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.
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.
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.
On this page 11 sections
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.
- Washington, DC area · this page$853.33
- Los Angeles, CA · California$845.20−$8.13
- Miami, FL · Florida$795.03−$58.30
- Chicago, IL · Illinois$768.47−$84.86
- Manhattan, NY · New York$854.94+$1.61
- Alaska · Alaska$816.26−$37.07
- Alabama · Alabama$649.85−$203.48
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Merced, CACalifornia | $786.57 | $127.27 |
| Modesto, CACalifornia | $786.57 | $127.27 |
| Napa, CACalifornia | $926.85 | $134.00 |
| Oxnard, CACalifornia | $842.38 | $131.35 |
| Redding, CACalifornia | $786.57 | $127.27 |
| Rest of CaliforniaCalifornia | $786.57 | $127.27 |
| Riverside, CACalifornia | $793.65 | $134.36 |
| Sacramento, CACalifornia | $829.60 | $130.00 |
| Salinas, CACalifornia | $826.64 | $129.45 |
| San Diego, CACalifornia | $849.39 | $129.94 |
| Marin County, CACalifornia | $985.45 | $137.27 |
| San Francisco, CACalifornia | $984.70 | $136.52 |
| San Benito County, CACalifornia | $1,008.30 | $140.86 |
| Santa Clara County, CACalifornia | $1,005.23 | $137.80 |
| San Luis Obispo, CACalifornia | $812.96 | $127.80 |
| Santa Cruz, CACalifornia | $860.02 | $129.14 |
| Santa Maria, CACalifornia | $830.64 | $129.23 |
| Santa Rosa, CACalifornia | $868.90 | $130.20 |
| Stockton, CACalifornia | $786.57 | $127.27 |
| Vallejo, CACalifornia | $925.77 | $132.92 |
| Visalia, CACalifornia | $786.57 | $127.27 |
| Yuba City, CACalifornia | $786.57 | $127.27 |
| ColoradoColorado | $771.82 | $131.77 |
| ConnecticutConnecticut | $790.06 | $142.19 |
| DelawareDelaware | $727.06 | $132.73 |
| Fort Lauderdale, FLFlorida | $761.95 | $152.58 |
| Rest of FloridaFlorida | $720.23 | $145.15 |
| Atlanta, GAGeorgia | $750.71 | $139.53 |
| Rest of GeorgiaGeorgia | $674.09 | $137.50 |
| Hawaii, Guam, HIHawaii | $810.98 | $127.02 |
| IowaIowa | $670.68 | $120.26 |
| IdahoIdaho | $675.43 | $122.00 |
| East St. Louis, ILIllinois | $709.40 | $155.97 |
| Rest of IllinoisIllinois | $695.16 | $145.94 |
| Suburban Chicago, ILIllinois | $770.45 | $152.66 |
| IndianaIndiana | $680.01 | $122.37 |
| KansasKansas | $666.29 | $122.49 |
| KentuckyKentucky | $666.14 | $131.36 |
| New Orleans, LALouisiana | $702.93 | $136.87 |
| Rest of LouisianaLouisiana | $664.63 | $132.26 |
| Metropolitan Boston, MAMassachusetts | $856.94 | $138.69 |
| Rest of MassachusettsMassachusetts | $765.82 | $132.39 |
| Baltimore area, MDMaryland | $787.80 | $142.34 |
| Rest of MarylandMaryland | $742.72 | $133.95 |
| Rest of MaineMaine | $678.71 | $125.28 |
| Southern Maine, MEMaine | $722.50 | $126.36 |
| Detroit, MIMichigan | $729.79 | $149.30 |
| Rest of MichiganMichigan | $685.59 | $136.37 |
| MinnesotaMinnesota | $738.44 | $119.44 |
| Metropolitan Kansas City, MOMissouri | $698.20 | $133.34 |
| Metropolitan St. Louis, MOMissouri | $706.73 | $134.06 |
| Rest of MissouriMissouri | $650.86 | $132.33 |
| MississippiMississippi | $645.07 | $127.13 |
| MontanaMontana | $736.11 | $134.56 |
| North CarolinaNorth Carolina | $687.07 | $125.82 |
| North DakotaNorth Dakota | $723.06 | $121.51 |
| NebraskaNebraska | $675.17 | $119.94 |
| New HampshireNew Hampshire | $758.57 | $132.36 |
| Northern New JerseyNew Jersey | $842.19 | $144.39 |
| Rest of New JerseyNew Jersey | $798.78 | $141.89 |
| New MexicoNew Mexico | $689.63 | $138.01 |
| NevadaNevada | $733.09 | $130.94 |
| NYC suburbs and Long Island, NYNew York | $877.49 | $162.25 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $803.62 | $144.92 |
