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.

CMS RVU26DEffective Oct 1, 2026One payment locality

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.

$10,297.88Office (non-facility)
$550.83Hospital or facility
−0.7%vs the national office rate ($10,365.97)

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.

We’ll open 37286 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 37286 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 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.

37286 in South Dakota vs other payment areas
  1. South Dakota · this page$10,297.88
  2. Los Angeles, CA · California$12,145.88+$1,848.00
  3. Washington, DC area · District of Columbia$12,148.70+$1,850.82
  4. Miami, FL · Florida$10,925.12+$627.24
  5. Chicago, IL · Illinois$10,550.98+$253.10
  6. Manhattan, NY · New York$12,044.68+$1,746.80
  7. Alaska · Alaska$11,182.62+$884.74

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

37286 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
37286 office rate range by state
State / territoryOffice rate rangeLocalities
AK$11,182.621
AL$9,094.741
AR$8,932.481
AZ$10,046.971
CA$11,268.16–$14,705.5729
CO$10,976.991
CT$11,152.161
DC$12,148.701
DE$10,240.091
FL$9,985.74–$10,925.123
GA$9,325.76–$10,544.952
GU$11,667.301
HI$11,667.301
IA$9,469.961
ID$9,526.821
IL$9,569.89–$10,713.254
IN$9,596.851
KS$9,372.981
KY$9,267.921
LA$9,233.07–$9,800.902
MA$10,872.48–$12,277.012
MD$10,479.82–$12,148.703
ME$9,542.10–$10,239.812
MI$9,525.39–$10,092.832
MN$10,578.381
MO$9,008.99–$9,895.113
MS$8,975.081
MT$10,365.761
NC$9,671.421
ND$10,305.061
NE$9,546.521
NH$10,755.521
NJ$11,296.77–$11,971.482
NM$9,572.031
NV$10,358.661
NY$9,844.82–$12,337.445
OH$9,512.981
OK$9,293.021
OR$10,296.26–$11,436.252
PA$9,555.59–$10,796.222
PR$10,472.381
RI$10,687.291
SC$9,604.741
SD$10,297.881
TN$9,425.431
TX$9,475.44–$10,924.388
UT$9,766.681
VA$10,168.99–$12,148.702
VI$10,472.381
VT$10,217.181
WA$10,867.44–$12,597.432
WI$9,882.831
WV$9,124.551
WY$10,339.311

See 37286 in every payment locality

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

Office or facility?

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
Office calculation for 37286 in South Dakota
ComponentRVULocality factorAdjusted
Physician work13.46× 1.00013.4600
Practice expense293.82× 1.000293.8200
Malpractice3.07× 0.3361.0315
Total RVUs308.3115
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

Open 37286 in the RVU calculator

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

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

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).

When to use modifier 50

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.

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$10297.88

    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$10,297.88$550.83RVU26D
2026-07-01$10,297.88$550.83RVU26C
2026-04-01$10,297.88$550.83RVU26B
2026-01-01$10,297.88$550.83RVU26A
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 37286 for an earlier date of service

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

Browse all communities in South Dakota

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
RVUs for 37286PPRRVU2026_Oct_nonQPP.csv, line 4,646 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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