Billing code 37249: Venous angioplastyMedicare rate & RVUs
Reports balloon dilation of each additional non-dialysis-circuit vein treated after the initial vein during open or percutaneous venous intervention.
Medicare pays $427.53 for 37249 nationally in the office and $128.26 in a hospital or facility. Local office rates run $374.70–$568.00.
Medicare rate · 37249
Venous angioplasty
Swap in your local Medicare rate.
- Work RVUs
- 2.9
- Total RVUs
- 12.80
- Global days
- ZZZ
National rate · 2026
$427.53
Office setting, before claim adjustments.
See every locality for 37249 → · 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 37249 covers
An endovascular specialist, interventional radiologist, or vascular surgeon uses a balloon catheter to widen a narrowed segment in an additional vein after treating the initial vein. The service may be performed through percutaneous access or during open vascular surgery, commonly to address venous outflow obstruction. This code is for venous angioplasty outside a dialysis circuit; dialysis-access circuit treatment follows a separate code family.
Report one unit for each additional vein treated, rather than for repeated balloon inflations or multiple stenoses within one vein. The operative or procedure report should identify the treated veins and document the stenosis and balloon treatment. This is an add-on code and must be reported with a primary procedure, typically 37248 for the initial vein; CMS pays it within that primary procedure's global period. For bilateral treatment reported with modifier 50, CMS pays 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.
Where 37249 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
$374.70 to $568.00
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $380.62 | $118.76 |
| Alaska* | $488.19 | $169.46 |
| Arizona | $415.24 | $125.25 |
| Arkansas | $374.70 | $117.63 |
| Atlanta | $436.45 | $132.39 |
| Austin | $443.80 | $127.17 |
| Bakersfield | $452.33 | $124.33 |
| Baltimore/Surr. Cntys | $456.18 | $135.06 |
| Beaumont | $398.11 | $125.78 |
| Brazoria | $421.52 | $124.95 |
| Chicago | $453.13 | $152.36 |
| Chico | $450.82 | $122.82 |
| Colorado | $444.75 | $126.33 |
| Connecticut | $457.33 | $135.01 |
| Dallas | $424.59 | $126.52 |
| Dc + Md/Va Suburbs | $490.45 | $137.91 |
| Delaware | $422.44 | $126.76 |
| Detroit | $428.96 | $140.16 |
| East St. Louis | $420.81 | $145.48 |
| El Centro | $450.91 | $122.91 |
| Fort Lauderdale | $446.17 | $143.01 |
| Fort Worth | $421.70 | $126.62 |
| Fresno | $450.82 | $122.82 |
| Galveston | $423.02 | $125.84 |
| Hanford-Corcoran | $450.82 | $122.82 |
| Hawaii, Guam | $462.77 | $122.50 |
| Houston | $432.90 | $135.72 |
| Idaho | $393.02 | $117.69 |
| Indiana | $395.44 | $118.01 |
| Iowa | $390.08 | $116.25 |
| Kansas | $388.57 | $118.03 |
| Kentucky | $391.30 | $125.24 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $482.65 | $128.62 |
| Madera | $450.82 | $122.82 |
| Manhattan | $494.95 | $147.19 |
| Merced | $450.82 | $122.82 |
| Metropolitan Boston | $490.17 | $132.84 |
| Metropolitan Kansas City | $408.05 | $127.03 |
| Metropolitan Philadelphia | $445.57 | $134.03 |
| Metropolitan St. Louis | $412.56 | $127.65 |
| Miami | $467.93 | $156.39 |
| Minnesota | $423.90 | $115.95 |
| Mississippi | $379.37 | $121.69 |
| Modesto | $450.82 | $122.82 |
| Montana** | $427.50 | $128.22 |
| Napa | $524.18 | $129.74 |
| Nebraska | $392.24 | $116.01 |
| Nevada** | $424.83 | $125.26 |
| New Hampshire | $438.09 | $126.55 |
| New Mexico | $405.21 | $130.78 |
| New Orleans | $411.54 | $129.92 |
| North Carolina | $400.07 | $120.85 |
| North Dakota** | $416.82 | $117.55 |
| Northern Nj | $484.88 | $137.73 |
| Nyc Suburbs/Long Island | $508.28 | $152.44 |
| Ohio | $400.48 | $127.24 |
| Oklahoma | $390.06 | $122.81 |
| Oxnard-Thousand Oaks-Ventura | $480.34 | $126.60 |
| Portland | $459.17 | $126.67 |
| Poughkpsie/N Nyc Suburbs | $465.38 | $137.68 |
| Puerto Rico | $430.70 | $128.14 |
| Queens | $498.60 | $144.86 |
| Redding | $450.82 | $122.82 |
| Rest Of California | $450.82 | $122.82 |
| Rest Of Florida | $422.85 | $136.74 |
| Rest Of Georgia | $397.23 | $130.28 |
| Rest Of Illinois | $410.49 | $137.25 |
| Rest Of Louisiana | $390.82 | $125.97 |
| Rest Of Maine | $395.70 | $120.37 |
| Rest Of Maryland | $430.77 | $127.91 |
| Rest Of Massachusetts | $441.99 | $126.86 |
| Rest Of Michigan | $402.66 | $129.42 |
| Rest Of Missouri | $383.92 | $125.95 |
| Rest Of New Jersey | $461.92 | $135.11 |
| Rest Of New York | $406.54 | $122.23 |
| Rest Of Oregon | $420.92 | $122.85 |
| Rest Of Pennsylvania | $400.90 | $126.17 |
| Rest Of Texas | $409.84 | $125.83 |
| Rest Of Washington | $441.05 | $125.92 |
| Rhode Island | $437.74 | $128.59 |
| Riverside-San Bernardino-Ontario | $456.64 | $128.63 |
| Sacramento-Roseville-Folsom | $473.61 | $125.56 |
| Salinas | $471.87 | $125.02 |
| San Diego-Chula Vista-Carlsbad | $483.45 | $125.52 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $555.16 | $133.18 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $554.54 | $132.57 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $568.00 | $136.45 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $565.49 | $133.94 |
| San Luis Obispo-Paso Robles | $464.27 | $123.39 |
| Santa Cruz-Watsonville | $488.41 | $124.80 |
| Santa Maria-Santa Barbara | $473.77 | $124.82 |
| Santa Rosa-Petaluma | $493.35 | $125.84 |
| Seattle (King Cnty) | $500.04 | $132.83 |
| South Carolina | $401.07 | $124.54 |
| South Dakota** | $415.56 | $116.28 |
| Southern Maine | $418.06 | $121.48 |
| Stockton | $450.82 | $122.82 |
| Suburban Chicago | $450.57 | $143.22 |
| Tennessee | $390.73 | $118.69 |
| Utah | $406.93 | $125.62 |
| Vallejo | $523.29 | $128.85 |
| Vermont | $415.50 | $119.22 |
| Virgin Islands | $430.70 | $128.14 |
| Virginia | $416.91 | $122.73 |
| Visalia | $450.82 | $122.82 |
| West Virginia | $394.35 | $134.28 |
| Wisconsin | $401.92 | $115.22 |
| Wyoming** | $422.84 | $123.57 |
| Yuba City | $450.82 | $122.82 |
37249 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.
$374.70
$509.41
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 | $488.19 | 1 |
| AL | $380.62 | 1 |
| AR | $374.70 | 1 |
| AZ | $415.24 | 1 |
| CA | $450.82–$568.00 | 29 |
| CO | $444.75 | 1 |
| CT | $457.33 | 1 |
| DC | $490.45 | 1 |
| DE | $422.44 | 1 |
| FL | $422.85–$467.93 | 3 |
| GA | $397.23–$436.45 | 2 |
| GU | $462.77 | 1 |
| HI | $462.77 | 1 |
| IA | $390.08 | 1 |
| ID | $393.02 | 1 |
| IL | $410.49–$453.13 | 4 |
| IN | $395.44 | 1 |
| KS | $388.57 | 1 |
| KY | $391.30 | 1 |
| LA | $390.82–$411.54 | 2 |
| MA | $441.99–$490.17 | 2 |
| MD | $430.77–$490.45 | 3 |
| ME | $395.70–$418.06 | 2 |
| MI | $402.66–$428.96 | 2 |
| MN | $423.90 | 1 |
| MO | $383.92–$412.56 | 3 |
| MS | $379.37 | 1 |
| MT | $427.50 | 1 |
| NC | $400.07 | 1 |
| ND | $416.82 | 1 |
| NE | $392.24 | 1 |
| NH | $438.09 | 1 |
| NJ | $461.92–$484.88 | 2 |
| NM | $405.21 | 1 |
| NV | $424.83 | 1 |
| NY | $406.54–$508.28 | 5 |
| OH | $400.48 | 1 |
| OK | $390.06 | 1 |
| OR | $420.92–$459.17 | 2 |
| PA | $400.90–$445.57 | 2 |
| PR | $430.70 | 1 |
| RI | $437.74 | 1 |
| SC | $401.07 | 1 |
| SD | $415.56 | 1 |
| TN | $390.73 | 1 |
| TX | $398.11–$443.80 | 8 |
| UT | $406.93 | 1 |
| VA | $416.91–$490.45 | 2 |
| VI | $430.70 | 1 |
| VT | $415.50 | 1 |
| WA | $441.05–$500.04 | 2 |
| WI | $401.92 | 1 |
| WV | $394.35 | 1 |
| WY | $422.84 | 1 |
How the 37249 rate is calculated
Each of 37249’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 · 37249
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.90Practice expense 9.36Malpractice 0.54
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 37249
The CMS indicators that decide how 37249 is paid alongside other services.
CMS payment indicators · 37249
Venous angioplasty
| 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) | 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
37249 without 50 · national office
$427.53
Venous angioplasty
37249-50 · Bilateral: 150%
$641.30
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).
37249 compared with similar codes
Compare codes
37249 vs 37248 vs 37247 vs 37239 vs 36902: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 37248Venous angioplasty
- 37248 is for the initial vein treated with balloon angioplasty; 37249 is for each additional vein in the procedure.
- 37247Balloon angioplasty
- 37247 is the additional-vessel balloon angioplasty code for an artery. Use 37249 when the additional vessel treated is a vein.
- 37239Venous stenting
- 37239 describes stent placement in an additional vein, whereas 37249 describes balloon angioplasty of an additional vein.
- 36902Dialysis access angioplasty
- 36902 applies to angioplasty within a dialysis access circuit; 37249 applies to venous angioplasty outside that circuit.
37249 billing questions
When is 37249 used instead of 37248?
Use 37248 for the initial vein and 37249 for each additional vein treated in the same procedure. Multiple treated segments or balloon inflations within one vein do not make it an additional vein.
Can 37249 be reported by itself?
No. It is an add-on code and must be reported with a primary procedure, typically 37248 for the initial vein.
How are units counted?
Count each additional vein treated, not the number of stenoses or balloon inflations in that vein. Document the additional veins treated.
How is bilateral treatment reported?
CMS specifies modifier 50 for bilateral treatment and pays the procedure at 150%.
Does 37249 describe angioplasty in a dialysis access circuit?
No. This code is for venous angioplasty outside a dialysis circuit; dialysis-access circuit interventions use the dialysis-circuit code family.
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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