Billing code 37248: Venous angioplastyMedicare rate & RVUs

Medicare pays $1,305.31 for 37248 nationally in the office and $260.19 in a hospital or facility. Local office rates run $1,138.12–$1,789.24.

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

What 37248 covers

This service opens a narrowed or obstructed vein by advancing and inflating a balloon across the lesion. It may be performed percutaneously or through an open approach by an interventional radiologist, vascular surgeon, or other physician performing venous intervention. Common settings include treatment of iliac or central venous stenosis related to prior thrombosis, compression, or catheter-related injury. The code includes the imaging guidance and radiological supervision and interpretation needed for the angioplasty; it is not for angioplasty of a dialysis circuit.

Report 37248 for the initial vein treated during the session. Use 37249 for each additional vein treated, rather than counting balloon inflations or lesions. The operative report should identify the vein, stenosis, and angioplasty performed. When a stent is placed in the same vein, the stent code includes angioplasty in that vessel. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; 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 37248 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

37248 rates by state

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

How the 37248 rate is calculated

Each of 37248’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 37248

The CMS indicators that decide how 37248 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

37248 compared with similar codes

How to choose

37249Venous angioplasty

37248 is for the initial vein treated; 37249 is the add-on for each additional vein in the session.

37246Arterial angioplasty

37246 describes initial-vessel balloon angioplasty in an artery. Use 37248 when the treated vessel is a vein.

37238Venous stenting

37238 reports venous stent placement in the initial vein and includes angioplasty performed in that same vessel. Use 37248 when balloon angioplasty is performed without same-vessel stent placement.

36902Dialysis access angioplasty

36902 applies to angioplasty performed in a dialysis circuit. Use 37248 for venous angioplasty outside a dialysis circuit.

Codes related to 37248

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

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