CPT code 37270: Arterial stenting, complex, each additional vessel2026 Medicare rate & RVUs in Washington, DC area
Reports complex endovascular stent treatment of each additional vessel in the femoral-popliteal territory during lower-extremity arterial revascularization.
In Washington, DC area, Medicare pays $4,094.67 for 37270 in the office and $245.03 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 37270 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 37270 covers
This add-on service represents stent treatment of an additional vessel in the femoral-popliteal territory when the intervention meets CPT’s complex criteria. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform it in a catheterization or angiography suite for lower-extremity arterial disease. The code distinguishes the additional treated vessel from the first vessel and from simpler interventions; the record should identify the vessel treated, the stent procedure, and the facts supporting complex classification.
Report 37270 with the applicable primary procedure for the first complex stented vessel, such as 37269, and count each additional qualifying vessel rather than each stent. The code is an add-on and is paid within the primary procedure’s global period. For bilateral procedures reported with modifier 50, CMS pays this code at 150%. When atherectomy is also performed in the same vessel, use the applicable combination code rather than reporting this stent-only code with a separate atherectomy code for that 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 Washington, DC area compares for 37270
Across 109 of 109 payment localities, the office rate for 37270 runs from $3,012.60 in Arkansas to $4,949.10 in San Benito County, CA. Washington, DC area pays $4,094.67. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$4,094.67
- Los Angeles, CA · California$4,090.94−$3.73
- Miami, FL · Florida$3,691.86−$402.81
- Chicago, IL · Illinois$3,565.26−$529.41
- Manhattan, NY · New York$4,062.68−$31.99
- Alaska · Alaska$3,775.01−$319.66
- Alabama · Alabama$3,067.26−$1,027.41
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $3,012.60 | $205.43 |
| ArizonaArizona | $3,388.02 | $221.38 |
| Bakersfield, CACalifornia | $3,798.95 | $217.28 |
| Chico, CACalifornia | $3,795.69 | $214.02 |
| El Centro, CACalifornia | $3,795.89 | $214.22 |
| Fresno, CACalifornia | $3,795.69 | $214.02 |
| Hanford, CACalifornia | $3,795.69 | $214.02 |
| Madera, CACalifornia | $3,795.69 | $214.02 |
| Merced, CACalifornia | $3,795.69 | $214.02 |
| Modesto, CACalifornia | $3,795.69 | $214.02 |
| Napa, CACalifornia | $4,532.33 | $225.18 |
| Oxnard, CACalifornia | $4,083.84 | $221.13 |
| Redding, CACalifornia | $3,795.69 | $214.02 |
| Rest of CaliforniaCalifornia | $3,795.69 | $214.02 |
| Riverside, CACalifornia | $3,808.56 | $226.90 |
| Sacramento, CACalifornia | $4,019.20 | $218.58 |
| Salinas, CACalifornia | $4,005.21 | $217.67 |
| San Diego, CACalifornia | $4,126.97 | $218.51 |
| Marin County, CACalifornia | $4,838.27 | $230.47 |
| San Francisco, CACalifornia | $4,836.90 | $229.10 |
| San Benito County, CACalifornia | $4,949.10 | $236.72 |
| Santa Clara County, CACalifornia | $4,943.52 | $231.15 |
| San Luis Obispo, CACalifornia | $3,937.10 | $214.91 |
| Santa Cruz, CACalifornia | $4,187.71 | $217.16 |
| Santa Maria, CACalifornia | $4,027.73 | $217.31 |
| Santa Rosa, CACalifornia | $4,231.96 | $218.93 |
| Stockton, CACalifornia | $3,795.69 | $214.02 |
| Vallejo, CACalifornia | $4,530.37 | $223.22 |
| Visalia, CACalifornia | $3,795.69 | $214.02 |
| Yuba City, CACalifornia | $3,795.69 | $214.02 |
