Billing code 37285: Peripheral stentingMedicare rate & RVUs
Reports endovascular stenting of each additional tibial or peroneal vessel treated with a straightforward revascularization approach during the same procedure.
Medicare pays $2,787.97 for 37285 nationally in the office and $152.31 in a hospital or facility. Local office rates run $2,402.21–$3,961.13.
Medicare rate · 37285
Peripheral stenting
- Work RVUs
- 3.34
- Total RVUs
- 83.47
- Global days
- ZZZ
National rate · 2026
$2,787.97
Office setting, before claim adjustments.
See every locality for 37285 →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 37285 covers
This add-on code represents stent-based endovascular revascularization of an additional tibial or peroneal artery in the lower leg. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform these procedures in an angiography suite or operating room to improve blood flow in a diseased vessel. The code distinguishes treatment of additional vessels from the first vessel treated in the same straightforward intervention.
Report it with the applicable primary procedure, identifying the additional vessel treated and documenting the intervention and its straightforward classification. The CMS payment rule treats this as an add-on service paid within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays 150% under the stated bilateral rule. The record should support the treated anatomy, stent placement, and the number of additional vessels.
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 37285 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
$2402.21 to $3961.13
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $2,445.89 | $139.68 |
| Alaska* | $3,005.19 | $198.20 |
| Arizona | $2,702.25 | $148.29 |
| Arkansas | $2,402.21 | $138.17 |
| Atlanta | $2,835.64 | $157.81 |
| Austin | $2,939.23 | $150.70 |
| Bakersfield | $3,035.15 | $146.47 |
| Baltimore/Surr. Cntys | $2,989.14 | $161.07 |
| Beaumont | $2,547.56 | $149.10 |
| Brazoria | $2,759.63 | $147.69 |
| Chicago | $2,833.59 | $184.75 |
| Chico | $3,033.15 | $144.46 |
| Colorado | $2,953.70 | $149.35 |
| Connecticut | $2,999.53 | $160.92 |
| Dallas | $2,774.91 | $149.78 |
| Dc + Md/Va Suburbs | $3,268.81 | $164.00 |
| Delaware | $2,754.24 | $150.21 |
| Detroit | $2,711.88 | $168.46 |
| East St. Louis | $2,600.53 | $175.72 |
| El Centro | $3,033.27 | $144.58 |
| Fort Lauderdale | $2,842.15 | $172.22 |
| Fort Worth | $2,748.70 | $149.94 |
| Fresno | $3,033.15 | $144.46 |
| Galveston | $2,766.11 | $148.89 |
| Hanford-Corcoran | $3,033.15 | $144.46 |
| Hawaii, Guam | $3,141.04 | $144.29 |
| Houston | $2,779.47 | $162.25 |
| Idaho | $2,562.96 | $138.15 |
| Indiana | $2,581.84 | $138.58 |
| Iowa | $2,547.85 | $136.21 |
| Kansas | $2,521.28 | $138.64 |
| Kentucky | $2,491.53 | $148.42 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $3,269.68 | $151.68 |
| Madera | $3,033.15 | $144.46 |
| Manhattan | $3,239.03 | $176.39 |
| Merced | $3,033.15 | $144.46 |
| Metropolitan Boston | $3,304.36 | $157.38 |
| Metropolitan Kansas City | $2,625.64 | $150.75 |
| Metropolitan Philadelphia | $2,903.42 | $159.69 |
| Metropolitan St. Louis | $2,660.72 | $151.57 |
| Miami | $2,933.99 | $190.26 |
| Minnesota | $2,847.72 | $135.62 |
| Mississippi | $2,412.98 | $143.67 |
| Modesto | $3,033.15 | $144.46 |
| Montana** | $2,787.92 | $152.26 |
| Napa | $3,626.35 | $152.54 |
| Nebraska | $2,568.60 | $135.88 |
| Nevada** | $2,786.55 | $148.25 |
| New Hampshire | $2,893.66 | $149.93 |
| New Mexico | $2,572.76 | $155.85 |
| New Orleans | $2,634.82 | $154.66 |
| North Carolina | $2,601.48 | $142.41 |
| North Dakota** | $2,773.49 | $137.82 |
| Northern Nj | $3,220.98 | $163.61 |
| Nyc Suburbs/Long Island | $3,317.24 | $183.44 |
| Ohio | $2,557.44 | $151.08 |
| Oklahoma | $2,498.77 | $145.12 |
| Oxnard-Thousand Oaks-Ventura | $3,264.57 | $149.22 |
| Portland | $3,077.89 | $149.67 |
| Poughkpsie/N Nyc Suburbs | $3,050.06 | $164.00 |
| Puerto Rico | $2,816.78 | $152.12 |
| Queens | $3,288.56 | $173.20 |
| Redding | $3,033.15 | $144.46 |
| Rest Of California | $3,033.15 | $144.46 |
| Rest Of Florida | $2,683.55 | $163.85 |
| Rest Of Georgia | $2,506.24 | $155.22 |
| Rest Of Illinois | $2,570.97 | $164.61 |
| Rest Of Louisiana | $2,481.97 | $149.40 |
| Rest Of Maine | $2,566.59 | $141.78 |
| Rest Of Maryland | $2,818.91 | $151.62 |
| Rest Of Massachusetts | $2,925.37 | $150.01 |
| Rest Of Michigan | $2,560.39 | $154.03 |
| Rest Of Missouri | $2,421.36 | $149.42 |
| Rest Of New Jersey | $3,038.79 | $160.64 |
| Rest Of New York | $2,648.13 | $144.25 |
| Rest Of Oregon | $2,770.12 | $145.00 |
| Rest Of Pennsylvania | $2,569.17 | $149.63 |
| Rest Of Texas | $2,650.35 | $149.11 |
| Rest Of Washington | $2,924.15 | $148.80 |
| Rhode Island | $2,874.98 | $152.33 |
| Riverside-San Bernardino-Ontario | $3,040.99 | $152.30 |
| Sacramento-Roseville-Folsom | $3,212.96 | $147.68 |
| Salinas | $3,201.79 | $147.06 |
| San Diego-Chula Vista-Carlsbad | $3,299.95 | $147.70 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $3,872.71 | $156.43 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $3,871.88 | $155.60 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $3,961.13 | $160.50 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $3,957.74 | $157.11 |
| San Luis Obispo-Paso Robles | $3,147.19 | $145.17 |
| Santa Cruz-Watsonville | $3,349.19 | $146.86 |
| Santa Maria-Santa Barbara | $3,220.02 | $146.84 |
| Santa Rosa-Petaluma | $3,384.67 | $148.07 |
| Seattle (King Cnty) | $3,391.10 | $157.14 |
| South Carolina | $2,582.76 | $147.41 |
| South Dakota** | $2,771.78 | $136.12 |
| Southern Maine | $2,755.11 | $143.16 |
| Stockton | $3,033.15 | $144.46 |
| Suburban Chicago | $2,879.18 | $172.35 |
| Tennessee | $2,535.35 | $139.53 |
| Utah | $2,626.36 | $148.84 |
| Vallejo | $3,625.16 | $151.35 |
| Vermont | $2,749.41 | $140.10 |
| Virgin Islands | $2,816.78 | $152.12 |
| Virginia | $2,735.72 | $144.86 |
| Visalia | $3,033.15 | $144.46 |
| West Virginia | $2,451.07 | $160.67 |
| Wisconsin | $2,659.72 | $134.75 |
| Wyoming** | $2,781.63 | $145.97 |
| Yuba City | $3,033.15 | $144.46 |
37285 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.
$2,402.21
$3,497.14
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 | $3,005.19 | 1 |
| AL | $2,445.89 | 1 |
| AR | $2,402.21 | 1 |
| AZ | $2,702.25 | 1 |
| CA | $3,033.15–$3,961.13 | 29 |
| CO | $2,953.70 | 1 |
| CT | $2,999.53 | 1 |
| DC | $3,268.81 | 1 |
| DE | $2,754.24 | 1 |
| FL | $2,683.55–$2,933.99 | 3 |
| GA | $2,506.24–$2,835.64 | 2 |
| GU | $3,141.04 | 1 |
| HI | $3,141.04 | 1 |
| IA | $2,547.85 | 1 |
| ID | $2,562.96 | 1 |
| IL | $2,570.97–$2,879.18 | 4 |
| IN | $2,581.84 | 1 |
| KS | $2,521.28 | 1 |
| KY | $2,491.53 | 1 |
| LA | $2,481.97–$2,634.82 | 2 |
| MA | $2,925.37–$3,304.36 | 2 |
| MD | $2,818.91–$3,268.81 | 3 |
| ME | $2,566.59–$2,755.11 | 2 |
| MI | $2,560.39–$2,711.88 | 2 |
| MN | $2,847.72 | 1 |
| MO | $2,421.36–$2,660.72 | 3 |
| MS | $2,412.98 | 1 |
| MT | $2,787.92 | 1 |
| NC | $2,601.48 | 1 |
| ND | $2,773.49 | 1 |
| NE | $2,568.60 | 1 |
| NH | $2,893.66 | 1 |
| NJ | $3,038.79–$3,220.98 | 2 |
| NM | $2,572.76 | 1 |
| NV | $2,786.55 | 1 |
| NY | $2,648.13–$3,317.24 | 5 |
| OH | $2,557.44 | 1 |
| OK | $2,498.77 | 1 |
| OR | $2,770.12–$3,077.89 | 2 |
| PA | $2,569.17–$2,903.42 | 2 |
| PR | $2,816.78 | 1 |
| RI | $2,874.98 | 1 |
| SC | $2,582.76 | 1 |
| SD | $2,771.78 | 1 |
| TN | $2,535.35 | 1 |
| TX | $2,547.56–$2,939.23 | 8 |
| UT | $2,626.36 | 1 |
| VA | $2,735.72–$3,268.81 | 2 |
| VI | $2,816.78 | 1 |
| VT | $2,749.41 | 1 |
| WA | $2,924.15–$3,391.10 | 2 |
| WI | $2,659.72 | 1 |
| WV | $2,451.07 | 1 |
| WY | $2,781.63 | 1 |
How the 37285 rate is calculated
Each of 37285’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 · 37285
RVUs × geographic indexes × conversion factor
Work3.34
3.34 RVUs× 1.000 GPCI
Practice expense79.40
79.40 RVUs× 1.000 GPCI
Malpractice0.73
0.73 RVUs× 1.000 GPCI
Adjusted RVUs
83.4700
Conversion factor
$33.4009
Medicare rate
$2,787.97
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 37285
The CMS indicators that decide how 37285 is paid alongside other services.
CMS payment indicators · 37285
Peripheral stenting
| 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) | 0 | Not paid without supporting documentation. |
| 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
37285 without 50 · national office
$2,787.97
Peripheral stenting
37285-50 · Bilateral: 150%
$4,181.95
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).
37285 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 37284Venous revascularization
- 37284 reports the first vessel treated with straightforward stenting; 37285 reports each additional vessel in that procedure.
- 37287Peripheral stenting
- Both are additional-vessel stenting codes, but 37287 is selected for a complex procedure rather than a straightforward one.
- 37281Leg angioplasty
- 37281 describes angioplasty of each additional tibial-peroneal vessel. Choose 37285 when the additional vessel is treated with stenting.
- 37292Arterial revascularization
- 37292 covers first-vessel treatment that combines stenting and atherectomy; 37285 is for additional-vessel stenting without that combination.
37285 billing questions
When should 37285 be chosen instead of 37284?
Use 37284 for the first vessel in a straightforward tibial-peroneal stenting procedure. Use 37285 for each additional vessel treated in that same procedure.
Can 37285 be billed by itself?
No. It is an add-on code and must be reported with the applicable primary procedure.
How is the number of units determined?
Count each additional tibial or peroneal vessel treated beyond the first vessel. Document the specific vessels and the treatment performed.
What distinguishes 37285 from 37287?
Both describe additional-vessel stenting in this vascular territory, but 37285 is for a straightforward procedure and 37287 is for a complex procedure.
How does the bilateral payment rule affect this code?
When the procedure is bilateral and reported with modifier 50, CMS pays 150% under the stated rule.
Is the service paid separately from the primary procedure’s global period?
No. CMS identifies 37285 as an add-on paid within the primary procedure’s global period.
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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