CPT code 37249: Venous angioplasty, each additional vein2026 Medicare rate & RVUs in Arkansas
Reports balloon dilation of each additional non-dialysis-circuit vein treated after the initial vein during open or percutaneous venous intervention.
In Arkansas, Medicare pays $374.70 for 37249 in the office and $117.63 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 37249 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 37249 covers
An endovascular specialist, interventional radiologist, or vascular surgeon uses a balloon catheter to widen a narrowed segment in an additional vein after treating the initial vein. The service may be performed through percutaneous access or during open vascular surgery, commonly to address venous outflow obstruction. This code is for venous angioplasty outside a dialysis circuit; dialysis-access circuit treatment follows a separate code family.
Report one unit for each additional vein treated, rather than for repeated balloon inflations or multiple stenoses within one vein. The operative or procedure report should identify the treated veins and document the stenosis and balloon treatment. This is an add-on code and must be reported with a primary procedure, typically 37248 for the initial vein; CMS pays it within that primary procedure's global period. For bilateral treatment reported with modifier 50, CMS pays 150%.
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 Arkansas compares for 37249
Across 109 of 109 payment localities, the office rate for 37249 runs from $374.70 in Arkansas to $568.00 in San Benito County, CA. Arkansas pays $374.70. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arkansas · this page$374.70
- Los Angeles, CA · California$482.65+$107.95
- Washington, DC area · District of Columbia$490.45+$115.75
- Miami, FL · Florida$467.93+$93.23
- Chicago, IL · Illinois$453.13+$78.43
- Manhattan, NY · New York$494.95+$120.25
- Alaska · Alaska$488.19+$113.49
Other areas in Arkansas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $380.62 | $118.76 |
| ArizonaArizona | $415.24 | $125.25 |
| Bakersfield, CACalifornia | $452.33 | $124.33 |
| Chico, CACalifornia | $450.82 | $122.82 |
| El Centro, CACalifornia | $450.91 | $122.91 |
| Fresno, CACalifornia | $450.82 | $122.82 |
| Hanford, CACalifornia | $450.82 | $122.82 |
| Madera, CACalifornia | $450.82 | $122.82 |
| Merced, CACalifornia | $450.82 | $122.82 |
| Modesto, CACalifornia | $450.82 | $122.82 |
| Napa, CACalifornia | $524.18 | $129.74 |
| Oxnard, CACalifornia | $480.34 | $126.60 |
| Redding, CACalifornia | $450.82 | $122.82 |
| Rest of CaliforniaCalifornia | $450.82 | $122.82 |
| Riverside, CACalifornia | $456.64 | $128.63 |
| Sacramento, CACalifornia | $473.61 | $125.56 |
| Salinas, CACalifornia | $471.87 | $125.02 |
| San Diego, CACalifornia | $483.45 | $125.52 |
| Marin County, CACalifornia | $555.16 | $133.18 |
| San Francisco, CACalifornia | $554.54 | $132.57 |
| San Benito County, CACalifornia | $568.00 | $136.45 |
| Santa Clara County, CACalifornia | $565.49 | $133.94 |
| San Luis Obispo, CACalifornia | $464.27 | $123.39 |
| Santa Cruz, CACalifornia | $488.41 | $124.80 |
| Santa Maria, CACalifornia | $473.77 | $124.82 |
| Santa Rosa, CACalifornia | $493.35 | $125.84 |
| Stockton, CACalifornia | $450.82 | $122.82 |
| Vallejo, CACalifornia | $523.29 | $128.85 |
| Visalia, CACalifornia | $450.82 | $122.82 |
| Yuba City, CACalifornia | $450.82 | $122.82 |
