CPT code 37263: Leg angioplasty, simple lesion, first vessel2026 Medicare rate & RVUs in North Dakota
Endovascular balloon angioplasty of a simple femoral-popliteal lesion is reported for the first treated vessel during lower-extremity revascularization.
In North Dakota, Medicare pays $5,393.34 for 37263 in the office and $319.75 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.
On this page 11 sections
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 North Dakota 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. North Dakota pays $5,393.34. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$5,393.34
- Los Angeles, CA · California$6,354.80+$961.46
- Washington, DC area · District of Columbia$6,360.06+$966.72
- Miami, FL · Florida$5,732.60+$339.26
- Chicago, IL · Illinois$5,536.17+$142.83
- Manhattan, NY · New York$6,309.80+$916.46
- Alaska · Alaska$5,863.76+$470.42
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $4,764.41 | $325.02 |
| ArkansasArkansas | $4,679.54 | $321.32 |
| ArizonaArizona | $5,262.45 | $346.13 |
| Bakersfield, CACalifornia | $5,901.20 | $340.54 |
| Chico, CACalifornia | $5,896.22 | $335.56 |
| El Centro, CACalifornia | $5,896.52 | $335.86 |
| Fresno, CACalifornia | $5,896.22 | $335.56 |
| Hanford, CACalifornia | $5,896.22 | $335.56 |
| Madera, CACalifornia | $5,896.22 | $335.56 |
| Merced, CACalifornia | $5,896.22 | $335.56 |
| Modesto, CACalifornia | $5,896.22 | $335.56 |
| Napa, CACalifornia | $7,040.76 | $353.76 |
| Oxnard, CACalifornia | $6,343.81 | $346.82 |
| Redding, CACalifornia | $5,896.22 | $335.56 |
| Rest of CaliforniaCalifornia | $5,896.22 | $335.56 |
| Riverside, CACalifornia | $5,915.85 | $355.19 |
| Sacramento, CACalifornia | $6,243.48 | $342.89 |
| Salinas, CACalifornia | $6,221.75 | $341.45 |
| San Diego, CACalifornia | $6,410.92 | $342.89 |
| Marin County, CACalifornia | $7,516.14 | $362.37 |
| San Francisco, CACalifornia | $7,514.06 | $360.29 |
| San Benito County, CACalifornia | $7,688.24 | $372.11 |
| Santa Clara County, CACalifornia | $7,679.74 | $363.61 |
| San Luis Obispo, CACalifornia | $6,115.93 | $337.11 |
| Santa Cruz, CACalifornia | $6,505.30 | $340.88 |
| Santa Maria, CACalifornia | $6,256.74 | $340.93 |
| Santa Rosa, CACalifornia | $6,574.06 | $343.68 |
| Stockton, CACalifornia | $5,896.22 | $335.56 |
| Vallejo, CACalifornia | $7,037.77 | $350.76 |
| Visalia, CACalifornia | $5,896.22 | $335.56 |
| Yuba City, CACalifornia | $5,896.22 | $335.56 |
| ColoradoColorado | $5,746.39 | $348.08 |
| ConnecticutConnecticut | $5,841.11 | $376.84 |
| DelawareDelaware | $5,363.46 | $350.74 |
| Fort Lauderdale, FLFlorida | $5,545.46 | $405.91 |
| Rest of FloridaFlorida | $5,235.57 | $385.21 |
| Atlanta, GAGeorgia | $5,524.47 | $369.69 |
| Rest of GeorgiaGeorgia | $4,889.54 | $363.89 |
| Hawaii, Guam, HIHawaii | $6,103.94 | $335.26 |
| IowaIowa | $4,958.47 | $316.13 |
| IdahoIdaho | $4,988.66 | $320.96 |
| East St. Louis, ILIllinois | $5,082.86 | $415.15 |
| Rest of IllinoisIllinois | $5,019.52 | $387.33 |
| Suburban Chicago, ILIllinois | $5,616.61 | $406.03 |
| IndianaIndiana | $5,025.23 | $322.00 |
| KansasKansas | $4,908.80 | $322.27 |
| KentuckyKentucky | $4,857.28 | $346.85 |
| New Orleans, LALouisiana | $5,136.49 | $362.24 |
| Rest of LouisianaLouisiana | $4,839.47 | $349.34 |
| Metropolitan Boston, MAMassachusetts | $6,424.82 | $366.94 |
| Rest of MassachusettsMassachusetts | $5,692.20 | $349.70 |
| Baltimore area, MDMaryland | $5,821.28 | $377.31 |
| Rest of MarylandMaryland | $5,488.54 | $354.06 |
| Rest of MaineMaine | $4,997.77 | $330.06 |
| Southern Maine, MEMaine | $5,361.11 | $333.17 |
| Detroit, MIMichigan | $5,292.74 | $396.72 |
| Rest of MichiganMichigan | $4,992.99 | $360.80 |
| MinnesotaMinnesota | $5,534.80 | $314.07 |
| Metropolitan Kansas City, MOMissouri | $5,116.55 | $352.45 |
| Metropolitan St. Louis, MOMissouri | $5,184.51 | $354.44 |
| Rest of MissouriMissouri | $4,722.93 | $349.49 |
| MississippiMississippi | $4,703.45 | $335.09 |
| MontanaMontana | $5,429.53 | $355.93 |
| North CarolinaNorth Carolina | $5,065.24 | $331.57 |
| NebraskaNebraska | $4,998.19 | $315.26 |
| New HampshireNew Hampshire | $5,631.51 | $349.89 |
| Northern New JerseyNew Jersey | $6,267.66 | $382.29 |
| Rest of New JerseyNew Jersey | $5,916.02 | $375.66 |
| New MexicoNew Mexico | $5,017.83 | $365.35 |
| NevadaNevada | $5,424.55 | $345.88 |
| NYC suburbs and Long Island, NYNew York | $6,464.33 | $431.82 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $5,939.55 | $383.97 |
| Queens, NYNew York | $6,403.19 | $406.20 |
| Rest of New YorkNew York | $5,156.01 | $336.10 |
| OhioOhio | $4,985.60 | $353.40 |
| OklahomaOklahoma | $4,869.29 | $338.56 |
| Portland, OROregon | $5,985.32 | $348.55 |
| Rest of OregonOregon | $5,391.06 | $337.76 |
| Metropolitan Philadelphia, PAPennsylvania | $5,655.60 | $373.99 |
| Rest of PennsylvaniaPennsylvania | $5,007.30 | $349.73 |
| Puerto RicoPuerto Rico | $5,484.94 | $355.53 |
| Rhode IslandRhode Island | $5,596.59 | $355.56 |
| South CarolinaSouth Carolina | $5,032.15 | $344.14 |
| South DakotaSouth Dakota | $5,389.06 | $315.47 |
| TennesseeTennessee | $4,936.37 | $324.47 |
| Austin, TXTexas | $5,719.56 | $351.70 |
| Beaumont, TXTexas | $4,965.44 | $348.47 |
| Brazoria, TXTexas | $5,372.29 | $344.35 |
| Dallas, TXTexas | $5,402.86 | $349.56 |
| Fort Worth, TXTexas | $5,352.56 | $349.99 |
| Galveston, TXTexas | $5,385.44 | $347.36 |
| Houston, TXTexas | $5,418.94 | $380.85 |
| Rest of TexasTexas | $5,163.13 | $348.28 |
| UtahUtah | $5,116.84 | $347.65 |
| VirginiaVirginia | $5,324.82 | $337.47 |
| Virgin Islands, VIUnited States Virgin Islands | $5,484.94 | $355.53 |
| VermontVermont | $5,348.36 | $325.50 |
| Rest of WashingtonWashington | $5,689.22 | $346.72 |
| King County, WAWashington | $6,591.30 | $366.00 |
| WisconsinWisconsin | $5,172.75 | $312.24 |
| West VirginiaWest Virginia | $4,786.63 | $377.67 |
| WyomingWyoming | $5,413.76 | $340.16 |
37263 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.
$4,679.54
$6,792.23
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 | $5,863.76 | 1 |
| AL | $4,764.41 | 1 |
| AR | $4,679.54 | 1 |
| AZ | $5,262.45 | 1 |
| CA | $5,896.22–$7,688.24 | 29 |
| CO | $5,746.39 | 1 |
| CT | $5,841.11 | 1 |
| DC | $6,360.06 | 1 |
| DE | $5,363.46 | 1 |
| FL | $5,235.57–$5,732.60 | 3 |
| GA | $4,889.54–$5,524.47 | 2 |
| GU | $6,103.94 | 1 |
| HI | $6,103.94 | 1 |
| IA | $4,958.47 | 1 |
| ID | $4,988.66 | 1 |
| IL | $5,019.52–$5,616.61 | 4 |
| IN | $5,025.23 | 1 |
| KS | $4,908.80 | 1 |
| KY | $4,857.28 | 1 |
| LA | $4,839.47–$5,136.49 | 2 |
| MA | $5,692.20–$6,424.82 | 2 |
| MD | $5,488.54–$6,360.06 | 3 |
| ME | $4,997.77–$5,361.11 | 2 |
| MI | $4,992.99–$5,292.74 | 2 |
| MN | $5,534.80 | 1 |
| MO | $4,722.93–$5,184.51 | 3 |
| MS | $4,703.45 | 1 |
| MT | $5,429.53 | 1 |
| NC | $5,065.24 | 1 |
| ND | $5,393.34 | 1 |
| NE | $4,998.19 | 1 |
| NH | $5,631.51 | 1 |
| NJ | $5,916.02–$6,267.66 | 2 |
| NM | $5,017.83 | 1 |
| NV | $5,424.55 | 1 |
| NY | $5,156.01–$6,464.33 | 5 |
| OH | $4,985.60 | 1 |
| OK | $4,869.29 | 1 |
| OR | $5,391.06–$5,985.32 | 2 |
| PA | $5,007.30–$5,655.60 | 2 |
| PR | $5,484.94 | 1 |
| RI | $5,596.59 | 1 |
| SC | $5,032.15 | 1 |
| SD | $5,389.06 | 1 |
| TN | $4,936.37 | 1 |
| TX | $4,965.44–$5,719.56 | 8 |
| UT | $5,116.84 | 1 |
| VA | $5,324.82–$6,360.06 | 2 |
| VI | $5,484.94 | 1 |
| VT | $5,348.36 | 1 |
| WA | $5,689.22–$6,591.30 | 2 |
| WI | $5,172.75 | 1 |
| WV | $4,786.63 | 1 |
| WY | $5,413.76 | 1 |
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.
