CPT code 37284: Venous revascularization, straightforward, initial vessel2026 Medicare rate & RVUs in Washington, DC area

Reports straightforward endovascular stent revascularization of an initial tibial or peroneal vein, including same-vessel angioplasty when performed.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Washington, DC area, Medicare pays $6,586.98 for 37284 in the office and $497.35 when it’s performed in a hospital or facility.

$6,586.98Office (non-facility)
$497.35Hospital or facility
+17.0%vs the national office rate ($5,631.06)

Check a contract rate as a % of Medicare · 37284 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 37284 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 37284 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 37284 covers

This code describes endovascular stent treatment of an initial tibial or peroneal vein as part of deep vein revascularization. The service may include angioplasty in that same vein when performed. It is used in procedures such as deep vein arterialization for limb-threatening ischemia, generally performed by an interventional radiologist, vascular surgeon, or other physician with endovascular expertise in a hospital setting.

Report this code for the initial treated vein when the procedure meets CPT’s straightforward criteria; use the applicable complex code when those criteria are met instead. Documentation should identify the treated vein, the stent placement, any same-vein angioplasty, and the basis for classifying the intervention as straightforward. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued is paid in full and the others at 50%. Modifier 50 is paid at 150% for bilateral procedures. Assistant-at-surgery payment requires medical-necessity documentation; 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 Washington, DC area compares for 37284

Across 109 of 109 payment localities, the office rate for 37284 runs from $4,857.75 in Arkansas to $7,939.49 in San Benito County, CA. Washington, DC area pays $6,586.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

37284 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$6,586.98
  2. Los Angeles, CA · California$6,574.24−$12.74
  3. Miami, FL · Florida$5,962.55−$624.43
  4. Chicago, IL · Illinois$5,758.98−$828.00
  5. Manhattan, NY · New York$6,543.13−$43.85
  6. Alaska · Alaska$6,102.88−$484.10
  7. Alabama · Alabama$4,945.19−$1,641.79

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

Every other payment area

37284 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$4,857.75$417.18
ArizonaArizona$5,458.17$448.96
Bakersfield, CACalifornia$6,108.51$442.78
Chico, CACalifornia$6,102.23$436.51
El Centro, CACalifornia$6,102.62$436.89
Fresno, CACalifornia$6,102.23$436.51
Hanford, CACalifornia$6,102.23$436.51
Madera, CACalifornia$6,102.23$436.51

37284 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.

$4,857.75

$7,020.86

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

View every state and territory as a table
37284 office rate range by state
State / territoryOffice rate rangeLocalities
AK$6,102.881
AL$4,945.191
AR$4,857.751
AZ$5,458.171
CA$6,102.23–$7,939.4929
CO$5,952.341
CT$6,055.831
DC$6,586.981
DE$5,562.331
FL$5,440.01–$5,962.553
GA$5,082.02–$5,731.022
GU$6,313.891
HI$6,313.891
IA$5,141.011
ID$5,172.951
IL$5,220.15–$5,833.654
IN$5,210.491
KS$5,091.811
KY$5,045.081
LA$5,027.51–$5,333.512
MA$5,897.48–$6,649.032
MD$5,690.74–$6,586.983
ME$5,184.40–$5,555.732
MI$5,186.81–$5,501.052
MN$5,728.361
MO$4,908.67–$5,380.643
MS$4,885.401
MT$5,630.901
NC$5,253.571
ND$5,585.431
NE$5,181.321
NH$5,835.481
NJ$6,132.13–$6,492.562
NM$5,213.221
NV$5,623.451
NY$5,347.23–$6,704.895
OH$5,177.511
OK$5,055.361
OR$5,587.36–$6,196.182
PA$5,198.77–$5,865.932
PR$5,687.331
RI$5,801.371
SC$5,222.801
SD$5,580.051
TN$5,120.451
TX$5,155.78–$5,925.748
UT$5,310.011
VA$5,519.73–$6,586.982
VI$5,687.331
VT$5,540.911
WA$5,893.71–$6,818.692
WI$5,358.651
WV$4,980.321
WY$5,611.081

See 37284 in every payment locality

How the 37284 rate is calculated

Each of 37284’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 · 37284

RVUs × geographic indexes × conversion factor

Office or facility?

Work10.00

10.00 RVUs× 1.000 GPCI

Practice expense156.29

156.29 RVUs× 1.000 GPCI

Malpractice2.30

2.30 RVUs× 1.000 GPCI

Adjusted RVUs

168.5900

Conversion factor

$33.4009

Medicare rate

$5,631.06

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

4,644

Code
37284
Physician work
10.00
Practice expense
156.29
Malpractice
2.30

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 37284 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work10.00× 1.05410.5400
Practice expense156.29× 1.178184.1096
Malpractice2.30× 1.1132.5599
Total RVUs197.2095
Conversion factor× 33.4009

Office rate, Washington, DC area$6586.98

Office: (10 × 1.054 + 156.29 × 1.178 + 2.3 × 1.113) × $33.4009 = $6586.98

Facility: (10 × 1.054 + 1.52 × 1.178 + 2.3 × 1.113) × $33.4009 = $497.35

Open 37284 in the RVU calculator

Payment rules and modifiers for 37284

The CMS indicators that decide how 37284 is paid alongside other services.

CMS payment indicators · 37284

Venous revascularization, straightforward, initial vessel

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

37284 without 50 · national office

$5,631.06

Venous revascularization, straightforward, initial vessel

37284-50 · Bilateral: 150%

$8,446.59

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 37284 has changed in Washington, DC area

37284 · Office / nonfacility

$6586.98

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$6586.98

    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$6,586.98$497.35RVU26D
2026-07-01$6,586.98$497.35RVU26C
2026-04-01$6,586.98$497.35RVU26B
2026-01-01$6,586.98$497.35RVU26A
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 37284 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

37284 billing questions

When should 37284 be selected instead of an angioplasty code?

Use 37284 when a stent is placed in the initial tibial or peroneal vein and the intervention meets the straightforward criteria. The code includes angioplasty in that same vein when performed.

Can angioplasty in the stented vein be reported separately?

No. Angioplasty performed within the same vein as the stent is included in 37284.

How is treatment of another straightforward vein reported?

37285 is the add-on code for an additional straightforward vessel treated after the initial vessel. Report the number of additional vessels supported by the operative documentation.

What supports reporting the straightforward rather than complex code?

Document the treated vein, the intervention performed, and the procedural details that support the CPT straightforward classification. Use the complex code when the CPT criteria for complexity are met.

How does modifier 50 affect Medicare payment?

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

Can an assistant surgeon be paid for this procedure?

CMS allows assistant-at-surgery payment only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

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 37284PPRRVU2026_Oct_nonQPP.csv, line 4,644 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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