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CMS RVU26D · Effective 2026-10-01

37268 in Austin

Office / nonfacility

$3542.93

Base rate per service

Facility setting

$167.43

Base rate per service

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.

Endovascular revascularization

About 37268: Additional simple femoropopliteal stent

Reports stent-based revascularization of each additional femoral or popliteal artery vessel treated in the same session for a simple lesion.

This add-on describes endovascular stent treatment of an additional vessel in the femoral or popliteal arterial territory when the lesion meets the simple category. Vascular surgeons, interventional radiologists, and other qualified endovascular physicians may perform the service for peripheral arterial disease, such as symptomatic femoropopliteal stenosis or occlusion. Angioplasty performed in the same vessel as the stent is included when performed.

Report this code only with the applicable primary procedure for the first treated vessel; it is not a stand-alone service. The additional-vessel count, arterial location, lesion classification, and treatment performed should be clear in the operative report. This code is paid within the primary procedure’s global period. For bilateral reporting with modifier 50, CMS pays 150% under the stated bilateral rule. The code represents an additional vessel, not simply another stent placed in the same vessel.

CMS billing rules for 37268

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.

Where the value comes from

  • Work RVU3.73 · 4%
  • Practice expense (office) RVU95.98 · 95%
  • Malpractice RVU0.89 · 1%

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.

37268 compared with similar codes

Office rates for Austin, from the same CMS release.

37267

Arterial stenting

Simple lesion, initial vessel

$5,482.26

37267 covers the first simple femoropopliteal vessel treated with a stent; 37268 covers each additional qualifying vessel.

37269

Arterial stenting

Complex lesion, initial vessel

$12,175.60

37269 is for the first vessel when the lesion is classified as complex. This code is for additional vessels in the simple category.

37270

Arterial stenting

Complex, each additional vessel

$3,682.24

37270 covers each additional vessel in the complex category; 37268 is the corresponding additional-vessel code for simple lesions.

37264

Peripheral angioplasty

Additional vessel, simple category

$2,300.42

37264 represents additional-vessel femoropopliteal angioplasty without stenting. Use 37268 when an additional vessel receives stent treatment.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 37268 is $3069.50—$473.43 lower than the $3542.93 rate in Austin. Both use the same code, release and participation basis.

37268 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $3542.93

  2. Beaumont

    $3069.50

    $473.43 lower than Austin

  3. Brazoria

    $3325.73

    $217.20 lower than Austin

  4. Dallas

    $3344.21

    $198.72 lower than Austin

  5. Fort Worth

    $3312.54

    $230.39 lower than Austin

  6. Galveston

    $3333.57

    $209.36 lower than Austin

  7. Houston

    $3349.86

    $193.07 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 37268 ranges from $2893.69 in Arkansas to $4777.01 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 37268

    Office

    $3193.75

    Facility

    $166.01

    $349.18 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 37268

    Office

    $3941.92

    Facility

    $167.61

    $398.99 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 37268

    Office

    $3940.85

    Facility

    $182.50

    $397.92 higher than Austin for the office setting.

  • Miami

    Florida · 37268

    Office

    $3537.02

    Facility

    $215.76

    $5.91 lower than Austin for the office setting.

  • Chicago

    Illinois · 37268

    Office

    $3415.53

    Facility

    $209.12

    $127.40 lower than Austin for the office setting.

  • Manhattan

    New York · 37268

    Office

    $3904.87

    Facility

    $197.56

    $361.94 higher than Austin for the office setting.

  • Alaska*

    Alaska · 37268

    Office

    $3617.45

    Facility

    $219.62

    $74.52 higher than Austin for the office setting.

  • Alabama

    Alabama · 37268

    Office

    $2946.50

    Facility

    $154.85

    $596.43 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 37268

    Office

    $2893.69

    Facility

    $153.09

    $649.24 lower than Austin for the office setting.

  • Arizona

    Arizona · 37268

    Office

    $3256.47

    Facility

    $164.92

    $286.46 lower than Austin for the office setting.

  • Bakersfield

    California · 37268

    Office

    $3658.63

    Facility

    $161.90

    $115.70 higher than Austin for the office setting.

  • Chico

    California · 37268

    Office

    $3656.21

    Facility

    $159.48

    $113.28 higher than Austin for the office setting.

  • El Centro

    California · 37268

    Office

    $3656.36

    Facility

    $159.62

    $113.43 higher than Austin for the office setting.

  • Fresno

    California · 37268

    Office

    $3656.21

    Facility

    $159.48

    $113.28 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 37268

    Office

    $3656.21

    Facility

    $159.48

    $113.28 higher than Austin for the office setting.

  • Madera

    California · 37268

    Office

    $3656.21

    Facility

    $159.48

    $113.28 higher than Austin for the office setting.

  • Merced

    California · 37268

    Office

    $3656.21

    Facility

    $159.48

    $113.28 higher than Austin for the office setting.

  • Modesto

    California · 37268

    Office

    $3656.21

    Facility

    $159.48

    $113.28 higher than Austin for the office setting.

  • Napa

    California · 37268

    Office

    $4372.80

    Facility

    $167.79

    $829.87 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 37268

    Office

    $3935.87

    Facility

    $164.75

    $392.94 higher than Austin for the office setting.

  • Redding

    California · 37268

    Office

    $3656.21

    Facility

    $159.48

    $113.28 higher than Austin for the office setting.

  • Rest Of California

    California · 37268

    Office

    $3656.21

    Facility

    $159.48

    $113.28 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 37268

    Office

    $3665.76

    Facility

    $169.02

    $122.83 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 37268

    Office

    $3873.37

    Facility

    $162.87

    $330.44 higher than Austin for the office setting.

  • Salinas

    California · 37268

    Office

    $3859.92

    Facility

    $162.19

    $316.99 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 37268

    Office

    $3978.59

    Facility

    $162.81

    $435.66 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 37268

    Office

    $4670.27

    Facility

    $171.73

    $1127.34 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 37268

    Office

    $4669.26

    Facility

    $170.72

    $1126.33 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 37268

    Office

    $4777.01

    Facility

    $176.38

    $1234.08 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 37268

    Office

    $4772.88

    Facility

    $172.25

    $1229.95 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 37268

    Office

    $3794.06

    Facility

    $160.14

    $251.13 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 37268

    Office

    $4038.20

    Facility

    $161.80

    $495.27 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 37268

    Office

    $3881.99

    Facility

    $161.92

    $339.06 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 37268

    Office

    $4081.00

    Facility

    $163.12

    $538.07 higher than Austin for the office setting.

  • Stockton

    California · 37268

    Office

    $3656.21

    Facility

    $159.48

    $113.28 higher than Austin for the office setting.

  • Vallejo

    California · 37268

    Office

    $4371.35

    Facility

    $166.33

    $828.42 higher than Austin for the office setting.

  • Visalia

    California · 37268

    Office

    $3656.21

    Facility

    $159.48

    $113.28 higher than Austin for the office setting.

  • Yuba City

    California · 37268

    Office

    $3656.21

    Facility

    $159.48

    $113.28 higher than Austin for the office setting.

  • Colorado

    Colorado · 37268

    Office

    $3560.29

    Facility

    $165.64

    $17.36 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 37268

    Office

    $3615.71

    Facility

    $179.59

    $72.78 higher than Austin for the office setting.

  • Delaware

    Delaware · 37268

    Office

    $3319.28

    Facility

    $167.11

    $223.65 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 37268

    Office

    $3425.83

    Facility

    $193.90

    $117.10 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 37268

    Office

    $3234.03

    Facility

    $183.95

    $308.90 lower than Austin for the office setting.

  • Atlanta

    Georgia · 37268

    Office

    $3417.77

    Facility

    $176.27

    $125.16 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 37268

    Office

    $3019.61

    Facility

    $173.72

    $523.32 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 37268

    Office

    $3786.81

    Facility

    $159.27

    $243.88 higher than Austin for the office setting.

  • Iowa

    Iowa · 37268

    Office

    $3069.71

    Facility

    $150.45

    $473.22 lower than Austin for the office setting.

  • Idaho

    Idaho · 37268

    Office

    $3088.00

    Facility

    $152.78

    $454.93 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 37268

    Office

    $3133.81

    Facility

    $198.59

    $409.12 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 37268

    Office

    $3097.96

    Facility

    $185.08

    $444.97 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 37268

    Office

    $3470.51

    Facility

    $193.91

    $72.42 lower than Austin for the office setting.

  • Indiana

    Indiana · 37268

    Office

    $3110.83

    Facility

    $153.28

    $432.10 lower than Austin for the office setting.

  • Kansas

    Kansas · 37268

    Office

    $3037.63

    Facility

    $153.46

    $505.30 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 37268

    Office

    $3001.76

    Facility

    $165.44

    $541.17 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 37268

    Office

    $3175.03

    Facility

    $172.81

    $367.90 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 37268

    Office

    $2990.21

    Facility

    $166.66

    $552.72 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 37268

    Office

    $3983.90

    Facility

    $174.50

    $440.97 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 37268

    Office

    $3526.00

    Facility

    $166.45

    $16.93 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 37268

    Office

    $3603.19

    Facility

    $179.84

    $60.26 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 37268

    Office

    $3397.41

    Facility

    $168.67

    $145.52 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 37268

    Office

    $3092.43

    Facility

    $157.21

    $450.50 lower than Austin for the office setting.

  • Southern Maine

    Maine · 37268

    Office

    $3320.31

    Facility

    $158.57

    $222.62 lower than Austin for the office setting.

  • Detroit

    Michigan · 37268

    Office

    $3268.32

    Facility

    $189.53

    $274.61 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 37268

    Office

    $3085.06

    Facility

    $172.17

    $457.87 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 37268

    Office

    $3432.17

    Facility

    $149.19

    $110.76 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 37268

    Office

    $3163.89

    Facility

    $168.06

    $379.04 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 37268

    Office

    $3206.31

    Facility

    $169.00

    $336.62 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 37268

    Office

    $2916.95

    Facility

    $166.78

    $625.98 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 37268

    Office

    $2906.76

    Facility

    $159.78

    $636.17 lower than Austin for the office setting.

  • Montana**

    Montana · 37268

    Office

    $3360.07

    Facility

    $169.62

    $182.86 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 37268

    Office

    $3134.61

    Facility

    $157.92

    $408.32 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 37268

    Office

    $3342.47

    Facility

    $152.02

    $200.46 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 37268

    Office

    $3094.79

    Facility

    $150.00

    $448.14 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 37268

    Office

    $3487.85

    Facility

    $166.59

    $55.08 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 37268

    Office

    $3882.93

    Facility

    $182.01

    $340.00 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 37268

    Office

    $3662.93

    Facility

    $178.96

    $120.00 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 37268

    Office

    $3100.02

    Facility

    $174.38

    $442.91 lower than Austin for the office setting.

  • Nevada**

    Nevada · 37268

    Office

    $3358.37

    Facility

    $164.73

    $184.56 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 37268

    Office

    $3999.48

    Facility

    $206.03

    $456.55 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 37268

    Office

    $3676.53

    Facility

    $182.99

    $133.60 higher than Austin for the office setting.

  • Queens

    New York · 37268

    Office

    $3964.70

    Facility

    $193.59

    $421.77 higher than Austin for the office setting.

  • Rest Of New York

    New York · 37268

    Office

    $3191.01

    Facility

    $160.08

    $351.92 lower than Austin for the office setting.

  • Ohio

    Ohio · 37268

    Office

    $3081.46

    Facility

    $168.58

    $461.47 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 37268

    Office

    $3010.48

    Facility

    $161.40

    $532.45 lower than Austin for the office setting.

  • Portland

    Oregon · 37268

    Office

    $3710.36

    Facility

    $165.77

    $167.43 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 37268

    Office

    $3338.48

    Facility

    $160.79

    $204.45 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 37268

    Office

    $3499.55

    Facility

    $178.29

    $43.38 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 37268

    Office

    $3095.62

    Facility

    $166.78

    $447.31 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 37268

    Office

    $3394.95

    Facility

    $169.40

    $147.98 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 37268

    Office

    $3465.08

    Facility

    $169.34

    $77.85 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 37268

    Office

    $3112.03

    Facility

    $164.05

    $430.90 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 37268

    Office

    $3340.39

    Facility

    $149.94

    $202.54 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 37268

    Office

    $3054.64

    Facility

    $154.51

    $488.29 lower than Austin for the office setting.

  • Utah

    Utah · 37268

    Office

    $3164.75

    Facility

    $165.72

    $378.18 lower than Austin for the office setting.

  • Virginia

    Virginia · 37268

    Office

    $3296.89

    Facility

    $160.68

    $246.04 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 37268

    Office

    $3394.95

    Facility

    $169.40

    $147.98 lower than Austin for the office setting.

  • Vermont

    Vermont · 37268

    Office

    $3313.39

    Facility

    $154.84

    $229.54 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 37268

    Office

    $3524.55

    Facility

    $165.01

    $18.38 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 37268

    Office

    $4088.64

    Facility

    $173.95

    $545.71 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 37268

    Office

    $3204.92

    Facility

    $148.46

    $338.01 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 37268

    Office

    $2952.98

    Facility

    $180.48

    $589.95 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 37268

    Office

    $3352.40

    Facility

    $161.95

    $190.53 lower than Austin for the office setting.

See how rates vary across the country

37268 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$2,893.69

$4,216.61

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$3,617.451
AL$2,946.501
AR$2,893.691
AZ$3,256.471
CA$3,656.21–$4,777.0129
CO$3,560.291
CT$3,615.711
DC$3,940.851
DE$3,319.281
FL$3,234.03–$3,537.023
GA$3,019.61–$3,417.772
GU$3,786.811
HI$3,786.811
IA$3,069.711
ID$3,088.001
IL$3,097.96–$3,470.514
IN$3,110.831
KS$3,037.631
KY$3,001.761
LA$2,990.21–$3,175.032
MA$3,526.00–$3,983.902
MD$3,397.41–$3,940.853
ME$3,092.43–$3,320.312
MI$3,085.06–$3,268.322
MN$3,432.171
MO$2,916.95–$3,206.313
MS$2,906.761
MT$3,360.071
NC$3,134.611
ND$3,342.471
NE$3,094.791
NH$3,487.851
NJ$3,662.93–$3,882.932
NM$3,100.021
NV$3,358.371
NY$3,191.01–$3,999.485
OH$3,081.461
OK$3,010.481
OR$3,338.48–$3,710.362
PA$3,095.62–$3,499.552
PR$3,394.951
RI$3,465.081
SC$3,112.031
SD$3,340.391
TN$3,054.641
TX$3,069.50–$3,542.938
UT$3,164.751
VA$3,296.89–$3,940.852
VI$3,394.951
VT$3,313.391
WA$3,524.55–$4,088.642
WI$3,204.921
WV$2,952.981
WY$3,352.401

Explore 37268 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 37268 in Austin, the physician’s office rate is $3542.93 and the facility-setting rate is $167.43: a difference of $3375.50.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 37268 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$3897.22

$3542.93 × 110% = $3897.22

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 37268 in Austin.

PPRRVU2026_Oct_nonQPP.csv

4,628

Code
37268
Physician work
3.73
Practice expense
95.98
Malpractice
0.89

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 37268 in Austin
ComponentRVULocality factorAdjusted
Physician work3.73× 1.0023.7375
Practice expense95.98× 1.058101.5468
Malpractice0.89× 0.8860.7885
Total RVUs106.0728
Conversion factor× 33.4009

Office / nonfacility rate, Austin$3542.93

Open 37268 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.731.002
Practice expense95.981.058
Malpractice0.890.886

(3.73 × 1.002 + 95.98 × 1.058 + 0.89 × 0.886) × $33.4009 = $3542.93

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.731.002
Practice expense0.461.058
Malpractice0.890.886

(3.73 × 1.002 + 0.46 × 1.058 + 0.89 × 0.886) × $33.4009 = $167.43

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

37268 · Office / nonfacility

$3542.93

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    No ratechanged to$3542.93

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: No rate

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$3542.93$167.43RVU26D
2026-07-01$3542.93$167.43RVU26C
2026-04-01$3542.93$167.43RVU26B
2026-01-01$3542.93$167.43RVU26A
2025-10-01Not in this releaseNot in this releaseRVU25D
2025-07-01Not in this releaseNot in this releaseRVU25C
2025-04-01Not in this releaseNot in this releaseRVU25B
2025-01-01Not in this releaseNot in this releaseRVU25A

37268 billing questions

When should this code be reported instead of 37267?

Use 37267 for the first simple femoropopliteal vessel treated with a stent. Report 37268 for each additional qualifying vessel in the same session.

Does the code count additional stents or additional vessels?

It is for each additional vessel, not each additional stent within a vessel. Documentation should identify the additional vessel treated.

Can angioplasty in the stented vessel be billed separately?

Angioplasty performed in the same vessel as the stent is included in the stent service.

Can 37268 be reported by itself?

No. It is an add-on code and must be reported with the applicable primary procedure for the first vessel.

How is bilateral treatment reported under the CMS rule?

When reported as a bilateral procedure with modifier 50, CMS pays 150% under the rule provided for this code.

What documentation supports the additional-vessel code?

The procedure report should identify the femoral or popliteal vessel, the stent treatment performed, the lesion classification, and which vessel was treated first versus additionally.

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.

RVUs for 37268PPRRVU2026_Oct_nonQPP.csv, line 4,628 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet