CPT code 37278: Stent and atherectomy, complex, each additional artery2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $3,913.41 for 37278 in the office and $270.48 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 37278 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 37278 covers

This add-on represents treatment of an additional femoral or popliteal artery with both atherectomy and stent placement when the intervention meets the complex classification. The service is typically performed by an interventional radiologist, vascular surgeon, or other physician qualified to perform endovascular lower-extremity revascularization in an angiography suite or operating room. Code selection follows the treated arterial territory, the intervention performed, whether the artery is classified as complex, and whether it is the first or an additional artery treated.

Report this code with the applicable primary revascularization code; 37277 represents the first complex femoral-popliteal artery treated with stenting and atherectomy. The operative report should identify each treated artery, the intervention performed, and the basis for complex classification. CMS treats this as an add-on paid within the primary procedure’s global period. When the procedure is bilateral and modifier 50 is reported, CMS pays 150% of the applicable amount.

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 37278

Across 109 of 109 payment localities, the office rate for 37278 runs from $3,340.66 in Arkansas to $5,479.17 in San Benito County, CA. Puerto Rico pays $3,913.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

37278 rates by state

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

See 37278 in every payment locality

How the 37278 rate is calculated

Each of 37278’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 37278

The CMS indicators that decide how 37278 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 37278

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

How 37278 has changed in Puerto Rico

Price 37278 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