CPT code 37269: Arterial stenting, complex lesion, initial vessel2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $13,541.12 for 37269 in the office and $726.04 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 37269 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 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.

How Washington, DC area compares for 37269

Across 109 of 109 payment localities, the office rate for 37269 runs from $9,953.25 in Arkansas to $16,389.58 in San Benito County, CA. Washington, DC area pays $13,541.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

37269 rates by state

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

See 37269 in every payment locality

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

Codes related to 37269

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

How 37269 has changed in Washington, DC area

Price 37269 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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