CPT code 37269: Arterial stenting, complex lesion, initial vessel2026 Medicare rate & RVUs

Medicare pays $11,553.37 for 37269 nationally in the office and $674.70 in a hospital or facility. Local office rates run $9,953.25–$16,389.58.

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

What 37269 covers

An endovascular specialist treats an obstructive lesion in a femoral or popliteal artery by placing a stent to restore blood flow. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform this service in a hospital or outpatient angiography suite. This code identifies complex-lesion stenting in the initial treated vessel. Selection depends on the arterial territory, the documented lesion classification, and the treatment performed; it is distinct from angioplasty-only treatment and from procedures combining stenting with atherectomy.

Document the target artery and vessel, lesion features supporting complex classification, and stent placement. For an additional treated vessel, use the corresponding additional-vessel code rather than reporting this initial-vessel code again. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery 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.

Where 37269 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

37269 rates by state

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

How the 37269 rate is calculated

Each of 37269’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 37269

The CMS indicators that decide how 37269 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

37269 compared with similar codes

How to choose

37267Arterial stentingSimple lesion, initial vessel

Both report stenting in the femoral-popliteal territory for the initial vessel. Choose 37269 for a complex lesion and 37267 for a simple lesion.

37270Arterial stentingComplex, each additional vessel

This code is for the initial vessel; 37270 is the corresponding additional-vessel code for complex-lesion stenting.

37277Peripheral revascularizationComplex, initial vessel

37269 reports complex-lesion stenting, while 37277 represents complex treatment combining stenting and atherectomy.

37265Vessel angioplastyComplex, initial vessel

37265 represents complex femoral-popliteal angioplasty. Use 37269 when the documented treatment includes stent placement.

Codes related to 37269

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

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