| ColoradoColorado | $444.75 | $126.33 |
| ConnecticutConnecticut | $457.33 | $135.01 |
| DelawareDelaware | $422.44 | $126.76 |
| Fort Lauderdale, FLFlorida | $446.17 | $143.01 |
| Rest of FloridaFlorida | $422.85 | $136.74 |
| Atlanta, GAGeorgia | $436.45 | $132.39 |
| Rest of GeorgiaGeorgia | $397.23 | $130.28 |
| Hawaii, Guam, HIHawaii | $462.77 | $122.50 |
| IowaIowa | $390.08 | $116.25 |
| IdahoIdaho | $393.02 | $117.69 |
| East St. Louis, ILIllinois | $420.81 | $145.48 |
| Rest of IllinoisIllinois | $410.49 | $137.25 |
| Suburban Chicago, ILIllinois | $450.57 | $143.22 |
| IndianaIndiana | $395.44 | $118.01 |
| KansasKansas | $388.57 | $118.03 |
| KentuckyKentucky | $391.30 | $125.24 |
| New Orleans, LALouisiana | $411.54 | $129.92 |
| Rest of LouisianaLouisiana | $390.82 | $125.97 |
| Metropolitan Boston, MAMassachusetts | $490.17 | $132.84 |
| Rest of MassachusettsMassachusetts | $441.99 | $126.86 |
| Baltimore area, MDMaryland | $456.18 | $135.06 |
| Rest of MarylandMaryland | $430.77 | $127.91 |
| Rest of MaineMaine | $395.70 | $120.37 |
| Southern Maine, MEMaine | $418.06 | $121.48 |
| Detroit, MIMichigan | $428.96 | $140.16 |
| Rest of MichiganMichigan | $402.66 | $129.42 |
| MinnesotaMinnesota | $423.90 | $115.95 |
| Metropolitan Kansas City, MOMissouri | $408.05 | $127.03 |
| Metropolitan St. Louis, MOMissouri | $412.56 | $127.65 |
| Rest of MissouriMissouri | $383.92 | $125.95 |
| MississippiMississippi | $379.37 | $121.69 |
| MontanaMontana | $427.50 | $128.22 |
| North CarolinaNorth Carolina | $400.07 | $120.85 |
| North DakotaNorth Dakota | $416.82 | $117.55 |
| NebraskaNebraska | $392.24 | $116.01 |
| New HampshireNew Hampshire | $438.09 | $126.55 |
| Northern New JerseyNew Jersey | $484.88 | $137.73 |
| Rest of New JerseyNew Jersey | $461.92 | $135.11 |
| New MexicoNew Mexico | $405.21 | $130.78 |
| NevadaNevada | $424.83 | $125.26 |
| NYC suburbs and Long Island, NYNew York | $508.28 | $152.44 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $465.38 | $137.68 |
| Queens, NYNew York | $498.60 | $144.86 |
| Rest of New YorkNew York | $406.54 | $122.23 |
| OhioOhio | $400.48 | $127.24 |
| OklahomaOklahoma | $390.06 | $122.81 |
| Portland, OROregon | $459.17 | $126.67 |
| Rest of OregonOregon | $420.92 | $122.85 |
| Metropolitan Philadelphia, PAPennsylvania | $445.57 | $134.03 |
| Rest of PennsylvaniaPennsylvania | $400.90 | $126.17 |
| Puerto RicoPuerto Rico | $430.70 | $128.14 |
| Rhode IslandRhode Island | $437.74 | $128.59 |
| South CarolinaSouth Carolina | $401.07 | $124.54 |
| South DakotaSouth Dakota | $415.56 | $116.28 |
| TennesseeTennessee | $390.73 | $118.69 |
| Austin, TXTexas | $443.80 | $127.17 |
| Beaumont, TXTexas | $398.11 | $125.78 |
| Brazoria, TXTexas | $421.52 | $124.95 |
| Dallas, TXTexas | $424.59 | $126.52 |
| Fort Worth, TXTexas | $421.70 | $126.62 |
| Galveston, TXTexas | $423.02 | $125.84 |
| Houston, TXTexas | $432.90 | $135.72 |
| Rest of TexasTexas | $409.84 | $125.83 |
| UtahUtah | $406.93 | $125.62 |
| VirginiaVirginia | $416.91 | $122.73 |
| Virgin Islands, VIUnited States Virgin Islands | $430.70 | $128.14 |
| VermontVermont | $415.50 | $119.22 |
| Rest of WashingtonWashington | $441.05 | $125.92 |
| King County, WAWashington | $500.04 | $132.83 |
| WisconsinWisconsin | $401.92 | $115.22 |
| West VirginiaWest Virginia | $394.35 | $134.28 |
| WyomingWyoming | $422.84 | $123.57 |
37249 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.