How the rate is built · 37263
RVUs × geographic indexes × conversion factor
Work7.75
7.75 RVUs× 1.000 GPCI
Practice expense152.98
152.98 RVUs× 1.000 GPCI
Malpractice1.83
1.83 RVUs× 1.000 GPCI
Adjusted RVUs
162.5600
Conversion factor
$33.4009
Medicare rate
$5,429.65
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,623
- Code
- 37263
- Physician work
- 7.75
- Practice expense
- 152.98
- Malpractice
- 1.83
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.75 | × 1.000 | 7.7500 |
| Practice expense | 152.98 | × 1.000 | 152.9800 |
| Malpractice | 1.83 | × 0.406 | 0.7430 |
| Total RVUs | 161.4730 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$5393.34
Office: (7.75 × 1 + 152.98 × 1 + 1.83 × 0.406) × $33.4009 = $5393.34
Facility: (7.75 × 1 + 1.08 × 1 + 1.83 × 0.406) × $33.4009 = $319.75
Payment rules and modifiers for 37263
The CMS indicators that decide how 37263 is paid alongside other services.
CMS payment indicators · 37263
Leg angioplasty, simple lesion, first vessel
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| 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
37263 without 50 · national office
$5,429.65
Leg angioplasty, simple lesion, first vessel
37263-50 · Bilateral: 150%
$8,144.48
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 37263 has changed in North Dakota
37263 · Office / nonfacility
$5393.34
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
No ratechanged to$5393.34
Held through RVU26B, RVU26C, RVU26D.
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, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $5,393.34 | $319.75 | RVU26D |
| 2026-07-01 | $5,393.34 | $319.75 | RVU26C |
| 2026-04-01 | $5,393.34 | $319.75 | RVU26B |
| 2026-01-01 | $5,393.34 | $319.75 | RVU26A |
| 2025-10-01 | Not in this release | Not in this release | RVU25D |
| 2025-07-01 | Not in this release | Not in this release | RVU25C |
| 2025-04-01 | Not in this release | Not in this release | RVU25B |
| 2025-01-01 | Not in this release | Not in this release | RVU25A |
| 2024-10-01 | Not in this release | Not in this release | RVU24D |
| 2024-07-01 | Not in this release | Not in this release | RVU24C |
| 2024-04-01 | Not in this release | Not in this release | RVU24B |
| 2024-03-09 | Not in this release | Not in this release | RVU24AR |
| 2024-01-01 | Not in this release | Not in this release | RVU24A |
| 2023-10-01 | Not in this release | Not in this release | RVU23D |
| 2023-07-01 | Not in this release | Not in this release | RVU23C |
| 2023-04-01 | Not in this release | Not in this release | RVU23B |
| 2023-01-01 | Not in this release | Not in this release | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | 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 North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
37263 billing questions
How does 37263 differ from 37264?
37263 is for the first treated vessel in the simple-lesion category. 37264 is the related code for each additional vessel when its criteria are met.
When should a complex-lesion code be considered instead?
Use the complex-lesion code when the treated lesion meets CPT’s complex classification rather than its simple classification. The medical record should support the selected lesion category.
Does 37263 apply when a stent or atherectomy is performed?
Stent placement or atherectomy changes the applicable treatment code family. Select the code that reflects the treatment performed and the lesion category.
Is the code reported for each lesion or balloon inflation?
No. It represents the first treated vessel, not each balloon inflation. Use an additional-vessel code when another qualifying vessel is treated.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document treatment on both sides.
What documentation supports reporting 37263?
Document the femoral or popliteal target, laterality, lesion characteristics supporting the simple category, angioplasty performed, and whether this was the first treated vessel.
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
Fee sheets · Coming soon
Put 37263 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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