CPT code 37294: Arterial revascularization, complex first vessel2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $15,117.80 for 37294 in the office and $733.03 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 37294 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 37294 covers

This code describes catheter-based treatment of a complex lesion in an initial tibial or peroneal artery vessel, combining atherectomy with stent placement. It is typically performed by an interventional radiologist, vascular surgeon, or interventional cardiologist in a hospital or other procedural setting. Angioplasty within the treated vessel is part of this revascularization service. The code is specific to the tibial/peroneal vascular territory; femoral or popliteal interventions belong to a different territory family.

Select the complex first-vessel code when the documented intervention meets the CPT criteria for complex treatment and includes both atherectomy and stenting. The operative report should identify the treated vessel, the intervention performed, and the basis for classifying the work as complex. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, CMS pays the highest-valued procedure in full and other procedures 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 South Dakota compares for 37294

Across 109 of 109 payment localities, the office rate for 37294 runs from $13,098.56 in Arkansas to $21,606.53 in San Benito County, CA. South Dakota pays $15,117.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

37294 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 37294 in every payment locality

How the 37294 rate is calculated

Each of 37294’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.

Payment rules and modifiers for 37294

The CMS indicators that decide how 37294 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 37294

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 37294 has changed in South Dakota

Price 37294 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates