CPT code 37274: Atherectomy, complex, additional vessel2026 Medicare rate & RVUs in North Dakota
Reports complex endovascular atherectomy in each additional femoral or popliteal artery vessel treated after the primary revascularization procedure.
In North Dakota, Medicare pays $2,462.29 for 37274 in the office and $225.44 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 37274 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 37274 covers
This add-on code covers catheter-based atherectomy to remove obstructive plaque in an additional femoral or popliteal artery vessel during endovascular revascularization. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform the procedure in a hospital catheterization lab or an outpatient angiography suite. Angioplasty in the treated vessel is included when performed; this code describes atherectomy without the stent-and-atherectomy combination represented by other codes in the family.
Report it for each qualifying additional vessel after the primary procedure, selecting the complex-lesion pathway based on the documented lesion and the applicable CPT criteria. The procedure note should identify the treated vessels, describe the lesion characteristics supporting complex classification, and document atherectomy in each additional vessel. CMS classifies this as an add-on code: it must be billed with a primary procedure and is paid within that procedure’s global period. For bilateral procedures reported with modifier 50, CMS pays at 150%.
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 North Dakota compares for 37274
Across 109 of 109 payment localities, the office rate for 37274 runs from $2,147.84 in Arkansas to $3,487.61 in San Benito County, CA. North Dakota pays $2,462.29. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$2,462.29
- Los Angeles, CA · California$2,894.35+$432.06
- Washington, DC area · District of Columbia$2,903.88+$441.59
- Miami, FL · Florida$2,642.25+$179.96
- Chicago, IL · Illinois$2,552.50+$90.21
- Manhattan, NY · New York$2,888.96+$426.67
- Alaska · Alaska$2,707.13+$244.84
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $2,186.13 | $228.88 |
| ArkansasArkansas | $2,147.84 | $226.38 |
| ArizonaArizona | $2,410.66 | $243.15 |
| Bakersfield, CACalifornia | $2,691.27 | $239.67 |
| Chico, CACalifornia | $2,687.90 | $236.30 |
| El Centro, CACalifornia | $2,688.11 | $236.51 |
| Fresno, CACalifornia | $2,687.90 | $236.30 |
| Hanford, CACalifornia | $2,687.90 | $236.30 |
| Madera, CACalifornia | $2,687.90 | $236.30 |
| Merced, CACalifornia | $2,687.90 | $236.30 |
| Modesto, CACalifornia | $2,687.90 | $236.30 |
| Napa, CACalifornia | $3,197.34 | $249.17 |
| Oxnard, CACalifornia | $2,888.02 | $244.05 |
| Redding, CACalifornia | $2,687.90 | $236.30 |
| Rest of CaliforniaCalifornia | $2,687.90 | $236.30 |
| Riverside, CACalifornia | $2,701.11 | $249.51 |
| Sacramento, CACalifornia | $2,842.94 | $241.47 |
| Salinas, CACalifornia | $2,832.97 | $240.45 |
| San Diego, CACalifornia | $2,916.73 | $241.44 |
| Marin County, CACalifornia | $3,409.31 | $255.34 |
| San Francisco, CACalifornia | $3,407.91 | $253.94 |
| San Benito County, CACalifornia | $3,487.61 | $262.06 |
| Santa Clara County, CACalifornia | $3,481.90 | $256.35 |
| San Luis Obispo, CACalifornia | $2,785.16 | $237.38 |
| Santa Cruz, CACalifornia | $2,957.80 | $240.02 |
| Santa Maria, CACalifornia | $2,848.26 | $240.08 |
| Santa Rosa, CACalifornia | $2,988.86 | $242.00 |
| Stockton, CACalifornia | $2,687.90 | $236.30 |
| Vallejo, CACalifornia | $3,195.33 | $247.15 |
| Visalia, CACalifornia | $2,687.90 | $236.30 |
| Yuba City, CACalifornia | $2,687.90 | $236.30 |
| ColoradoColorado | $2,624.67 | $244.65 |
| ConnecticutConnecticut | $2,673.17 | $264.07 |
| DelawareDelaware | $2,456.32 | $246.31 |
| Fort Lauderdale, FLFlorida | $2,549.30 | $283.36 |
| Rest of FloridaFlorida | $2,407.84 | $269.40 |
| Atlanta, GAGeorgia | $2,531.70 | $259.05 |
| Rest of GeorgiaGeorgia | $2,250.30 | $255.02 |
| Hawaii, Guam, HIHawaii | $2,779.28 | $235.97 |
| IowaIowa | $2,269.66 | $222.94 |
| IdahoIdaho | $2,284.09 | $226.18 |
| East St. Louis, ILIllinois | $2,347.40 | $289.49 |
| Rest of IllinoisIllinois | $2,313.04 | $270.79 |
| Suburban Chicago, ILIllinois | $2,580.77 | $283.52 |
| IndianaIndiana | $2,300.46 | $226.89 |
| KansasKansas | $2,249.18 | $227.06 |
| KentuckyKentucky | $2,232.13 | $243.57 |
| New Orleans, LALouisiana | $2,358.83 | $253.95 |
| Rest of LouisianaLouisiana | $2,224.85 | $245.23 |
| Metropolitan Boston, MAMassachusetts | $2,928.52 | $257.71 |
| Rest of MassachusettsMassachusetts | $2,601.18 | $245.77 |
| Baltimore area, MDMaryland | $2,664.49 | $264.34 |
| Rest of MarylandMaryland | $2,512.31 | $248.61 |
| Rest of MaineMaine | $2,290.21 | $232.31 |
| Southern Maine, MEMaine | $2,451.18 | $234.45 |
| Detroit, MIMichigan | $2,435.71 | $277.14 |
| Rest of MichiganMichigan | $2,295.21 | $252.96 |
| MinnesotaMinnesota | $2,523.37 | $221.64 |
| Metropolitan Kansas City, MOMissouri | $2,347.78 | $247.37 |
| Metropolitan St. Louis, MOMissouri | $2,378.21 | $248.72 |
| Rest of MissouriMissouri | $2,173.49 | $245.31 |
| MississippiMississippi | $2,161.57 | $235.63 |
| MontanaMontana | $2,486.61 | $249.76 |
| North CarolinaNorth Carolina | $2,320.32 | $233.33 |
| NebraskaNebraska | $2,286.98 | $222.36 |
| New HampshireNew Hampshire | $2,574.30 | $245.73 |
| Northern New JerseyNew Jersey | $2,862.97 | $268.21 |
| Rest of New JerseyNew Jersey | $2,706.13 | $263.48 |
| New MexicoNew Mexico | $2,307.22 | $256.02 |
| NevadaNevada | $2,482.10 | $243.00 |
| NYC suburbs and Long Island, NYNew York | $2,961.16 | $301.54 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $2,718.47 | $269.11 |
| Queens, NYNew York | $2,928.28 | $284.31 |
| Rest of New YorkNew York | $2,361.40 | $236.38 |
| OhioOhio | $2,290.24 | $247.99 |
| OklahomaOklahoma | $2,235.51 | $238.00 |
| Portland, OROregon | $2,730.19 | $245.04 |
| Rest of OregonOregon | $2,465.45 | $237.54 |
| Metropolitan Philadelphia, PAPennsylvania | $2,590.67 | $262.10 |
| Rest of PennsylvaniaPennsylvania | $2,298.96 | $245.53 |
| Puerto RicoPuerto Rico | $2,510.96 | $249.50 |
| Rhode IslandRhode Island | $2,560.39 | $249.72 |
| South CarolinaSouth Carolina | $2,308.63 | $241.77 |
| South DakotaSouth Dakota | $2,459.42 | $222.56 |
| TennesseeTennessee | $2,261.84 | $228.54 |
| Austin, TXTexas | $2,613.57 | $246.98 |
| Beaumont, TXTexas | $2,280.21 | $244.67 |
| Brazoria, TXTexas | $2,458.77 | $242.04 |
| Dallas, TXTexas | $2,473.47 | $245.56 |
| Fort Worth, TXTexas | $2,451.38 | $245.84 |
| Galveston, TXTexas | $2,465.27 | $244.07 |
| Houston, TXTexas | $2,487.78 | $266.58 |
| Rest of TexasTexas | $2,367.35 | $244.58 |
| UtahUtah | $2,346.79 | $244.15 |
| VirginiaVirginia | $2,436.17 | $237.33 |
| Virgin Islands, VIUnited States Virgin Islands | $2,510.96 | $249.50 |
| VermontVermont | $2,443.78 | $229.29 |
| Rest of WashingtonWashington | $2,599.15 | $243.74 |
| King County, WAWashington | $3,001.82 | $257.19 |
| WisconsinWisconsin | $2,363.27 | $220.36 |
| West VirginiaWest Virginia | $2,208.09 | $264.26 |
| WyomingWyoming | $2,476.02 | $239.16 |
37274 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.
