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.
In Virginia, Medicare pays $2,635.46 for 37280 in the office and $424.16 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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.
- Virginia · this page$2,635.46
- Los Angeles, CA · California$3,104.17+$468.71
- Washington, DC area · District of Columbia$3,131.61+$496.15
- Miami, FL · Florida$2,909.09+$273.63
- Chicago, IL · Illinois$2,810.79+$175.33
- Manhattan, NY · New York$3,134.69+$499.23
- Alaska · Alaska$2,975.17+$339.71
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $2,886.98 | $421.47 |
| Merced, CACalifornia | $2,886.98 | $421.47 |
| Modesto, CACalifornia | $2,886.98 | $421.47 |
| Napa, CACalifornia | $3,408.84 | $443.93 |
| Oxnard, CACalifornia | $3,094.46 | $435.49 |
| Redding, CACalifornia | $2,886.98 | $421.47 |
| Rest of CaliforniaCalifornia | $2,886.98 | $421.47 |
| Riverside, CACalifornia | $2,911.77 | $446.26 |
| Sacramento, CACalifornia | $3,046.81 | $430.58 |
| Salinas, CACalifornia | $3,036.00 | $428.77 |
| San Diego, CACalifornia | $3,120.96 | $430.50 |
| Marin County, CACalifornia | $3,626.46 | $454.59 |
| San Francisco, CACalifornia | $3,623.84 | $451.97 |
| San Benito County, CACalifornia | $3,710.67 | $466.82 |
| Santa Clara County, CACalifornia | $3,699.95 | $456.10 |
| San Luis Obispo, CACalifornia | $2,985.56 | $423.33 |
| Santa Cruz, CACalifornia | $3,161.11 | $427.91 |
| Santa Maria, CACalifornia | $3,051.07 | $428.09 |
| Santa Rosa, CACalifornia | $3,193.86 | $431.42 |
| Stockton, CACalifornia | $2,886.98 | $421.47 |
| Vallejo, CACalifornia | $3,405.06 | $440.15 |
| Visalia, CACalifornia | $2,886.98 | $421.47 |
| Yuba City, CACalifornia | $2,886.98 | $421.47 |
| ColoradoColorado | $2,830.88 | $437.36 |
| ConnecticutConnecticut | $2,896.41 | $473.64 |
| DelawareDelaware | $2,663.45 | $440.90 |
| Fort Lauderdale, FLFlorida | $2,789.27 | $510.47 |
| Rest of FloridaFlorida | $2,635.06 | $484.49 |
| Atlanta, GAGeorgia | $2,750.30 | $464.75 |
| Rest of GeorgiaGeorgia | $2,464.33 | $457.73 |
| Hawaii, Guam, HIHawaii | $2,978.73 | $420.99 |
| IowaIowa | $2,455.72 | $397.38 |
| IdahoIdaho | $2,473.05 | $403.46 |
| East St. Louis, ILIllinois | $2,591.95 | $522.36 |
| Rest of IllinoisIllinois | $2,541.10 | $487.26 |
| Suburban Chicago, ILIllinois | $2,820.88 | $510.59 |
| IndianaIndiana | $2,490.10 | $404.77 |
| KansasKansas | $2,438.76 | $405.17 |
| KentuckyKentucky | $2,436.08 | $436.23 |
| New Orleans, LALouisiana | $2,572.35 | $455.52 |
| Rest of LouisianaLouisiana | $2,430.23 | $439.38 |
| Metropolitan Boston, MAMassachusetts | $3,146.83 | $460.86 |
| Rest of MassachusettsMassachusetts | $2,808.21 | $439.43 |
| Baltimore area, MDMaryland | $2,888.01 | $474.24 |
| Rest of MarylandMaryland | $2,721.58 | $445.04 |
| Rest of MaineMaine | $2,484.55 | $414.96 |
| Southern Maine, MEMaine | $2,648.02 | $418.71 |
| Detroit, MIMichigan | $2,669.81 | $498.99 |
| Rest of MichiganMichigan | $2,507.62 | $453.78 |
| MinnesotaMinnesota | $2,709.29 | $394.50 |
| Metropolitan Kansas City, MOMissouri | $2,555.50 | $443.17 |
| Metropolitan St. Louis, MOMissouri | $2,587.23 | $445.66 |
| Rest of MissouriMissouri | $2,378.73 | $439.62 |
| MississippiMississippi | $2,358.31 | $421.45 |
| MontanaMontana | $2,696.97 | $447.42 |
| North CarolinaNorth Carolina | $2,515.66 | $416.83 |
| North DakotaNorth Dakota | $2,651.29 | $401.74 |
| NebraskaNebraska | $2,472.60 | $396.26 |
| New HampshireNew Hampshire | $2,781.48 | $439.69 |
| Northern New JerseyNew Jersey | $3,089.81 | $480.33 |
| Rest of New JerseyNew Jersey | $2,928.62 | $472.11 |
| New MexicoNew Mexico | $2,522.34 | $459.50 |
| NevadaNevada | $2,686.53 | $434.73 |
| NYC suburbs and Long Island, NYNew York | $3,217.50 | $542.79 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $2,945.86 | $482.60 |
