CPT code 37268: Arterial stent, each additional vessel2026 Medicare rate & RVUs in Utah

Reports stent-based revascularization of each additional femoral or popliteal artery vessel treated in the same session for a simple lesion.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Utah, Medicare pays $3,164.75 for 37268 in the office and $165.72 when it’s performed in a hospital or facility.

$3,164.75Office (non-facility)
$165.72Hospital or facility
−5.8%vs the national office rate ($3,360.13)

Check a contract rate as a % of Medicare · 37268 nationwide

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

We’ll open 37268 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 37268 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Utah compares for 37268

Across 109 of 109 payment localities, the office rate for 37268 runs from $2,893.69 in Arkansas to $4,777.01 in San Benito County, CA. Utah pays $3,164.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

37268 in Utah vs other payment areas
  1. Utah · this page$3,164.75
  2. Los Angeles, CA · California$3,941.92+$777.17
  3. Washington, DC area · District of Columbia$3,940.85+$776.10
  4. Miami, FL · Florida$3,537.02+$372.27
  5. Chicago, IL · Illinois$3,415.53+$250.78
  6. Manhattan, NY · New York$3,904.87+$740.12
  7. Alaska · Alaska$3,617.45+$452.70

Other areas in Utah first, then benchmark localities. Bars start at $0.

Every other payment area

37268 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$2,946.50$154.85
ArkansasArkansas$2,893.69$153.09
ArizonaArizona$3,256.47$164.92
Bakersfield, CACalifornia$3,658.63$161.90
Chico, CACalifornia$3,656.21$159.48
El Centro, CACalifornia$3,656.36$159.62
Fresno, CACalifornia$3,656.21$159.48
Hanford, CACalifornia$3,656.21$159.48

37268 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.

$2,893.69

$4,216.61

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
37268 office rate range by state
State / territoryOffice rate rangeLocalities
AK$3,617.451
AL$2,946.501
AR$2,893.691
AZ$3,256.471
CA$3,656.21–$4,777.0129
CO$3,560.291
CT$3,615.711
DC$3,940.851
DE$3,319.281
FL$3,234.03–$3,537.023
GA$3,019.61–$3,417.772
GU$3,786.811
HI$3,786.811
IA$3,069.711
ID$3,088.001
IL$3,097.96–$3,470.514
IN$3,110.831
KS$3,037.631
KY$3,001.761
LA$2,990.21–$3,175.032
MA$3,526.00–$3,983.902
MD$3,397.41–$3,940.853
ME$3,092.43–$3,320.312
MI$3,085.06–$3,268.322
MN$3,432.171
MO$2,916.95–$3,206.313
MS$2,906.761
MT$3,360.071
NC$3,134.611
ND$3,342.471
NE$3,094.791
NH$3,487.851
NJ$3,662.93–$3,882.932
NM$3,100.021
NV$3,358.371
NY$3,191.01–$3,999.485
OH$3,081.461
OK$3,010.481
OR$3,338.48–$3,710.362
PA$3,095.62–$3,499.552
PR$3,394.951
RI$3,465.081
SC$3,112.031
SD$3,340.391
TN$3,054.641
TX$3,069.50–$3,542.938
UT$3,164.751
VA$3,296.89–$3,940.852
VI$3,394.951
VT$3,313.391
WA$3,524.55–$4,088.642
WI$3,204.921
WV$2,952.981
WY$3,352.401

See 37268 in every payment locality

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

Office or facility?

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.

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,628

Code
37268
Physician work
3.73
Practice expense
95.98
Malpractice
0.89

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 37268 in Utah
ComponentRVULocality factorAdjusted
Physician work3.73× 1.0003.7300
Practice expense95.98× 0.94090.2212
Malpractice0.89× 0.8980.7992
Total RVUs94.7504
Conversion factor× 33.4009

Office rate, Utah$3164.75

Office: (3.73 × 1 + 95.98 × 0.94 + 0.89 × 0.898) × $33.4009 = $3164.75

Facility: (3.73 × 1 + 0.46 × 0.94 + 0.89 × 0.898) × $33.4009 = $165.72

Open 37268 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician 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).

When to use modifier 50

How 37268 has changed in Utah

37268 · Office / nonfacility

$3164.75

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.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    No ratechanged to$3164.75

    Held through RVU26B, RVU26C, RVU26D.

  2. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$3,164.75$165.72RVU26D
2026-07-01$3,164.75$165.72RVU26C
2026-04-01$3,164.75$165.72RVU26B
2026-01-01$3,164.75$165.72RVU26A
2025-10-01Not in this releaseNot in this releaseRVU25D
2025-07-01Not in this releaseNot in this releaseRVU25C
2025-04-01Not in this releaseNot in this releaseRVU25B
2025-01-01Not in this releaseNot in this releaseRVU25A
2024-10-01Not in this releaseNot in this releaseRVU24D
2024-07-01Not in this releaseNot in this releaseRVU24C
2024-04-01Not in this releaseNot in this releaseRVU24B
2024-03-09Not in this releaseNot in this releaseRVU24AR
2024-01-01Not in this releaseNot in this releaseRVU24A
2023-10-01Not in this releaseNot in this releaseRVU23D
2023-07-01Not in this releaseNot in this releaseRVU23C
2023-04-01Not in this releaseNot in this releaseRVU23B
2023-01-01Not in this releaseNot in this releaseRVU23A
2022-10-01Not in this releaseNot in this releaseRVU22D
2022-07-01Not in this releaseNot in this releaseRVU22C
2022-04-01Not in this releaseNot in this releaseRVU22B
2022-01-01Not in this releaseNot in this releaseRVU22A
2021-10-01Not in this releaseNot in this releaseRVU21D
2021-07-01Not in this releaseNot in this releaseRVU21C
2021-04-01Not in this releaseNot in this releaseRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 37268 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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

Show the CMS file lines behind this rate
RVUs for 37268PPRRVU2026_Oct_nonQPP.csv, line 4,628 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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