CPT code 37288: Tibial atherectomy, simple, initial vessel2026 Medicare rate & RVUs in Vermont
Reports catheter-based atherectomy to restore flow in a simple tibial or peroneal artery lesion, for the first treated vessel in the session.
In Vermont, Medicare pays $7,676.41 for 37288 in the office and $562.07 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 37288 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 37288 covers
This service treats an obstructive lesion in a tibial or peroneal artery using a catheter-based device to remove or modify plaque and restore blood flow. It is typically performed by a vascular surgeon, interventional radiologist, or interventional cardiologist in an angiography or hospital procedure suite for peripheral arterial disease. Angioplasty in the same vessel is included when performed as part of the revascularization.
Report this code for the initial vessel when the treated lesion meets the CPT criteria for a simple intervention; use the operative report to support the vessel treated, lesion characteristics, and atherectomy performed. The separate additional-vessel code applies to another treated vessel. 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 procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 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 Vermont compares for 37288
Across 109 of 109 payment localities, the office rate for 37288 runs from $6,727.51 in Arkansas to $11,005.86 in San Benito County, CA. Vermont pays $7,676.41. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$7,676.41
- Los Angeles, CA · California$9,109.13+$1,432.72
- Washington, DC area · District of Columbia$9,121.34+$1,444.93
- Miami, FL · Florida$8,238.06+$561.65
- Chicago, IL · Illinois$7,958.02+$281.61
- Manhattan, NY · New York$9,054.72+$1,378.31
- Alaska · Alaska$8,449.88+$773.47
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $6,848.35 | $560.42 |
| ArkansasArkansas | $6,727.51 | $554.56 |
| ArizonaArizona | $7,557.36 | $593.93 |
| Bakersfield, CACalifornia | $8,463.25 | $587.17 |
| Chico, CACalifornia | $8,455.42 | $579.34 |
| El Centro, CACalifornia | $8,455.90 | $579.82 |
| Fresno, CACalifornia | $8,455.42 | $579.34 |
| Hanford, CACalifornia | $8,455.42 | $579.34 |
| Madera, CACalifornia | $8,455.42 | $579.34 |
| Merced, CACalifornia | $8,455.42 | $579.34 |
| Modesto, CACalifornia | $8,455.42 | $579.34 |
| Napa, CACalifornia | $10,083.01 | $611.59 |
| Oxnard, CACalifornia | $9,092.13 | $598.04 |
| Redding, CACalifornia | $8,455.42 | $579.34 |
| Rest of CaliforniaCalifornia | $8,455.42 | $579.34 |
| Riverside, CACalifornia | $8,485.94 | $609.86 |
| Sacramento, CACalifornia | $8,949.74 | $592.18 |
| Salinas, CACalifornia | $8,918.48 | $589.67 |
| San Diego, CACalifornia | $9,186.85 | $592.15 |
| Marin County, CACalifornia | $10,759.79 | $627.24 |
| San Francisco, CACalifornia | $10,756.56 | $624.02 |
| San Benito County, CACalifornia | $11,005.86 | $643.35 |
| Santa Clara County, CACalifornia | $10,992.67 | $630.16 |
| San Luis Obispo, CACalifornia | $8,767.17 | $582.09 |
| Santa Cruz, CACalifornia | $9,319.97 | $588.74 |
| Santa Maria, CACalifornia | $8,967.88 | $588.77 |
| Santa Rosa, CACalifornia | $9,418.28 | $593.62 |
| Stockton, CACalifornia | $8,455.42 | $579.34 |
| Vallejo, CACalifornia | $10,078.36 | $606.94 |
| Visalia, CACalifornia | $8,455.42 | $579.34 |
| Yuba City, CACalifornia | $8,455.42 | $579.34 |
| ColoradoColorado | $8,244.41 | $598.29 |
| ConnecticutConnecticut | $8,382.96 | $643.42 |
| DelawareDelaware | $7,701.44 | $601.47 |
| Fort Lauderdale, FLFlorida | $7,966.67 | $687.04 |
| Rest of FloridaFlorida | $7,524.48 | $654.47 |
| Atlanta, GAGeorgia | $7,932.19 | $631.01 |
| Rest of GeorgiaGeorgia | $7,030.98 | $620.89 |
| Hawaii, Guam, HIHawaii | $8,749.08 | $578.37 |
| IowaIowa | $7,122.32 | $546.94 |
| IdahoIdaho | $7,165.78 | $554.47 |
| East St. Louis, ILIllinois | $7,311.96 | $700.65 |
| Rest of IllinoisIllinois | $7,218.43 | $657.42 |
| Suburban Chicago, ILIllinois | $8,067.91 | $687.68 |
| IndianaIndiana | $7,217.76 | $556.15 |
| KansasKansas | $7,052.72 | $556.39 |
| KentuckyKentucky | $6,982.96 | $594.42 |
| New Orleans, LALouisiana | $7,380.92 | $618.70 |
| Rest of LouisianaLouisiana | $6,958.04 | $598.25 |
| Metropolitan Boston, MAMassachusetts | $9,210.32 | $630.00 |
| Rest of MassachusettsMassachusetts | $8,167.98 | $600.91 |
| Baltimore area, MDMaryland | $8,354.72 | $643.92 |
| Rest of MarylandMaryland | $7,879.50 | $607.06 |
| Rest of MaineMaine | $7,179.91 | $568.61 |
| Southern Maine, MEMaine | $7,695.52 | $573.99 |
| Detroit, MIMichigan | $7,607.09 | $672.41 |
| Rest of MichiganMichigan | $7,177.26 | $616.25 |
| MinnesotaMinnesota | $7,939.24 | $544.64 |
| Metropolitan Kansas City, MOMissouri | $7,351.34 | $603.49 |
| Metropolitan St. Louis, MOMissouri | $7,447.96 | $606.69 |
| Rest of MissouriMissouri | $6,792.80 | $598.30 |
| MississippiMississippi | $6,763.26 | $575.94 |
| MontanaMontana | $7,795.58 | $609.38 |
| North CarolinaNorth Carolina | $7,275.78 | $571.05 |
| North DakotaNorth Dakota | $7,739.42 | $553.22 |
| NebraskaNebraska | $7,178.52 | $545.65 |
| New HampshireNew Hampshire | $8,081.16 | $600.32 |
| Northern New JerseyNew Jersey | $8,990.63 | $654.63 |
| Rest of New JerseyNew Jersey | $8,490.01 | $642.67 |
| New MexicoNew Mexico | $7,213.09 | $623.34 |
| NevadaNevada | $7,787.18 | $593.79 |
| NYC suburbs and Long Island, NYNew York | $9,276.17 | $731.78 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $8,524.73 | $655.84 |
| Queens, NYNew York | $9,186.06 | $691.96 |
| Rest of New YorkNew York | $7,405.10 | $578.20 |
| OhioOhio | $7,165.78 | $604.78 |
| OklahomaOklahoma | $6,998.87 | $581.59 |
| Portland, OROregon | $8,583.45 | $599.58 |
| Rest of OregonOregon | $7,738.60 | $581.14 |
| Metropolitan Philadelphia, PAPennsylvania | $8,119.44 | $638.61 |
| Rest of PennsylvaniaPennsylvania | $7,196.05 | $599.12 |
| Puerto RicoPuerto Rico | $7,874.10 | $608.85 |
| Rhode IslandRhode Island | $8,033.34 | $609.99 |
| South CarolinaSouth Carolina | $7,230.54 | $590.49 |
| South DakotaSouth Dakota | $7,732.78 | $546.58 |
| TennesseeTennessee | $7,092.10 | $559.84 |
| Austin, TXTexas | $8,206.36 | $603.35 |
| Beaumont, TXTexas | $7,136.54 | $597.09 |
| Brazoria, TXTexas | $7,713.26 | $591.73 |
| Dallas, TXTexas | $7,757.36 | $599.90 |
| Fort Worth, TXTexas | $7,686.09 | $600.49 |
| Galveston, TXTexas | $7,732.31 | $596.41 |
| Houston, TXTexas | $7,784.29 | $648.39 |
| Rest of TexasTexas | $7,416.82 | $597.11 |
| UtahUtah | $7,351.09 | $596.06 |
| VirginiaVirginia | $7,644.63 | $580.59 |
| Virgin Islands, VIUnited States Virgin Islands | $7,874.10 | $608.85 |
| Rest of WashingtonWashington | $8,163.21 | $596.14 |
| King County, WAWashington | $9,446.71 | $629.23 |
| WisconsinWisconsin | $7,425.63 | $541.24 |
| West VirginiaWest Virginia | $6,886.90 | $642.09 |
| WyomingWyoming | $7,771.11 | $584.90 |
37288 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.
