CPT code 37286: Venous stenting, complex, initial vein2026 Medicare rate & RVUs in South Dakota
Reports complex endovascular stent treatment in the initial peripheral vein treated for obstructive venous disease, such as chronic iliofemoral venous obstruction.
In South Dakota, Medicare pays $10,297.88 for 37286 in the office and $550.83 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 37286 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 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.
How South Dakota compares for 37286
Across 109 of 109 payment localities, the office rate for 37286 runs from $8,932.48 in Arkansas to $14,705.57 in San Benito County, CA. South Dakota pays $10,297.88. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$10,297.88
- Los Angeles, CA · California$12,145.88+$1,848.00
- Washington, DC area · District of Columbia$12,148.70+$1,850.82
- Miami, FL · Florida$10,925.12+$627.24
- Chicago, IL · Illinois$10,550.98+$253.10
- Manhattan, NY · New York$12,044.68+$1,746.80
- Alaska · Alaska$11,182.62+$884.74
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $9,094.74 | $566.07 |
| ArkansasArkansas | $8,932.48 | $559.77 |
| ArizonaArizona | $10,046.97 | $602.08 |
| Bakersfield, CACalifornia | $11,276.55 | $593.78 |
| Chico, CACalifornia | $11,268.16 | $585.40 |
| El Centro, CACalifornia | $11,268.68 | $585.91 |
| Fresno, CACalifornia | $11,268.16 | $585.40 |
| Hanford, CACalifornia | $11,268.16 | $585.40 |
| Madera, CACalifornia | $11,268.16 | $585.40 |
| Merced, CACalifornia | $11,268.16 | $585.40 |
| Modesto, CACalifornia | $11,268.16 | $585.40 |
| Napa, CACalifornia | $13,464.65 | $618.03 |
| Oxnard, CACalifornia | $12,126.02 | $605.01 |
| Redding, CACalifornia | $11,268.16 | $585.40 |
| Rest of CaliforniaCalifornia | $11,268.16 | $585.40 |
| Riverside, CACalifornia | $11,301.12 | $618.35 |
| Sacramento, CACalifornia | $11,934.23 | $598.41 |
| Salinas, CACalifornia | $11,892.73 | $595.90 |
| San Diego, CACalifornia | $12,256.01 | $598.54 |
| Marin County, CACalifornia | $14,376.88 | $633.54 |
| San Francisco, CACalifornia | $14,373.40 | $630.06 |
| San Benito County, CACalifornia | $14,705.57 | $650.32 |
| Santa Clara County, CACalifornia | $14,691.31 | $636.07 |
| San Luis Obispo, CACalifornia | $11,690.16 | $588.27 |
| Santa Cruz, CACalifornia | $12,437.81 | $595.14 |
| Santa Maria, CACalifornia | $11,960.08 | $595.02 |
| Santa Rosa, CACalifornia | $12,569.44 | $600.06 |
| Stockton, CACalifornia | $11,268.16 | $585.40 |
| Vallejo, CACalifornia | $13,459.62 | $613.01 |
| Visalia, CACalifornia | $11,268.16 | $585.40 |
| Yuba City, CACalifornia | $11,268.16 | $585.40 |
| ColoradoColorado | $10,976.99 | $606.13 |
| ConnecticutConnecticut | $11,152.16 | $654.59 |
| DelawareDelaware | $10,240.09 | $610.01 |
| Fort Lauderdale, FLFlorida | $10,576.40 | $702.64 |
| Rest of FloridaFlorida | $9,985.74 | $667.56 |
| Atlanta, GAGeorgia | $10,544.95 | $641.95 |
| Rest of GeorgiaGeorgia | $9,325.76 | $631.39 |
| Hawaii, Guam, HIHawaii | $11,667.30 | $584.90 |
| IowaIowa | $9,469.96 | $551.41 |
| IdahoIdaho | $9,526.82 | $559.54 |
