CPT code 37271: Atherectomy, straightforward, initial vessel2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $10,673.85 for 37271 in the office and $410.98 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 37271 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 37271 covers

This code covers catheter-based atherectomy to treat atherosclerotic disease in a femoral or popliteal artery. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform it for lower-extremity peripheral artery disease. It applies to a straightforward lesion in the initial vessel treated on that side. Angioplasty performed in the same vessel is included when done with the atherectomy.

Select this code based on the treated artery, lesion classification, treatment method, and whether it is the first vessel. The procedure report should identify the vessel and document the atherectomy and lesion characteristics supporting the straightforward classification. A 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 Puerto Rico compares for 37271

Across 109 of 109 payment localities, the office rate for 37271 runs from $9,092.77 in Arkansas to $15,071.09 in San Benito County, CA. Puerto Rico pays $10,673.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

37271 rates by state

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

See 37271 in every payment locality

How the 37271 rate is calculated

Each of 37271’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 37271

The CMS indicators that decide how 37271 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 37271

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

How 37271 has changed in Puerto Rico

Price 37271 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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