CPT code 37268: Arterial stent, each additional vessel2026 Medicare rate & RVUs in Missouri
Reports stent-based revascularization of each additional femoral or popliteal artery vessel treated in the same session for a simple lesion.
Medicare pays $2,916.95–$3,206.31 for 37268 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 37268 covers
This add-on describes endovascular stent treatment of an additional vessel in the femoral or popliteal arterial territory when the lesion meets the simple category. Vascular surgeons, interventional radiologists, and other qualified endovascular physicians may perform the service for peripheral arterial disease, such as symptomatic femoropopliteal stenosis or occlusion. Angioplasty performed in the same vessel as the stent is included when performed.
Report this code only with the applicable primary procedure for the first treated vessel; it is not a stand-alone service. The additional-vessel count, arterial location, lesion classification, and treatment performed should be clear in the operative report. This code is paid within the primary procedure’s global period. For bilateral reporting with modifier 50, CMS pays 150%. The code represents an additional vessel, not simply another stent placed in the same vessel.
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.
Where 37268 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$2916.95 to $3206.31
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $3,163.89 | $168.06 |
| Metropolitan St. Louis, MO | $3,206.31 | $169.00 |
| Rest of Missouri | $2,916.95 | $166.78 |
How the 37268 rate is calculated
Each of 37268’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 · 37268
RVUs × geographic indexes × conversion factor
Work3.73
3.73 RVUs× 1.000 GPCI
Practice expense95.98
95.98 RVUs× 1.000 GPCI
Malpractice0.89
0.89 RVUs× 1.000 GPCI
Adjusted RVUs
100.6000
Conversion factor
$33.4009
Medicare rate
$3,360.13
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 37268
The CMS indicators that decide how 37268 is paid alongside other services.
CMS payment indicators · 37268
Arterial stent, each additional vessel
| 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
37268 without 50 · national office
$3,360.13
Arterial stent, each additional vessel
37268-50 · Bilateral: 150%
$5,040.20
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).
37268 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 37267Arterial stentingSimple lesion, initial vessel
- 37267 covers the first simple femoropopliteal vessel treated with a stent; 37268 covers each additional qualifying vessel.
- 37269Arterial stentingComplex lesion, initial vessel
- 37269 is for the first vessel when the lesion is classified as complex. This code is for additional vessels in the simple category.
- 37270Arterial stentingComplex, each additional vessel
- 37270 covers each additional vessel in the complex category; 37268 is the corresponding additional-vessel code for simple lesions.
- 37264Peripheral angioplastyAdditional vessel, simple category
- 37264 represents additional-vessel femoropopliteal angioplasty without stenting. Use 37268 when an additional vessel receives stent treatment.
37268 billing questions
When should this code be reported instead of 37267?
Use 37267 for the first simple femoropopliteal vessel treated with a stent. Report 37268 for each additional qualifying vessel in the same session.
Does the code count additional stents or additional vessels?
It is for each additional vessel, not each additional stent within a vessel. Documentation should identify the additional vessel treated.
Can angioplasty in the stented vessel be billed separately?
Angioplasty performed in the same vessel as the stent is included in the stent service.
Can 37268 be reported by itself?
No. It is an add-on code and must be reported with the applicable primary procedure for the first vessel.
How is bilateral treatment reported under the CMS rule?
When reported as a bilateral procedure with modifier 50, CMS pays 150%.
What documentation supports the additional-vessel code?
The procedure report should identify the femoral or popliteal vessel, the stent treatment performed, the lesion classification, and which vessel was treated first versus additionally.
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
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