CPT code 37289: Arterial atherectomy, additional simple vessel2026 Medicare rate & RVUs in Montana
Reports catheter-based plaque removal in each additional tibial or peroneal artery vessel treated during a simple endovascular revascularization procedure.
In Montana, Medicare pays $921.46 for 37289 in the office and $214.70 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 37289 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 37289 covers
This add-on code describes catheter-based atherectomy in each additional tibial or peroneal artery vessel treated during lower-extremity endovascular revascularization. The intervention removes arterial plaque through an endovascular approach and is generally performed by an interventional radiologist, vascular surgeon, or cardiologist in an angiography suite or operating room. It is specific to additional vessels in the simple-procedure category; it does not describe the initial vessel or a combined atherectomy-and-stent service.
Report 37289 with the primary procedure for the initial vessel, typically 37288, when documentation supports atherectomy in an additional vessel and the applicable simple category. The operative report should identify the treated vessels and describe the atherectomy performed in each. As an add-on code, it is billed only with a primary procedure and paid within that procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays this code at 150%.
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 Montana compares for 37289
Across 109 of 109 payment localities, the office rate for 37289 runs from $802.36 in Arkansas to $1,245.61 in San Benito County, CA. Montana pays $921.46. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$921.46
- Los Angeles, CA · California$1,050.13+$128.67
- Washington, DC area · District of Columbia$1,063.70+$142.24
- Miami, FL · Florida$1,003.01+$81.55
- Chicago, IL · Illinois$969.97+$48.51
- Manhattan, NY · New York$1,069.57+$148.11
- Alaska · Alaska$1,033.11+$111.65
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $815.75 | $197.33 |
| ArkansasArkansas | $802.36 | $195.25 |
| ArizonaArizona | $894.07 | $209.22 |
| Bakersfield, CACalifornia | $981.35 | $206.74 |
| Chico, CACalifornia | $978.57 | $203.96 |
| El Centro, CACalifornia | $978.74 | $204.13 |
| Fresno, CACalifornia | $978.57 | $203.96 |
| Hanford, CACalifornia | $978.57 | $203.96 |
| Madera, CACalifornia | $978.57 | $203.96 |
| Merced, CACalifornia | $978.57 | $203.96 |
| Modesto, CACalifornia | $978.57 | $203.96 |
| Napa, CACalifornia | $1,146.80 | $215.28 |
| Oxnard, CACalifornia | $1,045.96 | $210.56 |
| Redding, CACalifornia | $978.57 | $203.96 |
| Rest of CaliforniaCalifornia | $978.57 | $203.96 |
| Riverside, CACalifornia | $989.43 | $214.81 |
| Sacramento, CACalifornia | $1,030.44 | $208.47 |
| Salinas, CACalifornia | $1,026.73 | $207.59 |
| San Diego, CACalifornia | $1,053.75 | $208.46 |
| Marin County, CACalifornia | $1,217.30 | $220.76 |
| San Francisco, CACalifornia | $1,216.15 | $219.62 |
| San Benito County, CACalifornia | $1,245.61 | $226.46 |
| Santa Clara County, CACalifornia | $1,240.92 | $221.77 |
| San Luis Obispo, CACalifornia | $1,009.93 | $204.92 |
| Santa Cruz, CACalifornia | $1,065.98 | $207.26 |
| Santa Maria, CACalifornia | $1,031.36 | $207.27 |
| Santa Rosa, CACalifornia | $1,076.88 | $208.98 |
| Stockton, CACalifornia | $978.57 | $203.96 |
| Vallejo, CACalifornia | $1,145.14 | $213.63 |
| Visalia, CACalifornia | $978.57 | $203.96 |
| Yuba City, CACalifornia | $978.57 | $203.96 |
| ColoradoColorado | $962.71 | $210.72 |
| ConnecticutConnecticut | $987.93 | $226.75 |
| DelawareDelaware | $910.17 | $211.89 |
| Fort Lauderdale, FLFlorida | $958.27 | $242.32 |
| Rest of FloridaFlorida | $906.42 | $230.75 |
| Atlanta, GAGeorgia | $940.45 | $222.38 |
| Rest of GeorgiaGeorgia | $849.26 | $218.83 |
| Hawaii, Guam, HIHawaii | $1,007.22 | $203.63 |
| IowaIowa | $839.21 | $192.52 |
| IdahoIdaho | $845.42 | $195.20 |
| East St. Louis, ILIllinois | $897.41 | $247.18 |
| Rest of IllinoisIllinois | $877.09 | $231.81 |
| Suburban Chicago, ILIllinois | $968.37 | $242.53 |
| IndianaIndiana | $850.96 | $195.79 |
| KansasKansas | $834.80 | $195.89 |
| KentuckyKentucky | $837.73 | $209.42 |
| New Orleans, LALouisiana | $883.10 | $218.04 |
| Rest of LouisianaLouisiana | $836.26 | $210.78 |
| Metropolitan Boston, MAMassachusetts | $1,065.78 | $221.90 |
| Rest of MassachusettsMassachusetts | $955.87 | $211.64 |
| Baltimore area, MDMaryland | $985.29 | $226.94 |
| Rest of MarylandMaryland | $929.10 | $213.86 |
| Rest of MaineMaine | $850.45 | $200.23 |
| Southern Maine, MEMaine | $902.52 | $202.12 |
| Detroit, MIMichigan | $919.15 | $237.13 |
| Rest of MichiganMichigan | $862.45 | $217.17 |
| MinnesotaMinnesota | $918.93 | $191.67 |
| Metropolitan Kansas City, MOMissouri | $876.28 | $212.63 |
| Metropolitan St. Louis, MOMissouri | $886.60 | $213.76 |
| Rest of MissouriMissouri | $820.03 | $210.80 |
| MississippiMississippi | $811.38 | $202.85 |
| North CarolinaNorth Carolina | $860.50 | $201.09 |
| North DakotaNorth Dakota | $901.49 | $194.73 |
| NebraskaNebraska | $844.40 | $192.06 |
| New HampshireNew Hampshire | $947.21 | $211.47 |
| Northern New JerseyNew Jersey | $1,050.48 | $230.64 |
| Rest of New JerseyNew Jersey | $998.23 | $226.45 |
| New MexicoNew Mexico | $867.79 | $219.69 |
| NevadaNevada | $916.63 | $209.16 |
| NYC suburbs and Long Island, NYNew York | $1,098.40 | $258.06 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,005.02 | $231.12 |
| Queens, NYNew York | $1,079.30 | $243.91 |
| Rest of New YorkNew York | $875.05 | $203.63 |
| OhioOhio | $858.37 | $213.09 |
| OklahomaOklahoma | $835.99 | $204.85 |
| Portland, OROregon | $996.37 | $211.15 |
| Rest of OregonOregon | $908.59 | $204.66 |
| Metropolitan Philadelphia, PAPennsylvania | $960.79 | $225.05 |
| Rest of PennsylvaniaPennsylvania | $859.89 | $211.08 |
| Puerto RicoPuerto Rico | $929.05 | $214.51 |
| Rhode IslandRhode Island | $944.96 | $214.88 |
| South CarolinaSouth Carolina | $861.06 | $208.01 |
| South DakotaSouth Dakota | $899.13 | $192.37 |
| TennesseeTennessee | $839.56 | $197.11 |
| Austin, TXTexas | $960.29 | $212.54 |
| Beaumont, TXTexas | $853.51 | $210.36 |
| Brazoria, TXTexas | $908.82 | $208.41 |
| Dallas, TXTexas | $915.25 | $211.32 |
| Fort Worth, TXTexas | $908.40 | $211.53 |
| Galveston, TXTexas | $911.89 | $210.08 |
| Houston, TXTexas | $930.38 | $228.56 |
| Rest of TexasTexas | $881.07 | $210.35 |
| UtahUtah | $874.34 | $209.98 |
| VirginiaVirginia | $899.22 | $204.47 |
| Virgin Islands, VIUnited States Virgin Islands | $929.05 | $214.51 |
| VermontVermont | $897.57 | $197.88 |
| Rest of WashingtonWashington | $954.18 | $209.95 |
| King County, WAWashington | $1,088.81 | $221.61 |
| WisconsinWisconsin | $867.56 | $190.48 |
| West VirginiaWest Virginia | $840.55 | $226.38 |
| WyomingWyoming | $912.76 | $206.00 |
37289 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.
$802.36
$1,112.09
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 | $1,033.11 | 1 |
| AL | $815.75 | 1 |
| AR | $802.36 | 1 |
| AZ | $894.07 | 1 |
| CA | $978.57–$1,245.61 | 29 |
| CO | $962.71 | 1 |
| CT | $987.93 | 1 |
| DC | $1,063.70 | 1 |
| DE | $910.17 | 1 |
| FL | $906.42–$1,003.01 | 3 |
| GA | $849.26–$940.45 | 2 |
| GU | $1,007.22 | 1 |
| HI | $1,007.22 | 1 |
| IA | $839.21 | 1 |
| ID | $845.42 | 1 |
| IL | $877.09–$969.97 | 4 |
| IN | $850.96 | 1 |
| KS | $834.80 | 1 |
| KY | $837.73 | 1 |
| LA | $836.26–$883.10 | 2 |
| MA | $955.87–$1,065.78 | 2 |
| MD | $929.10–$1,063.70 | 3 |
| ME | $850.45–$902.52 | 2 |
| MI | $862.45–$919.15 | 2 |
| MN | $918.93 | 1 |
| MO | $820.03–$886.60 | 3 |
| MS | $811.38 | 1 |
| MT | $921.46 | 1 |
| NC | $860.50 | 1 |
| ND | $901.49 | 1 |
| NE | $844.40 | 1 |
| NH | $947.21 | 1 |
| NJ | $998.23–$1,050.48 | 2 |
| NM | $867.79 | 1 |
| NV | $916.63 | 1 |
| NY | $875.05–$1,098.40 | 5 |
| OH | $858.37 | 1 |
| OK | $835.99 | 1 |
| OR | $908.59–$996.37 | 2 |
| PA | $859.89–$960.79 | 2 |
| PR | $929.05 | 1 |
| RI | $944.96 | 1 |
| SC | $861.06 | 1 |
| SD | $899.13 | 1 |
| TN | $839.56 | 1 |
| TX | $853.51–$960.29 | 8 |
| UT | $874.34 | 1 |
| VA | $899.22–$1,063.70 | 2 |
| VI | $929.05 | 1 |
| VT | $897.57 | 1 |
| WA | $954.18–$1,088.81 | 2 |
| WI | $867.56 | 1 |
| WV | $840.55 | 1 |
| WY | $912.76 | 1 |
How the 37289 rate is calculated
Each of 37289’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 · 37289
RVUs × geographic indexes × conversion factor
Work4.75
4.75 RVUs× 1.000 GPCI
Practice expense21.83
21.83 RVUs× 1.000 GPCI
Malpractice1.01
1.01 RVUs× 1.000 GPCI
Adjusted RVUs
27.5900
Conversion factor
$33.4009
Medicare rate
$921.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,649
- Code
- 37289
- Physician work
- 4.75
- Practice expense
- 21.83
- Malpractice
- 1.01
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.75 | × 1.000 | 4.7500 |
| Practice expense | 21.83 | × 1.000 | 21.8300 |
| Malpractice | 1.01 | × 0.998 | 1.0080 |
| Total RVUs | 27.5880 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$921.46
Office: (4.75 × 1 + 21.83 × 1 + 1.01 × 0.998) × $33.4009 = $921.46
Facility: (4.75 × 1 + 0.67 × 1 + 1.01 × 0.998) × $33.4009 = $214.70
Payment rules and modifiers for 37289
The CMS indicators that decide how 37289 is paid alongside other services.
CMS payment indicators · 37289
Arterial atherectomy, additional simple vessel
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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
37289 without 50 · national office
$921.53
Arterial atherectomy, additional simple vessel
37289-50 · Bilateral: 150%
$1,382.30
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 37289 has changed in Montana
37289 · Office / nonfacility
$921.46
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$921.46
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 | $921.46 | $214.70 | RVU26D |
| 2026-07-01 | $921.46 | $214.70 | RVU26C |
| 2026-04-01 | $921.46 | $214.70 | RVU26B |
| 2026-01-01 | $921.46 | $214.70 | 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 Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
37289 billing questions
Which code is reported for the initial simple tibial or peroneal vessel?
Use 37288 for the initial vessel when the procedure meets the simple-category criteria. Code 37289 is for each additional vessel.
Can 37289 be submitted by itself?
No. It is an add-on code and must be reported with a primary procedure, typically 37288 for the initial simple vessel.
How does 37289 differ from 37291?
Both describe an additional vessel, but 37289 is for the simple category and 37291 is for the complex category.
What documentation supports reporting an additional vessel?
The procedure report should identify each treated tibial or peroneal artery vessel and document atherectomy in the additional vessel.
How is modifier 50 handled for a bilateral procedure?
CMS pays a bilateral procedure reported with modifier 50 at 150%.
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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