$1,795.03–$2,855.89
Both describe treatment of a straightforward lesion in the initial infrapopliteal vessel. Choose 37258 when a stent is placed; choose 37254 for angioplasty treatment.
On this page
CMS RVU26D · Effective 2026-10-01
37258 Arterial stenting Medicare reimbursement rates
Reports endovascular stent revascularization of a straightforward infrapopliteal arterial lesion in the initial vessel treated during the session. Compare 37258 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 37258?
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
$3077.13–$4976.43
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $1899.30 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 37258 pays more and less
109 payment localities
$3077.13 to $4976.43
Vascular intervention
About 37258: Infrapopliteal artery stent revascularization
Reports endovascular stent revascularization of a straightforward infrapopliteal arterial lesion in the initial vessel treated during the session.
This code covers endovascular stent treatment of a straightforward lesion in an infrapopliteal artery, such as an anterior tibial, posterior tibial, or peroneal artery. A vascular surgeon, interventional radiologist, or interventional cardiologist may perform the catheter-based procedure for peripheral arterial disease, including limb ischemia, in a hospital or other procedural setting. The code identifies treatment of the initial vessel; the code family distinguishes straightforward from complex lesions and initial from additional vessels.
Report the code when the treated lesion and vessel meet the straightforward-lesion criteria and a stent is placed. The procedure report should identify the target artery, lesion, treatment performed, and whether it was the initial vessel treated. Same-day preoperative and postoperative care is included in the 0-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 for a bilateral procedure is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 37258
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.75 · 8%
- Practice expense (office) RVU95.81 · 90%
- Malpractice RVU2.09 · 2%
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.
37258 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$1,043.34–$1,664.71
37258 is for the initial vessel treated; 37259 identifies a qualifying additional vessel in the straightforward-lesion stent series.
$7,269.64–$11,929.33
Both describe stent treatment in the initial infrapopliteal vessel. The distinction is lesion classification: straightforward for 37258 and complex for 37260.
$4,679.54–$7,688.24
37263 describes straightforward-lesion angioplasty in the femoropopliteal territory. Code 37258 describes stent treatment in the infrapopliteal territory.
See how rates vary across the country
37258 · 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.
$3,077.13
$4,409.22
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 | $3,885.00 | 1 |
| AL | $3,131.89 | 1 |
| AR | $3,077.13 | 1 |
| AZ | $3,452.95 | 1 |
| CA | $3,842.00–$4,976.43 | 29 |
| CO | $3,755.23 | 1 |
| CT | $3,829.12 | 1 |
| DC | $4,155.50 | 1 |
| DE | $3,518.21 | 1 |
| FL | $3,456.51–$3,800.15 | 3 |
| GA | $3,229.99–$3,628.32 | 2 |
| GU | $3,971.24 | 1 |
| HI | $3,971.24 | 1 |
| IA | $3,248.10 | 1 |
| ID | $3,269.41 | 1 |
| IL | $3,323.10–$3,704.55 | 4 |
| IN | $3,292.71 | 1 |
| KS | $3,220.37 | 1 |
| KY | $3,201.06 | 1 |
| LA | $3,191.26–$3,382.89 | 2 |
| MA | $3,722.32–$4,187.34 | 2 |
| MD | $3,597.81–$4,155.50 | 3 |
| ME | $3,279.81–$3,507.65 | 2 |
| MI | $3,292.80–$3,498.09 | 2 |
| MN | $3,605.87 | 1 |
| MO | $3,118.77–$3,408.74 | 3 |
| MS | $3,099.17 | 1 |
| MT | $3,562.07 | 1 |
| NC | $3,322.60 | 1 |
| ND | $3,520.74 | 1 |
| NE | $3,272.37 | 1 |
| NH | $3,684.69 | 1 |
| NJ | $3,875.08–$4,097.39 | 2 |
| NM | $3,310.63 | 1 |
| NV | $3,553.75 | 1 |
| NY | $3,381.47–$4,245.56 | 5 |
| OH | $3,284.35 | 1 |
| OK | $3,204.22 | 1 |
| OR | $3,528.67–$3,904.23 | 2 |
| PA | $3,295.96–$3,712.15 | 2 |
| PR | $3,596.36 | 1 |
| RI | $3,665.82 | 1 |
| SC | $3,308.52 | 1 |
| SD | $3,515.85 | 1 |
| TN | $3,238.67 | 1 |
| TX | $3,269.24–$3,740.44 | 8 |
| UT | $3,363.08 | 1 |
| VA | $3,487.28–$4,155.50 | 2 |
| VI | $3,596.36 | 1 |
| VT | $3,495.72 | 1 |
| WA | $3,718.93–$4,290.48 | 2 |
| WI | $3,379.49 | 1 |
| WV | $3,173.07 | 1 |
| WY | $3,544.06 | 1 |
Compare 37258 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 $3131.89 | Facility $365.96 |
| Alaska* | Office $3885.00 | Facility $518.47 |
| Arizona | Office $3452.95 | Facility $389.88 |
| Arkansas | Office $3077.13 | Facility $361.78 |
| Atlanta | Office $3628.32 | Facility $416.68 |
| Austin | Office $3740.44 | Facility $396.04 |
| Bakersfield | Office $3847.68 | Facility $383.15 |
| Baltimore/Surr. Cntys | Office $3817.04 | Facility $425.22 |
| Beaumont | Office $3269.24 | Facility $392.67 |
| Brazoria | Office $3520.39 | Facility $387.77 |
| Chicago | Office $3670.65 | Facility $493.79 |
| Chico | Office $3842.00 | Facility $377.47 |
| Colorado | Office $3755.23 | Facility $391.87 |
| Connecticut | Office $3829.12 | Facility $424.66 |
| Dallas | Office $3542.12 | Facility $393.71 |
| Dc + Md/Va Suburbs | Office $4155.50 | Facility $431.77 |
| Delaware | Office $3518.21 | Facility $395.09 |
| Detroit | Office $3498.09 | Facility $447.67 |
| East St. Louis | Office $3376.98 | Facility $468.80 |
| El Centro | Office $3842.35 | Facility $377.82 |
| Fort Lauderdale | Office $3660.21 | Facility $458.06 |
| Fort Worth | Office $3511.03 | Facility $394.22 |
| Fresno | Office $3842.00 | Facility $377.47 |
| Galveston | Office $3530.14 | Facility $391.20 |
| Hanford-Corcoran | Office $3842.00 | Facility $377.47 |
| Hawaii, Guam | Office $3971.24 | Facility $377.11 |
| Houston | Office $3568.39 | Facility $429.46 |
| Idaho | Office $3269.41 | Facility $361.23 |
| Indiana | Office $3292.71 | Facility $362.41 |
| Iowa | Office $3248.10 | Facility $355.73 |
| Kansas | Office $3220.37 | Facility $362.77 |
| Kentucky | Office $3201.06 | Facility $390.87 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $4136.36 | Facility $396.82 |
| Madera | Office $3842.00 | Facility $377.47 |
| Manhattan | Office $4140.24 | Facility $467.09 |
| Merced | Office $3842.00 | Facility $377.47 |
| Metropolitan Boston | Office $4187.34 | Facility $413.03 |
| Metropolitan Kansas City | Office $3365.39 | Facility $397.16 |
| Metropolitan Philadelphia | Office $3712.15 | Facility $421.48 |
| Metropolitan St. Louis | Office $3408.74 | Facility $399.41 |
| Miami | Office $3800.15 | Facility $509.48 |
| Minnesota | Office $3605.87 | Facility $353.13 |
| Mississippi | Office $3099.17 | Facility $377.49 |
| Modesto | Office $3842.00 | Facility $377.47 |
| Montana** | Office $3562.07 | Facility $401.01 |
| Napa | Office $4563.92 | Facility $397.64 |
| Nebraska | Office $3272.37 | Facility $354.72 |
| Nevada** | Office $3553.75 | Facility $389.53 |
| New Hampshire | Office $3684.69 | Facility $394.02 |
| New Mexico | Office $3310.63 | Facility $411.93 |
| New Orleans | Office $3382.89 | Facility $408.33 |
| North Carolina | Office $3322.60 | Facility $373.33 |
| North Dakota** | Office $3520.74 | Facility $359.68 |
| Northern Nj | Office $4097.39 | Facility $430.56 |
| Nyc Suburbs/Long Island | Office $4245.56 | Facility $487.06 |
| Ohio | Office $3284.35 | Facility $398.30 |
| Oklahoma | Office $3204.22 | Facility $381.40 |
| Oxnard-Thousand Oaks-Ventura | Office $4126.50 | Facility $390.12 |
| Portland | Office $3904.23 | Facility $392.29 |
| Poughkpsie/N Nyc Suburbs | Office $3894.03 | Facility $432.67 |
| Puerto Rico | Office $3596.36 | Facility $400.53 |
| Queens | Office $4194.19 | Facility $457.82 |
| Redding | Office $3842.00 | Facility $377.47 |
| Rest Of California | Office $3842.00 | Facility $377.47 |
| Rest Of Florida | Office $3456.51 | Facility $434.54 |
| Rest Of Georgia | Office $3229.99 | Facility $410.33 |
| Rest Of Illinois | Office $3323.10 | Facility $437.05 |
| Rest Of Louisiana | Office $3191.26 | Facility $393.72 |
| Rest Of Maine | Office $3279.81 | Facility $371.63 |
| Rest Of Maryland | Office $3597.81 | Facility $398.81 |
| Rest Of Massachusetts | Office $3722.32 | Facility $393.72 |
| Rest Of Michigan | Office $3292.80 | Facility $406.75 |
| Rest Of Missouri | Office $3118.77 | Facility $393.94 |
| Rest Of New Jersey | Office $3875.08 | Facility $423.20 |
| Rest Of New York | Office $3381.47 | Facility $378.46 |
| Rest Of Oregon | Office $3528.67 | Facility $380.26 |
| Rest Of Pennsylvania | Office $3295.96 | Facility $394.10 |
| Rest Of Texas | Office $3392.23 | Facility $392.38 |
| Rest Of Washington | Office $3718.93 | Facility $390.33 |
| Rhode Island | Office $3665.82 | Facility $400.45 |
| Riverside-San Bernardino-Ontario | Office $3864.42 | Facility $399.90 |
| Sacramento-Roseville-Folsom | Office $4061.96 | Facility $385.65 |
| Salinas | Office $4047.70 | Facility $384.03 |
| San Diego-Chula Vista-Carlsbad | Office $4166.23 | Facility $385.60 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $4864.26 | Facility $407.17 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $4861.89 | Facility $404.79 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $4976.43 | Facility $418.18 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $4966.72 | Facility $408.47 |
| San Luis Obispo-Paso Robles | Office $3979.60 | Facility $379.15 |
| Santa Cruz-Watsonville | Office $4223.98 | Facility $383.29 |
| Santa Maria-Santa Barbara | Office $4069.22 | Facility $383.42 |
| Santa Rosa-Petaluma | Office $4268.21 | Facility $386.43 |
| Seattle (King Cnty) | Office $4290.48 | Facility $411.85 |
| South Carolina | Office $3308.52 | Facility $387.70 |
| South Dakota** | Office $3515.85 | Facility $354.79 |
| Southern Maine | Office $3507.65 | Facility $375.03 |
| Stockton | Office $3842.00 | Facility $377.47 |
| Suburban Chicago | Office $3704.55 | Facility $458.14 |
| Tennessee | Office $3238.67 | Facility $365.27 |
| Utah | Office $3363.08 | Facility $391.68 |
| Vallejo | Office $4560.50 | Facility $394.22 |
| Vermont | Office $3495.72 | Facility $366.27 |
| Virgin Islands | Office $3596.36 | Facility $400.53 |
| Virginia | Office $3487.28 | Facility $379.96 |
| Visalia | Office $3842.00 | Facility $377.47 |
| West Virginia | Office $3173.07 | Facility $426.11 |
| Wisconsin | Office $3379.49 | Facility $351.20 |
| Wyoming** | Office $3544.06 | Facility $382.99 |
| Yuba City | Office $3842.00 | Facility $377.47 |
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37258 billing questions
How does this differ from 37254?
Code 37258 describes stent treatment of a straightforward infrapopliteal lesion in the initial vessel. Code 37254 describes angioplasty treatment for that lesion and vessel position.
When should 37259 be reported instead?
Use 37259 for a qualifying additional vessel treated after the initial vessel in the applicable straightforward-lesion stent series. Document the vessels treated and their sequence.
Can angioplasty be separately reported in the stented vessel?
Angioplasty performed as part of stent treatment in the same vessel is included in the revascularization service; do not report it separately for that same treatment.
How are bilateral procedures handled?
For a bilateral procedure reported with modifier 50, CMS pays the code at 150%. The operative documentation should support treatment on both sides.
What documentation supports the straightforward-lesion code?
Document the infrapopliteal target artery, lesion characteristics supporting the straightforward classification, stent treatment, and whether the vessel is the initial vessel treated.
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.
4,61437255,,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
4,61537256,,Revsc evasc ivt angio cplx 1,A,,10.75,59.50,,1.47,,2.51,72.76,14.73,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61637257,,Revsc evsc ivt angio cplx ea,A,,3.89,12.54,,0.46,,0.92,17.35,5.27,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61737258,,Revsc evasc ivt stent sf 1st,A,,8.75,95.81,,1.17,,2.09,106.65,12.01,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61837259,,Revsc evasc ivt stent sf ea,A,,4.00,31.12,,0.45,,0.98,36.10,5.43,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,6193725F,,Screen depression performed,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62037260,,Revsc evasc ivt st cplx 1st,A,,12.69,236.79,,1.65,,3.02,252.50,17.36,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00