CPT code 37265: Vessel angioplasty, complex, initial vessel2026 Medicare rate & RVUs in South Carolina

In South Carolina, Medicare pays $6,329.73 for 37265 in the office and $465.56 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 37265 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 37265 covers

This code represents endovascular transluminal angioplasty of a complex lesion in an initial vessel in the femoral/popliteal vascular territory. A vascular surgeon, interventional radiologist, or other qualified endovascular specialist typically performs the intervention in a hospital or ambulatory procedure setting to improve blood flow through a diseased lower-extremity artery. The code distinguishes complex angioplasty from simple angioplasty and from treatment that includes stent placement.

Select the code based on the treated territory, the documented lesion characteristics supporting complex classification under CPT guidelines, the intervention performed, and whether this is the initial or an additional vessel. The operative or procedure report should identify the vessel and side, describe the lesion and treatment, and support the complexity designation. The service has a 0-day global period, so same-day preoperative and postoperative care is included. In a same-session multiple-procedure setting, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant is paid only when medical necessity is documented; 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 South Carolina compares for 37265

Across 109 of 109 payment localities, the office rate for 37265 runs from $5,886.33 in Arkansas to $9,654.70 in San Benito County, CA. South Carolina pays $6,329.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

37265 rates by state

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

See 37265 in every payment locality

How the 37265 rate is calculated

Each of 37265’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 37265

The CMS indicators that decide how 37265 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 37265

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

How 37265 has changed in South Carolina

Price 37265 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

• Abbeville
• Abney Crossroads
• Adams Run
• Aiken
• Alcolu
• Allendale
• Anderson
• Andrews

Browse all communities in South Carolina

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