Billing code 37246: Arterial angioplastyMedicare rate & RVUs
Report 37246 for balloon angioplasty of the first treated artery in a vascular territory covered by this code family, excluding lower-extremity occlusive disease.
Medicare pays $1,746.53 for 37246 nationally in the office and $308.29 in a hospital or facility. Local office rates run $1,517.04–$2,402.21.
Medicare rate · 37246
Arterial angioplasty
Swap in your local Medicare rate.
- Work RVUs
- 6.83
- Total RVUs
- 52.29
- Global days
- 000
National rate · 2026
$1,746.53
Office setting, before claim adjustments.
See every locality for 37246 → · 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 37246 covers
This code covers balloon dilation of a narrowed artery through an open or percutaneous approach. Interventional radiologists, vascular surgeons, and other qualified physicians may perform it in a hospital or outpatient setting. The code includes imaging and radiological supervision and interpretation needed to guide angioplasty within that artery. It applies to arterial sites outside the separately coded lower-extremity occlusive-disease, coronary, and intracranial services.
Report 37246 for the first artery treated; use 37247 for each additional artery treated in the same session. Count arteries, not lesions, and document the treated vessel, approach, balloon treatment, and any additional arteries. If a stent is placed in the treated artery, its angioplasty is generally included in the stent service. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and others at 50%; bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery, and 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 37246 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
$1517.04 to $2402.21
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $1,542.90 | $284.44 |
| Alaska* | $1,936.29 | $404.56 |
| Arizona | $1,694.40 | $300.75 |
| Arkansas | $1,517.04 | $281.59 |
| Atlanta | $1,779.79 | $318.54 |
| Austin | $1,827.36 | $305.70 |
| Bakersfield | $1,874.84 | $298.52 |
| Baltimore/Surr. Cntys | $1,868.37 | $325.13 |
| Beaumont | $1,610.73 | $301.93 |
| Brazoria | $1,725.25 | $299.95 |
| Chicago | $1,813.46 | $368.02 |
| Chico | $1,871.11 | $294.80 |
| Colorado | $1,833.78 | $303.49 |
| Connecticut | $1,873.97 | $324.98 |
| Dallas | $1,736.34 | $303.85 |
| Dc + Md/Va Suburbs | $2,026.22 | $331.97 |
| Delaware | $1,725.47 | $304.49 |
| Detroit | $1,725.66 | $337.75 |
| East St. Louis | $1,674.03 | $350.84 |
| El Centro | $1,871.34 | $295.02 |
| Fort Lauderdale | $1,801.85 | $344.91 |
| Fort Worth | $1,722.18 | $304.07 |
| Fresno | $1,871.11 | $294.80 |
| Galveston | $1,730.34 | $302.17 |
| Hanford-Corcoran | $1,871.11 | $294.80 |
| Hawaii, Guam | $1,929.58 | $294.30 |
| Houston | $1,754.87 | $326.70 |
| Idaho | $1,605.05 | $281.87 |
| Indiana | $1,615.95 | $282.70 |
| Iowa | $1,594.28 | $278.29 |
| Kansas | $1,582.86 | $282.69 |
| Kentucky | $1,579.15 | $300.56 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $2,010.53 | $309.08 |
| Madera | $1,871.11 | $294.80 |
| Manhattan | $2,026.09 | $354.85 |
| Merced | $1,871.11 | $294.80 |
| Metropolitan Boston | $2,036.85 | $319.59 |
| Metropolitan Kansas City | $1,655.61 | $305.10 |
| Metropolitan Philadelphia | $1,819.70 | $322.49 |
| Metropolitan St. Louis | $1,675.89 | $306.68 |
| Miami | $1,875.39 | $378.18 |
| Minnesota | $1,757.76 | $277.81 |
| Mississippi | $1,530.01 | $291.69 |
| Modesto | $1,871.11 | $294.80 |
| Montana** | $1,746.44 | $308.20 |
| Napa | $2,207.50 | $311.90 |
| Nebraska | $1,605.22 | $277.73 |
| Nevada** | $1,740.53 | $300.85 |
| New Hampshire | $1,801.36 | $304.15 |
| New Mexico | $1,633.22 | $314.35 |
| New Orleans | $1,665.67 | $312.29 |
| North Carolina | $1,631.64 | $289.76 |
| North Dakota** | $1,719.95 | $281.70 |
| Northern Nj | $1,999.73 | $331.37 |
| Nyc Suburbs/Long Island | $2,078.01 | $367.94 |
| Ohio | $1,618.68 | $305.57 |
| Oklahoma | $1,578.87 | $294.52 |
| Oxnard-Thousand Oaks-Ventura | $2,004.25 | $304.25 |
| Portland | $1,902.30 | $304.41 |
| Poughkpsie/N Nyc Suburbs | $1,906.19 | $331.32 |
| Puerto Rico | $1,762.07 | $308.01 |
| Queens | $2,049.12 | $349.12 |
| Redding | $1,871.11 | $294.80 |
| Rest Of California | $1,871.11 | $294.80 |
| Rest Of Florida | $1,704.21 | $329.25 |
| Rest Of Georgia | $1,595.97 | $313.06 |
| Rest Of Illinois | $1,643.52 | $330.41 |
| Rest Of Louisiana | $1,575.18 | $302.34 |
| Rest Of Maine | $1,611.72 | $288.54 |
| Rest Of Maryland | $1,762.83 | $307.33 |
| Rest Of Massachusetts | $1,819.20 | $304.73 |
| Rest Of Michigan | $1,624.10 | $310.98 |
| Rest Of Missouri | $1,542.01 | $302.24 |
| Rest Of New Jersey | $1,895.58 | $325.01 |
| Rest Of New York | $1,659.56 | $293.23 |
| Rest Of Oregon | $1,727.35 | $294.86 |
| Rest Of Pennsylvania | $1,623.23 | $302.93 |
| Rest Of Texas | $1,667.04 | $302.14 |
| Rest Of Washington | $1,816.91 | $302.44 |
| Rhode Island | $1,794.66 | $308.96 |
| Riverside-San Bernardino-Ontario | $1,885.53 | $309.22 |
| Sacramento-Roseville-Folsom | $1,974.18 | $301.51 |
| Salinas | $1,967.15 | $300.22 |
| San Diego-Chula Vista-Carlsbad | $2,021.71 | $301.57 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $2,348.19 | $320.26 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $2,346.67 | $318.74 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $2,402.21 | $328.27 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $2,395.99 | $322.04 |
| San Luis Obispo-Paso Robles | $1,934.48 | $296.32 |
| Santa Cruz-Watsonville | $2,047.39 | $299.93 |
| Santa Maria-Santa Barbara | $1,976.78 | $299.79 |
| Santa Rosa-Petaluma | $2,068.60 | $302.44 |
| Seattle (King Cnty) | $2,084.27 | $319.54 |
| South Carolina | $1,627.82 | $298.89 |
| South Dakota** | $1,716.81 | $278.57 |
| Southern Maine | $1,716.75 | $291.46 |
| Stockton | $1,871.11 | $294.80 |
| Suburban Chicago | $1,822.47 | $345.40 |
| Tennessee | $1,591.71 | $284.35 |
| Utah | $1,653.55 | $301.60 |
| Vallejo | $2,205.31 | $309.71 |
| Vermont | $1,709.69 | $285.83 |
| Virgin Islands | $1,762.07 | $308.01 |
| Virginia | $1,708.32 | $294.53 |
| Visalia | $1,871.11 | $294.80 |
| West Virginia | $1,572.78 | $322.94 |
| Wisconsin | $1,653.67 | $275.83 |
| Wyoming** | $1,734.90 | $296.65 |
| Yuba City | $1,871.11 | $294.80 |
37246 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.
$1,517.04
$2,136.66
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 | $1,936.29 | 1 |
| AL | $1,542.90 | 1 |
| AR | $1,517.04 | 1 |
| AZ | $1,694.40 | 1 |
| CA | $1,871.11–$2,402.21 | 29 |
| CO | $1,833.78 | 1 |
| CT | $1,873.97 | 1 |
| DC | $2,026.22 | 1 |
| DE | $1,725.47 | 1 |
| FL | $1,704.21–$1,875.39 | 3 |
| GA | $1,595.97–$1,779.79 | 2 |
| GU | $1,929.58 | 1 |
| HI | $1,929.58 | 1 |
| IA | $1,594.28 | 1 |
| ID | $1,605.05 | 1 |
| IL | $1,643.52–$1,822.47 | 4 |
| IN | $1,615.95 | 1 |
| KS | $1,582.86 | 1 |
| KY | $1,579.15 | 1 |
| LA | $1,575.18–$1,665.67 | 2 |
| MA | $1,819.20–$2,036.85 | 2 |
| MD | $1,762.83–$2,026.22 | 3 |
| ME | $1,611.72–$1,716.75 | 2 |
| MI | $1,624.10–$1,725.66 | 2 |
| MN | $1,757.76 | 1 |
| MO | $1,542.01–$1,675.89 | 3 |
| MS | $1,530.01 | 1 |
| MT | $1,746.44 | 1 |
| NC | $1,631.64 | 1 |
| ND | $1,719.95 | 1 |
| NE | $1,605.22 | 1 |
| NH | $1,801.36 | 1 |
| NJ | $1,895.58–$1,999.73 | 2 |
| NM | $1,633.22 | 1 |
| NV | $1,740.53 | 1 |
| NY | $1,659.56–$2,078.01 | 5 |
| OH | $1,618.68 | 1 |
| OK | $1,578.87 | 1 |
| OR | $1,727.35–$1,902.30 | 2 |
| PA | $1,623.23–$1,819.70 | 2 |
| PR | $1,762.07 | 1 |
| RI | $1,794.66 | 1 |
| SC | $1,627.82 | 1 |
| SD | $1,716.81 | 1 |
| TN | $1,591.71 | 1 |
| TX | $1,610.73–$1,827.36 | 8 |
| UT | $1,653.55 | 1 |
| VA | $1,708.32–$2,026.22 | 2 |
| VI | $1,762.07 | 1 |
| VT | $1,709.69 | 1 |
| WA | $1,816.91–$2,084.27 | 2 |
| WI | $1,653.67 | 1 |
| WV | $1,572.78 | 1 |
| WY | $1,734.90 | 1 |
How the 37246 rate is calculated
Each of 37246’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 · 37246
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.83Practice expense 44.12Malpractice 1.34
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 37246
The CMS indicators that decide how 37246 is paid alongside other services.
CMS payment indicators · 37246
Arterial angioplasty
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| 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
37246 without 50 · national office
$1,746.53
Arterial angioplasty
37246-50 · Bilateral: 150%
$2,619.80
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).
37246 compared with similar codes
Compare codes
37246 vs 37247 vs 37248 vs 37236: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 37247Balloon angioplasty
- 37246 covers the first treated artery; 37247 covers each additional artery treated in the same session.
- 37248Venous angioplasty
- 37248 is for balloon angioplasty of the first vein. Use 37246 for an artery within this code family's scope.
- 37236Arterial stent
- 37236 describes arterial stent placement. When angioplasty is performed in the artery receiving the stent, it is generally included in the stent service.
37246 billing questions
When should 37247 be reported with 37246?
Use 37246 for the first artery treated and 37247 for each additional artery treated in the same session. The count is by artery, not by lesion.
Can 37246 be reported when a stent is placed?
When a stent is placed in the treated artery, the angioplasty in that artery is generally included in the stent service. Do not separately report 37246 for that same-vessel dilation.
Does 37246 include imaging guidance?
Yes. Imaging and radiological supervision and interpretation needed to perform angioplasty within the treated artery are included.
How is bilateral treatment reported?
For a bilateral procedure, report modifier 50; CMS pays the bilateral service at 150%.
What same-session payment reductions apply?
The highest-valued procedure is paid in full, and other procedures in the same session are paid at 50%. Same-day preoperative and postoperative care is included in the 0-day global period.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. 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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