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CMS RVU26D · Effective 2026-10-01

37295 in Austin

Office / nonfacility

$6324.77

Base rate per service

Facility setting

$373.12

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 37295: Complex tibial-peroneal stent and atherectomy

Reports complex endovascular treatment of an additional tibial or peroneal artery vessel using both atherectomy and stent placement.

This add-on code represents treatment of an additional tibial or peroneal artery vessel in a lower-extremity endovascular revascularization, when the work includes both atherectomy and stent placement and meets the CPT criteria for a complex service. Vascular surgeons, interventional radiologists, and other physicians performing peripheral endovascular procedures may report it for qualifying below-knee arterial disease. The code describes the combined treatment in an additional vessel, not a first-vessel service.

Report 37295 only with the corresponding primary procedure, 37294, and only for an additional vessel that meets the complex-code criteria. The operative report should identify the treated tibial or peroneal vessel, the atherectomy and stent work, and the basis for the complex classification. As an add-on code, it is paid within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays the procedure at 150%.

CMS billing rules for 37295

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 RVU8.16 · 5%
  • Practice expense (office) RVU169.81 · 95%
  • Malpractice RVU1.72 · 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.

37295 compared with similar codes

Office rates for Austin, from the same CMS release.

37294

Arterial revascularization

Complex first vessel

$16,025.64

37294 reports the first complex vessel in the treatment sequence; 37295 is for an additional complex vessel and must be paired with the primary procedure.

37293

Tibial revascularization

Additional straightforward vessel

$3,692.77

37293 is for an additional vessel in the simple category. Use 37295 when the additional vessel meets the CPT criteria for complex treatment.

37291

Atherectomy

Complex, each additional vessel

$1,117.97

37291 covers complex atherectomy in an additional vessel without the stent-and-atherectomy combination represented by 37295.

37287

Peripheral stenting

Complex lesion, each additional vessel

$5,211.08

37287 covers complex stent treatment in an additional vessel without the combined atherectomy service represented by 37295.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 37295 is $5487.27—$837.50 lower than the $6324.77 rate in Austin. Both use the same code, release and participation basis.

37295 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $6324.77

  2. Beaumont

    $5487.27

    $837.50 lower than Austin

  3. Brazoria

    $5940.30

    $384.47 lower than Austin

  4. Dallas

    $5973.42

    $351.35 lower than Austin

  5. Fort Worth

    $5917.44

    $407.33 lower than Austin

  6. Galveston

    $5954.40

    $370.37 lower than Austin

  7. Houston

    $5985.89

    $338.88 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, 37295 ranges from $5174.22 in Arkansas to $8512.07 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 · 37295

    Office

    $5706.97

    Facility

    $368.49

    $617.80 lower than Austin for the office setting.

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

    California · 37295

    Office

    $7031.62

    Facility

    $376.80

    $706.85 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 37295

    Office

    $7032.60

    Facility

    $405.90

    $707.83 higher than Austin for the office setting.

  • Miami

    Florida · 37295

    Office

    $6322.19

    Facility

    $466.17

    $2.58 lower than Austin for the office setting.

  • Chicago

    Illinois · 37295

    Office

    $6106.47

    Facility

    $452.97

    $218.30 lower than Austin for the office setting.

  • Manhattan

    New York · 37295

    Office

    $6971.75

    Facility

    $435.06

    $646.98 higher than Austin for the office setting.

  • Alaska*

    Alaska · 37295

    Office

    $6480.96

    Facility

    $489.93

    $156.19 higher than Austin for the office setting.

  • Alabama

    Alabama · 37295

    Office

    $5267.90

    Facility

    $345.69

    $1056.87 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 37295

    Office

    $5174.22

    Facility

    $342.02

    $1150.55 lower than Austin for the office setting.

  • Arizona

    Arizona · 37295

    Office

    $5817.71

    Facility

    $366.72

    $507.06 lower than Austin for the office setting.

  • Bakersfield

    California · 37295

    Office

    $6529.02

    Facility

    $363.60

    $204.25 higher than Austin for the office setting.

  • Chico

    California · 37295

    Office

    $6524.28

    Facility

    $358.86

    $199.51 higher than Austin for the office setting.

  • El Centro

    California · 37295

    Office

    $6524.57

    Facility

    $359.15

    $199.80 higher than Austin for the office setting.

  • Fresno

    California · 37295

    Office

    $6524.28

    Facility

    $358.86

    $199.51 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 37295

    Office

    $6524.28

    Facility

    $358.86

    $199.51 higher than Austin for the office setting.

  • Madera

    California · 37295

    Office

    $6524.28

    Facility

    $358.86

    $199.51 higher than Austin for the office setting.

  • Merced

    California · 37295

    Office

    $6524.28

    Facility

    $358.86

    $199.51 higher than Austin for the office setting.

  • Modesto

    California · 37295

    Office

    $6524.28

    Facility

    $358.86

    $199.51 higher than Austin for the office setting.

  • Napa

    California · 37295

    Office

    $7794.35

    Facility

    $380.10

    $1469.58 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 37295

    Office

    $7020.05

    Facility

    $370.85

    $695.28 higher than Austin for the office setting.

  • Redding

    California · 37295

    Office

    $6524.28

    Facility

    $358.86

    $199.51 higher than Austin for the office setting.

  • Rest Of California

    California · 37295

    Office

    $6524.28

    Facility

    $358.86

    $199.51 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 37295

    Office

    $6542.76

    Facility

    $377.35

    $217.99 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 37295

    Office

    $6909.47

    Facility

    $367.15

    $584.70 higher than Austin for the office setting.

  • Salinas

    California · 37295

    Office

    $6885.42

    Facility

    $365.60

    $560.65 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 37295

    Office

    $7095.35

    Facility

    $367.39

    $770.58 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 37295

    Office

    $8322.06

    Facility

    $390.28

    $1997.29 higher than Austin for the office setting.

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

    California · 37295

    Office

    $8320.11

    Facility

    $388.32

    $1995.34 higher than Austin for the office setting.

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

    California · 37295

    Office

    $8512.07

    Facility

    $400.27

    $2187.30 higher than Austin for the office setting.

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

    California · 37295

    Office

    $8504.08

    Facility

    $392.29

    $2179.31 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 37295

    Office

    $6768.17

    Facility

    $360.86

    $443.40 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 37295

    Office

    $7200.31

    Facility

    $365.48

    $875.54 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 37295

    Office

    $6924.30

    Facility

    $365.11

    $599.53 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 37295

    Office

    $7276.50

    Facility

    $368.53

    $951.73 higher than Austin for the office setting.

  • Stockton

    California · 37295

    Office

    $6524.28

    Facility

    $358.86

    $199.51 higher than Austin for the office setting.

  • Vallejo

    California · 37295

    Office

    $7791.53

    Facility

    $377.28

    $1466.76 higher than Austin for the office setting.

  • Visalia

    California · 37295

    Office

    $6524.28

    Facility

    $358.86

    $199.51 higher than Austin for the office setting.

  • Yuba City

    California · 37295

    Office

    $6524.28

    Facility

    $358.86

    $199.51 higher than Austin for the office setting.

  • Colorado

    Colorado · 37295

    Office

    $6355.49

    Facility

    $370.09

    $30.72 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 37295

    Office

    $6456.05

    Facility

    $397.52

    $131.28 higher than Austin for the office setting.

  • Delaware

    Delaware · 37295

    Office

    $5929.31

    Facility

    $371.43

    $395.46 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 37295

    Office

    $6121.96

    Facility

    $423.45

    $202.81 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 37295

    Office

    $5781.15

    Facility

    $403.28

    $543.62 lower than Austin for the office setting.

  • Atlanta

    Georgia · 37295

    Office

    $6104.92

    Facility

    $389.54

    $219.85 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 37295

    Office

    $5400.28

    Facility

    $382.44

    $924.49 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 37295

    Office

    $6754.66

    Facility

    $358.60

    $429.89 higher than Austin for the office setting.

  • Iowa

    Iowa · 37295

    Office

    $5485.06

    Facility

    $337.84

    $839.71 lower than Austin for the office setting.

  • Idaho

    Idaho · 37295

    Office

    $5517.79

    Facility

    $342.44

    $806.98 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 37295

    Office

    $5606.32

    Facility

    $430.97

    $718.45 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 37295

    Office

    $5540.70

    Facility

    $404.73

    $784.07 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 37295

    Office

    $6201.21

    Facility

    $423.94

    $123.56 lower than Austin for the office setting.

  • Indiana

    Indiana · 37295

    Office

    $5558.24

    Facility

    $343.51

    $766.53 lower than Austin for the office setting.

