$149.13–$220.68
37252 covers the first noncoronary vessel examined; 37253 covers each additional vessel.
On this page
CMS RVU26D · Effective 2026-10-01
37252 Intravascular ultrasound Medicare reimbursement rates
Reports intravascular ultrasound of the first noncoronary vessel examined during a qualifying vascular procedure, such as evaluation of peripheral or visceral vessel anatomy. Compare 37252 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 37252?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$773.25–$1260.57
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $487.32 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 37252 pays more and less
109 payment localities
$773.25 to $1260.57
Vascular imaging
About 37252: Initial noncoronary vessel intravascular ultrasound
Reports intravascular ultrasound of the first noncoronary vessel examined during a qualifying vascular procedure, such as evaluation of peripheral or visceral vessel anatomy.
A catheter-mounted ultrasound probe produces cross-sectional images from inside a noncoronary blood vessel. Vascular surgeons, interventional radiologists, and other endovascular specialists use the images to assess vessel dimensions, plaque, stenosis, or the result of an intervention. The service may be performed in an angiography suite or another setting equipped for endovascular procedures, including during evaluation or treatment of peripheral and visceral vessels.
Report 37252 for the first noncoronary vessel examined by intravascular ultrasound; use 37253 for each additional vessel. The documentation should identify the vessel examined, describe the ultrasound findings, and support that imaging and interpretation were performed. This is an add-on code: report it only with a primary procedure, not as a stand-alone service. CMS treats its payment within the primary procedure’s global-period context.
CMS billing rules for 37252
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.76 · 7%
- Practice expense (office) RVU24.68 · 92%
- Malpractice RVU0.37 · 1%
67.9K
Medicare services in 2024 · #684 by national volume
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.
37252 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
92978
No office rateEndoluminl ivus oct c 1st
Use 92978 for intravascular ultrasound of a coronary vessel. Code 37252 is for a noncoronary vessel.
$1,517.04–$2,402.21
37246 reports arterial balloon angioplasty, a treatment service. Code 37252 reports intravascular ultrasound imaging of a noncoronary vessel.
See how rates vary across the country
37252 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$773.25
$1,115.23
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $972.90 | 1 |
| AL | $787.07 | 1 |
| AR | $773.25 | 1 |
| AZ | $868.14 | 1 |
| CA | $969.88–$1,260.57 | 29 |
| CO | $946.23 | 1 |
| CT | $962.72 | 1 |
| DC | $1,046.78 | 1 |
| DE | $884.63 | 1 |
| FL | $865.42–$948.17 | 3 |
| GA | $808.82–$911.33 | 2 |
| GU | $1,003.21 | 1 |
| HI | $1,003.21 | 1 |
| IA | $817.96 | 1 |
| ID | $823.02 | 1 |
| IL | $830.72–$927.69 | 4 |
| IN | $828.95 | 1 |
| KS | $810.21 | 1 |
| KY | $802.93 | 1 |
| LA | $800.16–$848.52 | 2 |
| MA | $937.60–$1,056.45 | 2 |
| MD | $904.94–$1,046.78 | 3 |
| ME | $824.86–$883.50 | 2 |
| MI | $825.36–$875.10 | 2 |
| MN | $910.68 | 1 |
| MO | $781.40–$855.93 | 3 |
| MS | $777.67 | 1 |
| MT | $895.45 | 1 |
| NC | $835.79 | 1 |
| ND | $888.14 | 1 |
| NE | $824.32 | 1 |
| NH | $927.73 | 1 |
| NJ | $974.87–$1,031.92 | 2 |
| NM | $829.54 | 1 |
| NV | $894.24 | 1 |
| NY | $850.59–$1,065.63 | 5 |
| OH | $823.86 | 1 |
| OK | $804.52 | 1 |
| OR | $888.51–$984.76 | 2 |
| PA | $827.20–$932.72 | 2 |
| PR | $904.36 | 1 |
| RI | $922.46 | 1 |
| SC | $830.97 | 1 |
| SD | $887.27 | 1 |
| TN | $814.74 | 1 |
| TX | $820.41–$942.00 | 8 |
| UT | $844.76 | 1 |
| VA | $877.83–$1,046.78 | 2 |
| VI | $904.36 | 1 |
| VT | $881.13 | 1 |
| WA | $936.98–$1,083.28 | 2 |
| WI | $852.30 | 1 |
| WV | $792.82 | 1 |
| WY | $892.26 | 1 |
Compare 37252 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $787.07 | Facility $72.79 |
| Alaska* | Office $972.90 | Facility $103.53 |
| Arizona | Office $868.14 | Facility $77.13 |
| Arkansas | Office $773.25 | Facility $72.04 |
| Atlanta | Office $911.33 | Facility $81.95 |
| Austin | Office $942.00 | Facility $78.33 |
| Bakersfield | Office $970.90 | Facility $76.21 |
| Baltimore/Surr. Cntys | Office $959.52 | Facility $83.61 |
| Beaumont | Office $820.41 | Facility $77.56 |
| Brazoria | Office $885.81 | Facility $76.84 |
| Chicago | Office $916.02 | Facility $95.62 |
| Chico | Office $969.88 | Facility $75.19 |
| Colorado | Office $946.23 | Facility $77.67 |
| Connecticut | Office $962.72 | Facility $83.55 |
| Dallas | Office $890.95 | Facility $77.90 |
| Dc + Md/Va Suburbs | Office $1046.78 | Facility $85.16 |
| Delaware | Office $884.63 | Facility $78.11 |
| Detroit | Office $875.10 | Facility $87.36 |
| East St. Louis | Office $842.06 | Facility $91.05 |
| El Centro | Office $969.94 | Facility $75.26 |
| Fort Lauderdale | Office $916.18 | Facility $89.25 |
| Fort Worth | Office $882.87 | Facility $77.98 |
| Fresno | Office $969.88 | Facility $75.19 |
| Galveston | Office $888.05 | Facility $77.45 |
| Hanford-Corcoran | Office $969.88 | Facility $75.19 |
| Hawaii, Guam | Office $1003.21 | Facility $75.06 |
| Houston | Office $894.82 | Facility $84.22 |
| Idaho | Office $823.02 | Facility $72.01 |
| Indiana | Office $828.95 | Facility $72.22 |
| Iowa | Office $817.96 | Facility $71.03 |
| Kansas | Office $810.21 | Facility $72.26 |
| Kentucky | Office $802.93 | Facility $77.22 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $1044.59 | Facility $78.88 |
| Madera | Office $969.88 | Facility $75.19 |
| Manhattan | Office $1040.02 | Facility $91.46 |
| Merced | Office $969.88 | Facility $75.19 |
| Metropolitan Boston | Office $1056.45 | Facility $81.77 |
| Metropolitan Kansas City | Office $844.91 | Facility $78.39 |
| Metropolitan Philadelphia | Office $932.72 | Facility $82.93 |
| Metropolitan St. Louis | Office $855.93 | Facility $78.80 |
| Miami | Office $948.17 | Facility $98.38 |
| Minnesota | Office $910.68 | Facility $70.69 |
| Mississippi | Office $777.67 | Facility $74.82 |
| Modesto | Office $969.88 | Facility $75.19 |
| Montana** | Office $895.45 | Facility $79.14 |
| Napa | Office $1155.24 | Facility $79.33 |
| Nebraska | Office $824.32 | Facility $70.86 |
| Nevada** | Office $894.24 | Facility $77.10 |
| New Hampshire | Office $927.73 | Facility $77.94 |
| New Mexico | Office $829.54 | Facility $80.98 |
| New Orleans | Office $848.52 | Facility $80.37 |
| North Carolina | Office $835.79 | Facility $74.16 |
| North Dakota** | Office $888.14 | Facility $71.82 |
| Northern Nj | Office $1031.92 | Facility $84.99 |
| Nyc Suburbs/Long Island | Office $1065.63 | Facility $95.03 |
| Ohio | Office $823.86 | Facility $78.56 |
| Oklahoma | Office $804.52 | Facility $75.55 |
| Oxnard-Thousand Oaks-Ventura | Office $1042.49 | Facility $77.61 |
| Portland | Office $984.76 | Facility $77.83 |
| Poughkpsie/N Nyc Suburbs | Office $979.03 | Facility $85.16 |
| Puerto Rico | Office $904.36 | Facility $79.06 |
| Queens | Office $1054.73 | Facility $89.84 |
| Redding | Office $969.88 | Facility $75.19 |
| Rest Of California | Office $969.88 | Facility $75.19 |
| Rest Of Florida | Office $865.42 | Facility $85.02 |
| Rest Of Georgia | Office $808.82 | Facility $80.67 |
| Rest Of Illinois | Office $830.72 | Facility $85.42 |
| Rest Of Louisiana | Office $800.16 | Facility $77.72 |
| Rest Of Maine | Office $824.86 | Facility $73.85 |
| Rest Of Maryland | Office $904.94 | Facility $78.83 |
| Rest Of Massachusetts | Office $937.60 | Facility $78.02 |
| Rest Of Michigan | Office $825.36 | Facility $80.06 |
| Rest Of Missouri | Office $781.40 | Facility $77.73 |
| Rest Of New Jersey | Office $974.87 | Facility $83.45 |
| Rest Of New York | Office $850.59 | Facility $75.09 |
| Rest Of Oregon | Office $888.51 | Facility $75.46 |
| Rest Of Pennsylvania | Office $827.20 | Facility $77.82 |
| Rest Of Texas | Office $852.24 | Facility $77.55 |
| Rest Of Washington | Office $936.98 | Facility $77.40 |
| Rhode Island | Office $922.46 | Facility $79.21 |
| Riverside-San Bernardino-Ontario | Office $973.86 | Facility $79.17 |
| Sacramento-Roseville-Folsom | Office $1026.23 | Facility $76.85 |
| Salinas | Office $1022.64 | Facility $76.52 |
| San Diego-Chula Vista-Carlsbad | Office $1053.15 | Facility $76.83 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $1232.35 | Facility $81.35 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $1231.93 | Facility $80.93 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $1260.57 | Facility $83.44 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $1258.85 | Facility $81.72 |
| San Luis Obispo-Paso Robles | Office $1005.33 | Facility $75.54 |
| Santa Cruz-Watsonville | Office $1068.21 | Facility $76.38 |
| Santa Maria-Santa Barbara | Office $1028.23 | Facility $76.40 |
| Santa Rosa-Petaluma | Office $1079.46 | Facility $77.02 |
| Seattle (King Cnty) | Office $1083.28 | Facility $81.66 |
| South Carolina | Office $830.97 | Facility $76.70 |
| South Dakota** | Office $887.27 | Facility $70.95 |
| Southern Maine | Office $883.50 | Facility $74.53 |
| Stockton | Office $969.88 | Facility $75.19 |
| Suburban Chicago | Office $927.69 | Facility $89.33 |
| Tennessee | Office $814.74 | Facility $72.71 |
| Utah | Office $844.76 | Facility $77.42 |
| Vallejo | Office $1154.63 | Facility $78.73 |
| Vermont | Office $881.13 | Facility $72.97 |
| Virgin Islands | Office $904.36 | Facility $79.06 |
| Virginia | Office $877.83 | Facility $75.39 |
| Visalia | Office $969.88 | Facility $75.19 |
| West Virginia | Office $792.82 | Facility $83.44 |
| Wisconsin | Office $852.30 | Facility $70.27 |
| Wyoming** | Office $892.26 | Facility $75.95 |
| Yuba City | Office $969.88 | Facility $75.19 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
37252 billing questions
Can 37252 be reported by itself?
No. It is an add-on code and must be reported with a qualifying primary procedure.
When is 37253 used instead?
Use 37252 for the first noncoronary vessel examined and 37253 for each additional vessel. The count is based on vessels, not the number of ultrasound images or pullbacks.
Does 37252 include interpretation?
The service includes intravascular imaging and interpretation. Document the vessel assessed and the findings used in the procedural evaluation.
Can 37252 be reported with angioplasty or stent placement?
It may be reported with a primary vascular procedure when intravascular ultrasound is performed and the code’s requirements are met. The add-on code cannot stand alone.
What documentation supports the code?
Record the noncoronary vessel examined, the use of intravascular ultrasound, and the findings. The record should make clear which vessel is the first vessel for code selection.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,60837247,,Trluml balo angiop addl art,A,,3.41,13.91,,0.52,,0.62,17.94,4.55,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60937248,,Trluml balo angiop 1st vein,A,,5.85,32.30,,1.01,,0.93,39.08,7.79,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61037249,,Trluml balo angiop addl vein,A,,2.90,9.36,,0.40,,0.54,12.80,3.84,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61137252,,Intrvasc us noncoronary 1st,A,,1.76,24.68,,0.24,,0.37,26.81,2.37,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61237253,,Intrvasc us noncoronary addl,A,,1.40,3.40,,0.19,,0.28,5.08,1.87,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61337254,,Revsc evasc ivt angio sf 1st,A,,7.30,53.04,,1.04,,1.71,62.05,10.05,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61437255,,Revsc evasc ivt angio sf ea,A,,3.00,11.56,,0.36,,0.71,15.27,4.07,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00