-01$1,716.81$278.57RVU26A
2025-10-01$1,630.32$303.15RVU25D
2025-07-01$1,630.32$303.15RVU25C
2025-04-01$1,630.32$303.15RVU25B
2025-01-01$1,630.32$303.15RVU25A
2024-10-01$1,748.27$310.59RVU24D
2024-07-01$1,748.27$310.59RVU24C
2024-04-01$1,748.27$310.59RVU24B
2024-03-09$1,748.27$310.59RVU24AR
2024-01-01$1,719.74$305.52RVU24A
2023-10-01$1,827.49$315.78RVU23D
2023-07-01$1,827.49$315.78RVU23C
2023-04-01$1,827.49$315.78RVU23B
2023-01-01$1,827.49$315.78RVU23A
2022-10-01$1,939.34$322.54RVU22D
2022-07-01$1,939.34$322.54RVU22C
2022-04-01$1,939.34$322.54RVU22B
2022-01-01$1,939.34$322.54RVU22A
2021-10-01$2,050.31$324.15RVU21D
2021-07-01$2,050.31$324.15RVU21C
2021-04-01$2,050.31$324.15RVU21B
2021-01-01$2,050.31$324.15RVU21A
2020-10-01$2,079.60$339.00RVU20D
2020-07-01$2,079.60$339.00RVU20C
2020-04-01$2,079.60$339.00RVU20B
2020-01-01$2,079.60$339.00RVU20A
2019-10-01$2,111.96$340.27RVU19D
2019-07-01$2,111.96$340.27RVU19C
2019-04-01$2,111.96$340.27RVU19B
2019-01-01$2,111.96$340.27RVU19A
2018-10-01$2,158.40$341.50RVU18D
2018-07-01$2,158.40$341.50RVU18C
2018-04-01$2,158.40$341.50RVU18B
2018-01-01$2,158.40$341.50RVU18AR1
2017-10-01$2,148.80$343.24RVU17D
2017-07-01$2,148.80$343.24RVU17C
2017-04-01$2,148.80$343.24RVU17B
2017-01-01$2,148.80$343.24RVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
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 37246 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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
RVUs for 37246PPRRVU2026_Oct_nonQPP.csv, line 4,607 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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