CPT code 37281: Leg angioplasty, additional simple vessel2026 Medicare rate & RVUs in Washington, DC area

Report 37281 for balloon angioplasty of each additional tibial or peroneal artery treated during lower-extremity endovascular revascularization classified as simple.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Washington, DC area, Medicare pays $853.33 for 37281 in the office and $144.71 when it’s performed in a hospital or facility.

$853.33Office (non-facility)
$144.71Hospital or facility
+15.9%vs the national office rate ($736.16)

Check a contract rate as a % of Medicare · 37281 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 37281 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 37281 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 37281 covers

37281 represents balloon dilation of an additional tibial or peroneal artery during endovascular treatment of lower-extremity arterial disease. A vascular surgeon, interventional radiologist, or interventional cardiologist may perform the procedure in a catheterization suite, hybrid operating room, or hospital procedure room. Typical cases involve peripheral artery disease affecting lower-leg arteries, with a separate artery treated after the first vessel. The service is vessel-based: treating multiple lesions in one artery does not by itself create additional-vessel units.

Report 37281 only as an add-on to the appropriate first-vessel simple angioplasty code, 37280; it is not a standalone service. Report one unit for each additional tibial or peroneal artery treated, rather than for each lesion or balloon inflation. Use the complex branch when the intervention meets CPT’s complex criteria. The operative report should identify each treated artery, the angioplasty performed, and the basis for the simple-versus-complex selection. CMS places payment within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays 150%.

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 Washington, DC area compares for 37281

Across 109 of 109 payment localities, the office rate for 37281 runs from $638.90 in Arkansas to $1,008.30 in San Benito County, CA. Washington, DC area pays $853.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

37281 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$853.33
  2. Los Angeles, CA · California$845.20−$8.13
  3. Miami, FL · Florida$795.03−$58.30
  4. Chicago, IL · Illinois$768.47−$84.86
  5. Manhattan, NY · New York$854.94+$1.61
  6. Alaska · Alaska$816.26−$37.07
  7. Alabama · Alabama$649.85−$203.48

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

37281 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$638.90$122.17
ArizonaArizona$713.95$131.05
Bakersfield, CACalifornia$788.38$129.08
Chico, CACalifornia$786.57$127.27
El Centro, CACalifornia$786.68$127.38
Fresno, CACalifornia$786.57$127.27
Hanford, CACalifornia$786.57$127.27
Madera, CACalifornia$786.57$127.27

37281 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.

$638.90

$897.44

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

View every state and territory as a table
37281 office rate range by state
State / territoryOffice rate rangeLocalities
AK$816.261
AL$649.851
AR$638.901
AZ$713.951
CA$786.57–$1,008.3029
CO$771.821
CT$790.061
DC$853.331
DE$727.061
FL$720.23–$795.033
GA$674.09–$750.712
GU$810.981
HI$810.981
IA$670.681
ID$675.431
IL$695.16–$770.454
IN$680.011
KS$666.291
KY$666.141
LA$664.63–$702.932
MA$765.82–$856.942
MD$742.72–$853.333
ME$678.71–$722.502
MI$685.59–$729.792
MN$738.441
MO$650.86–$706.733
MS$645.071
MT$736.111
NC$687.071
ND$723.061
NE$675.171
NH$758.571
NJ$798.78–$842.192
NM$689.631
NV$733.091
NY$698.91–$877.495
OH$682.921
OK$665.551
OR$727.15–$800.262
PA$684.60–$767.382
PR$742.581
RI$755.941
SC$686.191
SD$721.521
TN$670.081
TX$679.34–$769.458
UT$697.071
VA$719.24–$853.332
VI$742.581
VT$719.131
WA$764.73–$876.492
WI$695.121
WV$665.241
WY$730.421

See 37281 in every payment locality

How the 37281 rate is calculated

Each of 37281’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 · 37281

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.00

3.00 RVUs× 1.000 GPCI

Practice expense18.38

18.38 RVUs× 1.000 GPCI

Malpractice0.66

0.66 RVUs× 1.000 GPCI

Adjusted RVUs

22.0400

Conversion factor

$33.4009

Medicare rate

$736.16

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,641

Code
37281
Physician work
3.00
Practice expense
18.38
Malpractice
0.66

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 37281 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work3.00× 1.0543.1620
Practice expense18.38× 1.17821.6516
Malpractice0.66× 1.1130.7346
Total RVUs25.5482
Conversion factor× 33.4009

Office rate, Washington, DC area$853.33

Office: (3 × 1.054 + 18.38 × 1.178 + 0.66 × 1.113) × $33.4009 = $853.33

Facility: (3 × 1.054 + 0.37 × 1.178 + 0.66 × 1.113) × $33.4009 = $144.71

Open 37281 in the RVU calculator

Payment rules and modifiers for 37281

The CMS indicators that decide how 37281 is paid alongside other services.

CMS payment indicators · 37281

Leg angioplasty, additional simple vessel

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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

37281 without 50 · national office

$736.16

Leg angioplasty, additional simple vessel

37281-50 · Bilateral: 150%

$1,104.24

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 37281 has changed in Washington, DC area

37281 · Office / nonfacility

$853.33

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$853.33

    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$853.33$144.71RVU26D
2026-07-01$853.33$144.71RVU26C
2026-04-01$853.33$144.71RVU26B
2026-01-01$853.33$144.71RVU26A
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 37281 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

37281 billing questions

When is 37281 reported instead of 37280?

37280 represents the first vessel treated with simple angioplasty. Report 37281 for each additional tibial or peroneal artery treated in that simple angioplasty category.

Is 37281 billed by lesion or by vessel?

It is reported by additional vessel, not by lesion or balloon inflation. The documentation should identify each artery treated.

How does 37281 differ from 37283?

Both represent additional tibial or peroneal vessels, but 37281 is for simple angioplasty and 37283 is for the complex category.

Can 37281 be reported by itself?

No. It is an add-on code and must be reported with the appropriate primary procedure, such as 37280 for the first vessel treated with simple angioplasty.

How is bilateral treatment paid?

CMS pays a bilateral procedure reported with modifier 50 at 150%.

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 37281PPRRVU2026_Oct_nonQPP.csv, line 4,641 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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