Billing code 37270: Arterial stentingMedicare rate & RVUs

Reports complex endovascular stent treatment of each additional vessel in the femoral-popliteal territory during lower-extremity arterial revascularization.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $3,495.74 for 37270 nationally in the office and $227.79 in a hospital or facility. Local office rates run $3,012.60–$4,949.10.

Medicare rate · 37270

Arterial stenting

Swap in your local Medicare rate.

Work RVUs
5
Total RVUs
104.66
Global days
ZZZ

National rate · 2026

$3,495.74

Office setting, before claim adjustments.

See every locality for 37270 → · 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
  1. Medicare rate
  2. What 37270 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 37270 covers

This add-on service represents stent treatment of an additional vessel in the femoral-popliteal territory when the intervention meets billing code’s complex criteria. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform it in a catheterization or angiography suite for lower-extremity arterial disease. The code distinguishes the additional treated vessel from the first vessel and from simpler interventions; the record should identify the vessel treated, the stent procedure, and the facts supporting complex classification.

Report 37270 with the applicable primary procedure for the first complex stented vessel, such as 37269, and count each additional qualifying vessel rather than each stent. The code is an add-on and is paid within the primary procedure’s global period. For bilateral procedures reported with modifier 50, CMS pays this code at 150%. When atherectomy is also performed in the same vessel, use the applicable combination code rather than reporting this stent-only code with a separate atherectomy code for that vessel.

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 37270 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

$3012.60 to $4949.10

$3012.60$3980.85$4949.10
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

37270 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$3,067.26$207.81
Alaska*$3,775.01$294.65
Arizona$3,388.02$221.38
Arkansas$3,012.60$205.43
Atlanta$3,556.91$236.68
Austin$3,682.24$224.76
Bakersfield$3,798.95$217.28
Baltimore/Surr. Cntys$3,747.98$241.48
Beaumont$3,196.91$223.08
Brazoria$3,458.66$220.13

37270 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.

$3,012.60

$4,372.40

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
37270 office rate range by state
State / territoryOffice rate rangeLocalities
AK$3,775.011
AL$3,067.261
AR$3,012.601
AZ$3,388.021
CA$3,795.69–$4,949.1029
CO$3,699.441
CT$3,760.721
DC$4,094.671
DE$3,453.061
FL$3,371.20–$3,691.863
GA$3,148.26–$3,556.912
GU$3,929.411
HI$3,929.411
IA$3,192.031
ID$3,211.521
IL$3,232.19–$3,616.644
IN$3,235.061
KS$3,160.151
KY$3,127.291
LA$3,115.86–$3,307.162
MA$3,664.57–$4,136.182
MD$3,533.59–$4,094.673
ME$3,217.50–$3,451.352
MI$3,214.80–$3,408.132
MN$3,562.891
MO$3,040.86–$3,337.963
MS$3,028.151
MT$3,495.661
NC$3,260.931
ND$3,471.931
NE$3,217.581
NH$3,625.561
NJ$3,808.86–$4,035.172
NM$3,230.841
NV$3,492.331
NY$3,319.40–$4,162.335
OH$3,209.951
OK$3,134.911
OR$3,470.68–$3,853.192
PA$3,223.86–$3,641.312
PR$3,531.311
RI$3,603.111
SC$3,239.791
SD$3,469.121
TN$3,177.911
TX$3,196.91–$3,682.248
UT$3,294.331
VA$3,428.05–$4,094.672
VI$3,531.311
VT$3,443.051
WA$3,662.63–$4,243.282
WI$3,329.881
WV$3,082.201
WY$3,485.321

How the 37270 rate is calculated

Each of 37270’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 · 37270

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 5.00Practice expense 98.46Malpractice 1.20

104.6600 adjusted RVUs×$33.4009 conversion factor=$3,495.74

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 37270

The CMS indicators that decide how 37270 is paid alongside other services.

CMS payment indicators · 37270

Arterial stenting

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

37270 without 50 · national office

$3,495.74

Arterial stenting

37270-50 · Bilateral: 150%

$5,243.61

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).

When to use modifier 50

37270 compared with similar codes

Compare codes

37270 vs 37269 vs 37268 vs 37278 vs 37266: national Medicare rates

Swap in your local Medicare rate.

  • 37270
    Arterial stenting · 5 wRVU
    $3,495.74
  • 37269
    Arterial stenting · 14.75 wRVU
    $11,553.37+$8,057.63
  • 37268
    Arterial stent · 3.73 wRVU
    $3,360.13−$135.61
  • 37278
    Stent and atherectomy · 6 wRVU
    $3,874.17+$378.43
  • 37266
    Angioplasty · 4 wRVU
    $2,440.94−$1,054.80

How to choose

37269Arterial stenting
This is the first-vessel code for complex femoral-popliteal stenting. Use 37270 for additional qualifying vessels in the same treatment.
37268Arterial stent
Both codes concern additional-vessel stenting, but 37268 is for simple treatment and 37270 is for treatment meeting complex criteria.
37278Stent and atherectomy
37278 represents complex stenting with atherectomy in an additional vessel; 37270 represents complex stenting without that combination.
37266Angioplasty
37266 is for complex angioplasty of an additional vessel without stent treatment. Use 37270 when the qualifying additional vessel receives a stent.

37270 billing questions

How does 37270 differ from 37269?

37269 reports the first complex stented vessel in the femoral-popliteal territory. Use 37270 for each additional vessel meeting the complex criteria.

Do units represent stents or vessels?

Units represent additional treated vessels, not the number of stents deployed. Document each vessel and the intervention performed there.

Can 37270 be reported by itself?

No. It is an add-on code and must be reported with an applicable primary procedure, such as 37269 for the first complex stented vessel.

Can angioplasty or atherectomy also be reported for the same vessel?

Angioplasty performed as part of the stent treatment is not separately represented by this code. If atherectomy is performed in that vessel, use the applicable stent-and-atherectomy combination code.

How is bilateral reporting handled?

CMS pays this code at 150% when a bilateral procedure is reported with modifier 50. The documentation should support treatment on both sides.

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
RVUs for 37270PPRRVU2026_Oct_nonQPP.csv, line 4,630 (RVU26D)

Open CMS sourceHow we calculate rates

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