$374.70
$509.41
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 | $488.19 | 1 |
| AL | $380.62 | 1 |
| AR | $374.70 | 1 |
| AZ | $415.24 | 1 |
| CA | $450.82–$568.00 | 29 |
| CO | $444.75 | 1 |
| CT | $457.33 | 1 |
| DC | $490.45 | 1 |
| DE | $422.44 | 1 |
| FL | $422.85–$467.93 | 3 |
| GA | $397.23–$436.45 | 2 |
| GU | $462.77 | 1 |
| HI | $462.77 | 1 |
| IA | $390.08 | 1 |
| ID | $393.02 | 1 |
| IL | $410.49–$453.13 | 4 |
| IN | $395.44 | 1 |
| KS | $388.57 | 1 |
| KY | $391.30 | 1 |
| LA | $390.82–$411.54 | 2 |
| MA | $441.99–$490.17 | 2 |
| MD | $430.77–$490.45 | 3 |
| ME | $395.70–$418.06 | 2 |
| MI | $402.66–$428.96 | 2 |
| MN | $423.90 | 1 |
| MO | $383.92–$412.56 | 3 |
| MS | $379.37 | 1 |
| MT | $427.50 | 1 |
| NC | $400.07 | 1 |
| ND | $416.82 | 1 |
| NE | $392.24 | 1 |
| NH | $438.09 | 1 |
| NJ | $461.92–$484.88 | 2 |
| NM | $405.21 | 1 |
| NV | $424.83 | 1 |
| NY | $406.54–$508.28 | 5 |
| OH | $400.48 | 1 |
| OK | $390.06 | 1 |
| OR | $420.92–$459.17 | 2 |
| PA | $400.90–$445.57 | 2 |
| PR | $430.70 | 1 |
| RI | $437.74 | 1 |
| SC | $401.07 | 1 |
| SD | $415.56 | 1 |
| TN | $390.73 | 1 |
| TX | $398.11–$443.80 | 8 |
| UT | $406.93 | 1 |
| VA | $416.91–$490.45 | 2 |
| VI | $430.70 | 1 |
| VT | $415.50 | 1 |
| WA | $441.05–$500.04 | 2 |
| WI | $401.92 | 1 |
| WV | $394.35 | 1 |
| WY | $422.84 | 1 |
How the 37249 rate is calculated
Each of 37249’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 · 37249
RVUs × geographic indexes × conversion factor
Work2.90
2.90 RVUs× 1.000 GPCI
Practice expense9.36
9.36 RVUs× 1.000 GPCI
Malpractice0.54
0.54 RVUs× 1.000 GPCI
Adjusted RVUs
12.8000
Conversion factor
$33.4009
Medicare rate
$427.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arkansas inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,610
- Code
- 37249
- Physician work
- 2.90
- Practice expense
- 9.36
- Malpractice
- 0.54
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.90 | × 1.000 | 2.9000 |
| Practice expense | 9.36 | × 0.859 | 8.0402 |
| Malpractice | 0.54 | × 0.515 | 0.2781 |
| Total RVUs | 11.2183 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Arkansas$374.70
Office: (2.9 × 1 + 9.36 × 0.859 + 0.54 × 0.515) × $33.4009 = $374.70
Facility: (2.9 × 1 + 0.4 × 0.859 + 0.54 × 0.515) × $33.4009 = $117.63
Payment rules and modifiers for 37249
The CMS indicators that decide how 37249 is paid alongside other services.
CMS payment indicators · 37249
Venous angioplasty, each additional vein
| 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
37249 without 50 · national office
$427.53
Venous angioplasty, each additional vein
37249-50 · Bilateral: 150%
$641.30
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 37249 has changed in Arkansas
37249 · Office / nonfacility
$374.70
Effective 2026-10-01
The base rate is $12.82 higher than on 2025-10-01, moving from $361.88 to $374.70 (3.5%).
