CPT code 37271: Atherectomy, straightforward, initial vessel2026 Medicare rate & RVUs in South Carolina
Reports endovascular atherectomy for a straightforward femoral or popliteal artery lesion, for the first treated vessel on one side.
In South Carolina, Medicare pays $9,777.84 for 37271 in the office and $398.13 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.
On this page 11 sections
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 South Carolina 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. South Carolina pays $9,777.84. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Carolina · this page$9,777.84
- Los Angeles, CA · California$12,418.32+$2,640.48
- Washington, DC area · District of Columbia$12,401.24+$2,623.40
- Miami, FL · Florida$11,082.85+$1,305.01
- Chicago, IL · Illinois$10,702.29+$924.45
- Manhattan, NY · New York$12,272.72+$2,494.88
- Alaska · Alaska$11,345.70+$1,567.86
Other areas in South Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $9,259.30 | $377.00 |
| ArkansasArkansas | $9,092.77 | $372.88 |
| ArizonaArizona | $10,237.03 | $400.51 |
| Bakersfield, CACalifornia | $11,521.04 | $395.32 |
| Chico, CACalifornia | $11,515.56 | $389.85 |
| El Centro, CACalifornia | $11,515.90 | $390.18 |
| Fresno, CACalifornia | $11,515.56 | $389.85 |
| Hanford, CACalifornia | $11,515.56 | $389.85 |
| Madera, CACalifornia | $11,515.56 | $389.85 |
| Merced, CACalifornia | $11,515.56 | $389.85 |
| Modesto, CACalifornia | $11,515.56 | $389.85 |
| Napa, CACalifornia | $13,790.87 | $411.59 |
| Oxnard, CACalifornia | $12,401.48 | $402.76 |
| Redding, CACalifornia | $11,515.56 | $389.85 |
| Rest of CaliforniaCalifornia | $11,515.56 | $389.85 |
| Riverside, CACalifornia | $11,537.04 | $411.32 |
| Sacramento, CACalifornia | $12,204.36 | $398.51 |
| Salinas, CACalifornia | $12,162.07 | $396.83 |
| San Diego, CACalifornia | $12,539.40 | $398.56 |
| Marin County, CACalifornia | $14,735.19 | $421.99 |
| San Francisco, CACalifornia | $14,732.92 | $419.72 |
| San Benito County, CACalifornia | $15,071.09 | $433.06 |
| Santa Clara County, CACalifornia | $15,061.80 | $423.77 |
| San Luis Obispo, CACalifornia | $11,953.96 | $391.74 |
| Santa Cruz, CACalifornia | $12,730.00 | $396.29 |
| Santa Maria, CACalifornia | $12,232.54 | $396.24 |
| Santa Rosa, CACalifornia | $12,865.25 | $399.57 |
| Stockton, CACalifornia | $11,515.56 | $389.85 |
| Vallejo, CACalifornia | $13,787.60 | $408.32 |
| Visalia, CACalifornia | $11,515.56 | $389.85 |
| Yuba City, CACalifornia | $11,515.56 | $389.85 |
| ColoradoColorado | $11,204.18 | $403.30 |
| ConnecticutConnecticut | $11,367.78 | $434.93 |
| DelawareDelaware | $10,435.11 | $405.73 |
| Fort Lauderdale, FLFlorida | $10,749.22 | $466.05 |
| Rest of FloridaFlorida | $10,147.71 | $443.16 |
| Atlanta, GAGeorgia | $10,740.15 | $426.53 |
| Rest of GeorgiaGeorgia | $9,474.44 | $419.56 |
| Hawaii, Guam, HIHawaii | $11,931.33 | $389.42 |
| IowaIowa | $9,655.82 | $367.47 |
| IdahoIdaho | $9,711.87 | $372.77 |
| East St. Louis, ILIllinois | $9,814.81 | $475.71 |
