CPT code 37277: Peripheral revascularization, complex, initial vessel2026 Medicare rate & RVUs in Montana
Reports complex endovascular treatment of an initial femoral or popliteal artery vessel using both atherectomy and stent placement.
In Montana, Medicare pays $15,420.63 for 37277 in the office and $681.48 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 37277 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 37277 covers
This code represents catheter-based revascularization of a femoral or popliteal artery in which the operator performs atherectomy and places a stent in the treated vessel. Balloon angioplasty in that same vessel, when performed, is part of the revascularization service. Vascular surgeons, interventional radiologists, and interventional cardiologists commonly perform these procedures for peripheral arterial disease, including symptomatic limb ischemia, in a hospital or outpatient procedural setting.
Use the complex initial-vessel code when the documentation supports the complex category in the femoropopliteal revascularization family and identifies the treated vessel and both atherectomy and stent placement. The family separates initial-vessel services from services for additional vessels and distinguishes complex from simple procedures. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with 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 Montana compares for 37277
Across 109 of 109 payment localities, the office rate for 37277 runs from $13,277.98 in Arkansas to $21,967.36 in San Benito County, CA. Montana pays $15,420.63. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$15,420.63
- Los Angeles, CA · California$18,112.62+$2,691.99
- Washington, DC area · District of Columbia$18,096.25+$2,675.62
- Miami, FL · Florida$16,202.05+$781.42
- Chicago, IL · Illinois$15,645.90+$225.27
- Manhattan, NY · New York$17,918.23+$2,497.60
- Alaska · Alaska$16,582.62+$1,161.99
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $13,520.69 | $623.93 |
| ArkansasArkansas | $13,277.98 | $617.05 |
| ArizonaArizona | $14,945.48 | $663.24 |
| Bakersfield, CACalifornia | $16,807.22 | $653.11 |
| Chico, CACalifornia | $16,797.90 | $643.79 |
| El Centro, CACalifornia | $16,798.47 | $644.36 |
| Fresno, CACalifornia | $16,797.90 | $643.79 |
| Hanford, CACalifornia | $16,797.90 | $643.79 |
| Madera, CACalifornia | $16,797.90 | $643.79 |
| Merced, CACalifornia | $16,797.90 | $643.79 |
| Modesto, CACalifornia | $16,797.90 | $643.79 |
| Napa, CACalifornia | $20,104.68 | $678.48 |
| Oxnard, CACalifornia | $18,086.63 | $664.96 |
| Redding, CACalifornia | $16,797.90 | $643.79 |
| Rest of CaliforniaCalifornia | $16,797.90 | $643.79 |
| Riverside, CACalifornia | $16,834.51 | $680.40 |
| Sacramento, CACalifornia | $17,799.42 | $657.79 |
| Salinas, CACalifornia | $17,737.69 | $655.02 |
| San Diego, CACalifornia | $18,285.69 | $657.67 |
| Marin County, CACalifornia | $21,477.28 | $695.08 |
| San Francisco, CACalifornia | $21,473.41 | $691.21 |
| San Benito County, CACalifornia | $21,967.36 | $713.50 |
| Santa Clara County, CACalifornia | $21,951.52 | $697.67 |
| San Luis Obispo, CACalifornia | $17,434.56 | $646.67 |
| Santa Cruz, CACalifornia | $18,561.81 | $653.75 |
| Santa Maria, CACalifornia | $17,839.83 | $653.98 |
| Santa Rosa, CACalifornia | $18,758.80 | $659.13 |
| Stockton, CACalifornia | $16,797.90 | $643.79 |
| Vallejo, CACalifornia | $20,099.10 | $672.90 |
| Visalia, CACalifornia | $16,797.90 | $643.79 |
| Yuba City, CACalifornia | $16,797.90 | $643.79 |
| ColoradoColorado | $16,349.51 | $667.06 |
| ConnecticutConnecticut | $16,594.86 | $720.79 |
| DelawareDelaware | $15,234.19 | $671.91 |
| Fort Lauderdale, FLFlorida | $15,705.37 | $774.61 |
| Rest of FloridaFlorida | $14,826.69 | $736.06 |
| Atlanta, GAGeorgia | $15,682.15 | $707.18 |
| Rest of GeorgiaGeorgia | $13,843.69 | $696.37 |
| Hawaii, Guam, HIHawaii | $17,401.33 | $642.91 |
| IowaIowa | $14,093.68 | $607.35 |
| IdahoIdaho | $14,176.36 | $616.34 |
| East St. Louis, ILIllinois | $14,351.88 | $791.86 |
| Rest of IllinoisIllinois | $14,196.87 | $740.02 |
| Suburban Chicago, ILIllinois | $15,912.06 | $774.95 |
| IndianaIndiana | $14,281.48 | $618.29 |
| KansasKansas | $13,943.00 | $618.81 |
| KentuckyKentucky | $13,767.72 | $664.62 |
| New Orleans, LALouisiana | $14,562.80 | $693.26 |
| Rest of LouisianaLouisiana | $13,713.39 | $669.25 |
| Metropolitan Boston, MAMassachusetts | $18,301.23 | $702.68 |
| Rest of MassachusettsMassachusetts | $16,190.47 | $670.15 |
| Baltimore area, MDMaryland | $16,536.71 | $721.60 |
| Rest of MarylandMaryland | $15,594.20 | $678.18 |
| Rest of MaineMaine | $14,193.33 | $633.32 |
| Southern Maine, MEMaine | $15,245.58 | $639.08 |
| Detroit, MIMichigan | $14,980.79 | $757.51 |
| Rest of MichiganMichigan | $14,147.44 | $690.59 |
| MinnesotaMinnesota | $15,770.05 | $603.47 |
| Metropolitan Kansas City, MOMissouri | $14,515.08 | $675.02 |
| Metropolitan St. Louis, MOMissouri | $14,710.40 | $678.73 |
| Rest of MissouriMissouri | $13,374.68 | $669.53 |
| MississippiMississippi | $13,333.11 | $642.70 |
| North CarolinaNorth Carolina | $14,387.75 | $636.12 |
| North DakotaNorth Dakota | $15,353.21 | $614.06 |
| NebraskaNebraska | $14,209.96 | $605.72 |
| New HampshireNew Hampshire | $16,013.67 | $670.21 |
| Northern New JerseyNew Jersey | $17,829.12 | $731.71 |
| Rest of New JerseyNew Jersey | $16,814.10 | $718.95 |
| New MexicoNew Mexico | $14,214.86 | $699.06 |
| NevadaNevada | $15,416.65 | $662.76 |
| NYC suburbs and Long Island, NYNew York | $18,348.86 | $824.01 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $16,873.89 | $734.52 |
| Queens, NYNew York | $18,197.95 | $776.28 |
| Rest of New YorkNew York | $14,646.74 | $644.54 |
| OhioOhio | $14,133.65 | $676.81 |
| OklahomaOklahoma | $13,811.23 | $649.17 |
| Portland, OROregon | $17,043.18 | $667.99 |
| Rest of OregonOregon | $15,327.81 | $647.62 |
| Metropolitan Philadelphia, PAPennsylvania | $16,058.91 | $715.45 |
| Rest of PennsylvaniaPennsylvania | $14,200.51 | $669.97 |
| Puerto RicoPuerto Rico | $15,582.02 | $680.74 |
| Rhode IslandRhode Island | $15,906.68 | $681.14 |
| South CarolinaSouth Carolina | $14,278.52 | $659.55 |
| South DakotaSouth Dakota | $15,345.23 | $606.08 |
| TennesseeTennessee | $14,020.79 | $622.90 |
| Austin, TXTexas | $16,267.62 | $673.60 |
| Beaumont, TXTexas | $14,080.24 | $667.61 |
| Brazoria, TXTexas | $15,266.56 | $660.06 |
| Dallas, TXTexas | $15,349.97 | $669.78 |
| Fort Worth, TXTexas | $15,203.39 | $670.59 |
| Galveston, TXTexas | $15,301.64 | $665.66 |
| Houston, TXTexas | $15,364.05 | $728.08 |
| Rest of TexasTexas | $14,654.71 | $667.26 |
| UtahUtah | $14,520.89 | $666.09 |
| VirginiaVirginia | $15,135.67 | $647.09 |
| Virgin Islands, VIUnited States Virgin Islands | $15,582.02 | $680.74 |
| VermontVermont | $15,216.54 | $624.78 |
| Rest of WashingtonWashington | $16,184.87 | $664.54 |
| King County, WAWashington | $18,786.02 | $701.08 |
| WisconsinWisconsin | $14,720.19 | $600.09 |
| West VirginiaWest Virginia | $13,530.37 | $722.05 |
| WyomingWyoming | $15,391.25 | $652.10 |
37277 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.
$13,277.98
$19,382.63
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 | $16,582.62 | 1 |
| AL | $13,520.69 | 1 |
| AR | $13,277.98 | 1 |
| AZ | $14,945.48 | 1 |
| CA | $16,797.90–$21,967.36 | 29 |
| CO | $16,349.51 | 1 |
| CT | $16,594.86 | 1 |
| DC | $18,096.25 | 1 |
| DE | $15,234.19 | 1 |
| FL | $14,826.69–$16,202.05 | 3 |
| GA | $13,843.69–$15,682.15 | 2 |
| GU | $17,401.33 | 1 |
| HI | $17,401.33 | 1 |
| IA | $14,093.68 | 1 |
| ID | $14,176.36 | 1 |
| IL | $14,196.87–$15,912.06 | 4 |
| IN | $14,281.48 | 1 |
| KS | $13,943.00 | 1 |
| KY | $13,767.72 | 1 |
| LA | $13,713.39–$14,562.80 | 2 |
| MA | $16,190.47–$18,301.23 | 2 |
| MD | $15,594.20–$18,096.25 | 3 |
| ME | $14,193.33–$15,245.58 | 2 |
| MI | $14,147.44–$14,980.79 | 2 |
| MN | $15,770.05 | 1 |
| MO | $13,374.68–$14,710.40 | 3 |
| MS | $13,333.11 | 1 |
| MT | $15,420.63 | 1 |
| NC | $14,387.75 | 1 |
| ND | $15,353.21 | 1 |
| NE | $14,209.96 | 1 |
| NH | $16,013.67 | 1 |
| NJ | $16,814.10–$17,829.12 | 2 |
| NM | $14,214.86 | 1 |
| NV | $15,416.65 | 1 |
| NY | $14,646.74–$18,348.86 | 5 |
| OH | $14,133.65 | 1 |
| OK | $13,811.23 | 1 |
| OR | $15,327.81–$17,043.18 | 2 |
| PA | $14,200.51–$16,058.91 | 2 |
| PR | $15,582.02 | 1 |
| RI | $15,906.68 | 1 |
| SC | $14,278.52 | 1 |
| SD | $15,345.23 | 1 |
| TN | $14,020.79 | 1 |
| TX | $14,080.24–$16,267.62 | 8 |
| UT | $14,520.89 | 1 |
| VA | $15,135.67–$18,096.25 | 2 |
| VI | $15,582.02 | 1 |
| VT | $15,216.54 | 1 |
| WA | $16,184.87–$18,786.02 | 2 |
| WI | $14,720.19 | 1 |
| WV | $13,530.37 | 1 |
| WY | $15,391.25 | 1 |
How the 37277 rate is calculated
Each of 37277’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 · 37277
RVUs × geographic indexes × conversion factor
Work15.00
15.00 RVUs× 1.000 GPCI
Practice expense443.28
443.28 RVUs× 1.000 GPCI
Malpractice3.41
3.41 RVUs× 1.000 GPCI
Adjusted RVUs
461.6900
Conversion factor
$33.4009
Medicare rate
$15,420.86
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,637
- Code
- 37277
- Physician work
- 15.00
- Practice expense
- 443.28
- Malpractice
- 3.41
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.00 | × 1.000 | 15.0000 |
| Practice expense | 443.28 | × 1.000 | 443.2800 |
| Malpractice | 3.41 | × 0.998 | 3.4032 |
| Total RVUs | 461.6832 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$15420.63
Office: (15 × 1 + 443.28 × 1 + 3.41 × 0.998) × $33.4009 = $15420.63
Facility: (15 × 1 + 2 × 1 + 3.41 × 0.998) × $33.4009 = $681.48
Payment rules and modifiers for 37277
The CMS indicators that decide how 37277 is paid alongside other services.
CMS payment indicators · 37277
Peripheral revascularization, complex, 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
37277 without 50 · national office
$15,420.86
Peripheral revascularization, complex, initial vessel
37277-50 · Bilateral: 150%
$23,131.29
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 37277 has changed in Montana
37277 · Office / nonfacility
$15420.63
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$15420.63
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 | $15,420.63 | $681.48 | RVU26D |
| 2026-07-01 | $15,420.63 | $681.48 | RVU26C |
| 2026-04-01 | $15,420.63 | $681.48 | RVU26B |
| 2026-01-01 | $15,420.63 | $681.48 | 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 Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
37277 billing questions
How does 37277 differ from 37275?
Both cover femoropopliteal revascularization using stent placement and atherectomy in an initial vessel. 37277 is for the complex category; 37275 is the simple-category counterpart.
When is 37278 used instead?
37278 is the complex combination code for an additional femoropopliteal vessel. Use 37277 for the initial vessel.
Can angioplasty in the treated vessel be reported separately?
Angioplasty performed in the same vessel is included in the revascularization service. The code selection should reflect the documented procedures in that vessel.
What should the procedure note support?
Document the femoral or popliteal target vessel, the procedures performed, and the details supporting the complex category. The note should establish that both atherectomy and stent placement occurred.
How is bilateral treatment reported under the CMS payment rule?
For bilateral procedures, modifier 50 is paid at 150%. The 0-day global period includes same-day preoperative and postoperative care.
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 37277 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist