CPT code 37289: Arterial atherectomy, additional simple vessel2026 Medicare rate & RVUs in Ohio

Reports catheter-based plaque removal in each additional tibial or peroneal artery vessel treated during a simple endovascular revascularization procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Ohio, Medicare pays $858.37 for 37289 in the office and $213.09 when it’s performed in a hospital or facility.

$858.37Office (non-facility)
$213.09Hospital or facility
−6.9%vs the national office rate ($921.53)

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.

We’ll open 37289 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Ohio
  2. What 37289 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 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 Ohio 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. Ohio pays $858.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

37289 in Ohio vs other payment areas
  1. Ohio · this page$858.37
  2. Los Angeles, CA · California$1,050.13+$191.76
  3. Washington, DC area · District of Columbia$1,063.70+$205.33
  4. Miami, FL · Florida$1,003.01+$144.64
  5. Chicago, IL · Illinois$969.97+$111.60
  6. Manhattan, NY · New York$1,069.57+$211.20
  7. Alaska · Alaska$1,033.11+$174.74

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

Every other payment area

37289 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
37289 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,033.111
AL$815.751
AR$802.361
AZ$894.071
CA$978.57–$1,245.6129
CO$962.711
CT$987.931
DC$1,063.701
DE$910.171
FL$906.42–$1,003.013
GA$849.26–$940.452
GU$1,007.221
HI$1,007.221
IA$839.211
ID$845.421
IL$877.09–$969.974
IN$850.961
KS$834.801
KY$837.731
LA$836.26–$883.102
MA$955.87–$1,065.782
MD$929.10–$1,063.703
ME$850.45–$902.522
MI$862.45–$919.152
MN$918.931
MO$820.03–$886.603
MS$811.381
MT$921.461
NC$860.501
ND$901.491
NE$844.401
NH$947.211
NJ$998.23–$1,050.482
NM$867.791
NV$916.631
NY$875.05–$1,098.405
OH$858.371
OK$835.991
OR$908.59–$996.372
PA$859.89–$960.792
PR$929.051
RI$944.961
SC$861.061
SD$899.131
TN$839.561
TX$853.51–$960.298
UT$874.341
VA$899.22–$1,063.702
VI$929.051
VT$897.571
WA$954.18–$1,088.812
WI$867.561
WV$840.551
WY$912.761

See 37289 in every payment locality

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

Office or facility?

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 Ohio 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

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office calculation for 37289 in Ohio
ComponentRVULocality factorAdjusted
Physician work4.75× 1.0004.7500
Practice expense21.83× 0.91319.9308
Malpractice1.01× 1.0081.0181
Total RVUs25.6989
Conversion factor× 33.4009

Office rate, Ohio$858.37

Office: (4.75 × 1 + 21.83 × 0.913 + 1.01 × 1.008) × $33.4009 = $858.37

Facility: (4.75 × 1 + 0.67 × 0.913 + 1.01 × 1.008) × $33.4009 = $213.09

Open 37289 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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

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).

When to use modifier 50

How 37289 has changed in Ohio

37289 · Office / nonfacility

$858.37

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$858.37

    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$858.37$213.09RVU26D
2026-07-01$858.37$213.09RVU26C
2026-04-01$858.37$213.09RVU26B
2026-01-01$858.37$213.09RVU26A
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 37289 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

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
RVUs for 37289PPRRVU2026_Oct_nonQPP.csv, line 4,649 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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