| Queens, NYNew York | $864.04 | $153.01 |
| Rest of New YorkNew York | $698.91 | $127.44 |
| OhioOhio | $682.92 | $133.71 |
| OklahomaOklahoma | $665.55 | $128.37 |
| Portland, OROregon | $800.26 | $131.94 |
| Rest of OregonOregon | $727.15 | $128.01 |
| Metropolitan Philadelphia, PAPennsylvania | $767.38 | $141.17 |
| Rest of PennsylvaniaPennsylvania | $684.60 | $132.38 |
| Puerto RicoPuerto Rico | $742.58 | $134.41 |
| Rhode IslandRhode Island | $755.94 | $134.54 |
| South CarolinaSouth Carolina | $686.19 | $130.36 |
| South DakotaSouth Dakota | $721.52 | $119.97 |
| TennesseeTennessee | $670.08 | $123.27 |
| Austin, TXTexas | $769.45 | $133.01 |
| Beaumont, TXTexas | $679.34 | $131.93 |
| Brazoria, TXTexas | $726.58 | $130.45 |
| Dallas, TXTexas | $731.47 | $132.33 |
| Fort Worth, TXTexas | $725.62 | $132.49 |
| Galveston, TXTexas | $728.87 | $131.53 |
| Houston, TXTexas | $740.95 | $143.61 |
| Rest of TexasTexas | $702.71 | $131.84 |
| UtahUtah | $697.07 | $131.62 |
| VirginiaVirginia | $719.24 | $127.91 |
| Virgin Islands, VIUnited States Virgin Islands | $742.58 | $134.41 |
| VermontVermont | $719.13 | $123.59 |
| Rest of WashingtonWashington | $764.73 | $131.29 |
| King County, WAWashington | $876.49 | $138.39 |
| WisconsinWisconsin | $695.12 | $118.83 |
| West VirginiaWest Virginia | $665.24 | $142.49 |
| WyomingWyoming | $730.42 | $128.87 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $816.26 | 1 |
| AL | $649.85 | 1 |
| AR | $638.90 | 1 |
| AZ | $713.95 | 1 |
| CA | $786.57–$1,008.30 | 29 |
| CO | $771.82 | 1 |
| CT | $790.06 | 1 |
| DC | $853.33 | 1 |
| DE | $727.06 | 1 |
| FL | $720.23–$795.03 | 3 |
| GA | $674.09–$750.71 | 2 |
| GU | $810.98 | 1 |
| HI | $810.98 | 1 |
| IA | $670.68 | 1 |
| ID | $675.43 | 1 |
| IL | $695.16–$770.45 | 4 |
| IN | $680.01 | 1 |
| KS | $666.29 | 1 |
| KY | $666.14 | 1 |
| LA | $664.63–$702.93 | 2 |
| MA | $765.82–$856.94 | 2 |
| MD | $742.72–$853.33 | 3 |
| ME | $678.71–$722.50 | 2 |
| MI | $685.59–$729.79 | 2 |
| MN | $738.44 | 1 |
| MO | $650.86–$706.73 | 3 |
| MS | $645.07 | 1 |
| MT | $736.11 | 1 |
| NC | $687.07 | 1 |
| ND | $723.06 | 1 |
| NE | $675.17 | 1 |
| NH | $758.57 | 1 |
| NJ | $798.78–$842.19 | 2 |
| NM | $689.63 | 1 |
| NV | $733.09 | 1 |
| NY | $698.91–$877.49 | 5 |
| OH | $682.92 | 1 |
| OK | $665.55 | 1 |
| OR | $727.15–$800.26 | 2 |
| PA | $684.60–$767.38 | 2 |
| PR | $742.58 | 1 |
| RI | $755.94 | 1 |
| SC | $686.19 | 1 |
| SD | $721.52 | 1 |
| TN | $670.08 | 1 |
| TX | $679.34–$769.45 | 8 |
| UT | $697.07 | 1 |
| VA | $719.24–$853.33 | 2 |
| VI | $742.58 | 1 |
| VT | $719.13 | 1 |
| WA | $764.73–$876.49 | 2 |
| WI | $695.12 | 1 |
| WV | $665.24 | 1 |
| WY | $730.42 | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.00 | × 1.054 | 3.1620 |
| Practice expense | 18.38 | × 1.178 | 21.6516 |
| Malpractice | 0.66 | × 1.113 | 0.7346 |
| Total RVUs | 25.5482 | ||
| 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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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
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).
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.
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$853.33
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 | $853.33 | $144.71 | RVU26D |
| 2026-07-01 | $853.33 | $144.71 | RVU26C |
| 2026-04-01 | $853.33 | $144.71 | RVU26B |
| 2026-01-01 | $853.33 | $144.71 | 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 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
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
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