CPT code 37248: Venous angioplasty, initial vein2026 Medicare rate & RVUs in Virginia

Reports balloon treatment of a stenosis in the first treated vein, such as an iliac or central vein, outside a dialysis circuit.

CMS RVU26DEffective Oct 1, 2026One payment locality13.6K Medicare services in 2024

In Virginia, Medicare pays $1,277.83 for 37248 in the office and $250.49 when it’s performed in a hospital or facility.

$1,277.83Office (non-facility)
$250.49Hospital or facility
−2.1%vs the national office rate ($1,305.31)

Check a contract rate as a % of Medicare · 37248 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 37248 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 37248 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 37248 covers

This service opens a narrowed or obstructed vein by advancing and inflating a balloon across the lesion. It may be performed percutaneously or through an open approach by an interventional radiologist, vascular surgeon, or other physician performing venous intervention. Common settings include treatment of iliac or central venous stenosis related to prior thrombosis, compression, or catheter-related injury. The code includes the imaging guidance and radiological supervision and interpretation needed for the angioplasty; it is not for angioplasty of a dialysis circuit.

Report 37248 for the initial vein treated during the session. Use 37249 for each additional vein treated, rather than counting balloon inflations or lesions. The operative report should identify the vein, stenosis, and angioplasty performed. When a stent is placed in the same vein, the stent code includes angioplasty in that vessel. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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 Virginia compares for 37248

Across 109 of 109 payment localities, the office rate for 37248 runs from $1,138.12 in Arkansas to $1,789.24 in San Benito County, CA. Virginia pays $1,277.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

37248 in Virginia vs other payment areas
  1. Virginia · this page$1,277.83
  2. Los Angeles, CA · California$1,500.31+$222.48
  3. Washington, DC area · District of Columbia$1,511.40+$233.57
  4. Miami, FL · Florida$1,397.04+$119.21
  5. Chicago, IL · Illinois$1,352.30+$74.47
  6. Manhattan, NY · New York$1,510.79+$232.96
  7. Alaska · Alaska$1,459.18+$181.35

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

Every other payment area

37248 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,156.97$242.49
ArkansasArkansas$1,138.12$240.37
ArizonaArizona$1,267.39$254.67
Bakersfield, CACalifornia$1,400.44$255.00
Chico, CACalifornia$1,397.79$252.34
El Centro, CACalifornia$1,397.94$252.50
Fresno, CACalifornia$1,397.79$252.34
Hanford, CACalifornia$1,397.79$252.34

37248 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.

$1,138.12

$1,593.51

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

View every state and territory as a table
37248 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,459.181
AL$1,156.971
AR$1,138.121
AZ$1,267.391
CA$1,397.79–$1,789.2429
CO$1,369.901
CT$1,398.811
DC$1,511.401
DE$1,290.201
FL$1,273.46–$1,397.043
GA$1,194.76–$1,329.402
GU$1,440.031
HI$1,440.031
IA$1,194.871
ID$1,202.631
IL$1,228.94–$1,359.784
IN$1,210.581
KS$1,186.331
KY$1,182.911
LA$1,179.93–$1,245.882
MA$1,359.31–$1,519.202
MD$1,317.66–$1,511.403
ME$1,207.26–$1,284.142
MI$1,215.45–$1,288.862
MN$1,314.731
MO$1,155.62–$1,253.583
MS$1,147.241
MT$1,305.251
NC$1,221.811
ND$1,286.861
NE$1,202.911
NH$1,345.661
NJ$1,415.39–$1,492.352
NM$1,222.011
NV$1,301.201
NY$1,242.14–$1,548.345
OH$1,211.701
OK$1,182.941
OR$1,291.77–$1,420.232
PA$1,215.13–$1,359.052
PR$1,316.711
RI$1,341.271
SC$1,218.661
SD$1,284.681
TN$1,192.751
TX$1,206.01–$1,364.738
UT$1,237.411
VA$1,277.83–$1,511.402
VI$1,316.711
VT$1,279.171
WA$1,357.60–$1,554.292
WI$1,238.501
WV$1,177.371
WY$1,297.231

See 37248 in every payment locality

How the 37248 rate is calculated

Each of 37248’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 · 37248

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.85

5.85 RVUs× 1.000 GPCI

Practice expense32.30

32.30 RVUs× 1.000 GPCI

Malpractice0.93

0.93 RVUs× 1.000 GPCI

Adjusted RVUs

39.0800

Conversion factor

$33.4009

Medicare rate

$1,305.31

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

4,609

Code
37248
Physician work
5.85
Practice expense
32.30
Malpractice
0.93

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 37248 in Virginia
ComponentRVULocality factorAdjusted
Physician work5.85× 1.0005.8500
Practice expense32.30× 0.98331.7509
Malpractice0.93× 0.7060.6566
Total RVUs38.2575
Conversion factor× 33.4009

Office rate, Virginia$1277.83

Office: (5.85 × 1 + 32.3 × 0.983 + 0.93 × 0.706) × $33.4009 = $1277.83

Facility: (5.85 × 1 + 1.01 × 0.983 + 0.93 × 0.706) × $33.4009 = $250.49

Open 37248 in the RVU calculator

Payment rules and modifiers for 37248

The CMS indicators that decide how 37248 is paid alongside other services.