| East St. Louis, ILIllinois | $9,684.84 | $717.55 |
| Rest of IllinoisIllinois | $9,569.89 | $670.84 |
| Suburban Chicago, ILIllinois | $10,713.25 | $703.03 |
| IndianaIndiana | $9,596.85 | $561.34 |
| KansasKansas | $9,372.98 | $561.65 |
| KentuckyKentucky | $9,267.92 | $602.79 |
| New Orleans, LALouisiana | $9,800.90 | $628.92 |
| Rest of LouisianaLouisiana | $9,233.07 | $606.93 |
| Metropolitan Boston, MAMassachusetts | $12,277.01 | $639.03 |
| Rest of MassachusettsMassachusetts | $10,872.48 | $608.84 |
| Baltimore area, MDMaryland | $11,113.88 | $655.29 |
| Rest of MarylandMaryland | $10,479.82 | $615.81 |
| Rest of MaineMaine | $9,542.10 | $574.81 |
| Southern Maine, MEMaine | $10,239.81 | $580.48 |
| Detroit, MIMichigan | $10,092.83 | $686.92 |
| Rest of MichiganMichigan | $9,525.39 | $626.33 |
| MinnesotaMinnesota | $10,578.38 | $548.67 |
| Metropolitan Kansas City, MOMissouri | $9,764.97 | $612.49 |
| Metropolitan St. Louis, MOMissouri | $9,895.11 | $615.92 |
| Rest of MissouriMissouri | $9,008.99 | $607.03 |
| MississippiMississippi | $8,975.08 | $582.87 |
| MontanaMontana | $10,365.76 | $618.71 |
| North CarolinaNorth Carolina | $9,671.42 | $577.43 |
| North DakotaNorth Dakota | $10,305.06 | $558.01 |
| NebraskaNebraska | $9,546.52 | $549.99 |
| New HampshireNew Hampshire | $10,755.52 | $608.84 |
| Northern New JerseyNew Jersey | $11,971.48 | $664.90 |
| Rest of New JerseyNew Jersey | $11,296.77 | $652.99 |
| New MexicoNew Mexico | $9,572.03 | $633.98 |
| NevadaNevada | $10,358.66 | $601.86 |
| NYC suburbs and Long Island, NYNew York | $12,337.44 | $748.19 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $11,340.05 | $667.03 |
| Queens, NYNew York | $12,226.19 | $705.17 |
| Rest of New YorkNew York | $9,844.82 | $585.12 |
| OhioOhio | $9,512.98 | $613.93 |
| OklahomaOklahoma | $9,293.02 | $588.90 |
| Portland, OROregon | $11,436.25 | $607.28 |
| Rest of OregonOregon | $10,296.26 | $588.20 |
| Metropolitan Philadelphia, PAPennsylvania | $10,796.22 | $649.54 |
| Rest of PennsylvaniaPennsylvania | $9,555.59 | $607.80 |
| Puerto RicoPuerto Rico | $10,472.38 | $618.12 |
| Rhode IslandRhode Island | $10,687.29 | $618.59 |
| South CarolinaSouth Carolina | $9,604.74 | $598.46 |
| TennesseeTennessee | $9,425.43 | $565.36 |
| Austin, TXTexas | $10,924.38 | $612.00 |
| Beaumont, TXTexas | $9,475.44 | $605.63 |
| Brazoria, TXTexas | $10,258.68 | $599.36 |
| Dallas, TXTexas | $10,316.20 | $608.14 |
| Fort Worth, TXTexas | $10,219.39 | $608.80 |
| Galveston, TXTexas | $10,283.23 | $604.41 |
| Houston, TXTexas | $10,339.42 | $660.60 |
| Rest of TexasTexas | $9,855.52 | $605.57 |
| UtahUtah | $9,766.68 | $604.45 |
| VirginiaVirginia | $10,168.99 | $587.64 |
| Virgin Islands, VIUnited States Virgin Islands | $10,472.38 | $618.12 |
| VermontVermont | $10,217.18 | $567.60 |
| Rest of WashingtonWashington | $10,867.44 | $603.80 |
| King County, WAWashington | $12,597.43 | $637.80 |
| WisconsinWisconsin | $9,882.83 | $545.15 |
| West VirginiaWest Virginia | $9,124.55 | $654.36 |
| WyomingWyoming | $10,339.31 | $592.26 |
37286 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.
