Billing code 37238: Venous stentingMedicare rate & RVUs
Reports initial venous stent placement by open or percutaneous approach, including same-vessel angioplasty and imaging, for treated venous stenosis or obstruction.
Medicare pays $3,274.62 for 37238 nationally in the office and $270.88 in a hospital or facility. Local office rates run $2,826.39–$4,619.17.
Medicare rate · 37238
Venous stenting
Swap in your local Medicare rate.
- Work RVUs
- 5.89
- Total RVUs
- 98.04
- Global days
- 000
National rate · 2026
$3,274.62
Office setting, before claim adjustments.
See every locality for 37238 → · Billed by an NP, PA or therapist? →
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 10 sections
What 37238 covers
Code 37238 reports placement of one or more stents in the initial vein treated, using an open or percutaneous approach. It is used for venous narrowing or obstruction, such as iliac or central venous disease. Interventional radiologists and vascular surgeons commonly perform the procedure in an angiography suite or operating room. The code includes radiological supervision and interpretation and angioplasty performed in the same vein; multiple stents placed in that vein do not make it an additional vein.
Report 37238 for the initial vein and use 37239 for each additional vein treated. The operative or procedure report should identify the treated vein, the stent placement, and any same-vein angioplasty. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral adjustment is not appropriate for this code. 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 37238 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$2826.39 to $4619.17
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $2,877.09 | $248.81 |
| Alaska* | $3,551.76 | $352.78 |
| Arizona | $3,174.53 | $263.90 |
| Arkansas | $2,826.39 | $246.18 |
| Atlanta | $3,332.12 | $280.32 |
| Austin | $3,446.41 | $268.45 |
| Bakersfield | $3,553.67 | $261.57 |
| Baltimore/Surr. Cntys | $3,509.25 | $286.23 |
| Beaumont | $2,998.40 | $264.99 |
| Brazoria | $3,239.76 | $263.05 |
| Chicago | $3,344.82 | $326.06 |
| Chico | $3,550.25 | $258.15 |
| Colorado | $3,462.25 | $266.27 |
| Connecticut | $3,521.07 | $286.03 |
| Dallas | $3,258.37 | $266.64 |
| Dc + Md/Va Suburbs | $3,830.42 | $292.01 |
| Delaware | $3,234.99 | $267.29 |
| Detroit | $3,196.76 | $298.15 |
| East St. Louis | $3,073.70 | $310.26 |
| El Centro | $3,550.46 | $258.36 |
| Fort Lauderdale | $3,347.56 | $304.77 |
| Fort Worth | $3,228.54 | $266.85 |
| Fresno | $3,550.25 | $258.15 |
| Galveston | $3,247.82 | $265.10 |
| Hanford-Corcoran | $3,550.25 | $258.15 |
| Hawaii, Guam | $3,673.18 | $257.93 |
| Houston | $3,270.52 | $287.80 |
| Idaho | $3,009.88 | $246.44 |
| Indiana | $3,031.67 | $247.20 |
| Iowa | $2,991.55 | $243.12 |
| Kansas | $2,962.58 | $247.20 |
| Kentucky | $2,934.05 | $263.73 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $3,824.45 | $271.02 |
| Madera | $3,550.25 | $258.15 |
| Manhattan | $3,803.39 | $313.05 |
| Merced | $3,550.25 | $258.15 |
| Metropolitan Boston | $3,867.21 | $280.74 |
| Metropolitan Kansas City | $3,088.45 | $267.93 |
| Metropolitan Philadelphia | $3,410.65 | $283.76 |
| Metropolitan St. Louis | $3,128.96 | $269.39 |
| Miami | $3,462.45 | $335.55 |
| Minnesota | $3,333.52 | $242.67 |
| Mississippi | $2,841.74 | $255.52 |
| Modesto | $3,550.25 | $258.15 |
| Montana** | $3,274.54 | $270.80 |
| Napa | $4,232.24 | $273.31 |
| Nebraska | $3,015.05 | $242.60 |
| Nevada** | $3,270.74 | $264.00 |
| New Hampshire | $3,393.94 | $267.05 |
| New Mexico | $3,030.92 | $276.49 |
| New Orleans | $3,101.10 | $274.58 |
| North Carolina | $3,056.23 | $253.74 |
| North Dakota** | $3,250.02 | $246.28 |
| Northern Nj | $3,775.67 | $291.33 |
| Nyc Suburbs/Long Island | $3,896.60 | $325.15 |
| Ohio | $3,010.78 | $268.36 |
| Oklahoma | $2,940.49 | $258.14 |
| Oxnard-Thousand Oaks-Ventura | $3,817.16 | $266.73 |
| Portland | $3,604.22 | $267.06 |
| Poughkpsie/N Nyc Suburbs | $3,580.64 | $291.54 |
| Puerto Rico | $3,307.40 | $270.62 |
| Queens | $3,858.16 | $307.74 |
| Redding | $3,550.25 | $258.15 |
| Rest Of California | $3,550.25 | $258.15 |
| Rest Of Florida | $3,161.85 | $290.27 |
| Rest Of Georgia | $2,954.64 | $275.30 |
| Rest Of Illinois | $3,033.77 | $291.35 |
| Rest Of Louisiana | $2,923.69 | $265.38 |
| Rest Of Maine | $3,016.05 | $252.61 |
| Rest Of Maryland | $3,309.63 | $269.85 |
| Rest Of Massachusetts | $3,430.30 | $267.36 |
| Rest Of Michigan | $3,015.79 | $273.38 |
| Rest Of Missouri | $2,854.51 | $265.29 |
| Rest Of New Jersey | $3,565.87 | $285.78 |
| Rest Of New York | $3,110.50 | $256.94 |
| Rest Of Oregon | $3,250.18 | $258.45 |
| Rest Of Pennsylvania | $3,023.36 | $265.92 |
| Rest Of Texas | $3,115.75 | $265.19 |
| Rest Of Washington | $3,428.22 | $265.27 |
| Rhode Island | $3,374.09 | $271.23 |
| Riverside-San Bernardino-Ontario | $3,563.58 | $271.48 |
| Sacramento-Roseville-Folsom | $3,757.43 | $264.08 |
| Salinas | $3,744.31 | $262.97 |
| San Diego-Chula Vista-Carlsbad | $3,856.71 | $264.23 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $4,515.86 | $280.58 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $4,514.45 | $279.18 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $4,619.17 | $287.77 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $4,613.41 | $282.02 |
| San Luis Obispo-Paso Robles | $3,680.82 | $259.56 |
| Santa Cruz-Watsonville | $3,912.38 | $262.83 |
| Santa Maria-Santa Barbara | $3,764.97 | $262.61 |
| Santa Rosa-Petaluma | $3,953.63 | $265.03 |
| Seattle (King Cnty) | $3,966.16 | $280.57 |
| South Carolina | $3,037.64 | $262.18 |
| South Dakota** | $3,247.12 | $243.38 |
| Southern Maine | $3,232.01 | $255.30 |
| Stockton | $3,550.25 | $258.15 |
| Suburban Chicago | $3,389.96 | $305.12 |
| Tennessee | $2,979.13 | $248.73 |
| Utah | $3,088.21 | $264.69 |
| Vallejo | $4,230.21 | $271.28 |
| Vermont | $3,223.80 | $250.09 |
| Virgin Islands | $3,307.40 | $270.62 |
| Virginia | $3,210.83 | $258.15 |
| Visalia | $3,550.25 | $258.15 |
| West Virginia | $2,894.70 | $284.44 |
| Wisconsin | $3,118.43 | $240.85 |
| Wyoming** | $3,263.86 | $260.11 |
| Yuba City | $3,550.25 | $258.15 |
37238 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.
$2,826.39
$4,084.71
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 | $3,551.76 | 1 |
| AL | $2,877.09 | 1 |
| AR | $2,826.39 | 1 |
| AZ | $3,174.53 | 1 |
| CA | $3,550.25–$4,619.17 | 29 |
| CO | $3,462.25 | 1 |
| CT | $3,521.07 | 1 |
| DC | $3,830.42 | 1 |
| DE | $3,234.99 | 1 |
| FL | $3,161.85–$3,462.45 | 3 |
| GA | $2,954.64–$3,332.12 | 2 |
| GU | $3,673.18 | 1 |
| HI | $3,673.18 | 1 |
| IA | $2,991.55 | 1 |
| ID | $3,009.88 | 1 |
| IL | $3,033.77–$3,389.96 | 4 |
| IN | $3,031.67 | 1 |
| KS | $2,962.58 | 1 |
| KY | $2,934.05 | 1 |
| LA | $2,923.69–$3,101.10 | 2 |
| MA | $3,430.30–$3,867.21 | 2 |
| MD | $3,309.63–$3,830.42 | 3 |
| ME | $3,016.05–$3,232.01 | 2 |
| MI | $3,015.79–$3,196.76 | 2 |
| MN | $3,333.52 | 1 |
| MO | $2,854.51–$3,128.96 | 3 |
| MS | $2,841.74 | 1 |
| MT | $3,274.54 | 1 |
| NC | $3,056.23 | 1 |
| ND | $3,250.02 | 1 |
| NE | $3,015.05 | 1 |
| NH | $3,393.94 | 1 |
| NJ | $3,565.87–$3,775.67 | 2 |
| NM | $3,030.92 | 1 |
| NV | $3,270.74 | 1 |
| NY | $3,110.50–$3,896.60 | 5 |
| OH | $3,010.78 | 1 |
| OK | $2,940.49 | 1 |
| OR | $3,250.18–$3,604.22 | 2 |
| PA | $3,023.36–$3,410.65 | 2 |
| PR | $3,307.40 | 1 |
| RI | $3,374.09 | 1 |
| SC | $3,037.64 | 1 |
| SD | $3,247.12 | 1 |
| TN | $2,979.13 | 1 |
| TX | $2,998.40–$3,446.41 | 8 |
| UT | $3,088.21 | 1 |
| VA | $3,210.83–$3,830.42 | 2 |
| VI | $3,307.40 | 1 |
| VT | $3,223.80 | 1 |
| WA | $3,428.22–$3,966.16 | 2 |
| WI | $3,118.43 | 1 |
| WV | $2,894.70 | 1 |
| WY | $3,263.86 | 1 |
How the 37238 rate is calculated
Each of 37238’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 · 37238
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.89Practice expense 90.91Malpractice 1.24
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 37238
The CMS indicators that decide how 37238 is paid alongside other services.
CMS payment indicators · 37238
Venous stenting
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 51 · payment effect
With and without the modifier
37238 without 51 · national office
$3,274.62
Venous stenting
37238-51 · Second procedure: 50%
$1,637.31
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
37238 compared with similar codes
Compare codes
37238 vs 37236 vs 37239 vs 37248: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 37236Arterial stent
- 37236 is for an initial artery; 37238 is for an initial vein. Identify the vessel treated before selecting the code.
- 37239Venous stenting
- 37239 reports each additional vein treated. 37238 reports the initial vein, including multiple stents placed in that vein.
- 37248Venous angioplasty
- 37248 is for venous angioplasty without stent placement. When a stent is placed, angioplasty in that same vein is included in 37238.
37238 billing questions
When should 37238 be chosen over 37236?
Use 37238 for stent placement in a vein and 37236 for stent placement in an artery. The vessel treated determines which code applies.
How are additional stents or veins reported?
Multiple stents in the initial vein are reported with 37238. Use add-on code 37239 for each additional vein treated.
Can angioplasty in the stented vein be reported separately?
Angioplasty performed in the same vein is included in 37238. The code also includes radiological supervision and interpretation.
What documentation supports 37238?
The procedure report should identify the vein treated and document stent placement. It should also describe any angioplasty performed in that same vein.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
When is assistant-at-surgery payment allowed?
CMS allows assistant-at-surgery payment only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.
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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