CPT code 37264: Peripheral angioplasty, additional vessel, simple category2026 Medicare rate & RVUs in North Carolina
Reports balloon angioplasty of each additional vessel in the femoral-popliteal territory during simple-category endovascular revascularization.
In North Carolina, Medicare pays $2,036.97 for 37264 in the office and $126.98 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 37264 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 37264 covers
This add-on represents balloon angioplasty in an additional vessel of the femoral-popliteal arterial territory, such as an artery in the thigh or behind the knee. The intervention opens a narrowed or occluded peripheral artery to improve blood flow. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform this catheter-based treatment for peripheral artery disease, including symptomatic claudication or limb-threatening ischemia.
Report the code for each qualifying additional vessel treated with angioplasty in the simple category, alongside the applicable first-vessel procedure. The operative report should identify the treated vessels and document the intervention and the basis for classifying it as simple. This is an add-on code and is paid within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays this code at 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 North Carolina compares for 37264
Across 109 of 109 payment localities, the office rate for 37264 runs from $1,881.64 in Arkansas to $3,094.04 in San Benito County, CA. North Carolina pays $2,036.97. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$2,036.97
- Los Angeles, CA · California$2,556.62+$519.65
- Washington, DC area · District of Columbia$2,558.12+$521.15
- Miami, FL · Florida$2,303.62+$266.65
- Chicago, IL · Illinois$2,224.70+$187.73
- Manhattan, NY · New York$2,537.22+$500.25
- Alaska · Alaska$2,356.91+$319.94
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,915.79 | $124.54 |
| ArkansasArkansas | $1,881.64 | $123.15 |
| ArizonaArizona | $2,116.20 | $132.52 |
| Bakersfield, CACalifornia | $2,373.92 | $130.26 |
| Chico, CACalifornia | $2,372.02 | $128.35 |
| El Centro, CACalifornia | $2,372.13 | $128.47 |
| Fresno, CACalifornia | $2,372.02 | $128.35 |
| Hanford, CACalifornia | $2,372.02 | $128.35 |
| Madera, CACalifornia | $2,372.02 | $128.35 |
| Merced, CACalifornia | $2,372.02 | $128.35 |
| Modesto, CACalifornia | $2,372.02 | $128.35 |
| Napa, CACalifornia | $2,833.25 | $135.12 |
| Oxnard, CACalifornia | $2,552.30 | $132.58 |
| Redding, CACalifornia | $2,372.02 | $128.35 |
| Rest of CaliforniaCalifornia | $2,372.02 | $128.35 |
| Riverside, CACalifornia | $2,379.53 | $135.86 |
| Sacramento, CACalifornia | $2,511.93 | $131.10 |
| Salinas, CACalifornia | $2,503.19 | $130.55 |
| San Diego, CACalifornia | $2,579.44 | $131.06 |
| Marin County, CACalifornia | $3,024.82 | $138.35 |
| San Francisco, CACalifornia | $3,024.02 | $137.55 |
| San Benito County, CACalifornia | $3,094.04 | $142.06 |
| Santa Clara County, CACalifornia | $3,090.79 | $138.81 |
| San Luis Obispo, CACalifornia | $2,460.59 | $128.89 |
| Santa Cruz, CACalifornia | $2,617.54 | $130.26 |
| Santa Maria, CACalifornia | $2,517.31 | $130.34 |
| Santa Rosa, CACalifornia | $2,645.22 | $131.33 |
| Stockton, CACalifornia | $2,372.02 | $128.35 |
| Vallejo, CACalifornia | $2,832.11 | $133.98 |
| Visalia, CACalifornia | $2,372.02 | $128.35 |
| Yuba City, CACalifornia | $2,372.02 | $128.35 |
| ColoradoColorado | $2,311.33 | $133.17 |
| ConnecticutConnecticut | $2,348.94 | $144.17 |
| DelawareDelaware | $2,156.84 | $134.26 |
| Fort Lauderdale, FLFlorida | $2,229.09 | $155.33 |
| Rest of FloridaFlorida | $2,104.54 | $147.48 |
| Atlanta, GAGeorgia | $2,221.37 | $141.48 |
| Rest of GeorgiaGeorgia | $1,965.44 | $139.39 |
| Hawaii, Guam, HIHawaii | $2,455.77 | $128.17 |
| IowaIowa | $1,994.23 | $121.10 |
| IdahoIdaho | $2,006.31 | $122.94 |
| East St. Louis, ILIllinois | $2,042.34 | $158.97 |
| Rest of IllinoisIllinois | $2,017.37 | $148.33 |
| Suburban Chicago, ILIllinois | $2,257.78 | $155.37 |
| IndianaIndiana | $2,021.03 | $123.33 |
| KansasKansas | $1,974.08 | $123.46 |
| KentuckyKentucky | $1,952.79 | $132.88 |
| New Orleans, LALouisiana | $2,065.07 | $138.71 |
| Rest of LouisianaLouisiana | $1,945.55 | $133.83 |
| Metropolitan Boston, MAMassachusetts | $2,584.56 | $140.27 |
| Rest of MassachusettsMassachusetts | $2,289.44 | $133.81 |
| Baltimore area, MDMaryland | $2,340.93 | $144.35 |
| Rest of MarylandMaryland | $2,207.22 | $135.51 |
| Rest of MaineMaine | $2,009.79 | $126.42 |
| Southern Maine, MEMaine | $2,156.25 | $127.53 |
| Detroit, MIMichigan | $2,127.36 | $151.87 |
| Rest of MichiganMichigan | $2,007.23 | $138.19 |
| MinnesotaMinnesota | $2,226.69 | $120.18 |
| Metropolitan Kansas City, MOMissouri | $2,057.23 | $134.96 |
| Metropolitan St. Louis, MOMissouri | $2,084.59 | $135.71 |
| Rest of MissouriMissouri | $1,898.55 | $133.92 |
| MississippiMississippi | $1,891.00 | $128.41 |
| MontanaMontana | $2,183.37 | $136.23 |
| North DakotaNorth Dakota | $2,169.53 | $122.39 |
| NebraskaNebraska | $2,010.27 | $120.76 |
| New HampshireNew Hampshire | $2,264.95 | $133.87 |
| Northern New JerseyNew Jersey | $2,520.89 | $146.21 |
| Rest of New JerseyNew Jersey | $2,379.20 | $143.72 |
| New MexicoNew Mexico | $2,017.15 | $139.92 |
| NevadaNevada | $2,181.57 | $132.38 |
| NYC suburbs and Long Island, NYNew York | $2,599.18 | $165.12 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $2,388.52 | $146.90 |
| Queens, NYNew York | $2,575.05 | $155.33 |
| Rest of New YorkNew York | $2,073.48 | $128.70 |
| OhioOhio | $2,004.40 | $135.36 |
| OklahomaOklahoma | $1,957.80 | $129.70 |
| Portland, OROregon | $2,407.68 | $133.30 |
| Rest of OregonOregon | $2,168.23 | $129.28 |
| Metropolitan Philadelphia, PAPennsylvania | $2,274.19 | $143.11 |
| Rest of PennsylvaniaPennsylvania | $2,013.22 | $133.95 |
| Puerto RicoPuerto Rico | $2,205.72 | $136.06 |
| Rhode IslandRhode Island | $2,250.77 | $136.07 |
| South CarolinaSouth Carolina | $2,023.36 | $131.80 |
| South DakotaSouth Dakota | $2,167.89 | $120.75 |
| TennesseeTennessee | $1,985.15 | $124.30 |
| Austin, TXTexas | $2,300.42 | $134.55 |
| Beaumont, TXTexas | $1,996.37 | $133.47 |
| Brazoria, TXTexas | $2,160.54 | $131.82 |
| Dallas, TXTexas | $2,172.76 | $133.81 |
| Fort Worth, TXTexas | $2,152.46 | $133.98 |
| Galveston, TXTexas | $2,165.78 | $132.97 |
| Houston, TXTexas | $2,178.59 | $145.78 |
| Rest of TexasTexas | $2,076.10 | $133.36 |
| UtahUtah | $2,057.44 | $133.13 |
| VirginiaVirginia | $2,141.53 | $129.19 |
| Virgin Islands, VIUnited States Virgin Islands | $2,205.72 | $136.06 |
| VermontVermont | $2,151.27 | $124.60 |
| Rest of WashingtonWashington | $2,288.30 | $132.66 |
| King County, WAWashington | $2,651.73 | $139.89 |
| WisconsinWisconsin | $2,080.72 | $119.56 |
| West VirginiaWest Virginia | $1,923.66 | $144.69 |
| WyomingWyoming | $2,177.34 | $130.20 |
37264 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.
$1,881.64
$2,733.03
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 | $2,356.91 | 1 |
| AL | $1,915.79 | 1 |
| AR | $1,881.64 | 1 |
| AZ | $2,116.20 | 1 |
| CA | $2,372.02–$3,094.04 | 29 |
| CO | $2,311.33 | 1 |
| CT | $2,348.94 | 1 |
| DC | $2,558.12 | 1 |
| DE | $2,156.84 | 1 |
| FL | $2,104.54–$2,303.62 | 3 |
| GA | $1,965.44–$2,221.37 | 2 |
| GU | $2,455.77 | 1 |
| HI | $2,455.77 | 1 |
| IA | $1,994.23 | 1 |
| ID | $2,006.31 | 1 |
| IL | $2,017.37–$2,257.78 | 4 |
| IN | $2,021.03 | 1 |
| KS | $1,974.08 | 1 |
| KY | $1,952.79 | 1 |
| LA | $1,945.55–$2,065.07 | 2 |
| MA | $2,289.44–$2,584.56 | 2 |
| MD | $2,207.22–$2,558.12 | 3 |
| ME | $2,009.79–$2,156.25 | 2 |
| MI | $2,007.23–$2,127.36 | 2 |
| MN | $2,226.69 | 1 |
| MO | $1,898.55–$2,084.59 | 3 |
| MS | $1,891.00 | 1 |
| MT | $2,183.37 | 1 |
| NC | $2,036.97 | 1 |
| ND | $2,169.53 | 1 |
| NE | $2,010.27 | 1 |
| NH | $2,264.95 | 1 |
| NJ | $2,379.20–$2,520.89 | 2 |
| NM | $2,017.15 | 1 |
| NV | $2,181.57 | 1 |
| NY | $2,073.48–$2,599.18 | 5 |
| OH | $2,004.40 | 1 |
| OK | $1,957.80 | 1 |
| OR | $2,168.23–$2,407.68 | 2 |
| PA | $2,013.22–$2,274.19 | 2 |
| PR | $2,205.72 | 1 |
| RI | $2,250.77 | 1 |
| SC | $2,023.36 | 1 |
| SD | $2,167.89 | 1 |
| TN | $1,985.15 | 1 |
| TX | $1,996.37–$2,300.42 | 8 |
| UT | $2,057.44 | 1 |
| VA | $2,141.53–$2,558.12 | 2 |
| VI | $2,205.72 | 1 |
| VT | $2,151.27 | 1 |
| WA | $2,288.30–$2,651.73 | 2 |
| WI | $2,080.72 | 1 |
| WV | $1,923.66 | 1 |
| WY | $2,177.34 | 1 |
How the 37264 rate is calculated
Each of 37264’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 · 37264
RVUs × geographic indexes × conversion factor
Work3.00
3.00 RVUs× 1.000 GPCI
Practice expense61.67
61.67 RVUs× 1.000 GPCI
Malpractice0.70
0.70 RVUs× 1.000 GPCI
Adjusted RVUs
65.3700
Conversion factor
$33.4009
Medicare rate
$2,183.42
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,624
- Code
- 37264
- Physician work
- 3.00
- Practice expense
- 61.67
- Malpractice
- 0.70
GPCI2026.csv
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.00 | × 1.000 | 3.0000 |
| Practice expense | 61.67 | × 0.933 | 57.5381 |
| Malpractice | 0.70 | × 0.639 | 0.4473 |
| Total RVUs | 60.9854 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Carolina$2036.97
Office: (3 × 1 + 61.67 × 0.933 + 0.7 × 0.639) × $33.4009 = $2036.97
Facility: (3 × 1 + 0.38 × 0.933 + 0.7 × 0.639) × $33.4009 = $126.98
Payment rules and modifiers for 37264
The CMS indicators that decide how 37264 is paid alongside other services.
CMS payment indicators · 37264
Peripheral angioplasty, additional vessel, simple category
| 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) | 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
37264 without 50 · national office
$2,183.42
Peripheral angioplasty, additional vessel, simple category
37264-50 · Bilateral: 150%
$3,275.13
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 37264 has changed in North Carolina
37264 · Office / nonfacility
$2036.97
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$2036.97
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 | $2,036.97 | $126.98 | RVU26D |
| 2026-07-01 | $2,036.97 | $126.98 | RVU26C |
| 2026-04-01 | $2,036.97 | $126.98 | RVU26B |
| 2026-01-01 | $2,036.97 | $126.98 | 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 Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
37264 billing questions
Which code is reported for the first vessel?
For simple-category angioplasty in the femoral-popliteal territory, 37263 identifies the first vessel. Code 37264 is for each additional vessel and cannot be reported alone.
Is 37264 reported per lesion or per vessel?
It is an additional-vessel code, not a code for each lesion or balloon inflation. Documentation should identify each separately treated vessel.
When is 37265 used instead?
37265 describes the first vessel when the femoral-popliteal angioplasty falls in the complex category. Code 37264 is for additional vessels in the simple category.
How does modifier 50 affect payment?
For a bilateral procedure reported with modifier 50, CMS pays 37264 at 150%.
What documentation supports reporting an additional vessel?
The procedure report should name the additional femoral-popliteal vessel treated, describe the angioplasty performed, and support the simple-category classification.
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
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