CPT code 37292: Arterial revascularization, simple, initial vessel2026 Medicare rate & RVUs in California
Reports endovascular treatment of a simple tibial or peroneal artery lesion using both atherectomy and stent placement in the initial vessel.
Medicare pays $11,117.50–$14,495.78 for 37292 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 37292 covers
This code describes endovascular revascularization of a tibial or peroneal artery lesion using atherectomy and a transluminal stent in the same vessel. Angioplasty in that vessel, when performed, is included. It is used for lower-extremity arterial disease treated by specialists such as vascular surgeons, interventional radiologists, or interventional cardiologists, typically in an angiography suite or operating room. The code is unilateral and applies to a simple lesion in the initial treated vessel.
Select the code based on the treated arterial territory, lesion complexity, techniques used, and whether the vessel is initial or additional. The procedure report should identify the artery and side, describe the lesion and its complexity, and document atherectomy and stent placement. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is paid at 150% for bilateral procedures. Assistant-at-surgery payment requires documentation of 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.
Where 37292 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$11117.50 to $14495.78
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $11,125.91 | $656.20 |
| Chico, CA | $11,117.50 | $647.79 |
| El Centro, CA | $11,118.01 | $648.29 |
| Fresno, CA | $11,117.50 | $647.79 |
| Hanford, CA | $11,117.50 | $647.79 |
| Los Angeles, CA | $11,980.26 | $679.46 |
| Madera, CA | $11,117.50 | $647.79 |
| Marin County, CA | $14,172.31 | $703.06 |
| Merced, CA | $11,117.50 | $647.79 |
| Modesto, CA | $11,117.50 | $647.79 |
| Napa, CA | $13,275.37 | $684.97 |
| Oxnard, CA | $11,959.95 | $668.71 |
| Redding, CA | $11,117.50 | $647.79 |
| Rest of California | $11,117.50 | $647.79 |
| Riverside, CA | $11,150.19 | $680.48 |
| Sacramento, CA | $11,772.17 | $662.43 |
| Salinas, CA | $11,731.15 | $659.62 |
| San Benito County, CA | $14,495.78 | $720.85 |
| San Diego, CA | $12,087.54 | $662.56 |
| San Francisco, CA | $14,168.86 | $699.61 |
| San Luis Obispo, CA | $11,531.55 | $651.08 |
| Santa Clara County, CA | $14,481.66 | $706.73 |
| Santa Cruz, CA | $12,265.37 | $658.89 |
| Santa Maria, CA | $11,797.05 | $658.65 |
| Santa Rosa, CA | $12,395.06 | $664.40 |
| Stockton, CA | $11,117.50 | $647.79 |
| Vallejo, CA | $13,270.40 | $679.99 |
| Visalia, CA | $11,117.50 | $647.79 |
| Yuba City, CA | $11,117.50 | $647.79 |
How the 37292 rate is calculated
Each of 37292’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 · 37292
RVUs × geographic indexes × conversion factor
Work15.00
15.00 RVUs× 1.000 GPCI
Practice expense288.29
288.29 RVUs× 1.000 GPCI
Malpractice3.04
3.04 RVUs× 1.000 GPCI
Adjusted RVUs
306.3300
Conversion factor
$33.4009
Medicare rate
$10,231.70
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 37292
The CMS indicators that decide how 37292 is paid alongside other services.
CMS payment indicators · 37292
Arterial revascularization, 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
37292 without 50 · national office
$10,231.70
Arterial revascularization, simple, initial vessel
37292-50 · Bilateral: 150%
$15,347.55
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).
37292 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 37288Tibial atherectomySimple, initial vessel
- 37288 describes simple initial-vessel tibial/peroneal atherectomy without the stent combination. Use 37292 when both atherectomy and stenting are performed in that vessel.
- 37284Venous revascularizationStraightforward, initial vessel
- 37284 describes simple initial-vessel tibial/peroneal stent placement without the atherectomy combination. Use 37292 when atherectomy is also performed in the same vessel.
- 37294Arterial revascularizationComplex first vessel
- Both codes describe the initial tibial/peroneal vessel treated with stenting and atherectomy; 37294 is for a complex lesion, while 37292 is for a simple lesion.
- 37293Tibial revascularizationAdditional straightforward vessel
- 37293 is the add-on for an additional treated vessel. It does not replace 37292 for the initial vessel.
37292 billing questions
When is 37292 selected instead of a stent-only or atherectomy-only code?
Use 37292 when atherectomy and stent placement are both performed in the same simple tibial or peroneal artery vessel. The code includes angioplasty in that vessel when performed.
How is an additional treated vessel reported?
For an additional vessel meeting the code-family requirements, report add-on code 37293 with the initial-vessel code. Document each treated vessel and the work performed.
What supports the simple-lesion selection?
Document the treated artery, lesion characteristics supporting the simple classification, laterality, and the atherectomy and stent work. Apply the CPT family’s criteria for distinguishing simple from complex lesions.
Can angioplasty in the stented vessel be billed separately?
Angioplasty performed in the same vessel is included in 37292. The procedure record should still describe it when performed.
How does Medicare treat bilateral procedures and other procedures in the session?
Modifier 50 is paid at 150% for a bilateral procedure. Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted 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
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