CPT code 37249: Venous angioplasty, each additional vein2026 Medicare rate & RVUs in Connecticut

Reports balloon dilation of each additional non-dialysis-circuit vein treated after the initial vein during open or percutaneous venous intervention.

CMS RVU26DEffective Oct 1, 2026One payment locality3.5K Medicare services in 2024

In Connecticut, Medicare pays $457.33 for 37249 in the office and $135.01 when it’s performed in a hospital or facility.

$457.33Office (non-facility)
$135.01Hospital or facility
+7.0%vs the national office rate ($427.53)

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.

We’ll open 37249 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 37249 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 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 Connecticut 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. Connecticut pays $457.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

37249 in Connecticut vs other payment areas
  1. Connecticut · this page$457.33
  2. Los Angeles, CA · California$482.65+$25.32
  3. Washington, DC area · District of Columbia$490.45+$33.12
  4. Miami, FL · Florida$467.93+$10.60
  5. Chicago, IL · Illinois$453.13−$4.20
  6. Manhattan, NY · New York$494.95+$37.62
  7. Alaska · Alaska$488.19+$30.86

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

Every other payment area

37249 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$380.62$118.76
ArkansasArkansas$374.70$117.63
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

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
37249 office rate range by state
State / territoryOffice rate rangeLocalities
AK$488.191
AL$380.621
AR$374.701
AZ$415.241
CA$450.82–$568.0029
CO$444.751
CT$457.331
DC$490.451
DE$422.441
FL$422.85–$467.933
GA$397.23–$436.452
GU$462.771
HI$462.771
IA$390.081
ID$393.021
IL$410.49–$453.134
IN$395.441
KS$388.571
KY$391.301
LA$390.82–$411.542
MA$441.99–$490.172
MD$430.77–$490.453
ME$395.70–$418.062
MI$402.66–$428.962
MN$423.901
MO$383.92–$412.563
MS$379.371
MT$427.501
NC$400.071
ND$416.821
NE$392.241
NH$438.091
NJ$461.92–$484.882
NM$405.211
NV$424.831
NY$406.54–$508.285
OH$400.481
OK$390.061
OR$420.92–$459.172
PA$400.90–$445.572
PR$430.701
RI$437.741
SC$401.071
SD$415.561
TN$390.731
TX$398.11–$443.808
UT$406.931
VA$416.91–$490.452
VI$430.701
VT$415.501
WA$441.05–$500.042
WI$401.921
WV$394.351
WY$422.841

See 37249 in every payment locality

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

Office or facility?

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 Connecticut 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

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 37249 in Connecticut
ComponentRVULocality factorAdjusted
Physician work2.90× 1.0202.9580
Practice expense9.36× 1.07710.0807
Malpractice0.54× 1.2100.6534
Total RVUs13.6921
Conversion factor× 33.4009

Office rate, Connecticut$457.33

Office: (2.9 × 1.02 + 9.36 × 1.077 + 0.54 × 1.21) × $33.4009 = $457.33

Facility: (2.9 × 1.02 + 0.4 × 1.077 + 0.54 × 1.21) × $33.4009 = $135.01

Open 37249 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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

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).

When to use modifier 50

How 37249 has changed in Connecticut

37249 · Office / nonfacility

$457.33

Effective 2026-10-01

The base rate is $12.34 higher than on 2025-10-01, moving from $444.99 to $457.33 (2.8%).

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

    $444.99changed to$457.33

    • 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
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $467.70changed to$444.99

    • 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.

  3. March 9, 2024

    RVU24AR

    $460.07changed to$467.70

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $487.38changed to$460.07

    • 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
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207
  5. January 1, 2023

    RVU23A

    $513.27changed to$487.38

    • 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
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $563.52changed to$513.27

    • 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.

  7. January 1, 2021

    RVU21A

    $620.12changed to$563.52

    • 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
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $664.49changed to$620.12

    • 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
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $712.55changed to$664.49

    • 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.

  10. January 1, 2018

    RVU18AR1

    $713.48changed to$712.55

    • 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
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$713.48

    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$457.33$135.01RVU26D
2026-07-01$457.33$135.01RVU26C
2026-04-01$457.33$135.01RVU26B
2026-01-01$457.33$135.01RVU26A
2025-10-01$444.99$146.79RVU25D
2025-07-01$444.99$146.79RVU25C
2025-04-01$444.99$146.79RVU25B
2025-01-01$444.99$146.79RVU25A
2024-10-01$467.70$149.21RVU24D
2024-07-01$467.70$149.21RVU24C
2024-04-01$467.70$149.21RVU24B
2024-03-09$467.70$149.21RVU24AR
2024-01-01$460.07$146.77RVU24A
2023-10-01$487.38$150.16RVU23D
2023-07-01$487.38$150.16RVU23C
2023-04-01$487.38$150.16RVU23B
2023-01-01$487.38$150.16RVU23A
2022-10-01$513.27$152.04RVU22D
2022-07-01$513.27$152.04RVU22C
2022-04-01$513.27$152.04RVU22B
2022-01-01$513.27$152.04RVU22A
2021-10-01$563.52$152.65RVU21D
2021-07-01$563.52$152.65RVU21C
2021-04-01$563.52$152.65RVU21B
2021-01-01$563.52$152.65RVU21A
2020-10-01$620.12$161.01RVU20D
2020-07-01$620.12$161.01RVU20C
2020-04-01$620.12$161.01RVU20B
2020-01-01$620.12$161.01RVU20A
2019-10-01$664.49$161.54RVU19D
2019-07-01$664.49$161.54RVU19C
2019-04-01$664.49$161.54RVU19B
2019-01-01$664.49$161.54RVU19A
2018-10-01$712.55$161.31RVU18D
2018-07-01$712.55$161.31RVU18C
2018-04-01$712.55$161.31RVU18B
2018-01-01$712.55$161.31RVU18AR1
2017-10-01$713.48$166.29RVU17D
2017-07-01$713.48$166.29RVU17C
2017-04-01$713.48$166.29RVU17B
2017-01-01$713.48$166.29RVU17A
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 37249 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

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
RVUs for 37249PPRRVU2026_Oct_nonQPP.csv, line 4,610 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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