$6,727.51
$9,730.64
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 | $8,449.88 | 1 |
| AL | $6,848.35 | 1 |
| AR | $6,727.51 | 1 |
| AZ | $7,557.36 | 1 |
| CA | $8,455.42–$11,005.86 | 29 |
| CO | $8,244.41 | 1 |
| CT | $8,382.96 | 1 |
| DC | $9,121.34 | 1 |
| DE | $7,701.44 | 1 |
| FL | $7,524.48–$8,238.06 | 3 |
| GA | $7,030.98–$7,932.19 | 2 |
| GU | $8,749.08 | 1 |
| HI | $8,749.08 | 1 |
| IA | $7,122.32 | 1 |
| ID | $7,165.78 | 1 |
| IL | $7,218.43–$8,067.91 | 4 |
| IN | $7,217.76 | 1 |
| KS | $7,052.72 | 1 |
| KY | $6,982.96 | 1 |
| LA | $6,958.04–$7,380.92 | 2 |
| MA | $8,167.98–$9,210.32 | 2 |
| MD | $7,879.50–$9,121.34 | 3 |
| ME | $7,179.91–$7,695.52 | 2 |
| MI | $7,177.26–$7,607.09 | 2 |
| MN | $7,939.24 | 1 |
| MO | $6,792.80–$7,447.96 | 3 |
| MS | $6,763.26 | 1 |
| MT | $7,795.58 | 1 |
| NC | $7,275.78 | 1 |
| ND | $7,739.42 | 1 |
| NE | $7,178.52 | 1 |
| NH | $8,081.16 | 1 |
| NJ | $8,490.01–$8,990.63 | 2 |
| NM | $7,213.09 | 1 |
| NV | $7,787.18 | 1 |
| NY | $7,405.10–$9,276.17 | 5 |
| OH | $7,165.78 | 1 |
| OK | $6,998.87 | 1 |
| OR | $7,738.60–$8,583.45 | 2 |
| PA | $7,196.05–$8,119.44 | 2 |
| PR | $7,874.10 | 1 |
| RI | $8,033.34 | 1 |
| SC | $7,230.54 | 1 |
| SD | $7,732.78 | 1 |
| TN | $7,092.10 | 1 |
| TX | $7,136.54–$8,206.36 | 8 |
| UT | $7,351.09 | 1 |
| VA | $7,644.63–$9,121.34 | 2 |
| VI | $7,874.10 | 1 |
| VT | $7,676.41 | 1 |
| WA | $8,163.21–$9,446.71 | 2 |
| WI | $7,425.63 | 1 |
| WV | $6,886.90 | 1 |
| WY | $7,771.11 | 1 |
How the 37288 rate is calculated
Each of 37288’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 · 37288
RVUs × geographic indexes × conversion factor
Work13.50
13.50 RVUs× 1.000 GPCI
Practice expense217.06
217.06 RVUs× 1.000 GPCI
Malpractice2.84
2.84 RVUs× 1.000 GPCI
Adjusted RVUs
233.4000
Conversion factor
$33.4009
Medicare rate
$7,795.77
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Vermont inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,648
- Code
- 37288
- Physician work
- 13.50
- Practice expense
- 217.06
- Malpractice
- 2.84
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.50 | × 1.000 | 13.5000 |
| Practice expense | 217.06 | × 0.990 | 214.8894 |
| Malpractice | 2.84 | × 0.506 | 1.4370 |
| Total RVUs | 229.8264 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Vermont$7676.41
Office: (13.5 × 1 + 217.06 × 0.99 + 2.84 × 0.506) × $33.4009 = $7676.41
Facility: (13.5 × 1 + 1.91 × 0.99 + 2.84 × 0.506) × $33.4009 = $562.07
Payment rules and modifiers for 37288
The CMS indicators that decide how 37288 is paid alongside other services.
CMS payment indicators · 37288
Tibial atherectomy, simple, initial vessel
| 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
37288 without 50 · national office
$7,795.77
Tibial atherectomy, simple, initial vessel
37288-50 · Bilateral: 150%
$11,693.66
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 37288 has changed in Vermont
37288 · Office / nonfacility
$7676.41
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$7676.41
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 | $7,676.41 | $562.07 | RVU26D |
| 2026-07-01 | $7,676.41 | $562.07 | RVU26C |
| 2026-04-01 | $7,676.41 | $562.07 | RVU26B |
| 2026-01-01 | $7,676.41 | $562.07 | 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 Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
37288 billing questions
When is 37288 selected instead of the complex atherectomy code?
Use 37288 for the initial tibial or peroneal vessel when the lesion meets CPT's simple-intervention criteria. The operative documentation should support the lesion classification; do not choose based only on the device used.
Can angioplasty in the treated vessel be billed separately?
Angioplasty performed in the same vessel as the atherectomy is included in this revascularization service.
How is another treated tibial or peroneal vessel reported?
Use the applicable additional-vessel code, 37289, for another vessel treated in the same session. This code is for the initial vessel.
What documentation supports reporting 37288?
The procedure report should identify the tibial or peroneal vessel, describe the lesion and why it qualifies as simple, and document the atherectomy performed.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
When is assistant-at-surgery payment allowed?
CMS payment for an assistant at surgery requires documentation of medical necessity.
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
Fee sheets
Put 37288 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet