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.

CMS RVU26DEffective Oct 1, 2026One payment locality

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.

$2,462.29Office (non-facility)
$225.44Hospital or facility
−1.0%vs the national office rate ($2,486.70)

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.

We’ll open 37274 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 37274 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 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.

37274 in North Dakota vs other payment areas
  1. North Dakota · this page$2,462.29
  2. Los Angeles, CA · California$2,894.35+$432.06
  3. Washington, DC area · District of Columbia$2,903.88+$441.59
  4. Miami, FL · Florida$2,642.25+$179.96
  5. Chicago, IL · Illinois$2,552.50+$90.21
  6. Manhattan, NY · New York$2,888.96+$426.67
  7. Alaska · Alaska$2,707.13+$244.84

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

Every other payment area

37274 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
37274 office rate range by state
State / territoryOffice rate rangeLocalities
AK$2,707.131
AL$2,186.131
AR$2,147.841
AZ$2,410.661
CA$2,687.90–$3,487.6129
CO$2,624.671
CT$2,673.171
DC$2,903.881
DE$2,456.321
FL$2,407.84–$2,642.253
GA$2,250.30–$2,531.702
GU$2,779.281
HI$2,779.281
IA$2,269.661
ID$2,284.091
IL$2,313.04–$2,580.774
IN$2,300.461
KS$2,249.181
KY$2,232.131
LA$2,224.85–$2,358.832
MA$2,601.18–$2,928.522
MD$2,512.31–$2,903.883
ME$2,290.21–$2,451.182
MI$2,295.21–$2,435.712
MN$2,523.371
MO$2,173.49–$2,378.213
MS$2,161.571
MT$2,486.611
NC$2,320.321
ND$2,462.291
NE$2,286.981
NH$2,574.301
NJ$2,706.13–$2,862.972
NM$2,307.221
NV$2,482.101
NY$2,361.40–$2,961.165
OH$2,290.241
OK$2,235.511
OR$2,465.45–$2,730.192
PA$2,298.96–$2,590.672
PR$2,510.961
RI$2,560.391
SC$2,308.631
SD$2,459.421
TN$2,261.841
TX$2,280.21–$2,613.578
UT$2,346.791
VA$2,436.17–$2,903.882
VI$2,510.961
VT$2,443.781
WA$2,599.15–$3,001.822
WI$2,363.271
WV$2,208.091
WY$2,476.021

See 37274 in every payment locality

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

Office or facility?

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
Office calculation for 37274 in North Dakota
ComponentRVULocality factorAdjusted
Physician work5.50× 1.0005.5000
Practice expense67.72× 1.00067.7200
Malpractice1.23× 0.4060.4994
Total RVUs73.7194
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

Open 37274 in the RVU calculator

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

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

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).

When to use modifier 50

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.

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$2462.29

    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$2,462.29$225.44RVU26D
2026-07-01$2,462.29$225.44RVU26C
2026-04-01$2,462.29$225.44RVU26B
2026-01-01$2,462.29$225.44RVU26A
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 37274 for an earlier date of service

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

Browse all communities in North Dakota

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
RVUs for 37274PPRRVU2026_Oct_nonQPP.csv, line 4,634 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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