$2,147.84
$3,087.76
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 | $2,707.13 | 1 |
| AL | $2,186.13 | 1 |
| AR | $2,147.84 | 1 |
| AZ | $2,410.66 | 1 |
| CA | $2,687.90–$3,487.61 | 29 |
| CO | $2,624.67 | 1 |
| CT | $2,673.17 | 1 |
| DC | $2,903.88 | 1 |
| DE | $2,456.32 | 1 |
| FL | $2,407.84–$2,642.25 | 3 |
| GA | $2,250.30–$2,531.70 | 2 |
| GU | $2,779.28 | 1 |
| HI | $2,779.28 | 1 |
| IA | $2,269.66 | 1 |
| ID | $2,284.09 | 1 |
| IL | $2,313.04–$2,580.77 | 4 |
| IN | $2,300.46 | 1 |
| KS | $2,249.18 | 1 |
| KY | $2,232.13 | 1 |
| LA | $2,224.85–$2,358.83 | 2 |
| MA | $2,601.18–$2,928.52 | 2 |
| MD | $2,512.31–$2,903.88 | 3 |
| ME | $2,290.21–$2,451.18 | 2 |
| MI | $2,295.21–$2,435.71 | 2 |
| MN | $2,523.37 | 1 |
| MO | $2,173.49–$2,378.21 | 3 |
| MS | $2,161.57 | 1 |
| MT | $2,486.61 | 1 |
| NC | $2,320.32 | 1 |
| ND | $2,462.29 | 1 |
| NE | $2,286.98 | 1 |
| NH | $2,574.30 | 1 |
| NJ | $2,706.13–$2,862.97 | 2 |
| NM | $2,307.22 | 1 |
| NV | $2,482.10 | 1 |
| NY | $2,361.40–$2,961.16 | 5 |
| OH | $2,290.24 | 1 |
| OK | $2,235.51 | 1 |
| OR | $2,465.45–$2,730.19 | 2 |
| PA | $2,298.96–$2,590.67 | 2 |
| PR | $2,510.96 | 1 |
| RI | $2,560.39 | 1 |
| SC | $2,308.63 | 1 |
| SD | $2,459.42 | 1 |
| TN | $2,261.84 | 1 |
| TX | $2,280.21–$2,613.57 | 8 |
| UT | $2,346.79 | 1 |
| VA | $2,436.17–$2,903.88 | 2 |
| VI | $2,510.96 | 1 |
| VT | $2,443.78 | 1 |
| WA | $2,599.15–$3,001.82 | 2 |
| WI | $2,363.27 | 1 |
| WV | $2,208.09 | 1 |
| WY | $2,476.02 | 1 |
How the 37274 rate is calculated
Each of 37274’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 · 37274
RVUs × geographic indexes × conversion factor
Work5.50
5.50 RVUs× 1.000 GPCI
Practice expense67.72
67.72 RVUs× 1.000 GPCI
Malpractice1.23
1.23 RVUs× 1.000 GPCI
Adjusted RVUs
74.4500
Conversion factor
$33.4009
Medicare rate
$2,486.70
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,634
- Code
- 37274
- Physician work
- 5.50
- Practice expense
- 67.72
- Malpractice
- 1.23
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.50 | × 1.000 | 5.5000 |
| Practice expense | 67.72 | × 1.000 | 67.7200 |
| Malpractice | 1.23 | × 0.406 | 0.4994 |
| Total RVUs | 73.7194 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$2462.29
Office: (5.5 × 1 + 67.72 × 1 + 1.23 × 0.406) × $33.4009 = $2462.29
Facility: (5.5 × 1 + 0.75 × 1 + 1.23 × 0.406) × $33.4009 = $225.44
Payment rules and modifiers for 37274
The CMS indicators that decide how 37274 is paid alongside other services.
CMS payment indicators · 37274
Atherectomy, complex, 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
37274 without 50 · national office
$2,486.70
Atherectomy, complex, additional vessel
37274-50 · Bilateral: 150%
$3,730.05
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 37274 has changed in North Dakota
37274 · Office / nonfacility
$2462.29
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$2462.29
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 | $2,462.29 | $225.44 | RVU26D |
| 2026-07-01 | $2,462.29 | $225.44 | RVU26C |
| 2026-04-01 | $2,462.29 | $225.44 | RVU26B |
| 2026-01-01 | $2,462.29 | $225.44 | 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 North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
37274 billing questions
When should this code be used instead of 37273?
Use 37273 for the first vessel treated under the complex atherectomy pathway. Use 37274 for each qualifying additional vessel.
Can this code be billed by itself?
No. It is an add-on code and must be reported with a primary procedure for the initial treated vessel.
Is angioplasty separately reported in the same vessel?
Angioplasty performed in the vessel treated with atherectomy is included in this service. The procedure record should distinguish treatment in each vessel.
What documentation supports the complex pathway?
Document the target vessels, the lesion characteristics supporting the complex classification, and the atherectomy performed in each additional vessel.
How is bilateral treatment handled?
For a bilateral procedure reported with modifier 50, CMS applies its 150% payment rule. The code remains an add-on to the primary procedure.
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 37274 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist