CPT code 37286: Venous stenting, complex, initial vein2026 Medicare rate & RVUs

Medicare pays $10,365.97 for 37286 nationally in the office and $618.92 in a hospital or facility. Local office rates run $8,932.48–$14,705.57.

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

What 37286 covers

This code represents endovascular stent treatment of a complex obstruction in the first peripheral vein treated during the procedure. It is used for venous disease such as chronic iliofemoral obstruction, including post-thrombotic narrowing or compression-related obstruction. Interventional radiologists and vascular surgeons commonly perform the work in a hospital or ambulatory procedure suite, using catheter-based access and imaging to cross and treat the lesion. The code distinguishes a complex lesion from a simple one; the stent device alone does not determine that classification.

Report it for the initial treated vein when the procedure meets the complex criteria, and use the additional-vein code for each qualifying subsequent vein. The operative report should identify the treated venous anatomy, the nature and extent of the obstruction, the approach used to cross it, and stent placement. 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 the others at 50%. Modifier 50 identifies bilateral work and 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.

Where 37286 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

37286 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 37286 rate is calculated

Each of 37286’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.

Payment rules and modifiers for 37286

The CMS indicators that decide how 37286 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

37286 compared with similar codes

How to choose

37284Venous revascularizationStraightforward, initial vessel

Both cover stenting in the initial vein. Choose 37286 for a complex lesion and 37284 for a simple lesion.

37287Peripheral stentingComplex lesion, each additional vessel

37286 represents the initial complex vein; 37287 represents each additional complex vein treated in the same procedure.

37282Venous angioplastyComplex, initial vessel

Both address an initial complex venous lesion, but 37282 is for angioplasty without stent placement; 37286 is for stent treatment.

37280Tibial angioplastyStraightforward, initial artery

37280 is initial-vein angioplasty for a simple lesion. This code is for complex stent treatment in the initial vein.

Codes related to 37286

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates