CPT code 37263: Leg angioplasty, simple lesion, first vessel2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $6,360.06 for 37263 in the office and $383.36 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 37263 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 37263 covers

Code 37263 represents endovascular balloon angioplasty to restore flow through a femoral or popliteal artery when the treated lesion meets CPT’s simple-lesion criteria and this is the first treated vessel. Vascular surgeons, interventional radiologists, and interventional cardiologists commonly perform the procedure in a hospital catheterization laboratory or angiography suite for peripheral arterial disease. Stent placement or atherectomy changes the applicable treatment code family.

Report the code for the first qualifying vessel, not for each balloon inflation. For another treated vessel, use the additional-vessel code when appropriate; choose a complex-lesion code when the lesion meets that category’s criteria. Document the target artery, laterality, lesion characteristics supporting the simple classification, treatment performed, and vessels treated. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others at 50%. Modifier 50 for bilateral treatment is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 Washington, DC area compares for 37263

Across 109 of 109 payment localities, the office rate for 37263 runs from $4,679.54 in Arkansas to $7,688.24 in San Benito County, CA. Washington, DC area pays $6,360.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

37263 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 37263 in every payment locality

How the 37263 rate is calculated

Each of 37263’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.

Payment rules and modifiers for 37263

The CMS indicators that decide how 37263 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 37263

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 37263 has changed in Washington, DC area

Price 37263 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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

Open CMS sourceHow we calculate rates