| ColoradoColorado | $3,699.44 | $222.35 |
| ConnecticutConnecticut | $3,760.72 | $241.15 |
| DelawareDelaware | $3,453.06 | $224.33 |
| Fort Lauderdale, FLFlorida | $3,570.88 | $260.45 |
| Rest of FloridaFlorida | $3,371.20 | $247.04 |
| Atlanta, GAGeorgia | $3,556.91 | $236.68 |
| Rest of GeorgiaGeorgia | $3,148.26 | $233.25 |
| Hawaii, Guam, HIHawaii | $3,929.41 | $213.76 |
| IowaIowa | $3,192.03 | $201.87 |
| IdahoIdaho | $3,211.52 | $205.01 |
| East St. Louis, ILIllinois | $3,273.29 | $266.78 |
| Rest of IllinoisIllinois | $3,232.19 | $248.56 |
| Suburban Chicago, ILIllinois | $3,616.64 | $260.46 |
| IndianaIndiana | $3,235.06 | $205.68 |
| KansasKansas | $3,160.15 | $205.93 |
| KentuckyKentucky | $3,127.29 | $222.09 |
| New Orleans, LALouisiana | $3,307.16 | $232.02 |
| Rest of LouisianaLouisiana | $3,115.86 | $223.73 |
| Metropolitan Boston, MAMassachusetts | $4,136.18 | $234.25 |
| Rest of MassachusettsMassachusetts | $3,664.57 | $223.43 |
| Baltimore area, MDMaryland | $3,747.98 | $241.48 |
| Rest of MarylandMaryland | $3,533.59 | $226.43 |
| Rest of MaineMaine | $3,217.50 | $210.99 |
| Southern Maine, MEMaine | $3,451.35 | $212.82 |
| Detroit, MIMichigan | $3,408.13 | $254.56 |
| Rest of MichiganMichigan | $3,214.80 | $231.16 |
| MinnesotaMinnesota | $3,562.89 | $200.18 |
| Metropolitan Kansas City, MOMissouri | $3,294.21 | $225.61 |
| Metropolitan St. Louis, MOMissouri | $3,337.96 | $226.88 |
| Rest of MissouriMissouri | $3,040.86 | $223.89 |
| MississippiMississippi | $3,028.15 | $214.45 |
| MontanaMontana | $3,495.66 | $227.71 |
| North CarolinaNorth Carolina | $3,260.93 | $211.94 |
| North DakotaNorth Dakota | $3,471.93 | $203.99 |
| NebraskaNebraska | $3,217.58 | $201.27 |
| New HampshireNew Hampshire | $3,625.56 | $223.63 |
| Northern New JerseyNew Jersey | $4,035.17 | $244.35 |
| Rest of New JerseyNew Jersey | $3,808.86 | $240.27 |
| New MexicoNew Mexico | $3,230.84 | $234.13 |
| NevadaNevada | $3,492.33 | $221.12 |
| NYC suburbs and Long Island, NYNew York | $4,162.33 | $276.75 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $3,824.09 | $245.69 |
| Queens, NYNew York | $4,122.68 | $259.97 |
| Rest of New YorkNew York | $3,319.40 | $214.85 |
| OhioOhio | $3,209.95 | $226.31 |
| OklahomaOklahoma | $3,134.91 | $216.64 |
| Portland, OROregon | $3,853.19 | $222.50 |
| Rest of OregonOregon | $3,470.68 | $215.81 |
| Metropolitan Philadelphia, PAPennsylvania | $3,641.31 | $239.38 |
| Rest of PennsylvaniaPennsylvania | $3,223.86 | $223.89 |
| Puerto RicoPuerto Rico | $3,531.31 | $227.42 |
| Rhode IslandRhode Island | $3,603.11 | $227.32 |
| South CarolinaSouth Carolina | $3,239.79 | $220.21 |
| South DakotaSouth Dakota | $3,469.12 | $201.18 |
| TennesseeTennessee | $3,177.91 | $207.35 |
| Austin, TXTexas | $3,682.24 | $224.76 |
| Beaumont, TXTexas | $3,196.91 | $223.08 |
| Brazoria, TXTexas | $3,458.66 | $220.13 |
| Dallas, TXTexas | $3,478.40 | $223.52 |
| Fort Worth, TXTexas | $3,446.03 | $223.84 |
| Galveston, TXTexas | $3,467.16 | $222.09 |
| Houston, TXTexas | $3,489.12 | $244.06 |
| Rest of TexasTexas | $3,324.13 | $222.85 |
| UtahUtah | $3,294.33 | $222.46 |
| VirginiaVirginia | $3,428.05 | $215.66 |
| Virgin Islands, VIUnited States Virgin Islands | $3,531.31 | $227.42 |
| VermontVermont | $3,443.05 | $207.79 |
| Rest of WashingtonWashington | $3,662.63 | $221.48 |
| King County, WAWashington | $4,243.28 | $233.51 |
| WisconsinWisconsin | $3,329.88 | $199.19 |
| West VirginiaWest Virginia | $3,082.20 | $242.36 |
| WyomingWyoming | $3,485.32 | $217.37 |
37270 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.
