Both describe initial-vessel femoropopliteal atherectomy, but 37271 is for the simple level; 37273 is for a lesion meeting the complex criteria.
On this page
CMS RVU26D · Effective 2026-10-01
37273 in Austin
Office / nonfacility
$13955.91
Base rate per service
Facility setting
$569.82
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 37273: Complex femoropopliteal atherectomy, initial vessel
Reports complex endovascular atherectomy in the initial femoral or popliteal artery vessel treated for peripheral arterial disease.
This code represents endovascular atherectomy to restore flow through a complex lesion in a femoral or popliteal artery. It is typically performed by a vascular surgeon, interventional radiologist, or interventional cardiologist using catheter-based equipment. Balloon angioplasty in the treated vessel is included when performed. The code identifies the initial vessel treated with complex atherectomy; it is not the code for a simple atherectomy or for treatment that includes stent placement.
Select the complex level using the applicable CPT criteria, and document the target artery, laterality, lesion characteristics supporting that level, and the atherectomy performed. Use the corresponding additional-vessel code when another qualifying vessel is treated. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. With multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 for bilateral treatment is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 37273
- 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 RVU12.63 · 3%
- Practice expense (office) RVU380.61 · 96%
- Malpractice RVU2.81 · 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.
37273 compared with similar codes
Office rates for Austin, from the same CMS release.
37274 reports complex atherectomy in an additional vessel; 37273 identifies the initial vessel treated.
Use 37277 when complex femoropopliteal treatment includes stent placement with atherectomy. Use 37273 when the treatment is atherectomy without stenting.
37265 represents complex femoropopliteal angioplasty without atherectomy; 37273 represents complex atherectomy, with angioplasty included when performed.
The same code, a different location
How does Austin compare?
In Beaumont, the office rate for 37273 is $12077.62—$1878.29 lower than the $13955.91 rate in Austin. Both use the same code, release and participation basis.
37273 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
$13955.91
$12077.62
$1878.29 lower than Austin
$13096.74
$859.17 lower than Austin
$13168.04
$787.87 lower than Austin
$13042.14
$913.77 lower than Austin
$13126.67
$829.24 lower than Austin
$13178.10
$777.81 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, 37273 ranges from $11390.41 in Arkansas to $18850.30 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 · 37273
Office
$12570.97
Facility
$563.98
$1384.94 lower than Austin for the office setting.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 37273
Office
$15540.61
Facility
$572.99
$1584.70 higher than Austin for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 37273
Office
$15524.68
Facility
$620.31
$1568.77 higher than Austin for the office setting.
Miami
Florida · 37273
Office
$13893.15
Facility
$722.15
$62.76 lower than Austin for the office setting.
Chicago
Illinois · 37273
Office
$13416.49
Facility
$700.96
$539.42 lower than Austin for the office setting.
Manhattan
New York · 37273
Office
$15369.89
Facility
$667.96
$1413.98 higher than Austin for the office setting.
Alaska*
Alaska · 37273
Office
$14223.54
Facility
$748.88
$267.63 higher than Austin for the office setting.
Alabama
Alabama · 37273
Office
$11598.60
Facility
$527.87
$2357.31 lower than Austin for the office setting.
Arkansas
Arkansas · 37273
Office
$11390.41
Facility
$522.12
$2565.50 lower than Austin for the office setting.
Arizona
Arizona · 37273
Office
$12820.82
Facility
$560.78
$1135.09 lower than Austin for the office setting.
Bakersfield
California · 37273
Office
$14420.16
Facility
$553.29
$464.25 higher than Austin for the office setting.
Chico
California · 37273
Office
$14412.47
Facility
$545.59
$456.56 higher than Austin for the office setting.
El Centro
California · 37273
Office
$14412.94
Facility
$546.06
$457.03 higher than Austin for the office setting.
Fresno
California · 37273
Office
$14412.47
Facility
$545.59
$456.56 higher than Austin for the office setting.
Hanford-Corcoran
California · 37273
Office
$14412.47
Facility
$545.59
$456.56 higher than Austin for the office setting.
Madera
California · 37273
Office
$14412.47
Facility
$545.59
$456.56 higher than Austin for the office setting.
Merced
California · 37273
Office
$14412.47
Facility
$545.59
$456.56 higher than Austin for the office setting.
Modesto
California · 37273
Office
$14412.47
Facility
$545.59
$456.56 higher than Austin for the office setting.
Napa
California · 37273
Office
$17251.47
Facility
$575.79
$3295.56 higher than Austin for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 37273
Office
$15518.57
Facility
$563.60
$1562.66 higher than Austin for the office setting.
Redding
California · 37273
Office
$14412.47
Facility
$545.59
$456.56 higher than Austin for the office setting.
Rest Of California
California · 37273
Office
$14412.47
Facility
$545.59
$456.56 higher than Austin for the office setting.
Riverside-San Bernardino-Ontario
California · 37273
Office
$14442.64
Facility
$575.77
$486.73 higher than Austin for the office setting.
Sacramento-Roseville-Folsom
California · 37273
Office
$15272.24
Facility
$557.66
$1316.33 higher than Austin for the office setting.
Salinas
California · 37273
Office
$15219.28
Facility
$555.31
$1263.37 higher than Austin for the office setting.
San Diego-Chula Vista-Carlsbad
California · 37273
Office
$15689.79
Facility
$557.68
$1733.88 higher than Austin for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 37273
Office
$18429.94
Facility
$590.25
$4474.03 higher than Austin for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 37273
Office
$18426.75
Facility
$587.06
$4470.84 higher than Austin for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 37273
Office
$18850.30
Facility
$605.74
$4894.39 higher than Austin for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 37273
Office
$18837.26
Facility
$592.70
$4881.35 higher than Austin for the office setting.
San Luis Obispo-Paso Robles
California · 37273
Office
$14959.12
Facility
$548.19
$1003.21 higher than Austin for the office setting.
Santa Cruz-Watsonville
California · 37273
Office
$15926.97
Facility
$554.47
$1971.06 higher than Austin for the office setting.
Santa Maria-Santa Barbara
California · 37273
Office
$15307.00
Facility
$554.46
$1351.09 higher than Austin for the office setting.
Santa Rosa-Petaluma
California · 37273
Office
$16096.03
Facility
$559.06
$2140.12 higher than Austin for the office setting.
Stockton
California · 37273
Office
$14412.47
Facility
$545.59
$456.56 higher than Austin for the office setting.
Vallejo
California · 37273
Office
$17246.87
Facility
$571.19
$3290.96 higher than Austin for the office setting.
Visalia
California · 37273
Office
$14412.47
Facility
$545.59
$456.56 higher than Austin for the office setting.
Yuba City
California · 37273
Office
$14412.47
Facility
$545.59
$456.56 higher than Austin for the office setting.
Colorado
Colorado · 37273
Office
$14026.55
Facility
$564.54
$70.64 higher than Austin for the office setting.
Connecticut
Connecticut · 37273
Office
$14235.45
Facility
$608.97
$279.54 higher than Austin for the office setting.
Delaware
Delaware · 37273
Office
$13068.50
Facility
$568.07
$887.41 lower than Austin for the office setting.
Fort Lauderdale
Florida · 37273
Office
$13469.53
Facility
$652.79
$486.38 lower than Austin for the office setting.
Rest Of Florida
Florida · 37273
Office
$12716.28
Facility
$620.72
$1239.63 lower than Austin for the office setting.
Atlanta
Georgia · 37273
Office
$13451.96
Facility
$597.26
$503.95 lower than Austin for the office setting.
Rest Of Georgia
Georgia · 37273
Office
$11873.47
Facility
$587.66
$2082.44 lower than Austin for the office setting.
Hawaii, Guam
Hawaii · 37273
Office
$14930.56
Facility
$544.93
$974.65 higher than Austin for the office setting.
Iowa
Iowa · 37273
Office
$12091.25
Facility
$514.43
$1864.66 lower than Austin for the office setting.
Idaho
Idaho · 37273
Office
$12161.95
Facility
$521.87
$1793.96 lower than Austin for the office setting.
East St. Louis
Illinois · 37273
Office
$12306.58
Facility
$666.50
$1649.33 lower than Austin for the office setting.
Rest Of Illinois
Illinois · 37273
Office
$12175.26
Facility
$623.75
$1780.65 lower than Austin for the office setting.
Suburban Chicago
Illinois · 37273
Office
$13647.08
Facility
$653.21
$308.83 lower than Austin for the office setting.
Indiana
Indiana · 37273
Office
$12252.16
Facility
$523.51
$1703.75 lower than Austin for the office setting.
Kansas
Kansas · 37273
Office
$11961.45
Facility
$523.81
$1994.46 lower than Austin for the office setting.
Kentucky
Kentucky · 37273
Office
$11809.34
Facility
$561.48
$2146.57 lower than Austin for the office setting.
New Orleans
Louisiana · 37273
Office
$12491.14
Facility
$585.36
$1464.77 lower than Austin for the office setting.
Rest Of Louisiana
Louisiana · 37273
Office
$11762.52
Facility
$565.27
$2193.39 lower than Austin for the office setting.
Metropolitan Boston
Massachusetts · 37273
Office
$15701.67
Facility
$594.87
$1745.76 higher than Austin for the office setting.
Rest Of Massachusetts
Massachusetts · 37273
Office
$13889.90
Facility
$567.07
$66.01 lower than Austin for the office setting.
Baltimore/Surr. Cntys
Maryland · 37273
Office
$14185.45
Facility
$609.57
$229.54 higher than Austin for the office setting.
Rest Of Maryland
Maryland · 37273
Office
$13377.50
Facility
$573.41
$578.41 lower than Austin for the office setting.
Rest Of Maine
Maine · 37273
Office
$12175.93
Facility
$535.85
$1779.98 lower than Austin for the office setting.
Southern Maine
Maine · 37273
Office
$13079.38
Facility
$540.99
$876.53 lower than Austin for the office setting.
Detroit
Michigan · 37273
Office
$12847.87
Facility
$638.44
$1108.04 lower than Austin for the office setting.
Rest Of Michigan
Michigan · 37273
Office
$12134.53
Facility
$583.01
$1821.38 lower than Austin for the office setting.
Minnesota
Minnesota · 37273
Office
$13531.02
Facility
$511.84
$424.89 lower than Austin for the office setting.
Metropolitan Kansas City
Missouri · 37273
Office
$12450.79
Facility
$570.32
$1505.12 lower than Austin for the office setting.
Metropolitan St. Louis
Missouri · 37273
Office
$12618.40
Facility
$573.45
$1337.51 lower than Austin for the office setting.
Rest Of Missouri
Missouri · 37273
Office
$11471.63
Facility
$565.38
$2484.28 lower than Austin for the office setting.
Mississippi
Mississippi · 37273
Office
$11436.86
Facility
$543.27
$2519.05 lower than Austin for the office setting.
Montana**
Montana · 37273
Office
$13228.24
Facility
$575.98
$727.67 lower than Austin for the office setting.
North Carolina
North Carolina · 37273
Office
$12342.79
Facility
$538.23
$1613.12 lower than Austin for the office setting.
North Dakota**
North Dakota · 37273
Office
$13172.68
Facility
$520.41
$783.23 lower than Austin for the office setting.
Nebraska
Nebraska · 37273
Office
$12191.17
Facility
$513.13
$1764.74 lower than Austin for the office setting.
New Hampshire
New Hampshire · 37273
Office
$13737.92
Facility
$566.91
$217.99 lower than Austin for the office setting.
Northern Nj
New Jersey · 37273
Office
$15295.42
Facility
$618.80
$1339.51 higher than Austin for the office setting.
Rest Of New Jersey
New Jersey · 37273
Office
$14423.97
Facility
$607.71
$468.06 higher than Austin for the office setting.
New Mexico
New Mexico · 37273
Office
$12192.14
Facility
$590.01
$1763.77 lower than Austin for the office setting.
Nevada**
Nevada · 37273
Office
$13225.47
Facility
$560.55
$730.44 lower than Austin for the office setting.
Nyc Suburbs/Long Island
New York · 37273
Office
$15738.56
Facility
$695.03
$1782.65 higher than Austin for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 37273
Office
$14474.83
Facility
$620.60
$518.92 higher than Austin for the office setting.
Queens
New York · 37273
Office
$15610.62
Facility
$655.65
$1654.71 higher than Austin for the office setting.
Rest Of New York
New York · 37273
Office
$12564.92
Facility
$545.27
$1390.99 lower than Austin for the office setting.
Ohio
Ohio · 37273
Office
$12123.17
Facility
$571.66
$1832.74 lower than Austin for the office setting.
Oklahoma
Oklahoma · 37273
Office
$11847.24
Facility
$548.77
$2108.67 lower than Austin for the office setting.
Portland
Oregon · 37273
Office
$14622.26
Facility
$565.60
$666.35 higher than Austin for the office setting.
Rest Of Oregon
Oregon · 37273
Office
$13149.70
Facility
$548.05
$806.21 lower than Austin for the office setting.
Metropolitan Philadelphia
Pennsylvania · 37273
Office
$13775.36
Facility
$604.35
$180.55 lower than Austin for the office setting.
Rest Of Pennsylvania
Pennsylvania · 37273
Office
$12180.82
Facility
$566.05
$1775.09 lower than Austin for the office setting.
Puerto Rico
Puerto Rico · 37273
Office
$13366.86
Facility
$575.42
$589.05 lower than Austin for the office setting.
Rhode Island
Rhode Island · 37273
Office
$13645.82
Facility
$576.04
$310.09 lower than Austin for the office setting.
South Carolina
South Carolina · 37273
Office
$12248.18
Facility
$557.49
$1707.73 lower than Austin for the office setting.
South Dakota**
South Dakota · 37273
Office
$13166.11
Facility
$513.84
$789.80 lower than Austin for the office setting.
Tennessee
Tennessee · 37273
Office
$12028.11
Facility
$527.21
$1927.80 lower than Austin for the office setting.
Utah
Utah · 37273
Office
$12456.09
Facility
$562.96
$1499.82 lower than Austin for the office setting.
Virginia
Virginia · 37273
Office
$12984.72
Facility
$547.54
$971.19 lower than Austin for the office setting.
Virgin Islands
United States Virgin Islands · 37273
Office
$13366.86
Facility
$575.42
$589.05 lower than Austin for the office setting.
Vermont
Vermont · 37273
Office
$13054.93
Facility
$529.20
$900.98 lower than Austin for the office setting.
Rest Of Washington
Washington · 37273
Office
$13885.25
Facility
$562.42
$70.66 lower than Austin for the office setting.
Seattle (King Cnty)
Washington · 37273
Office
$16118.13
Facility
$593.81
$2162.22 higher than Austin for the office setting.
Wisconsin
Wisconsin · 37273
Office
$12629.54
Facility
$508.68
$1326.37 lower than Austin for the office setting.
West Virginia
West Virginia · 37273
Office
$11603.51
Facility
$608.70
$2352.40 lower than Austin for the office setting.
Wyoming**
Wyoming · 37273
Office
$13204.02
Facility
$551.76
$751.89 lower than Austin for the office setting.
See how rates vary across the country
37273 · 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.
$11,390.41
$16,631.39
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 | $14,223.54 | 1 |
| AL | $11,598.60 | 1 |
| AR | $11,390.41 | 1 |
| AZ | $12,820.82 | 1 |
| CA | $14,412.47–$18,850.30 | 29 |
| CO | $14,026.55 | 1 |
| CT | $14,235.45 | 1 |
| DC | $15,524.68 | 1 |
| DE | $13,068.50 | 1 |
| FL | $12,716.28–$13,893.15 | 3 |
| GA | $11,873.47–$13,451.96 | 2 |
| GU | $14,930.56 | 1 |
| HI | $14,930.56 | 1 |
| IA | $12,091.25 | 1 |
| ID | $12,161.95 | 1 |
| IL | $12,175.26–$13,647.08 | 4 |
| IN | $12,252.16 | 1 |
| KS | $11,961.45 | 1 |
| KY | $11,809.34 | 1 |
| LA | $11,762.52–$12,491.14 | 2 |
| MA | $13,889.90–$15,701.67 | 2 |
| MD | $13,377.50–$15,524.68 | 3 |
| ME | $12,175.93–$13,079.38 | 2 |
| MI | $12,134.53–$12,847.87 | 2 |
| MN | $13,531.02 | 1 |
| MO | $11,471.63–$12,618.40 | 3 |
| MS | $11,436.86 | 1 |
| MT | $13,228.24 | 1 |
| NC | $12,342.79 | 1 |
| ND | $13,172.68 | 1 |
| NE | $12,191.17 | 1 |
| NH | $13,737.92 | 1 |
| NJ | $14,423.97–$15,295.42 | 2 |
| NM | $12,192.14 | 1 |
| NV | $13,225.47 | 1 |
| NY | $12,564.92–$15,738.56 | 5 |
| OH | $12,123.17 | 1 |
| OK | $11,847.24 | 1 |
| OR | $13,149.70–$14,622.26 | 2 |
| PA | $12,180.82–$13,775.36 | 2 |
| PR | $13,366.86 | 1 |
| RI | $13,645.82 | 1 |
| SC | $12,248.18 | 1 |
| SD | $13,166.11 | 1 |
| TN | $12,028.11 | 1 |
| TX | $12,077.62–$13,955.91 | 8 |
| UT | $12,456.09 | 1 |
| VA | $12,984.72–$15,524.68 | 2 |
| VI | $13,366.86 | 1 |
| VT | $13,054.93 | 1 |
| WA | $13,885.25–$16,118.13 | 2 |
| WI | $12,629.54 | 1 |
| WV | $11,603.51 | 1 |
| WY | $13,204.02 | 1 |
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.
- 37273 in Austin
Multiple payment areas
- 37273 in Barton Creek
- 37273 in Bee Cave
- 37273 in Briarcliff
- 37273 in Cedar Park
Multiple payment areas
- 37273 in Creedmoor
Multiple payment areas
- 37273 in Elgin
Multiple payment areas
- 37273 in Garfield
Why are the office and facility amounts different?
For 37273 in Austin, the physician’s office rate is $13955.91 and the facility-setting rate is $569.82: a difference of $13386.09.
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 37273 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$15351.50
$13955.91 × 110% = $15351.50
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.
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 37273 in Austin.
PPRRVU2026_Oct_nonQPP.csv
4,633
- Code
- 37273
- Physician work
- 12.63
- Practice expense
- 380.61
- Malpractice
- 2.81
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.63 | × 1.002 | 12.6553 |
| Practice expense | 380.61 | × 1.058 | 402.6854 |
| Malpractice | 2.81 | × 0.886 | 2.4897 |
| Total RVUs | 417.8303 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Austin$13955.91
Open 37273 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.63 | 1.002 |
| Practice expense | 380.61 | 1.058 |
| Malpractice | 2.81 | 0.886 |
(12.63 × 1.002 + 380.61 × 1.058 + 2.81 × 0.886) × $33.4009 = $13955.91
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.63 | 1.002 |
| Practice expense | 1.81 | 1.058 |
| Malpractice | 2.81 | 0.886 |
(12.63 × 1.002 + 1.81 × 1.058 + 2.81 × 0.886) × $33.4009 = $569.82
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
37273 · Office / nonfacility
$13955.91
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.
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
January 1, 2026
RVU26A
No ratechanged to$13955.91
Held through RVU26B, RVU26C, RVU26D.
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $13955.91 | $569.82 | RVU26D |
| 2026-07-01 | $13955.91 | $569.82 | RVU26C |
| 2026-04-01 | $13955.91 | $569.82 | RVU26B |
| 2026-01-01 | $13955.91 | $569.82 | RVU26A |
| 2025-10-01 | Not in this release | Not in this release | RVU25D |
| 2025-07-01 | Not in this release | Not in this release | RVU25C |
| 2025-04-01 | Not in this release | Not in this release | RVU25B |
| 2025-01-01 | Not in this release | Not in this release | RVU25A |
37273 billing questions
How is complex atherectomy distinguished from simple atherectomy?
Use the CPT criteria for the complex level rather than relying only on the operator's description. The record should support the lesion characteristics that qualify the treated vessel as complex.
Is balloon angioplasty separately reported in the treated vessel?
Angioplasty performed in the same vessel as this atherectomy is included in the revascularization service. Do not report a separate angioplasty code for that work.
When is 37274 used with this code?
37274 identifies each additional vessel treated with complex atherectomy. Use 37273 for the initial qualifying vessel and document each treated vessel.
What if a stent is also placed in the treated vessel?
Use the code describing the applicable stent-and-atherectomy treatment rather than reporting this atherectomy-only code for that vessel. For complex treatment, compare with 37277.
How is bilateral treatment reported?
Report bilateral treatment with modifier 50. CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.
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.
