CPT code 37280: Tibial angioplasty, straightforward, initial artery2026 Medicare rate & RVUs in Virginia

Endovascular balloon angioplasty treats a straightforward lesion in an initial tibial or peroneal artery during lower-extremity revascularization.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Virginia, Medicare pays $2,635.46 for 37280 in the office and $424.16 when it’s performed in a hospital or facility.

$2,635.46Office (non-facility)
$424.16Hospital or facility
−2.3%vs the national office rate ($2,697.12)

Check a contract rate as a % of Medicare · 37280 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 37280 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 37280 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 37280 covers

This service uses an endovascular approach to widen a narrowed or occluded tibial or peroneal artery with balloon angioplasty. It is performed by vascular surgeons, interventional radiologists, or interventional cardiologists treating peripheral artery disease, including limb ischemia. The procedure is generally performed in a hospital or endovascular suite, with imaging used to guide treatment of the target artery. This code identifies the straightforward-lesion angioplasty service for the initial treated artery in this territory; it is not the code for a stent or atherectomy procedure.

Select the code based on the treated arterial territory, the documented lesion classification, the treatment performed, and whether this is the initial or an additional artery treated. The operative report should identify the tibial or peroneal target and describe the intervention and lesion. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 for a bilateral procedure 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 Virginia compares for 37280

Across 109 of 109 payment localities, the office rate for 37280 runs from $2,336.44 in Arkansas to $3,710.67 in San Benito County, CA. Virginia pays $2,635.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

37280 in Virginia vs other payment areas
  1. Virginia · this page$2,635.46
  2. Los Angeles, CA · California$3,104.17+$468.71
  3. Washington, DC area · District of Columbia$3,131.61+$496.15
  4. Miami, FL · Florida$2,909.09+$273.63
  5. Chicago, IL · Illinois$2,810.79+$175.33
  6. Manhattan, NY · New York$3,134.69+$499.23
  7. Alaska · Alaska$2,975.17+$339.71

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

Every other payment area

37280 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$2,377.06$408.70
ArkansasArkansas$2,336.44$404.08
ArizonaArizona$2,614.94$435.13
Bakersfield, CACalifornia$2,893.27$427.76
Chico, CACalifornia$2,886.98$421.47
El Centro, CACalifornia$2,887.37$421.86
Fresno, CACalifornia$2,886.98$421.47
Hanford, CACalifornia$2,886.98$421.47

37280 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.

$2,336.44

$3,298.83

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
37280 office rate range by state
State / territoryOffice rate rangeLocalities
AK$2,975.171
AL$2,377.061
AR$2,336.441
AZ$2,614.941
CA$2,886.98–$3,710.6729
CO$2,830.881
CT$2,896.411
DC$3,131.611
DE$2,663.451
FL$2,635.06–$2,909.093
GA$2,464.33–$2,750.302
GU$2,978.731
HI$2,978.731
IA$2,455.721
ID$2,473.051
IL$2,541.10–$2,820.884
IN$2,490.101
KS$2,438.761
KY$2,436.081
LA$2,430.23–$2,572.352
MA$2,808.21–$3,146.832
MD$2,721.58–$3,131.613
ME$2,484.55–$2,648.022
MI$2,507.62–$2,669.812
MN$2,709.291
MO$2,378.73–$2,587.233
MS$2,358.311
MT$2,696.971
NC$2,515.661
ND$2,651.291
NE$2,472.601
NH$2,781.481
NJ$2,928.62–$3,089.812
NM$2,522.341
NV$2,686.531
NY$2,559.58–$3,217.505
OH$2,498.281
OK$2,434.601
OR$2,665.04–$2,937.092
PA$2,504.88–$2,811.902
PR$2,721.181
RI$2,770.671
SC$2,511.311
SD$2,645.891
TN$2,452.771
TX$2,485.31–$2,821.958
UT$2,551.691
VA$2,635.46–$3,131.612
VI$2,721.181
VT$2,636.081
WA$2,804.45–$3,219.802
WI$2,547.441
WV$2,430.041
WY$2,677.061

See 37280 in every payment locality

How the 37280 rate is calculated

Each of 37280’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 · 37280

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.80

9.80 RVUs× 1.000 GPCI

Practice expense68.64

68.64 RVUs× 1.000 GPCI

Malpractice2.31

2.31 RVUs× 1.000 GPCI

Adjusted RVUs

80.7500

Conversion factor

$33.4009

Medicare rate

$2,697.12

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,640

Code
37280
Physician work
9.80
Practice expense
68.64
Malpractice
2.31

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 37280 in Virginia
ComponentRVULocality factorAdjusted
Physician work9.80× 1.0009.8000
Practice expense68.64× 0.98367.4731
Malpractice2.31× 0.7061.6309
Total RVUs78.9040
Conversion factor× 33.4009

Office rate, Virginia$2635.46

Office: (9.8 × 1 + 68.64 × 0.983 + 2.31 × 0.706) × $33.4009 = $2635.46

Facility: (9.8 × 1 + 1.29 × 0.983 + 2.31 × 0.706) × $33.4009 = $424.16

Open 37280 in the RVU calculator

Payment rules and modifiers for 37280

The CMS indicators that decide how 37280 is paid alongside other services.

CMS payment indicators · 37280

Tibial angioplasty, straightforward, initial artery

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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

37280 without 50 · national office

$2,697.12

Tibial angioplasty, straightforward, initial artery

37280-50 · Bilateral: 150%

$4,045.68

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 37280 has changed in Virginia

37280 · Office / nonfacility

$2635.46

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$2635.46

    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$2,635.46$424.16RVU26D
2026-07-01$2,635.46$424.16RVU26C
2026-04-01$2,635.46$424.16RVU26B
2026-01-01$2,635.46$424.16RVU26A
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 37280 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

37280 billing questions

How is 37280 different from 37281?

37280 is for angioplasty of the initial tibial or peroneal artery when the lesion is straightforward. Use 37281 for the qualifying additional artery in the same territory.

When should 37282 be considered instead?

37282 is for the initial tibial or peroneal artery when the lesion meets the complex classification. Use the documented lesion characteristics and applicable CPT guidance to determine the classification.

Is 37280 the code when a stent or atherectomy is performed?

No. This code describes angioplasty; the tibial/peroneal code family has separate options for stent and atherectomy treatment. Select the code that matches the intervention performed.

How many units are reported when more than one artery is treated?

37280 identifies the initial treated artery, not each artery treated. For a qualifying additional artery, use the corresponding additional-vessel code rather than repeating 37280.

What should the procedure note establish?

Document the tibial or peroneal target artery, lesion classification, angioplasty performed, and whether it was the initial or an additional treated artery.

How does Medicare handle bilateral reporting and other procedures in the session?

CMS pays a bilateral procedure reported with modifier 50 at 150%. The standard multiple-procedure reduction applies when other procedures are performed in the same session.

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 37280PPRRVU2026_Oct_nonQPP.csv, line 4,640 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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