| Queens, NYNew York | $3,169.43 | $510.47 |
| Rest of New YorkNew York | $2,559.58 | $422.50 |
| OhioOhio | $2,498.28 | $444.44 |
| OklahomaOklahoma | $2,434.60 | $425.76 |
| Portland, OROregon | $2,937.09 | $437.84 |
| Rest of OregonOregon | $2,665.04 | $424.48 |
| Metropolitan Philadelphia, PAPennsylvania | $2,811.90 | $470.12 |
| Rest of PennsylvaniaPennsylvania | $2,504.88 | $439.80 |
| Puerto RicoPuerto Rico | $2,721.18 | $446.89 |
| Rhode IslandRhode Island | $2,770.67 | $446.88 |
| South CarolinaSouth Carolina | $2,511.31 | $432.72 |
| South DakotaSouth Dakota | $2,645.89 | $396.34 |
| TennesseeTennessee | $2,452.77 | $407.93 |
| Austin, TXTexas | $2,821.95 | $441.93 |
| Beaumont, TXTexas | $2,485.31 | $438.22 |
| Brazoria, TXTexas | $2,662.13 | $432.83 |
| Dallas, TXTexas | $2,679.94 | $439.39 |
| Fort Worth, TXTexas | $2,658.02 | $439.96 |
| Galveston, TXTexas | $2,670.42 | $436.62 |
| Houston, TXTexas | $2,712.70 | $478.90 |
| Rest of TexasTexas | $2,572.71 | $437.89 |
| UtahUtah | $2,551.69 | $437.12 |
| Virgin Islands, VIUnited States Virgin Islands | $2,721.18 | $446.89 |
| VermontVermont | $2,636.08 | $409.03 |
| Rest of WashingtonWashington | $2,804.45 | $435.67 |
| King County, WAWashington | $3,219.80 | $459.60 |
| WisconsinWisconsin | $2,547.44 | $392.37 |
| West VirginiaWest Virginia | $2,430.04 | $475.18 |
| WyomingWyoming | $2,677.06 | $427.51 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $2,975.17 | 1 |
| AL | $2,377.06 | 1 |
| AR | $2,336.44 | 1 |
| AZ | $2,614.94 | 1 |
| CA | $2,886.98–$3,710.67 | 29 |
| CO | $2,830.88 | 1 |
| CT | $2,896.41 | 1 |
| DC | $3,131.61 | 1 |
| DE | $2,663.45 | 1 |
| FL | $2,635.06–$2,909.09 | 3 |
| GA | $2,464.33–$2,750.30 | 2 |
| GU | $2,978.73 | 1 |
| HI | $2,978.73 | 1 |
| IA | $2,455.72 | 1 |
| ID | $2,473.05 | 1 |
| IL | $2,541.10–$2,820.88 | 4 |
| IN | $2,490.10 | 1 |
| KS | $2,438.76 | 1 |
| KY | $2,436.08 | 1 |
| LA | $2,430.23–$2,572.35 | 2 |
| MA | $2,808.21–$3,146.83 | 2 |
| MD | $2,721.58–$3,131.61 | 3 |
| ME | $2,484.55–$2,648.02 | 2 |
| MI | $2,507.62–$2,669.81 | 2 |
| MN | $2,709.29 | 1 |
| MO | $2,378.73–$2,587.23 | 3 |
| MS | $2,358.31 | 1 |
| MT | $2,696.97 | 1 |
| NC | $2,515.66 | 1 |
| ND | $2,651.29 | 1 |
| NE | $2,472.60 | 1 |
| NH | $2,781.48 | 1 |
| NJ | $2,928.62–$3,089.81 | 2 |
| NM | $2,522.34 | 1 |
| NV | $2,686.53 | 1 |
| NY | $2,559.58–$3,217.50 | 5 |
| OH | $2,498.28 | 1 |
| OK | $2,434.60 | 1 |
| OR | $2,665.04–$2,937.09 | 2 |
| PA | $2,504.88–$2,811.90 | 2 |
| PR | $2,721.18 | 1 |
| RI | $2,770.67 | 1 |
| SC | $2,511.31 | 1 |
| SD | $2,645.89 | 1 |
| TN | $2,452.77 | 1 |
| TX | $2,485.31–$2,821.95 | 8 |
| UT | $2,551.69 | 1 |
| VA | $2,635.46–$3,131.61 | 2 |
| VI | $2,721.18 | 1 |
| VT | $2,636.08 | 1 |
| WA | $2,804.45–$3,219.80 | 2 |
| WI | $2,547.44 | 1 |
| WV | $2,430.04 | 1 |
| WY | $2,677.06 | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.80 | × 1.000 | 9.8000 |
| Practice expense | 68.64 | × 0.983 | 67.4731 |
| Malpractice | 2.31 | × 0.706 | 1.6309 |
| Total RVUs | 78.9040 | ||
| 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
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
| 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
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).
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.
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$2635.46
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 | $2,635.46 | $424.16 | RVU26D |
| 2026-07-01 | $2,635.46 | $424.16 | RVU26C |
| 2026-04-01 | $2,635.46 | $424.16 | RVU26B |
| 2026-01-01 | $2,635.46 | $424.16 | 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 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
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
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