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
$361.88changed to$374.70
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.97 changed to 2.90
- Practice expense RVU 9.23 changed to 9.36
- Practice expense GPCI 0.860 changed to 0.859
- Malpractice GPCI 0.518 changed to 0.515
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$380.25changed to$361.88
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 9.51 changed to 9.23
- Malpractice RVU 0.53 changed to 0.54
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$374.04changed to$380.25
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$391.85changed to$374.04
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 9.78 changed to 9.51
- Malpractice RVU 0.51 changed to 0.53
- Practice expense GPCI 0.853 changed to 0.860
- Malpractice GPCI 0.492 changed to 0.518
January 1, 2023
RVU23A
$407.75changed to$391.85
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 10.13 changed to 9.78
- Malpractice RVU 0.50 changed to 0.51
- Practice expense GPCI 0.847 changed to 0.853
- Malpractice GPCI 0.465 changed to 0.492
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$446.27changed to$407.75
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 11.33 changed to 10.13
- Malpractice RVU 0.48 changed to 0.50
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$495.53changed to$446.27
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 12.26 changed to 11.33
- Malpractice RVU 0.44 changed to 0.48
- Practice expense GPCI 0.859 changed to 0.847
- Malpractice GPCI 0.521 changed to 0.465
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$536.24changed to$495.53
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 13.38 changed to 12.26
- Malpractice RVU 0.42 changed to 0.44
- Practice expense GPCI 0.872 changed to 0.859
- Malpractice GPCI 0.576 changed to 0.521
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$574.05changed to$536.24
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 14.61 changed to 13.38
- Malpractice RVU 0.41 changed to 0.42
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$569.80changed to$574.05
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 14.51 changed to 14.61
- Malpractice RVU 0.51 changed to 0.41
- Practice expense GPCI 0.870 changed to 0.872
- Malpractice GPCI 0.555 changed to 0.576
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$569.80
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 | $374.70 | $117.63 | RVU26D |
| 2026-07-01 | $374.70 | $117.63 | RVU26C |
| 2026-04-01 | $374.70 | $117.63 | RVU26B |
| 2026-01-01 | $374.70 | $117.63 | RVU26A |
| 2025-10-01 | $361.88 | $126.82 | RVU25D |
| 2025-07-01 | $361.88 | $126.82 | RVU25C |
| 2025-04-01 | $361.88 | $126.82 | RVU25B |
| 2025-01-01 | $361.88 | $126.82 | RVU25A |
| 2024-10-01 | $380.25 | $129.19 | RVU24D |
| 2024-07-01 | $380.25 | $129.19 | RVU24C |
| 2024-04-01 | $380.25 | $129.19 | RVU24B |
| 2024-03-09 | $380.25 | $129.19 | RVU24AR |
| 2024-01-01 | $374.04 | $127.08 | RVU24A |
| 2023-10-01 | $391.85 | $130.83 | RVU23D |
| 2023-07-01 | $391.85 | $130.83 | RVU23C |
| 2023-04-01 | $391.85 | $130.83 | RVU23B |
| 2023-01-01 | $391.85 | $130.83 | RVU23A |
| 2022-10-01 | $407.75 | $133.10 | RVU22D |
| 2022-07-01 | $407.75 | $133.10 | RVU22C |
| 2022-04-01 | $407.75 | $133.10 | RVU22B |
| 2022-01-01 | $407.75 | $133.10 | RVU22A |
| 2021-10-01 | $446.27 | $133.88 | RVU21D |
| 2021-07-01 | $446.27 | $133.88 | RVU21C |
| 2021-04-01 | $446.27 | $133.88 | RVU21B |
| 2021-01-01 | $446.27 | $133.88 | RVU21A |
| 2020-10-01 | $495.53 | $141.19 | RVU20D |
| 2020-07-01 | $495.53 | $141.19 | RVU20C |
| 2020-04-01 | $495.53 | $141.19 | RVU20B |
| 2020-01-01 | $495.53 | $141.19 | RVU20A |
| 2019-10-01 | $536.24 | $141.84 | RVU19D |
| 2019-07-01 | $536.24 | $141.84 | RVU19C |
| 2019-04-01 | $536.24 | $141.84 | RVU19B |
| 2019-01-01 | $536.24 | $141.84 | RVU19A |
| 2018-10-01 | $574.05 | $141.79 | RVU18D |
| 2018-07-01 | $574.05 | $141.79 | RVU18C |
| 2018-04-01 | $574.05 | $141.79 | RVU18B |
| 2018-01-01 | $574.05 | $141.79 | RVU18AR1 |
| 2017-10-01 | $569.80 | $143.60 | RVU17D |
| 2017-07-01 | $569.80 | $143.60 | RVU17C |
| 2017-04-01 | $569.80 | $143.60 | RVU17B |
| 2017-01-01 | $569.80 | $143.60 | 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 Arkansas rate applies
Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.
- Acorn
- Adona
- Alexander
- Alicia
- Alix
- Alleene
- Allport
- Alma
37249 billing questions
When is 37249 used instead of 37248?
Use 37248 for the initial vein and 37249 for each additional vein treated in the same procedure. Multiple treated segments or balloon inflations within one vein do not make it an additional vein.
Can 37249 be reported by itself?
No. It is an add-on code and must be reported with a primary procedure, typically 37248 for the initial vein.
How are units counted?
Count each additional vein treated, not the number of stenoses or balloon inflations in that vein. Document the additional veins treated.
How is bilateral treatment reported?
CMS specifies modifier 50 for bilateral treatment and pays the procedure at 150%.
Does 37249 describe angioplasty in a dialysis access circuit?
No. This code is for venous angioplasty outside a dialysis circuit; dialysis-access circuit interventions use the dialysis-circuit code family.
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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