CPT code 37295: Tibial revascularization, complex additional vessel2026 Medicare rate & RVUs in New Mexico
Reports complex endovascular treatment of an additional tibial or peroneal artery vessel using both atherectomy and stent placement.
In New Mexico, Medicare pays $5,542.60 for 37295 in the office and $384.12 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 37295 nationwide
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 11 sections
What 37295 covers
This add-on code represents treatment of an additional tibial or peroneal artery vessel in a lower-extremity endovascular revascularization, when the work includes both atherectomy and stent placement and meets the CPT criteria for a complex service. Vascular surgeons, interventional radiologists, and other physicians performing peripheral endovascular procedures may report it for qualifying below-knee arterial disease. The code describes the combined treatment in an additional vessel, not a first-vessel service.
Report 37295 only with the corresponding primary procedure, 37294, and only for an additional vessel that meets the complex-code criteria. The operative report should identify the treated tibial or peroneal vessel, the atherectomy and stent work, and the basis for the complex classification. As an add-on code, it is paid within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays the procedure 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 New Mexico compares for 37295
Across 109 of 109 payment localities, the office rate for 37295 runs from $5,174.22 in Arkansas to $8,512.07 in San Benito County, CA. New Mexico pays $5,542.60. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$5,542.60
- Los Angeles, CA · California$7,031.62+$1,489.02
- Washington, DC area · District of Columbia$7,032.60+$1,490.00
- Miami, FL · Florida$6,322.19+$779.59
- Chicago, IL · Illinois$6,106.47+$563.87
- Manhattan, NY · New York$6,971.75+$1,429.15
- Alaska · Alaska$6,480.96+$938.36
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $5,267.90 | $345.69 |
| ArkansasArkansas | $5,174.22 | $342.02 |
| ArizonaArizona | $5,817.71 | $366.72 |
| Bakersfield, CACalifornia | $6,529.02 | $363.60 |
| Chico, CACalifornia | $6,524.28 | $358.86 |
| El Centro, CACalifornia | $6,524.57 | $359.15 |
| Fresno, CACalifornia | $6,524.28 | $358.86 |
| Hanford, CACalifornia | $6,524.28 | $358.86 |
| Madera, CACalifornia | $6,524.28 | $358.86 |
| Merced, CACalifornia | $6,524.28 | $358.86 |
| Modesto, CACalifornia | $6,524.28 | $358.86 |
| Napa, CACalifornia | $7,794.35 | $380.10 |
| Oxnard, CACalifornia | $7,020.05 | $370.85 |
| Redding, CACalifornia | $6,524.28 | $358.86 |
| Rest of CaliforniaCalifornia | $6,524.28 | $358.86 |
| Riverside, CACalifornia | $6,542.76 | $377.35 |
| Sacramento, CACalifornia | $6,909.47 | $367.15 |
| Salinas, CACalifornia | $6,885.42 | $365.60 |
| San Diego, CACalifornia | $7,095.35 | $367.39 |
| Marin County, CACalifornia | $8,322.06 | $390.28 |
| San Francisco, CACalifornia | $8,320.11 | $388.32 |
| San Benito County, CACalifornia | $8,512.07 | $400.27 |
| Santa Clara County, CACalifornia | $8,504.08 | $392.29 |
| San Luis Obispo, CACalifornia | $6,768.17 | $360.86 |
| Santa Cruz, CACalifornia | $7,200.31 | $365.48 |
| Santa Maria, CACalifornia | $6,924.30 | $365.11 |
| Santa Rosa, CACalifornia | $7,276.50 | $368.53 |
| Stockton, CACalifornia | $6,524.28 | $358.86 |
| Vallejo, CACalifornia | $7,791.53 | $377.28 |
| Visalia, CACalifornia | $6,524.28 | $358.86 |
| Yuba City, CACalifornia | $6,524.28 | $358.86 |
| ColoradoColorado | $6,355.49 | $370.09 |
| ConnecticutConnecticut | $6,456.05 | $397.52 |
| DelawareDelaware | $5,929.31 | $371.43 |
| Fort Lauderdale, FLFlorida | $6,121.96 | $423.45 |
| Rest of FloridaFlorida | $5,781.15 | $403.28 |
| Atlanta, GAGeorgia | $6,104.92 | $389.54 |
| Rest of GeorgiaGeorgia | $5,400.28 | $382.44 |
| Hawaii, Guam, HIHawaii | $6,754.66 | $358.60 |
| IowaIowa | $5,485.06 | $337.84 |
| IdahoIdaho | $5,517.79 | $342.44 |
| East St. Louis, ILIllinois | $5,606.32 | $430.97 |
| Rest of IllinoisIllinois | $5,540.70 | $404.73 |
| Suburban Chicago, ILIllinois | $6,201.21 | $423.94 |
| IndianaIndiana | $5,558.24 | $343.51 |
| KansasKansas | $5,428.82 | $343.48 |
| KentuckyKentucky | $5,367.35 | $366.39 |
| New Orleans, LALouisiana | $5,674.98 | $381.50 |
| Rest of LouisianaLouisiana | $5,347.14 | $368.68 |
| Metropolitan Boston, MAMassachusetts | $7,106.99 | $390.29 |
| Rest of MassachusettsMassachusetts | $6,295.11 | $371.59 |
| Baltimore area, MDMaryland | $6,433.83 | $397.79 |
| Rest of MarylandMaryland | $6,067.88 | $375.00 |
| Rest of MaineMaine | $5,526.35 | $351.00 |
| Southern Maine, MEMaine | $5,929.56 | $354.81 |
| Detroit, MIMichigan | $5,842.70 | $414.21 |
| Rest of MichiganMichigan | $5,515.77 | $379.80 |
| MinnesotaMinnesota | $6,125.85 | $337.33 |
| Metropolitan Kansas City, MOMissouri | $5,654.51 | $372.27 |
| Metropolitan St. Louis, MOMissouri | $5,729.68 | $374.31 |
| Rest of MissouriMissouri | $5,217.60 | $368.53 |
| MississippiMississippi | $5,198.43 | $354.98 |
| MontanaMontana | $6,001.69 | $376.31 |
| North CarolinaNorth Carolina | $5,601.06 | $352.58 |
| North DakotaNorth Dakota | $5,967.68 | $342.30 |
| NebraskaNebraska | $5,529.34 | $337.12 |
| New HampshireNew Hampshire | $6,227.17 | $371.15 |
| Northern New JerseyNew Jersey | $6,930.37 | $404.93 |
| Rest of New JerseyNew Jersey | $6,540.09 | $397.17 |
| NevadaNevada | $5,997.89 | $366.88 |
| NYC suburbs and Long Island, NYNew York | $7,140.46 | $451.88 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $6,564.96 | $405.17 |
| Queens, NYNew York | $7,076.91 | $427.71 |
| Rest of New YorkNew York | $5,701.15 | $357.04 |
| OhioOhio | $5,508.82 | $372.85 |
| OklahomaOklahoma | $5,382.11 | $358.65 |
| Portland, OROregon | $6,621.03 | $371.24 |
| Rest of OregonOregon | $5,962.06 | $359.18 |
| Metropolitan Philadelphia, PAPennsylvania | $6,250.35 | $394.33 |
| Rest of PennsylvaniaPennsylvania | $5,533.56 | $369.46 |
| Puerto RicoPuerto Rico | $6,063.34 | $376.08 |
| Rhode IslandRhode Island | $6,187.95 | $376.93 |
| South CarolinaSouth Carolina | $5,562.13 | $364.28 |
| South DakotaSouth Dakota | $5,963.66 | $338.28 |
| TennesseeTennessee | $5,459.07 | $345.60 |
| Austin, TXTexas | $6,324.77 | $373.12 |
| Beaumont, TXTexas | $5,487.27 | $368.17 |
| Brazoria, TXTexas | $5,940.30 | $365.55 |
| Dallas, TXTexas | $5,973.42 | $370.54 |
| Fort Worth, TXTexas | $5,917.44 | $370.82 |
| Galveston, TXTexas | $5,954.40 | $368.40 |
| Houston, TXTexas | $5,985.89 | $399.88 |
| Rest of TexasTexas | $5,706.97 | $368.49 |
| UtahUtah | $5,655.64 | $367.78 |
| VirginiaVirginia | $5,888.50 | $358.75 |
| Virgin Islands, VIUnited States Virgin Islands | $6,063.34 | $376.08 |
| VermontVermont | $5,916.71 | $347.58 |
| Rest of WashingtonWashington | $6,292.23 | $368.70 |
| King County, WAWashington | $7,292.42 | $390.08 |
| WisconsinWisconsin | $5,723.84 | $334.72 |
| West VirginiaWest Virginia | $5,283.56 | $395.11 |
| WyomingWyoming | $5,986.87 | $361.49 |
37295 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.
$5,174.22
$7,518.17
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $6,480.96 | 1 |
| AL | $5,267.90 | 1 |
| AR | $5,174.22 | 1 |
| AZ | $5,817.71 | 1 |
| CA | $6,524.28–$8,512.07 | 29 |
| CO | $6,355.49 | 1 |
| CT | $6,456.05 | 1 |
| DC | $7,032.60 | 1 |
| DE | $5,929.31 | 1 |
| FL | $5,781.15–$6,322.19 | 3 |
| GA | $5,400.28–$6,104.92 | 2 |
| GU | $6,754.66 | 1 |
| HI | $6,754.66 | 1 |
| IA | $5,485.06 | 1 |
| ID | $5,517.79 | 1 |
| IL | $5,540.70–$6,201.21 | 4 |
| IN | $5,558.24 | 1 |
| KS | $5,428.82 | 1 |
| KY | $5,367.35 | 1 |
| LA | $5,347.14–$5,674.98 | 2 |
| MA | $6,295.11–$7,106.99 | 2 |
| MD | $6,067.88–$7,032.60 | 3 |
| ME | $5,526.35–$5,929.56 | 2 |
| MI | $5,515.77–$5,842.70 | 2 |
| MN | $6,125.85 | 1 |
| MO | $5,217.60–$5,729.68 | 3 |
| MS | $5,198.43 | 1 |
| MT | $6,001.69 | 1 |
| NC | $5,601.06 | 1 |
| ND | $5,967.68 | 1 |
| NE | $5,529.34 | 1 |
| NH | $6,227.17 | 1 |
| NJ | $6,540.09–$6,930.37 | 2 |
| NM | $5,542.60 | 1 |
| NV | $5,997.89 | 1 |
| NY | $5,701.15–$7,140.46 | 5 |
| OH | $5,508.82 | 1 |
| OK | $5,382.11 | 1 |
| OR | $5,962.06–$6,621.03 | 2 |
| PA | $5,533.56–$6,250.35 | 2 |
| PR | $6,063.34 | 1 |
| RI | $6,187.95 | 1 |
| SC | $5,562.13 | 1 |
| SD | $5,963.66 | 1 |
| TN | $5,459.07 | 1 |
| TX | $5,487.27–$6,324.77 | 8 |
| UT | $5,655.64 | 1 |
| VA | $5,888.50–$7,032.60 | 2 |
| VI | $6,063.34 | 1 |
| VT | $5,916.71 | 1 |
| WA | $6,292.23–$7,292.42 | 2 |
| WI | $5,723.84 | 1 |
| WV | $5,283.56 | 1 |
| WY | $5,986.87 | 1 |
How the 37295 rate is calculated
Each of 37295’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 · 37295
RVUs × geographic indexes × conversion factor
Work8.16
8.16 RVUs× 1.000 GPCI
Practice expense169.81
169.81 RVUs× 1.000 GPCI
Malpractice1.72
1.72 RVUs× 1.000 GPCI
Adjusted RVUs
179.6900
Conversion factor
$33.4009
Medicare rate
$6,001.81
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,655
- Code
- 37295
- Physician work
- 8.16
- Practice expense
- 169.81
- Malpractice
- 1.72
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.16 | × 1.000 | 8.1600 |
| Practice expense | 169.81 | × 0.917 | 155.7158 |
| Malpractice | 1.72 | × 1.201 | 2.0657 |
| Total RVUs | 165.9415 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$5542.60
Office: (8.16 × 1 + 169.81 × 0.917 + 1.72 × 1.201) × $33.4009 = $5542.60
Facility: (8.16 × 1 + 1.39 × 0.917 + 1.72 × 1.201) × $33.4009 = $384.12
Payment rules and modifiers for 37295
The CMS indicators that decide how 37295 is paid alongside other services.
CMS payment indicators · 37295
Tibial revascularization, complex additional 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
37295 without 50 · national office
$6,001.81
Tibial revascularization, complex additional vessel
37295-50 · Bilateral: 150%
$9,002.72
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).
How 37295 has changed in New Mexico
37295 · Office / nonfacility
$5542.60
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.
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
January 1, 2026
RVU26A
No ratechanged to$5542.60
Held through RVU26B, RVU26C, RVU26D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $5,542.60 | $384.12 | RVU26D |
| 2026-07-01 | $5,542.60 | $384.12 | RVU26C |
| 2026-04-01 | $5,542.60 | $384.12 | RVU26B |
| 2026-01-01 | $5,542.60 | $384.12 | RVU26A |
| 2025-10-01 | Not in this release | Not in this release | RVU25D |
| 2025-07-01 | Not in this release | Not in this release | RVU25C |
| 2025-04-01 | Not in this release | Not in this release | RVU25B |
| 2025-01-01 | Not in this release | Not in this release | RVU25A |
| 2024-10-01 | Not in this release | Not in this release | RVU24D |
| 2024-07-01 | Not in this release | Not in this release | RVU24C |
| 2024-04-01 | Not in this release | Not in this release | RVU24B |
| 2024-03-09 | Not in this release | Not in this release | RVU24AR |
| 2024-01-01 | Not in this release | Not in this release | RVU24A |
| 2023-10-01 | Not in this release | Not in this release | RVU23D |
| 2023-07-01 | Not in this release | Not in this release | RVU23C |
| 2023-04-01 | Not in this release | Not in this release | RVU23B |
| 2023-01-01 | Not in this release | Not in this release | RVU23A |
| 2022-10-01 | Not in this release | Not in this release | RVU22D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2022-04-01 | Not in this release | Not in this release | RVU22B |
| 2022-01-01 | Not in this release | Not in this release | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
37295 billing questions
When should 37295 be reported instead of 37294?
Use 37294 for the first qualifying complex vessel and 37295 for each additional qualifying complex vessel. The record should support the complex classification for each vessel.
Can 37295 be billed by itself?
No. It is an add-on code and must be reported with the corresponding primary procedure, 37294.
How does 37295 differ from 37293?
Both describe an additional vessel treated with atherectomy and stent placement, but 37293 is for the simple category and 37295 is for the complex category.
Should atherectomy and stent placement be reported separately for the same vessel?
This code represents their combined treatment in the additional vessel. Do not separately report those same-vessel components as if they were separate add-on services.
How is bilateral treatment handled?
For a bilateral procedure reported with modifier 50, CMS pays at 150%. The add-on code still requires its corresponding primary procedure.
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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