CPT code 37270: Arterial stenting, complex, each additional vessel2026 Medicare rate & RVUs in Tennessee

Reports complex endovascular stent treatment of each additional vessel in the femoral-popliteal territory during lower-extremity arterial revascularization.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Tennessee, Medicare pays $3,177.91 for 37270 in the office and $207.35 when it’s performed in a hospital or facility.

$3,177.91Office (non-facility)
$207.35Hospital or facility
−9.1%vs the national office rate ($3,495.74)

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.

We’ll open 37270 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Tennessee
  2. What 37270 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 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 Tennessee 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. Tennessee pays $3,177.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

37270 in Tennessee vs other payment areas
  1. Tennessee · this page$3,177.91
  2. Los Angeles, CA · California$4,090.94+$913.03
  3. Washington, DC area · District of Columbia$4,094.67+$916.76
  4. Miami, FL · Florida$3,691.86+$513.95
  5. Chicago, IL · Illinois$3,565.26+$387.35
  6. Manhattan, NY · New York$4,062.68+$884.77
  7. Alaska · Alaska$3,775.01+$597.10

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

Every other payment area

37270 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$3,067.26$207.81
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

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
37270 office rate range by state
State / territoryOffice rate rangeLocalities
AK$3,775.011
AL$3,067.261
AR$3,012.601
AZ$3,388.021
CA$3,795.69–$4,949.1029
CO$3,699.441
CT$3,760.721
DC$4,094.671
DE$3,453.061
FL$3,371.20–$3,691.863
GA$3,148.26–$3,556.912
GU$3,929.411
HI$3,929.411
IA$3,192.031
ID$3,211.521
IL$3,232.19–$3,616.644
IN$3,235.061
KS$3,160.151
KY$3,127.291
LA$3,115.86–$3,307.162
MA$3,664.57–$4,136.182
MD$3,533.59–$4,094.673
ME$3,217.50–$3,451.352
MI$3,214.80–$3,408.132
MN$3,562.891
MO$3,040.86–$3,337.963
MS$3,028.151
MT$3,495.661
NC$3,260.931
ND$3,471.931
NE$3,217.581
NH$3,625.561
NJ$3,808.86–$4,035.172
NM$3,230.841
NV$3,492.331
NY$3,319.40–$4,162.335
OH$3,209.951
OK$3,134.911
OR$3,470.68–$3,853.192
PA$3,223.86–$3,641.312
PR$3,531.311
RI$3,603.111
SC$3,239.791
SD$3,469.121
TN$3,177.911
TX$3,196.91–$3,682.248
UT$3,294.331
VA$3,428.05–$4,094.672
VI$3,531.311
VT$3,443.051
WA$3,662.63–$4,243.282
WI$3,329.881
WV$3,082.201
WY$3,485.321

See 37270 in every payment locality

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

Office or facility?

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 Tennessee 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

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Office calculation for 37270 in Tennessee
ComponentRVULocality factorAdjusted
Physician work5.00× 1.0005.0000
Practice expense98.46× 0.90989.5001
Malpractice1.20× 0.5370.6444
Total RVUs95.1445
Conversion factor× 33.4009

Office rate, Tennessee$3177.91

Office: (5 × 1 + 98.46 × 0.909 + 1.2 × 0.537) × $33.4009 = $3177.91

Facility: (5 × 1 + 0.62 × 0.909 + 1.2 × 0.537) × $33.4009 = $207.35

Open 37270 in the RVU calculator

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

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

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).

When to use modifier 50

How 37270 has changed in Tennessee

37270 · Office / nonfacility

$3177.91

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$3177.91

    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$3,177.91$207.35RVU26D
2026-07-01$3,177.91$207.35RVU26C
2026-04-01$3,177.91$207.35RVU26B
2026-01-01$3,177.91$207.35RVU26A
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 37270 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

  • Adams
  • Adamsville
  • Alamo
  • Alcoa
  • Alexandria
  • Algood
  • Allardt
  • Altamont

Browse all communities in Tennessee

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
RVUs for 37270PPRRVU2026_Oct_nonQPP.csv, line 4,630 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)

Open CMS sourceHow we calculate rates

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