$8,932.48
$12,986.87
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 | $11,182.62 | 1 |
| AL | $9,094.74 | 1 |
| AR | $8,932.48 | 1 |
| AZ | $10,046.97 | 1 |
| CA | $11,268.16–$14,705.57 | 29 |
| CO | $10,976.99 | 1 |
| CT | $11,152.16 | 1 |
| DC | $12,148.70 | 1 |
| DE | $10,240.09 | 1 |
| FL | $9,985.74–$10,925.12 | 3 |
| GA | $9,325.76–$10,544.95 | 2 |
| GU | $11,667.30 | 1 |
| HI | $11,667.30 | 1 |
| IA | $9,469.96 | 1 |
| ID | $9,526.82 | 1 |
| IL | $9,569.89–$10,713.25 | 4 |
| IN | $9,596.85 | 1 |
| KS | $9,372.98 | 1 |
| KY | $9,267.92 | 1 |
| LA | $9,233.07–$9,800.90 | 2 |
| MA | $10,872.48–$12,277.01 | 2 |
| MD | $10,479.82–$12,148.70 | 3 |
| ME | $9,542.10–$10,239.81 | 2 |
| MI | $9,525.39–$10,092.83 | 2 |
| MN | $10,578.38 | 1 |
| MO | $9,008.99–$9,895.11 | 3 |
| MS | $8,975.08 | 1 |
| MT | $10,365.76 | 1 |
| NC | $9,671.42 | 1 |
| ND | $10,305.06 | 1 |
| NE | $9,546.52 | 1 |
| NH | $10,755.52 | 1 |
| NJ | $11,296.77–$11,971.48 | 2 |
| NM | $9,572.03 | 1 |
| NV | $10,358.66 | 1 |
| NY | $9,844.82–$12,337.44 | 5 |
| OH | $9,512.98 | 1 |
| OK | $9,293.02 | 1 |
| OR | $10,296.26–$11,436.25 | 2 |
| PA | $9,555.59–$10,796.22 | 2 |
| PR | $10,472.38 | 1 |
| RI | $10,687.29 | 1 |
| SC | $9,604.74 | 1 |
| SD | $10,297.88 | 1 |
| TN | $9,425.43 | 1 |
| TX | $9,475.44–$10,924.38 | 8 |
| UT | $9,766.68 | 1 |
| VA | $10,168.99–$12,148.70 | 2 |
| VI | $10,472.38 | 1 |
| VT | $10,217.18 | 1 |
| WA | $10,867.44–$12,597.43 | 2 |
| WI | $9,882.83 | 1 |
| WV | $9,124.55 | 1 |
| WY | $10,339.31 | 1 |
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.
How the rate is built · 37286
RVUs × geographic indexes × conversion factor
Work13.46
13.46 RVUs× 1.000 GPCI
Practice expense293.82
293.82 RVUs× 1.000 GPCI
Malpractice3.07
3.07 RVUs× 1.000 GPCI
Adjusted RVUs
310.3500
Conversion factor
$33.4009
Medicare rate
$10,365.97
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,646
- Code
- 37286
- Physician work
- 13.46
- Practice expense
- 293.82
- Malpractice
- 3.07
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.46 | × 1.000 | 13.4600 |
| Practice expense | 293.82 | × 1.000 | 293.8200 |
| Malpractice | 3.07 | × 0.336 | 1.0315 |
| Total RVUs | 308.3115 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$10297.88
Office: (13.46 × 1 + 293.82 × 1 + 3.07 × 0.336) × $33.4009 = $10297.88
Facility: (13.46 × 1 + 2 × 1 + 3.07 × 0.336) × $33.4009 = $550.83
Payment rules and modifiers for 37286
The CMS indicators that decide how 37286 is paid alongside other services.
CMS payment indicators · 37286
Venous stenting, complex, initial vein
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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
37286 without 50 · national office
$10,365.97
Venous stenting, complex, initial vein
37286-50 · Bilateral: 150%
$15,548.96
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 37286 has changed in South Dakota
37286 · Office / nonfacility
$10297.88
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$10297.88
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 | $10,297.88 | $550.83 | RVU26D |
| 2026-07-01 | $10,297.88 | $550.83 | RVU26C |
| 2026-04-01 | $10,297.88 | $550.83 | RVU26B |
| 2026-01-01 | $10,297.88 | $550.83 | 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 South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
37286 billing questions
How is this code different from 37284?
Both report initial-vein stent treatment. Use 37286 for a complex lesion and 37284 for a simple lesion; the documented lesion and procedure determine the classification.
When is 37287 reported with this code?
37287 reports complex stent treatment in an additional vein after the initial vein represented by 37286. Document each treated vein and its qualifying work.
Can angioplasty in the stented vein be reported separately?
Do not separately report angioplasty as another revascularization service for the same treated vein when it is part of the stent treatment. Distinct work in another vein requires separate evaluation under the applicable code.
What documentation supports the complex classification?
Document the vein treated, the obstruction's location and extent, the procedural features supporting complex treatment, and stent placement. Do not rely on the number or type of stents alone.
How does Medicare handle bilateral treatment?
CMS identifies this as a bilateral procedure; report modifier 50 for bilateral work. The CMS payment rule is 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
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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