CMS payment indicators · 37248

Venous angioplasty, initial vein

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

37248 without 50 · national office

$1,305.31

Venous angioplasty, initial vein

37248-50 · Bilateral: 150%

$1,957.97

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 37248 has changed in Virginia

37248 · Office / nonfacility

$1277.83

Effective 2026-10-01

The base rate is $60.36 higher than on 2025-10-01, moving from $1217.47 to $1277.83 (5.0%).

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

    $1217.47changed to$1277.83

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.00 changed to 5.85
    • Practice expense RVU 31.45 changed to 32.30
    • Malpractice RVU 0.90 changed to 0.93
    • 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.

  2. January 1, 2025

    RVU25A

    $1299.32changed to$1217.47

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 32.86 changed to 31.45
    • Malpractice RVU 0.91 changed to 0.90

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1278.11changed to$1299.32

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1368.43changed to$1278.11

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 34.02 changed to 32.86
    • Malpractice RVU 0.85 changed to 0.91
    • 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
  5. January 1, 2023

    RVU23A

    $1456.02changed to$1368.43

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 35.48 changed to 34.02
    • Malpractice RVU 0.86 changed to 0.85
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1530.38changed to$1456.02

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 37.31 changed to 35.48
    • Malpractice RVU 0.82 changed to 0.86

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1534.73changed to$1530.38

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 36.11 changed to 37.31
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1506.62changed to$1534.73

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 35.54 changed to 36.11
    • Malpractice RVU 0.84 changed to 0.82
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1493.17changed to$1506.62

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 35.18 changed to 35.54
    • Malpractice RVU 0.87 changed to 0.84

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1482.84changed to$1493.17

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 34.95 changed to 35.18
    • Malpractice RVU 1.03 changed to 0.87
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$1482.84

    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$1,277.83$250.49RVU26D
2026-07-01$1,277.83$250.49RVU26C
2026-04-01$1,277.83$250.49RVU26B
2026-01-01$1,277.83$250.49RVU26A
2025-10-01$1,217.47$273.10RVU25D
2025-07-01$1,217.47$273.10RVU25C
2025-04-01$1,217.47$273.10RVU25B
2025-01-01$1,217.47$273.10RVU25A
2024-10-01$1,299.32$279.99RVU24D
2024-07-01$1,299.32$279.99RVU24C
2024-04-01$1,299.32$279.99RVU24B
2024-03-09$1,299.32$279.99RVU24AR
2024-01-01$1,278.11$275.42RVU24A
2023-10-01$1,368.43$286.83RVU23D
2023-07-01$1,368.43$286.83RVU23C
2023-04-01$1,368.43$286.83RVU23B
2023-01-01$1,368.43$286.83RVU23A
2022-10-01$1,456.02$295.97RVU22D
2022-07-01$1,456.02$295.97RVU22C
2022-04-01$1,456.02$295.97RVU22B
2022-01-01$1,456.02$295.97RVU22A
2021-10-01$1,530.38$297.17RVU21D
2021-07-01$1,530.38$297.17RVU21C
2021-04-01$1,530.38$297.17RVU21B
2021-01-01$1,530.38$297.17RVU21A
2020-10-01$1,534.73$308.35RVU20D
2020-07-01$1,534.73$308.35RVU20C
2020-04-01$1,534.73$308.35RVU20B
2020-01-01$1,534.73$308.35RVU20A
2019-10-01$1,506.62$308.40RVU19D
2019-07-01$1,506.62$308.40RVU19C
2019-04-01$1,506.62$308.40RVU19B
2019-01-01$1,506.62$308.40RVU19A
2018-10-01$1,493.17$308.68RVU18D
2018-07-01$1,493.17$308.68RVU18C
2018-04-01$1,493.17$308.68RVU18B
2018-01-01$1,493.17$308.68RVU18AR1
2017-10-01$1,482.84$311.68RVU17D
2017-07-01$1,482.84$311.68RVU17C
2017-04-01$1,482.84$311.68RVU17B
2017-01-01$1,482.84$311.68RVU17A
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 37248 for an earlier date of service

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

Browse all communities in Virginia

37248 billing questions

When should 37248 be used instead of 37249?

Use 37248 for the first vein treated with balloon angioplasty in the session. Use 37249 for each additional vein treated.

Can angioplasty be reported separately when a vein is stented?

Angioplasty performed in the same vein as a stent is included in the venous stent code. Do not separately report 37248 for that same-vessel angioplasty.

Does 37248 include imaging guidance and interpretation?

Yes. The code includes the imaging guidance and radiological supervision and interpretation needed to perform the angioplasty.

How is bilateral venous angioplasty reported?

When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.

Does 37248 cover angioplasty in a dialysis access circuit?

No. This code is for venous angioplasty outside a dialysis circuit; dialysis-circuit angioplasty is reported from its own code family.

What same-session payment rules affect 37248?

CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full and other procedures are paid at 50%. The code has a 0-day global period.

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 37248PPRRVU2026_Oct_nonQPP.csv, line 4,609 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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