CPT code 37293: Tibial revascularization, additional straightforward vessel2026 Medicare rate & RVUs in New York, New York
CPT 37293: $4,075.27–$4,175.08 office ($338.97–$357.80 facility) across 3 localities in New York, NY in 2026 Medicare. Compare each area.
Medicare pays $4,075.27–$4,175.08 for 37293 in the office in New York, New York, from Manhattan, NY to NYC suburbs and Long Island, NY. 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.
On this page 6 sections
Where 37293 pays more and less in New York, New York
New York, New York maps to 3 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.
3 payment localities
$4075.27 to $4175.08
| Payment locality | Office | Facility |
|---|---|---|
| Manhattan, NY | $4,075.27 | $344.68 |
| NYC suburbs and Long Island, NY | $4,175.08 | $357.80 |
| Queens, NY | $4,133.77 | $338.97 |
How payment areas work in New York
City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.
- NYC suburbs / Long Island · Bronx County, Kings County, Richmond County
- Manhattan · New York County
- Queens · Queens County
City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions
How the 37293 rate is calculated
Each of 37293’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 · 37293
RVUs × geographic indexes × conversion factor
Work6.50
6.50 RVUs× 1.000 GPCI
Practice expense97.22
97.22 RVUs× 1.000 GPCI
Malpractice1.34
1.34 RVUs× 1.000 GPCI
Adjusted RVUs
105.0600
Conversion factor
$33.4009
Medicare rate
$3,509.10
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 37293
The CMS indicators that decide how 37293 is paid alongside other services.
CMS payment indicators · 37293
Tibial revascularization, additional straightforward 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
37293 without 50 · national office
$3,509.10
Tibial revascularization, additional straightforward vessel
37293-50 · Bilateral: 150%
$5,263.65
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).
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 · Coming soon
Put 37293 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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