$3,012.60
$4,372.40
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $3,775.01 | 1 |
| AL | $3,067.26 | 1 |
| AR | $3,012.60 | 1 |
| AZ | $3,388.02 | 1 |
| CA | $3,795.69–$4,949.10 | 29 |
| CO | $3,699.44 | 1 |
| CT | $3,760.72 | 1 |
| DC | $4,094.67 | 1 |
| DE | $3,453.06 | 1 |
| FL | $3,371.20–$3,691.86 | 3 |
| GA | $3,148.26–$3,556.91 | 2 |
| GU | $3,929.41 | 1 |
| HI | $3,929.41 | 1 |
| IA | $3,192.03 | 1 |
| ID | $3,211.52 | 1 |
| IL | $3,232.19–$3,616.64 | 4 |
| IN | $3,235.06 | 1 |
| KS | $3,160.15 | 1 |
| KY | $3,127.29 | 1 |
| LA | $3,115.86–$3,307.16 | 2 |
| MA | $3,664.57–$4,136.18 | 2 |
| MD | $3,533.59–$4,094.67 | 3 |
| ME | $3,217.50–$3,451.35 | 2 |
| MI | $3,214.80–$3,408.13 | 2 |
| MN | $3,562.89 | 1 |
| MO | $3,040.86–$3,337.96 | 3 |
| MS | $3,028.15 | 1 |
| MT | $3,495.66 | 1 |
| NC | $3,260.93 | 1 |
| ND | $3,471.93 | 1 |
| NE | $3,217.58 | 1 |
| NH | $3,625.56 | 1 |
| NJ | $3,808.86–$4,035.17 | 2 |
| NM | $3,230.84 | 1 |
| NV | $3,492.33 | 1 |
| NY | $3,319.40–$4,162.33 | 5 |
| OH | $3,209.95 | 1 |
| OK | $3,134.91 | 1 |
| OR | $3,470.68–$3,853.19 | 2 |
| PA | $3,223.86–$3,641.31 | 2 |
| PR | $3,531.31 | 1 |
| RI | $3,603.11 | 1 |
| SC | $3,239.79 | 1 |
| SD | $3,469.12 | 1 |
| TN | $3,177.91 | 1 |
| TX | $3,196.91–$3,682.24 | 8 |
| UT | $3,294.33 | 1 |
| VA | $3,428.05–$4,094.67 | 2 |
| VI | $3,531.31 | 1 |
| VT | $3,443.05 | 1 |
| WA | $3,662.63–$4,243.28 | 2 |
| WI | $3,329.88 | 1 |
| WV | $3,082.20 | 1 |
| WY | $3,485.32 | 1 |
How the 37270 rate is calculated
Each of 37270’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 · 37270
RVUs × geographic indexes × conversion factor
Work5.00
5.00 RVUs× 1.000 GPCI
Practice expense98.46
98.46 RVUs× 1.000 GPCI
Malpractice1.20
1.20 RVUs× 1.000 GPCI
Adjusted RVUs
104.6600
Conversion factor
$33.4009
Medicare rate
$3,495.74
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,630
- Code
- 37270
- Physician work
- 5.00
- Practice expense
- 98.46
- Malpractice
- 1.20
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.00 | × 1.054 | 5.2700 |
| Practice expense | 98.46 | × 1.178 | 115.9859 |
| Malpractice | 1.20 | × 1.113 | 1.3356 |
| Total RVUs | 122.5915 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$4094.67
Office: (5 × 1.054 + 98.46 × 1.178 + 1.2 × 1.113) × $33.4009 = $4094.67
Facility: (5 × 1.054 + 0.62 × 1.178 + 1.2 × 1.113) × $33.4009 = $245.03
Payment rules and modifiers for 37270
The CMS indicators that decide how 37270 is paid alongside other services.
CMS payment indicators · 37270
Arterial stenting, complex, 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
37270 without 50 · national office
$3,495.74
Arterial stenting, complex, each additional vessel
37270-50 · Bilateral: 150%
$5,243.61
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).
How 37270 has changed in Washington, DC area
37270 · Office / nonfacility
$4094.67
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.
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
January 1, 2026
RVU26A
No ratechanged to$4094.67
Held through RVU26B, RVU26C, RVU26D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $4,094.67 | $245.03 | RVU26D |
| 2026-07-01 | $4,094.67 | $245.03 | RVU26C |
| 2026-04-01 | $4,094.67 | $245.03 | RVU26B |
| 2026-01-01 | $4,094.67 | $245.03 | RVU26A |
| 2025-10-01 | Not in this release | Not in this release | RVU25D |
| 2025-07-01 | Not in this release | Not in this release | RVU25C |
| 2025-04-01 | Not in this release | Not in this release | RVU25B |
| 2025-01-01 | Not in this release | Not in this release | RVU25A |
| 2024-10-01 | Not in this release | Not in this release | RVU24D |
| 2024-07-01 | Not in this release | Not in this release | RVU24C |
| 2024-04-01 | Not in this release | Not in this release | RVU24B |
| 2024-03-09 | Not in this release | Not in this release | RVU24AR |
| 2024-01-01 | Not in this release | Not in this release | RVU24A |
| 2023-10-01 | Not in this release | Not in this release | RVU23D |
| 2023-07-01 | Not in this release | Not in this release | RVU23C |
| 2023-04-01 | Not in this release | Not in this release | RVU23B |
| 2023-01-01 | Not in this release | Not in this release | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
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
37270 billing questions
How does 37270 differ from 37269?
37269 reports the first complex stented vessel in the femoral-popliteal territory. Use 37270 for each additional vessel meeting the complex criteria.
Do units represent stents or vessels?
Units represent additional treated vessels, not the number of stents deployed. Document each vessel and the intervention performed there.
Can 37270 be reported by itself?
No. It is an add-on code and must be reported with an applicable primary procedure, such as 37269 for the first complex stented vessel.
Can angioplasty or atherectomy also be reported for the same vessel?
Angioplasty performed as part of the stent treatment is not separately represented by this code. If atherectomy is performed in that vessel, use the applicable stent-and-atherectomy combination code.
How is bilateral reporting handled?
CMS pays this code at 150% when a bilateral procedure is reported with modifier 50. The documentation should support treatment on both sides.
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
Fee sheets · Coming soon
Put 37270 and the rest of your codes on one sheet
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