| Rest of IllinoisIllinois | $9,713.32 | $445.27 |
| Suburban Chicago, ILIllinois | $10,891.65 | $466.36 |
| IndianaIndiana | $9,784.11 | $373.94 |
| KansasKansas | $9,550.82 | $374.13 |
| KentuckyKentucky | $9,425.35 | $400.93 |
| New Orleans, LALouisiana | $9,970.26 | $417.98 |
| Rest of LouisianaLouisiana | $9,387.44 | $403.62 |
| Metropolitan Boston, MAMassachusetts | $12,545.56 | $425.03 |
| Rest of MassachusettsMassachusetts | $11,094.30 | $405.08 |
| Baltimore area, MDMaryland | $11,327.60 | $435.36 |
| Rest of MarylandMaryland | $10,682.57 | $409.56 |
| Rest of MaineMaine | $9,721.83 | $382.72 |
| Southern Maine, MEMaine | $10,446.29 | $386.45 |
| Detroit, MIMichigan | $10,251.69 | $455.78 |
| Rest of MichiganMichigan | $9,684.33 | $416.28 |
| MinnesotaMinnesota | $10,811.34 | $365.75 |
| Metropolitan Kansas City, MOMissouri | $9,939.25 | $407.27 |
| Metropolitan St. Louis, MOMissouri | $10,073.46 | $409.52 |
| Rest of MissouriMissouri | $9,154.01 | $403.68 |
| MississippiMississippi | $9,128.12 | $387.94 |
| MontanaMontana | $10,562.57 | $411.37 |
| North CarolinaNorth Carolina | $9,855.50 | $384.43 |
| North DakotaNorth Dakota | $10,523.02 | $371.82 |
| NebraskaNebraska | $9,736.11 | $366.55 |
| New HampshireNew Hampshire | $10,972.36 | $404.96 |
| Northern New JerseyNew Jersey | $12,217.43 | $442.03 |
| Rest of New JerseyNew Jersey | $11,519.17 | $434.06 |
| New MexicoNew Mexico | $9,729.92 | $421.27 |
| NevadaNevada | $10,561.74 | $400.39 |
| NYC suburbs and Long Island, NYNew York | $12,566.10 | $496.32 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $11,558.81 | $443.24 |
| Queens, NYNew York | $12,467.01 | $468.29 |
| Rest of New YorkNew York | $10,033.10 | $389.45 |
| OhioOhio | $9,676.24 | $408.20 |
| OklahomaOklahoma | $9,456.91 | $391.88 |
| Portland, OROregon | $11,682.09 | $404.10 |
| Rest of OregonOregon | $10,502.08 | $391.48 |
| Metropolitan Philadelphia, PAPennsylvania | $10,999.01 | $431.61 |
| Rest of PennsylvaniaPennsylvania | $9,723.01 | $404.21 |
| Puerto RicoPuerto Rico | $10,673.85 | $410.98 |
| Rhode IslandRhode Island | $10,897.64 | $411.45 |
| South DakotaSouth Dakota | $10,518.34 | $367.14 |
| TennesseeTennessee | $9,604.00 | $376.56 |
| Austin, TXTexas | $11,147.01 | $407.04 |
| Beaumont, TXTexas | $9,640.38 | $402.79 |
| Brazoria, TXTexas | $10,458.65 | $398.81 |
| Dallas, TXTexas | $10,515.14 | $404.54 |
| Fort Worth, TXTexas | $10,414.05 | $404.97 |
| Galveston, TXTexas | $10,482.25 | $402.11 |
| Houston, TXTexas | $10,518.86 | $438.71 |
| Rest of TexasTexas | $10,036.26 | $402.77 |
| UtahUtah | $9,944.17 | $402.04 |
| VirginiaVirginia | $10,369.74 | $391.11 |
| Virgin Islands, VIUnited States Virgin Islands | $10,673.85 | $410.98 |
| VermontVermont | $10,427.75 | $378.06 |
| Rest of WashingtonWashington | $11,090.99 | $401.78 |
| King County, WAWashington | $12,879.84 | $424.31 |
| WisconsinWisconsin | $10,088.27 | $363.42 |
| West VirginiaWest Virginia | $9,255.91 | $434.51 |
| WyomingWyoming | $10,545.33 | $394.13 |
37271 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.
$9,092.77
$13,293.33
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 | $11,345.70 | 1 |
| AL | $9,259.30 | 1 |
| AR | $9,092.77 | 1 |
| AZ | $10,237.03 | 1 |
| CA | $11,515.56–$15,071.09 | 29 |
| CO | $11,204.18 | 1 |
| CT | $11,367.78 | 1 |
| DC | $12,401.24 | 1 |
| DE | $10,435.11 | 1 |
| FL | $10,147.71–$11,082.85 | 3 |
| GA | $9,474.44–$10,740.15 | 2 |
| GU | $11,931.33 | 1 |
| HI | $11,931.33 | 1 |
| IA | $9,655.82 | 1 |
| ID | $9,711.87 | 1 |
| IL | $9,713.32–$10,891.65 | 4 |
| IN | $9,784.11 | 1 |
| KS | $9,550.82 | 1 |
| KY | $9,425.35 | 1 |
| LA | $9,387.44–$9,970.26 | 2 |
| MA | $11,094.30–$12,545.56 | 2 |
| MD | $10,682.57–$12,401.24 | 3 |
| ME | $9,721.83–$10,446.29 | 2 |
| MI | $9,684.33–$10,251.69 | 2 |
| MN | $10,811.34 | 1 |
| MO | $9,154.01–$10,073.46 | 3 |
| MS | $9,128.12 | 1 |
| MT | $10,562.57 | 1 |
| NC | $9,855.50 | 1 |
| ND | $10,523.02 | 1 |
| NE | $9,736.11 | 1 |
| NH | $10,972.36 | 1 |
| NJ | $11,519.17–$12,217.43 | 2 |
| NM | $9,729.92 | 1 |
| NV | $10,561.74 | 1 |
| NY | $10,033.10–$12,566.10 | 5 |
| OH | $9,676.24 | 1 |
| OK | $9,456.91 | 1 |
| OR | $10,502.08–$11,682.09 | 2 |
| PA | $9,723.01–$10,999.01 | 2 |
| PR | $10,673.85 | 1 |
| RI | $10,897.64 | 1 |
| SC | $9,777.84 | 1 |
| SD | $10,518.34 | 1 |
| TN | $9,604.00 | 1 |
| TX | $9,640.38–$11,147.01 | 8 |
| UT | $9,944.17 | 1 |
| VA | $10,369.74–$12,401.24 | 2 |
| VI | $10,673.85 | 1 |
| VT | $10,427.75 | 1 |
| WA | $11,090.99–$12,879.84 | 2 |
| WI | $10,088.27 | 1 |
| WV | $9,255.91 | 1 |
| WY | $10,545.33 | 1 |
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.
How the rate is built · 37271
RVUs × geographic indexes × conversion factor
Work9.00
9.00 RVUs× 1.000 GPCI
Practice expense305.24
305.24 RVUs× 1.000 GPCI
Malpractice2.00
2.00 RVUs× 1.000 GPCI
Adjusted RVUs
316.2400
Conversion factor
$33.4009
Medicare rate
$10,562.70
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,631
- Code
- 37271
- Physician work
- 9.00
- Practice expense
- 305.24
- Malpractice
- 2.00
GPCI2026.csv
93
- Locality
- South Carolina
- Physician work
- 1.000
- Practice expense
- 0.924
- Malpractice
- 0.850
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.00 | × 1.000 | 9.0000 |
| Practice expense | 305.24 | × 0.924 | 282.0418 |
| Malpractice | 2.00 | × 0.850 | 1.7000 |
| Total RVUs | 292.7418 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Carolina$9777.84
Office: (9 × 1 + 305.24 × 0.924 + 2 × 0.85) × $33.4009 = $9777.84
Facility: (9 × 1 + 1.32 × 0.924 + 2 × 0.85) × $33.4009 = $398.13
Payment rules and modifiers for 37271
The CMS indicators that decide how 37271 is paid alongside other services.
CMS payment indicators · 37271
Atherectomy, straightforward, initial vessel
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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
37271 without 50 · national office
$10,562.70
Atherectomy, straightforward, initial vessel
37271-50 · Bilateral: 150%
$15,844.05
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 37271 has changed in South Carolina
37271 · Office / nonfacility
$9777.84
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$9777.84
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 | $9,777.84 | $398.13 | RVU26D |
| 2026-07-01 | $9,777.84 | $398.13 | RVU26C |
| 2026-04-01 | $9,777.84 | $398.13 | RVU26B |
| 2026-01-01 | $9,777.84 | $398.13 | 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 South Carolina rate applies
South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Abney Crossroads
- Adams Run
- Aiken
- Alcolu
- Allendale
- Anderson
- Andrews
37271 billing questions
When is 37271 used instead of 37272?
Use 37271 for atherectomy of the initial vessel in the femoral-popliteal territory on that side. Code 37272 represents atherectomy of an additional vessel.
Can angioplasty in the treated vessel be reported separately?
Angioplasty performed in the same vessel as the atherectomy is included in this service. Do not separately report the angioplasty code for that same-vessel treatment.
What if a stent is also placed?
When atherectomy and stenting are performed in the vessel, compare the combined stent-and-atherectomy code, 37275, rather than treating this as atherectomy alone.
How should bilateral treatment be reported?
For bilateral procedures, modifier 50 applies; CMS pays the procedure at 150%.
What documentation supports the straightforward lesion classification?
Document the femoral or popliteal vessel treated, the lesion characteristics supporting the straightforward classification, and the atherectomy performed. Identify whether it was the initial vessel on that side.
Can an assistant surgeon be paid for this procedure?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
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
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