CPT code 37277: Peripheral revascularization, complex, initial vessel2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $15,582.02 for 37277 in the office and $680.74 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.

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 Puerto Rico 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. Puerto Rico pays $15,582.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

37277 rates by state

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

See 37277 in every payment locality

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.

Payment rules and modifiers for 37277

The CMS indicators that decide how 37277 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 37277

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

How 37277 has changed in Puerto Rico

Price 37277 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