Billing code 37239: Venous stentingMedicare rate & RVUs
Reports stent placement in each additional vein treated during a venous intervention, beyond the first vein reported with the primary stent code.
Medicare pays $1,659.69 for 37239 nationally in the office and $131.60 in a hospital or facility. Local office rates run $1,432.55–$2,343.26.
Medicare rate · 37239
Venous stenting
- Work RVUs
- 2.9
- Total RVUs
- 49.69
- Global days
- ZZZ
National rate · 2026
$1,659.69
Office setting, before claim adjustments.
See every locality for 37239 →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 37239 covers
Code 37239 represents stent placement in an additional vein during an open or percutaneous venous intervention. It may be used for venous obstruction or stenosis treated by specialists such as interventional radiologists or vascular surgeons, including in iliac or central veins. The code counts additional veins treated, not the number of stents placed in one vein. Balloon angioplasty performed in the same vein as the stent is included in the stent service.
Report 37239 with the primary code for the first treated vein, 37238. The operative or procedure report should identify the additional vein treated and document the stent placement; it should distinguish that vein from the first vein and any other treated sites. Under the CMS payment rule, this add-on code is billed only with a primary procedure and is paid within that procedure's global period.
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 37239 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
$1432.55 to $2343.26
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $1,458.25 | $121.17 |
| Alaska* | $1,799.58 | $172.16 |
| Arizona | $1,609.02 | $128.30 |
| Arkansas | $1,432.55 | $119.92 |
| Atlanta | $1,688.63 | $136.09 |
| Austin | $1,747.14 | $130.42 |
| Bakersfield | $1,801.97 | $127.18 |
| Baltimore/Surr. Cntys | $1,778.56 | $138.92 |
| Beaumont | $1,519.41 | $128.85 |
| Brazoria | $1,642.24 | $127.90 |
| Chicago | $1,693.60 | $157.87 |
| Chico | $1,800.33 | $125.55 |
| Colorado | $1,755.30 | $129.41 |
| Connecticut | $1,784.59 | $138.83 |
| Dallas | $1,651.59 | $129.61 |
| Dc + Md/Va Suburbs | $1,941.82 | $141.73 |
| Delaware | $1,639.67 | $129.91 |
| Detroit | $1,619.20 | $144.59 |
| East St. Louis | $1,556.22 | $150.38 |
| El Centro | $1,800.43 | $125.64 |
| Fort Lauderdale | $1,695.67 | $147.72 |
| Fort Worth | $1,636.42 | $129.72 |
| Fresno | $1,800.33 | $125.55 |
| Galveston | $1,646.27 | $128.88 |
| Hanford-Corcoran | $1,800.33 | $125.55 |
| Hawaii, Guam | $1,862.80 | $125.36 |
| Houston | $1,657.07 | $139.68 |
| Idaho | $1,525.86 | $120.01 |
| Indiana | $1,536.91 | $120.37 |
| Iowa | $1,516.64 | $118.44 |
| Kansas | $1,501.78 | $120.38 |
| Kentucky | $1,486.73 | $128.26 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $1,939.43 | $131.70 |
| Madera | $1,800.33 | $125.55 |
| Manhattan | $1,927.42 | $151.78 |
| Merced | $1,800.33 | $125.55 |
| Metropolitan Boston | $1,960.86 | $136.32 |
| Metropolitan Kansas City | $1,565.11 | $130.23 |
| Metropolitan Philadelphia | $1,728.51 | $137.76 |
| Metropolitan St. Louis | $1,585.66 | $130.92 |
| Miami | $1,753.09 | $162.35 |
| Minnesota | $1,690.57 | $118.16 |
| Mississippi | $1,440.05 | $124.37 |
| Modesto | $1,800.33 | $125.55 |
| Montana** | $1,659.65 | $131.56 |
| Napa | $2,146.81 | $132.79 |
| Nebraska | $1,528.61 | $118.18 |
| Nevada** | $1,657.94 | $128.32 |
| New Hampshire | $1,720.50 | $129.75 |
| New Mexico | $1,535.57 | $134.31 |
| New Orleans | $1,571.33 | $133.39 |
| North Carolina | $1,549.19 | $123.48 |
| North Dakota** | $1,647.99 | $119.89 |
| Northern Nj | $1,914.03 | $141.45 |
| Nyc Suburbs/Long Island | $1,974.43 | $157.53 |
| Ohio | $1,525.60 | $130.45 |
| Oklahoma | $1,490.18 | $125.60 |
| Oxnard-Thousand Oaks-Ventura | $1,935.82 | $129.62 |
| Portland | $1,827.48 | $129.77 |
| Poughkpsie/N Nyc Suburbs | $1,814.78 | $141.52 |
| Puerto Rico | $1,676.37 | $131.47 |
| Queens | $1,955.45 | $149.24 |
| Redding | $1,800.33 | $125.55 |
| Rest Of California | $1,800.33 | $125.55 |
| Rest Of Florida | $1,601.71 | $140.85 |
| Rest Of Georgia | $1,496.82 | $133.76 |
| Rest Of Illinois | $1,536.53 | $141.39 |
| Rest Of Louisiana | $1,481.40 | $129.04 |
| Rest Of Maine | $1,528.79 | $122.95 |
| Rest Of Maryland | $1,677.56 | $131.13 |
| Rest Of Massachusetts | $1,739.03 | $129.95 |
| Rest Of Michigan | $1,527.98 | $132.83 |
| Rest Of Missouri | $1,446.23 | $129.01 |
| Rest Of New Jersey | $1,807.44 | $138.77 |
| Rest Of New York | $1,576.68 | $125.00 |
| Rest Of Oregon | $1,647.67 | $125.69 |
| Rest Of Pennsylvania | $1,532.07 | $129.28 |
| Rest Of Texas | $1,579.08 | $128.92 |
| Rest Of Washington | $1,738.03 | $128.95 |
| Rhode Island | $1,710.33 | $131.81 |
| Riverside-San Bernardino-Ontario | $1,806.68 | $131.89 |
| Sacramento-Roseville-Folsom | $1,905.56 | $128.39 |
| Salinas | $1,898.91 | $127.85 |
| San Diego-Chula Vista-Carlsbad | $1,956.02 | $128.43 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $2,290.91 | $136.30 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $2,290.24 | $135.63 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $2,343.26 | $139.75 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $2,340.52 | $137.01 |
| San Luis Obispo-Paso Robles | $1,866.69 | $126.19 |
| Santa Cruz-Watsonville | $1,984.35 | $127.72 |
| Santa Maria-Santa Barbara | $1,909.42 | $127.66 |
| Santa Rosa-Petaluma | $2,005.28 | $128.79 |
| Seattle (King Cnty) | $2,011.22 | $136.25 |
| South Carolina | $1,539.46 | $127.50 |
| South Dakota** | $1,646.61 | $118.51 |
| Southern Maine | $1,638.53 | $124.19 |
| Stockton | $1,800.33 | $125.55 |
| Suburban Chicago | $1,717.25 | $147.90 |
| Tennessee | $1,510.14 | $121.11 |
| Utah | $1,565.09 | $128.69 |
| Vallejo | $2,145.84 | $131.82 |
| Vermont | $1,634.52 | $121.71 |
| Virgin Islands | $1,676.37 | $131.47 |
| Virginia | $1,627.66 | $125.55 |
| Visalia | $1,800.33 | $125.55 |
| West Virginia | $1,466.04 | $138.12 |
| Wisconsin | $1,581.24 | $117.33 |
| Wyoming** | $1,654.57 | $126.48 |
| Yuba City | $1,800.33 | $125.55 |
37239 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.
$1,432.55
$2,071.80
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 | $1,799.58 | 1 |
| AL | $1,458.25 | 1 |
| AR | $1,432.55 | 1 |
| AZ | $1,609.02 | 1 |
| CA | $1,800.33–$2,343.26 | 29 |
| CO | $1,755.30 | 1 |
| CT | $1,784.59 | 1 |
| DC | $1,941.82 | 1 |
| DE | $1,639.67 | 1 |
| FL | $1,601.71–$1,753.09 | 3 |
| GA | $1,496.82–$1,688.63 | 2 |
| GU | $1,862.80 | 1 |
| HI | $1,862.80 | 1 |
| IA | $1,516.64 | 1 |
| ID | $1,525.86 | 1 |
| IL | $1,536.53–$1,717.25 | 4 |
| IN | $1,536.91 | 1 |
| KS | $1,501.78 | 1 |
| KY | $1,486.73 | 1 |
| LA | $1,481.40–$1,571.33 | 2 |
| MA | $1,739.03–$1,960.86 | 2 |
| MD | $1,677.56–$1,941.82 | 3 |
| ME | $1,528.79–$1,638.53 | 2 |
| MI | $1,527.98–$1,619.20 | 2 |
| MN | $1,690.57 | 1 |
| MO | $1,446.23–$1,585.66 | 3 |
| MS | $1,440.05 | 1 |
| MT | $1,659.65 | 1 |
| NC | $1,549.19 | 1 |
| ND | $1,647.99 | 1 |
| NE | $1,528.61 | 1 |
| NH | $1,720.50 | 1 |
| NJ | $1,807.44–$1,914.03 | 2 |
| NM | $1,535.57 | 1 |
| NV | $1,657.94 | 1 |
| NY | $1,576.68–$1,974.43 | 5 |
| OH | $1,525.60 | 1 |
| OK | $1,490.18 | 1 |
| OR | $1,647.67–$1,827.48 | 2 |
| PA | $1,532.07–$1,728.51 | 2 |
| PR | $1,676.37 | 1 |
| RI | $1,710.33 | 1 |
| SC | $1,539.46 | 1 |
| SD | $1,646.61 | 1 |
| TN | $1,510.14 | 1 |
| TX | $1,519.41–$1,747.14 | 8 |
| UT | $1,565.09 | 1 |
| VA | $1,627.66–$1,941.82 | 2 |
| VI | $1,676.37 | 1 |
| VT | $1,634.52 | 1 |
| WA | $1,738.03–$2,011.22 | 2 |
| WI | $1,581.24 | 1 |
| WV | $1,466.04 | 1 |
| WY | $1,654.57 | 1 |
How the 37239 rate is calculated
Each of 37239’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 · 37239
RVUs × geographic indexes × conversion factor
Work2.90
2.90 RVUs× 1.000 GPCI
Practice expense46.20
46.20 RVUs× 1.000 GPCI
Malpractice0.59
0.59 RVUs× 1.000 GPCI
Adjusted RVUs
49.6900
Conversion factor
$33.4009
Medicare rate
$1,659.69
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 37239
The CMS indicators that decide how 37239 is paid alongside other services.
CMS payment indicators · 37239
Venous stenting
| 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) | 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. |
37239 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 37238Venous stenting
- 37238 reports stent placement in the first vein treated; 37239 is the add-on for each additional vein treated.
- 37237Arterial stent
- 37237 is for each additional artery treated with a stent. Use 37239 when the additional treated vessel is a vein.
- 37248Venous angioplasty
- 37248 reports balloon angioplasty in the first vein without stent placement. Angioplasty in a vein that is stented is included in the stent service.
- 37249Venous angioplasty
- 37249 reports balloon angioplasty in an additional vein without stent placement. Use 37239 for an additional vein receiving a stent.
37239 billing questions
When is 37239 reported instead of 37238?
Use 37238 for the first vein treated with a stent. Report 37239 for each additional vein treated in the procedure.
Is 37239 counted per stent or per vein?
It is counted per additional vein treated, not per stent. Multiple stents placed in one vein do not make that vein an additional vein.
Can 37239 be billed by itself?
No. It is an add-on code and must be reported with a primary procedure, typically 37238 for the first venous stent.
Is angioplasty separately reported in the stented vein?
Angioplasty performed in the same vein as the stent is included in the stent service. The report should identify the vein in which the stent was placed.
What documentation supports reporting an additional unit?
Document each additional vein treated and the stent placement in that vein. The record should make clear which vein was treated first and which veins support add-on reporting.
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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