  • Kansas

    Kansas · 37295

    Office

    $5428.82

    Facility

    $343.48

    $895.95 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 37295

    Office

    $5367.35

    Facility

    $366.39

    $957.42 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 37295

    Office

    $5674.98

    Facility

    $381.50

    $649.79 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 37295

    Office

    $5347.14

    Facility

    $368.68

    $977.63 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 37295

    Office

    $7106.99

    Facility

    $390.29

    $782.22 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 37295

    Office

    $6295.11

    Facility

    $371.59

    $29.66 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 37295

    Office

    $6433.83

    Facility

    $397.79

    $109.06 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 37295

    Office

    $6067.88

    Facility

    $375.00

    $256.89 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 37295

    Office

    $5526.35

    Facility

    $351.00

    $798.42 lower than Austin for the office setting.

  • Southern Maine

    Maine · 37295

    Office

    $5929.56

    Facility

    $354.81

    $395.21 lower than Austin for the office setting.

  • Detroit

    Michigan · 37295

    Office

    $5842.70

    Facility

    $414.21

    $482.07 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 37295

    Office

    $5515.77

    Facility

    $379.80

    $809.00 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 37295

    Office

    $6125.85

    Facility

    $337.33

    $198.92 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 37295

    Office

    $5654.51

    Facility

    $372.27

    $670.26 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 37295

    Office

    $5729.68

    Facility

    $374.31

    $595.09 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 37295

    Office

    $5217.60

    Facility

    $368.53

    $1107.17 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 37295

    Office

    $5198.43

    Facility

    $354.98

    $1126.34 lower than Austin for the office setting.

  • Montana**

    Montana · 37295

    Office

    $6001.69

    Facility

    $376.31

    $323.08 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 37295

    Office

    $5601.06

    Facility

    $352.58

    $723.71 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 37295

    Office

    $5967.68

    Facility

    $342.30

    $357.09 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 37295

    Office

    $5529.34

    Facility

    $337.12

    $795.43 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 37295

    Office

    $6227.17

    Facility

    $371.15

    $97.60 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 37295

    Office

    $6930.37

    Facility

    $404.93

    $605.60 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 37295

    Office

    $6540.09

    Facility

    $397.17

    $215.32 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 37295

    Office

    $5542.60

    Facility

    $384.12

    $782.17 lower than Austin for the office setting.

  • Nevada**

    Nevada · 37295

    Office

    $5997.89

    Facility

    $366.88

    $326.88 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 37295

    Office

    $7140.46

    Facility

    $451.88

    $815.69 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 37295

    Office

    $6564.96

    Facility

    $405.17

    $240.19 higher than Austin for the office setting.

  • Queens

    New York · 37295

    Office

    $7076.91

    Facility

    $427.71

    $752.14 higher than Austin for the office setting.

  • Rest Of New York

    New York · 37295

    Office

    $5701.15

    Facility

    $357.04

    $623.62 lower than Austin for the office setting.

  • Ohio

    Ohio · 37295

    Office

    $5508.82

    Facility

    $372.85

    $815.95 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 37295

    Office

    $5382.11

    Facility

    $358.65

    $942.66 lower than Austin for the office setting.

  • Portland

    Oregon · 37295

    Office

    $6621.03

    Facility

    $371.24

    $296.26 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 37295

    Office

    $5962.06

    Facility

    $359.18

    $362.71 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 37295

    Office

    $6250.35

    Facility

    $394.33

    $74.42 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 37295

    Office

    $5533.56

    Facility

    $369.46

    $791.21 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 37295

    Office

    $6063.34

    Facility

    $376.08

    $261.43 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 37295

    Office

    $6187.95

    Facility

    $376.93

    $136.82 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 37295

    Office

    $5562.13

    Facility

    $364.28

    $762.64 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 37295

    Office

    $5963.66

    Facility

    $338.28

    $361.11 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 37295

    Office

    $5459.07

    Facility

    $345.60

    $865.70 lower than Austin for the office setting.

  • Utah

    Utah · 37295

    Office

    $5655.64

    Facility

    $367.78

    $669.13 lower than Austin for the office setting.

  • Virginia

    Virginia · 37295

    Office

    $5888.50

    Facility

    $358.75

    $436.27 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 37295

    Office

    $6063.34

    Facility

    $376.08

    $261.43 lower than Austin for the office setting.

  • Vermont

    Vermont · 37295

    Office

    $5916.71

    Facility

    $347.58

    $408.06 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 37295

    Office

    $6292.23

    Facility

    $368.70

    $32.54 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 37295

    Office

    $7292.42

    Facility

    $390.08

    $967.65 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 37295

    Office

    $5723.84

    Facility

    $334.72

    $600.93 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 37295

    Office

    $5283.56

    Facility

    $395.11

    $1041.21 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 37295

    Office

    $5986.87

    Facility

    $361.49

    $337.90 lower than Austin for the office setting.

See how rates vary across the country

37295 · 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.

$5,174.22

$7,518.17

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$6,480.961
AL$5,267.901
AR$5,174.221
AZ$5,817.711
CA$6,524.28–$8,512.0729
CO$6,355.491
CT$6,456.051
DC$7,032.601
DE$5,929.311
FL$5,781.15–$6,322.193
GA$5,400.28–$6,104.922
GU$6,754.661
HI$6,754.661
IA$5,485.061
ID$5,517.791
IL$5,540.70–$6,201.214
IN$5,558.241
KS$5,428.821
KY$5,367.351
LA$5,347.14–$5,674.982
MA$6,295.11–$7,106.992
MD$6,067.88–$7,032.603
ME$5,526.35–$5,929.562
MI$5,515.77–$5,842.702
MN$6,125.851
MO$5,217.60–$5,729.683
MS$5,198.431
MT$6,001.691
NC$5,601.061
ND$5,967.681
NE$5,529.341
NH$6,227.171
NJ$6,540.09–$6,930.372
NM$5,542.601
NV$5,997.891
NY$5,701.15–$7,140.465
OH$5,508.821
OK$5,382.111
OR$5,962.06–$6,621.032
PA$5,533.56–$6,250.352
PR$6,063.341
RI$6,187.951
SC$5,562.131
SD$5,963.661
TN$5,459.071
TX$5,487.27–$6,324.778
UT$5,655.641
VA$5,888.50–$7,032.602
VI$6,063.341
VT$5,916.711
WA$6,292.23–$7,292.422
WI$5,723.841
WV$5,283.561
WY$5,986.871

Explore 37295 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 37295 in Austin, the physician’s office rate is $6324.77 and the facility-setting rate is $373.12: a difference of $5951.65.

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 37295 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$6957.25

$6324.77 × 110% = $6957.25

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 37295 in Austin.

PPRRVU2026_Oct_nonQPP.csv

4,655

Code
37295
Physician work
8.16
Practice expense
169.81
Malpractice
1.72

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 37295 in Austin
ComponentRVULocality factorAdjusted
Physician work8.16× 1.0028.1763
Practice expense169.81× 1.058179.6590
Malpractice1.72× 0.8861.5239
Total RVUs189.3592
Conversion factor× 33.4009

Office / nonfacility rate, Austin$6324.77

Open 37295 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work8.161.002
Practice expense169.811.058
Malpractice1.720.886

(8.16 × 1.002 + 169.81 × 1.058 + 1.72 × 0.886) × $33.4009 = $6324.77

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work8.161.002
Practice expense1.391.058
Malpractice1.720.886

(8.16 × 1.002 + 1.39 × 1.058 + 1.72 × 0.886) × $33.4009 = $373.12

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

37295 · Office / nonfacility

$6324.77

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$6324.77

    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$6324.77$373.12RVU26D
2026-07-01$6324.77$373.12RVU26C
2026-04-01$6324.77$373.12RVU26B
2026-01-01$6324.77$373.12RVU26A
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

37295 billing questions

When should 37295 be reported instead of 37294?

Use 37294 for the first qualifying complex vessel and 37295 for each additional qualifying complex vessel. The record should support the complex classification for each vessel.

Can 37295 be billed by itself?

No. It is an add-on code and must be reported with the corresponding primary procedure, 37294.

How does 37295 differ from 37293?

Both describe an additional vessel treated with atherectomy and stent placement, but 37293 is for the simple category and 37295 is for the complex category.

Should atherectomy and stent placement be reported separately for the same vessel?

This code represents their combined treatment in the additional vessel. Do not separately report those same-vessel components as if they were separate add-on services.

How is bilateral treatment handled?

For a bilateral procedure reported with modifier 50, CMS pays at 150%. The add-on code still requires its corresponding primary procedure.

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 37295PPRRVU2026_Oct_nonQPP.csv, line 4,655 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet