CPT code 37285: Peripheral stenting, each additional vessel2026 Medicare rate & RVUs in Louisiana

Reports endovascular stenting of each additional tibial or peroneal vessel treated with a straightforward revascularization approach during the same procedure.

CMS RVU26DEffective Oct 1, 20262 payment localities

Medicare pays $2,481.97–$2,634.82 for 37285 in the office in Louisiana, from Rest of Louisiana to New Orleans, LA. Which amount applies depends on the service address.

$2,481.97–$2,634.82Office (non-facility)
$149.40–$154.66Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in Louisiana
  2. What 37285 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 37285 covers

This add-on code represents stent-based endovascular revascularization of an additional tibial or peroneal artery in the lower leg. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform these procedures in an angiography suite or operating room to improve blood flow in a diseased vessel. The code distinguishes treatment of additional vessels from the first vessel treated in the same straightforward intervention.

Report it with the applicable primary procedure, identifying the additional vessel treated and documenting the intervention and its straightforward classification. The CMS payment rule treats this as an add-on service paid within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays 150%. The record should support the treated anatomy, stent placement, and the number of additional vessels.

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.

Where 37285 pays more and less in Louisiana

37285 office and facility rates by payment locality
Payment localityOfficeFacility
New Orleans, LA$2,634.82$154.66
Rest of Louisiana$2,481.97$149.40

How the 37285 rate is calculated

Each of 37285’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 · 37285

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.34

3.34 RVUs× 1.000 GPCI

Practice expense79.40

79.40 RVUs× 1.000 GPCI

Malpractice0.73

0.73 RVUs× 1.000 GPCI

Adjusted RVUs

83.4700

Conversion factor

$33.4009

Medicare rate

$2,787.97

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

Payment rules and modifiers for 37285

The CMS indicators that decide how 37285 is paid alongside other services.

CMS payment indicators · 37285

Peripheral stenting, each additional 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

37285 without 50 · national office

$2,787.97

Peripheral stenting, each additional vessel

37285-50 · Bilateral: 150%

$4,181.95

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

37285 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 37285

    Peripheral stenting, each additional vessel3.34 wRVU

    $2,787.97

  • 37284

    Venous revascularization, straightforward, initial vessel10 wRVU

    $5,631.06+$2,843.09

  • 37287

    Peripheral stenting, complex lesion, each additional vessel5 wRVU

    $4,940.33+$2,152.36

  • 37281

    Leg angioplasty, additional simple vessel3 wRVU

    $736.16−$2,051.81

  • 37292

    Arterial revascularization, simple, initial vessel15 wRVU

    $10,231.70+$7,443.73

How to choose

37284Venous revascularizationStraightforward, initial vessel
37284 reports the first vessel treated with straightforward stenting; 37285 reports each additional vessel in that procedure.
37287Peripheral stentingComplex lesion, each additional vessel
Both are additional-vessel stenting codes, but 37287 is selected for a complex procedure rather than a straightforward one.
37281Leg angioplastyAdditional simple vessel
37281 describes angioplasty of each additional tibial-peroneal vessel. Choose 37285 when the additional vessel is treated with stenting.
37292Arterial revascularizationSimple, initial vessel
37292 covers first-vessel treatment that combines stenting and atherectomy; 37285 is for additional-vessel stenting without that combination.

37285 billing questions

When should 37285 be chosen instead of 37284?

Use 37284 for the first vessel in a straightforward tibial-peroneal stenting procedure. Use 37285 for each additional vessel treated in that same procedure.

Can 37285 be billed by itself?

No. It is an add-on code and must be reported with the applicable primary procedure.

How is the number of units determined?

Count each additional tibial or peroneal vessel treated beyond the first vessel. Document the specific vessels and the treatment performed.

What distinguishes 37285 from 37287?

Both describe additional-vessel stenting in this vascular territory, but 37285 is for a straightforward procedure and 37287 is for a complex procedure.

How does the bilateral payment rule affect this code?

When the procedure is bilateral and reported with modifier 50, CMS pays 150%.

Is the service paid separately from the primary procedure’s global period?

No. CMS identifies 37285 as an add-on paid within the primary procedure’s global period.

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 37285PPRRVU2026_Oct_nonQPP.csv, line 4,645 (RVU26D)

Open CMS sourceHow we calculate rates

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