CPT code 37290: Peripheral atherectomy, complex, initial vessel2026 Medicare rate & RVUs in Nebraska

Reports endovascular atherectomy for a complex peripheral arterial lesion in the initial vessel treated during a revascularization session.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Nebraska, Medicare pays $9,805.00 for 37290 in the office and $686.39 when it’s performed in a hospital or facility.

$9,805.00Office (non-facility)
$686.39Hospital or facility
−7.9%vs the national office rate ($10,646.20)

Check a contract rate as a % of Medicare · 37290 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 37290 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nebraska
  2. What 37290 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 37290 covers

This code identifies catheter-based atherectomy to restore flow through a complex peripheral arterial lesion in the initial vessel treated. The operator advances endovascular devices to remove or modify obstructive plaque. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform this treatment in a hospital or outpatient procedural setting for symptomatic peripheral arterial disease. The code’s complex designation and vessel order distinguish it from the simple-lesion and additional-vessel entries in the atherectomy family.

Select the code using the documented lesion classification and treated vessel sequence under the applicable CPT rules; do not infer complexity from the device alone. The procedure report should identify the treated vessel and lesion, describe the atherectomy performed, and support the complex classification. 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%. 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 Nebraska compares for 37290

Across 109 of 109 payment localities, the office rate for 37290 runs from $9,184.02 in Arkansas to $15,054.97 in San Benito County, CA. Nebraska pays $9,805.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

37290 in Nebraska vs other payment areas
  1. Nebraska · this page$9,805.00
  2. Los Angeles, CA · California$12,451.77+$2,646.77
  3. Washington, DC area · District of Columbia$12,463.05+$2,658.05
  4. Miami, FL · Florida$11,237.34+$1,432.34
  5. Chicago, IL · Illinois$10,854.82+$1,049.82
  6. Manhattan, NY · New York$12,365.94+$2,560.94
  7. Alaska · Alaska$11,523.74+$1,718.74

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

Every other payment area

37290 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$9,349.46$705.05
ArkansasArkansas$9,184.02$697.68
ArizonaArizona$10,320.26$747.20
Bakersfield, CACalifornia$11,566.28$738.55
Chico, CACalifornia$11,556.42$728.69
El Centro, CACalifornia$11,557.02$729.28
Fresno, CACalifornia$11,556.42$728.69
Hanford, CACalifornia$11,556.42$728.69

37290 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.

$9,184.02

$13,305.70

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
37290 office rate range by state
State / territoryOffice rate rangeLocalities
AK$11,523.741
AL$9,349.461
AR$9,184.021
AZ$10,320.261
CA$11,556.42–$15,054.9729
CO$11,264.191
CT$11,449.501
DC$12,463.051
DE$10,517.461
FL$10,268.16–$11,237.343
GA$9,593.61–$10,831.282
GU$11,960.221
HI$11,960.221
IA$9,727.601
ID$9,786.481
IL$9,847.11–$11,011.384
IN$9,857.751
KS$9,630.851
KY$9,530.611
LA$9,495.92–$10,074.902
MA$11,158.83–$12,588.342
MD$10,761.58–$12,463.053
ME$9,804.30–$10,512.452
MI$9,795.21–$10,379.672
MN$10,850.831
MO$9,268.78–$10,168.423
MS$9,230.721
MT$10,645.961
NC$9,935.801
ND$10,575.181
NE$9,805.001
NH$11,039.571
NJ$11,596.73–$12,283.522
NM$9,843.661
NV$10,636.191
NY$10,112.75–$12,667.235
OH$9,780.741
OK$9,553.941
OR$10,570.85–$11,730.102
PA$9,823.00–$11,087.812
PR$10,753.961
RI$10,972.721
SC$9,871.401
SD$10,566.801
TN$9,684.591
TX$9,741.42–$11,211.328
UT$10,036.481
VA$10,441.75–$12,463.052
VI$10,753.961
VT$10,487.541
WA$11,152.82–$12,913.362
WI$10,145.191
WV$9,393.141
WY$10,615.111

See 37290 in every payment locality

How the 37290 rate is calculated

Each of 37290’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 · 37290

RVUs × geographic indexes × conversion factor

Office or facility?

Work17.00

17.00 RVUs× 1.000 GPCI

Practice expense298.16

298.16 RVUs× 1.000 GPCI

Malpractice3.58

3.58 RVUs× 1.000 GPCI

Adjusted RVUs

318.7400

Conversion factor

$33.4009

Medicare rate

$10,646.20

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Nebraska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,650

Code
37290
Physician work
17.00
Practice expense
298.16
Malpractice
3.58

GPCI2026.csv

72

Locality
Nebraska
Physician work
1.000
Practice expense
0.923
Malpractice
0.378
Office calculation for 37290 in Nebraska
ComponentRVULocality factorAdjusted
Physician work17.00× 1.00017.0000
Practice expense298.16× 0.923275.2017
Malpractice3.58× 0.3781.3532
Total RVUs293.5549
Conversion factor× 33.4009

Office rate, Nebraska$9805.00

Office: (17 × 1 + 298.16 × 0.923 + 3.58 × 0.378) × $33.4009 = $9805.00

Facility: (17 × 1 + 2.38 × 0.923 + 3.58 × 0.378) × $33.4009 = $686.39

Open 37290 in the RVU calculator

Payment rules and modifiers for 37290

The CMS indicators that decide how 37290 is paid alongside other services.

CMS payment indicators · 37290

Peripheral atherectomy, complex, initial vessel

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

37290 without 50 · national office

$10,646.20

Peripheral atherectomy, complex, initial vessel

37290-50 · Bilateral: 150%

$15,969.30

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 37290 has changed in Nebraska

37290 · Office / nonfacility

$9805.00

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$9805.00

    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$9,805.00$686.39RVU26D
2026-07-01$9,805.00$686.39RVU26C
2026-04-01$9,805.00$686.39RVU26B
2026-01-01$9,805.00$686.39RVU26A
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 37290 for an earlier date of service

Where the Nebraska rate applies

Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.

  • Abie
  • Adams
  • Agnew
  • Ainsworth
  • Albion
  • Alda
  • Alexandria
  • Allen

Browse all communities in Nebraska

37290 billing questions

How is this code distinguished from 37288?

Both describe peripheral atherectomy, but 37290 is for a complex lesion in the initial vessel. Code 37288 is the simple-lesion initial-vessel entry.

When is 37291 reported with 37290?

Use 37291 for an additional vessel treated for a complex lesion when the applicable CPT rules support reporting an additional-vessel service. The procedure note should identify each treated vessel and its lesion classification.

What documentation supports the complex initial-vessel selection?

Document the target vessel, lesion characteristics supporting the complex classification, the atherectomy performed, and the order of vessels treated. Follow the CPT family’s criteria rather than relying only on device choice.

How does CMS handle bilateral reporting and other procedures in the session?

Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in the same session, CMS pays the highest-valued procedure in full and the others at 50%.

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 37290PPRRVU2026_Oct_nonQPP.csv, line 4,650 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)

Open CMS sourceHow we calculate rates

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