CPT code 37247: Balloon angioplasty, additional artery2026 Medicare rate & RVUs in Virginia
Reports balloon angioplasty of an additional noncoronary artery during a session that includes primary arterial angioplasty.
In Virginia, Medicare pays $585.23 for 37247 in the office and $145.59 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 37247 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 37247 covers
This add-on represents balloon dilation of a second or subsequent eligible artery, such as a renal, mesenteric, or upper-extremity artery, to improve blood flow through a narrowed segment. It is used for open or endovascular treatment outside the code families for coronary, intracranial, and lower-extremity occlusive-disease interventions. Vascular surgeons and interventional radiologists commonly perform these procedures in operating rooms or endovascular suites.
Report 37247 with 37246 for the first treated artery; it is not a stand-alone service. The record should identify each artery treated, the lesion and clinical indication, and the angioplasty performed in the additional artery. Necessary imaging guidance and radiological supervision and interpretation are included in the angioplasty service. CMS treats this as an add-on paid within the primary procedure’s global period. When the service is bilateral and reported with modifier 50, CMS pays 150% of the applicable amount.
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 Virginia compares for 37247
Across 109 of 109 payment localities, the office rate for 37247 runs from $523.66 in Arkansas to $807.49 in San Benito County, CA. Virginia pays $585.23. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$585.23
- Los Angeles, CA · California$681.95+$96.72
- Washington, DC area · District of Columbia$690.40+$105.17
- Miami, FL · Florida$649.92+$64.69
- Chicago, IL · Illinois$629.15+$43.92
- Manhattan, NY · New York$693.90+$108.67
- Alaska · Alaska$677.06+$91.83
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $532.15 | $140.82 |
| ArkansasArkansas | $523.66 | $139.48 |
| ArizonaArizona | $581.83 | $148.45 |
| Bakersfield, CACalifornia | $637.88 | $147.71 |
| Chico, CACalifornia | $636.14 | $145.97 |
| El Centro, CACalifornia | $636.25 | $146.07 |
| Fresno, CACalifornia | $636.14 | $145.97 |
| Hanford, CACalifornia | $636.14 | $145.97 |
| Madera, CACalifornia | $636.14 | $145.97 |
| Merced, CACalifornia | $636.14 | $145.97 |
| Modesto, CACalifornia | $636.14 | $145.97 |
| Napa, CACalifornia | $743.94 | $154.48 |
| Oxnard, CACalifornia | $679.15 | $150.52 |
| Redding, CACalifornia | $636.14 | $145.97 |
| Rest of CaliforniaCalifornia | $636.14 | $145.97 |
| Riverside, CACalifornia | $642.82 | $152.65 |
| Sacramento, CACalifornia | $669.43 | $149.30 |
| Salinas, CACalifornia | $667.01 | $148.66 |
| San Diego, CACalifornia | $684.21 | $149.31 |
| Marin County, CACalifornia | $789.32 | $158.71 |
| San Francisco, CACalifornia | $788.61 | $158.01 |
| San Benito County, CACalifornia | $807.49 | $162.57 |
| Santa Clara County, CACalifornia | $804.61 | $159.69 |
| San Luis Obispo, CACalifornia | $656.12 | $146.72 |
| Santa Cruz, CACalifornia | $691.89 | $148.49 |
| Santa Maria, CACalifornia | $669.92 | $148.44 |
| Santa Rosa, CACalifornia | $698.95 | $149.74 |
| Stockton, CACalifornia | $636.14 | $145.97 |
| Vallejo, CACalifornia | $742.93 | $153.47 |
| Visalia, CACalifornia | $636.14 | $145.97 |
| Yuba City, CACalifornia | $636.14 | $145.97 |
| ColoradoColorado | $625.78 | $149.92 |
| ConnecticutConnecticut | $641.61 | $159.94 |
| DelawareDelaware | $592.11 | $150.24 |
| Fort Lauderdale, FLFlorida | $621.98 | $168.93 |
| Rest of FloridaFlorida | $589.19 | $161.63 |
| Atlanta, GAGeorgia | $611.15 | $156.76 |
| Rest of GeorgiaGeorgia | $553.01 | $154.07 |
| Hawaii, Guam, HIHawaii | $654.14 | $145.64 |
| IowaIowa | $547.23 | $138.01 |
| IdahoIdaho | $551.13 | $139.67 |
| East St. Louis, ILIllinois | $583.04 | $171.58 |
| Rest of IllinoisIllinois | $570.45 | $162.12 |
| Suburban Chicago, ILIllinois | $628.54 | $169.23 |
| IndianaIndiana | $554.65 | $140.06 |
| KansasKansas | $544.34 | $140.04 |
| KentuckyKentucky | $545.88 | $148.29 |
| New Orleans, LALouisiana | $574.62 | $153.77 |
| Rest of LouisianaLouisiana | $544.91 | $149.11 |
| Metropolitan Boston, MAMassachusetts | $691.74 | $157.74 |
| Rest of MassachusettsMassachusetts | $621.45 | $150.51 |
| Baltimore area, MDMaryland | $639.86 | $159.97 |
| Rest of MarylandMaryland | $604.23 | $151.62 |
| Rest of MaineMaine | $554.22 | $142.76 |
| Southern Maine, MEMaine | $587.39 | $144.18 |
| Detroit, MIMichigan | $597.16 | $165.57 |
| Rest of MichiganMichigan | $561.46 | $153.13 |
| MinnesotaMinnesota | $598.11 | $137.90 |
| Metropolitan Kansas City, MOMissouri | $570.39 | $150.44 |
| Metropolitan St. Louis, MOMissouri | $576.95 | $151.18 |
| Rest of MissouriMissouri | $534.56 | $149.04 |
| MississippiMississippi | $529.23 | $144.15 |
| MontanaMontana | $599.17 | $151.93 |
| North CarolinaNorth Carolina | $560.61 | $143.33 |
| North DakotaNorth Dakota | $586.91 | $139.67 |
| NebraskaNebraska | $550.56 | $137.76 |
| New HampshireNew Hampshire | $615.67 | $150.10 |
| Northern New JerseyNew Jersey | $682.13 | $163.34 |
| Rest of New JerseyNew Jersey | $648.52 | $160.14 |
| New MexicoNew Mexico | $564.81 | $154.69 |
| NevadaNevada | $596.22 | $148.53 |
| NYC suburbs and Long Island, NYNew York | $712.06 | $180.29 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $652.82 | $163.10 |
| Queens, NYNew York | $700.21 | $171.58 |
| Rest of New YorkNew York | $569.83 | $144.96 |
| OhioOhio | $558.96 | $150.63 |
| OklahomaOklahoma | $544.88 | $145.50 |
| Portland, OROregon | $647.30 | $150.42 |
| Rest of OregonOregon | $591.20 | $145.75 |
| Metropolitan Philadelphia, PAPennsylvania | $624.31 | $158.73 |
| Rest of PennsylvaniaPennsylvania | $559.98 | $149.41 |
| Puerto RicoPuerto Rico | $604.01 | $151.85 |
| Rhode IslandRhode Island | $614.47 | $152.47 |
| South CarolinaSouth Carolina | $560.80 | $147.55 |
| South DakotaSouth Dakota | $585.46 | $138.22 |
| TennesseeTennessee | $547.34 | $140.81 |
| Austin, TXTexas | $624.03 | $150.85 |
| Beaumont, TXTexas | $555.93 | $148.94 |
| Brazoria, TXTexas | $591.39 | $148.17 |
| Dallas, TXTexas | $595.44 | $149.99 |
| Fort Worth, TXTexas | $591.06 | $150.08 |
| Galveston, TXTexas | $593.31 | $149.20 |
| Houston, TXTexas | $604.66 | $160.55 |
| Rest of TexasTexas | $573.51 | $149.08 |
| UtahUtah | $569.22 | $148.82 |
| Virgin Islands, VIUnited States Virgin Islands | $604.01 | $151.85 |
| VermontVermont | $584.34 | $141.57 |
| Rest of WashingtonWashington | $620.37 | $149.43 |
| King County, WAWashington | $706.58 | $157.82 |
| WisconsinWisconsin | $565.37 | $136.91 |
| West VirginiaWest Virginia | $547.27 | $158.62 |
| WyomingWyoming | $593.83 | $146.59 |
37247 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.
$523.66
$721.82
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 | $677.06 | 1 |
| AL | $532.15 | 1 |
| AR | $523.66 | 1 |
| AZ | $581.83 | 1 |
| CA | $636.14–$807.49 | 29 |
| CO | $625.78 | 1 |
| CT | $641.61 | 1 |
| DC | $690.40 | 1 |
| DE | $592.11 | 1 |
| FL | $589.19–$649.92 | 3 |
| GA | $553.01–$611.15 | 2 |
| GU | $654.14 | 1 |
| HI | $654.14 | 1 |
| IA | $547.23 | 1 |
| ID | $551.13 | 1 |
| IL | $570.45–$629.15 | 4 |
| IN | $554.65 | 1 |
| KS | $544.34 | 1 |
| KY | $545.88 | 1 |
| LA | $544.91–$574.62 | 2 |
| MA | $621.45–$691.74 | 2 |
| MD | $604.23–$690.40 | 3 |
| ME | $554.22–$587.39 | 2 |
| MI | $561.46–$597.16 | 2 |
| MN | $598.11 | 1 |
| MO | $534.56–$576.95 | 3 |
| MS | $529.23 | 1 |
| MT | $599.17 | 1 |
| NC | $560.61 | 1 |
| ND | $586.91 | 1 |
| NE | $550.56 | 1 |
| NH | $615.67 | 1 |
| NJ | $648.52–$682.13 | 2 |
| NM | $564.81 | 1 |
| NV | $596.22 | 1 |
| NY | $569.83–$712.06 | 5 |
| OH | $558.96 | 1 |
| OK | $544.88 | 1 |
| OR | $591.20–$647.30 | 2 |
| PA | $559.98–$624.31 | 2 |
| PR | $604.01 | 1 |
| RI | $614.47 | 1 |
| SC | $560.80 | 1 |
| SD | $585.46 | 1 |
| TN | $547.34 | 1 |
| TX | $555.93–$624.03 | 8 |
| UT | $569.22 | 1 |
| VA | $585.23–$690.40 | 2 |
| VI | $604.01 | 1 |
| VT | $584.34 | 1 |
| WA | $620.37–$706.58 | 2 |
| WI | $565.37 | 1 |
| WV | $547.27 | 1 |
| WY | $593.83 | 1 |
How the 37247 rate is calculated
Each of 37247’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 · 37247
RVUs × geographic indexes × conversion factor
Work3.41
3.41 RVUs× 1.000 GPCI
Practice expense13.91
13.91 RVUs× 1.000 GPCI
Malpractice0.62
0.62 RVUs× 1.000 GPCI
Adjusted RVUs
17.9400
Conversion factor
$33.4009
Medicare rate
$599.21
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,608
- Code
- 37247
- Physician work
- 3.41
- Practice expense
- 13.91
- Malpractice
- 0.62
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.41 | × 1.000 | 3.4100 |
| Practice expense | 13.91 | × 0.983 | 13.6735 |
| Malpractice | 0.62 | × 0.706 | 0.4377 |
| Total RVUs | 17.5212 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Virginia$585.23
Office: (3.41 × 1 + 13.91 × 0.983 + 0.62 × 0.706) × $33.4009 = $585.23
Facility: (3.41 × 1 + 0.52 × 0.983 + 0.62 × 0.706) × $33.4009 = $145.59
Payment rules and modifiers for 37247
The CMS indicators that decide how 37247 is paid alongside other services.
CMS payment indicators · 37247
Balloon angioplasty, additional artery
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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
37247 without 50 · national office
$599.21
Balloon angioplasty, additional artery
37247-50 · Bilateral: 150%
$898.82
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 37247 has changed in Virginia
37247 · Office / nonfacility
$585.23
Effective 2026-10-01
The base rate is $33.72 higher than on 2025-10-01, moving from $551.51 to $585.23 (6.1%).
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
$551.51changed to$585.23
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.50 changed to 3.41
- Practice expense RVU 13.28 changed to 13.91
- Malpractice RVU 0.63 changed to 0.62
- Work GPCI 1.002 changed to 1.000
- Practice expense GPCI 0.984 changed to 0.983
- Malpractice GPCI 0.755 changed to 0.706
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$564.88changed to$551.51
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 13.16 changed to 13.28
- Malpractice RVU 0.68 changed to 0.63
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$555.66changed to$564.88
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$566.22changed to$555.66
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 12.75 changed to 13.16
- Malpractice RVU 0.71 changed to 0.68
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 0.990 changed to 0.984
- Malpractice GPCI 0.826 changed to 0.755
January 1, 2023
RVU23A
$579.02changed to$566.22
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 12.64 changed to 12.75
- Malpractice RVU 0.73 changed to 0.71
- Practice expense GPCI 0.995 changed to 0.990
- Malpractice GPCI 0.897 changed to 0.826
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$641.90changed to$579.02
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 14.34 changed to 12.64
- Malpractice RVU 0.70 changed to 0.73
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$733.58changed to$641.90
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 16.46 changed to 14.34
- Malpractice RVU 0.57 changed to 0.70
- Practice expense GPCI 0.991 changed to 0.995
- Malpractice GPCI 0.903 changed to 0.897
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$803.03changed to$733.58
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 18.57 changed to 16.46
- Malpractice RVU 0.52 changed to 0.57
- Practice expense GPCI 0.986 changed to 0.991
- Malpractice GPCI 0.908 changed to 0.903
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$869.65changed to$803.03
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 20.49 changed to 18.57
- Malpractice RVU 0.50 changed to 0.52
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$866.11changed to$869.65
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 20.42 changed to 20.49
- Malpractice RVU 0.60 changed to 0.50
- Practice expense GPCI 0.985 changed to 0.986
- Malpractice GPCI 0.866 changed to 0.908
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$866.11
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 | $585.23 | $145.59 | RVU26D |
| 2026-07-01 | $585.23 | $145.59 | RVU26C |
| 2026-04-01 | $585.23 | $145.59 | RVU26B |
| 2026-01-01 | $585.23 | $145.59 | RVU26A |
| 2025-10-01 | $551.51 | $159.38 | RVU25D |
| 2025-07-01 | $551.51 | $159.38 | RVU25C |
| 2025-04-01 | $551.51 | $159.38 | RVU25B |
| 2025-01-01 | $551.51 | $159.38 | RVU25A |
| 2024-10-01 | $564.88 | $162.33 | RVU24D |
| 2024-07-01 | $564.88 | $162.33 | RVU24C |
| 2024-04-01 | $564.88 | $162.33 | RVU24B |
| 2024-03-09 | $564.88 | $162.33 | RVU24AR |
| 2024-01-01 | $555.66 | $159.68 | RVU24A |
| 2023-10-01 | $566.22 | $165.32 | RVU23D |
| 2023-07-01 | $566.22 | $165.32 | RVU23C |
| 2023-04-01 | $566.22 | $165.32 | RVU23B |
| 2023-01-01 | $566.22 | $165.32 | RVU23A |
| 2022-10-01 | $579.02 | $168.92 | RVU22D |
| 2022-07-01 | $579.02 | $168.92 | RVU22C |
| 2022-04-01 | $579.02 | $168.92 | RVU22B |
| 2022-01-01 | $579.02 | $168.92 | RVU22A |
| 2021-10-01 | $641.90 | $169.38 | RVU21D |
| 2021-07-01 | $641.90 | $169.38 | RVU21C |
| 2021-04-01 | $641.90 | $169.38 | RVU21B |
| 2021-01-01 | $641.90 | $169.38 | RVU21A |
| 2020-10-01 | $733.58 | $177.08 | RVU20D |
| 2020-07-01 | $733.58 | $177.08 | RVU20C |
| 2020-04-01 | $733.58 | $177.08 | RVU20B |
| 2020-01-01 | $733.58 | $177.08 | RVU20A |
| 2019-10-01 | $803.03 | $176.91 | RVU19D |
| 2019-07-01 | $803.03 | $176.91 | RVU19C |
| 2019-04-01 | $803.03 | $176.91 | RVU19B |
| 2019-01-01 | $803.03 | $176.91 | RVU19A |
| 2018-10-01 | $869.65 | $177.13 | RVU18D |
| 2018-07-01 | $869.65 | $177.13 | RVU18C |
| 2018-04-01 | $869.65 | $177.13 | RVU18B |
| 2018-01-01 | $869.65 | $177.13 | RVU18AR1 |
| 2017-10-01 | $866.11 | $179.61 | RVU17D |
| 2017-07-01 | $866.11 | $179.61 | RVU17C |
| 2017-04-01 | $866.11 | $179.61 | RVU17B |
| 2017-01-01 | $866.11 | $179.61 | 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 Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
37247 billing questions
When should 37247 be used instead of 37246?
Use 37246 for the first eligible artery treated with balloon angioplasty. Use 37247 for each additional eligible artery treated in the same session.
Can 37247 be reported by itself?
No. It is an add-on code reported with the primary arterial angioplasty code 37246.
Can imaging guidance be billed separately?
Necessary imaging guidance and radiological supervision and interpretation are included in the angioplasty service.
What documentation supports reporting an additional unit?
Document the additional artery and its treated lesion, the reason for intervention, and the balloon angioplasty performed there. The record should distinguish it from the artery represented by 37246.
How is bilateral treatment handled under the CMS payment rule?
For a bilateral procedure reported with modifier 50, CMS pays 150% of the applicable amount.
How does 37247 relate to the primary procedure's global period?
CMS identifies 37247 as an add-on paid within the global period of the primary procedure. Report it with the primary angioplasty service rather than as a separate stand-alone procedure.
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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