37284 reports the first vessel treated with straightforward stenting; 37285 reports each additional vessel in that procedure.
On this page
CMS RVU26D · Effective 2026-10-01
37285 in Beaumont
Office / nonfacility
$2547.56
Base rate per service
Facility setting
$149.10
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.
Peripheral vascular intervention
About 37285: Straightforward tibial-peroneal vessel stenting, additional
Reports endovascular stenting of each additional tibial or peroneal vessel treated with a straightforward revascularization approach during the same procedure.
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.
CMS billing rules for 37285
- 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 RVU3.34 · 4%
- Practice expense (office) RVU79.40 · 95%
- Malpractice RVU0.73 · 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.
37285 compared with similar codes
Office rates for Beaumont, from the same CMS release.
Both are additional-vessel stenting codes, but 37287 is selected for a complex procedure rather than a straightforward one.
37281 describes angioplasty of each additional tibial-peroneal vessel. Choose 37285 when the additional vessel is treated with stenting.
37292 covers first-vessel treatment that combines stenting and atherectomy; 37285 is for additional-vessel stenting without that combination.
The same code, a different location
How does Beaumont compare?
In Austin, the office rate for 37285 is $2939.23—$391.67 higher than the $2547.56 rate in Beaumont. Both use the same code, release and participation basis.
37285 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
$2547.56
$2939.23
$391.67 higher than Beaumont
$2759.63
$212.07 higher than Beaumont
$2774.91
$227.35 higher than Beaumont
$2748.70
$201.14 higher than Beaumont
$2766.11
$218.55 higher than Beaumont
$2779.47
$231.91 higher than Beaumont
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, 37285 ranges from $2402.21 in Arkansas to $3961.13 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 · 37285
Office
$2650.35
Facility
$149.11
$102.79 higher than Beaumont for the office setting.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 37285
Office
$3269.68
Facility
$151.68
$722.12 higher than Beaumont for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 37285
Office
$3268.81
Facility
$164.00
$721.25 higher than Beaumont for the office setting.
Miami
Florida · 37285
Office
$2933.99
Facility
$190.26
$386.43 higher than Beaumont for the office setting.
Chicago
Illinois · 37285
Office
$2833.59
Facility
$184.75
$286.03 higher than Beaumont for the office setting.
Manhattan
New York · 37285
Office
$3239.03
Facility
$176.39
$691.47 higher than Beaumont for the office setting.
Alaska*
Alaska · 37285
Office
$3005.19
Facility
$198.20
$457.63 higher than Beaumont for the office setting.
Alabama
Alabama · 37285
Office
$2445.89
Facility
$139.68
$101.67 lower than Beaumont for the office setting.
Arkansas
Arkansas · 37285
Office
$2402.21
Facility
$138.17
$145.35 lower than Beaumont for the office setting.
Arizona
Arizona · 37285
Office
$2702.25
Facility
$148.29
$154.69 higher than Beaumont for the office setting.
Bakersfield
California · 37285
Office
$3035.15
Facility
$146.47
$487.59 higher than Beaumont for the office setting.
Chico
California · 37285
Office
$3033.15
Facility
$144.46
$485.59 higher than Beaumont for the office setting.
El Centro
California · 37285
Office
$3033.27
Facility
$144.58
$485.71 higher than Beaumont for the office setting.
Fresno
California · 37285
Office
$3033.15
Facility
$144.46
$485.59 higher than Beaumont for the office setting.
Hanford-Corcoran
California · 37285
Office
$3033.15
Facility
$144.46
$485.59 higher than Beaumont for the office setting.
Madera
California · 37285
Office
$3033.15
Facility
$144.46
$485.59 higher than Beaumont for the office setting.
Merced
California · 37285
Office
$3033.15
Facility
$144.46
$485.59 higher than Beaumont for the office setting.
Modesto
California · 37285
Office
$3033.15
Facility
$144.46
$485.59 higher than Beaumont for the office setting.
Napa
California · 37285
Office
$3626.35
Facility
$152.54
$1078.79 higher than Beaumont for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 37285
Office
$3264.57
Facility
$149.22
$717.01 higher than Beaumont for the office setting.
Redding
California · 37285
Office
$3033.15
Facility
$144.46
$485.59 higher than Beaumont for the office setting.
Rest Of California
California · 37285
Office
$3033.15
Facility
$144.46
$485.59 higher than Beaumont for the office setting.
Riverside-San Bernardino-Ontario
California · 37285
Office
$3040.99
Facility
$152.30
$493.43 higher than Beaumont for the office setting.
Sacramento-Roseville-Folsom
California · 37285
Office
$3212.96
Facility
$147.68
$665.40 higher than Beaumont for the office setting.
Salinas
California · 37285
Office
$3201.79
Facility
$147.06
$654.23 higher than Beaumont for the office setting.
San Diego-Chula Vista-Carlsbad
California · 37285
Office
$3299.95
Facility
$147.70
$752.39 higher than Beaumont for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 37285
Office
$3872.71
Facility
$156.43
$1325.15 higher than Beaumont for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 37285
Office
$3871.88
Facility
$155.60
$1324.32 higher than Beaumont for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 37285
Office
$3961.13
Facility
$160.50
$1413.57 higher than Beaumont for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 37285
Office
$3957.74
Facility
$157.11
$1410.18 higher than Beaumont for the office setting.
San Luis Obispo-Paso Robles
California · 37285
Office
$3147.19
Facility
$145.17
$599.63 higher than Beaumont for the office setting.
Santa Cruz-Watsonville
California · 37285
Office
$3349.19
Facility
$146.86
$801.63 higher than Beaumont for the office setting.
Santa Maria-Santa Barbara
California · 37285
Office
$3220.02
Facility
$146.84
$672.46 higher than Beaumont for the office setting.
Santa Rosa-Petaluma
California · 37285
Office
$3384.67
Facility
$148.07
$837.11 higher than Beaumont for the office setting.
Stockton
California · 37285
Office
$3033.15
Facility
$144.46
$485.59 higher than Beaumont for the office setting.
Vallejo
California · 37285
Office
$3625.16
Facility
$151.35
$1077.60 higher than Beaumont for the office setting.
Visalia
California · 37285
Office
$3033.15
Facility
$144.46
$485.59 higher than Beaumont for the office setting.
Yuba City
California · 37285
Office
$3033.15
Facility
$144.46
$485.59 higher than Beaumont for the office setting.
Colorado
Colorado · 37285
Office
$2953.70
Facility
$149.35
$406.14 higher than Beaumont for the office setting.
Connecticut
Connecticut · 37285
Office
$2999.53
Facility
$160.92
$451.97 higher than Beaumont for the office setting.
Delaware
Delaware · 37285
Office
$2754.24
Facility
$150.21
$206.68 higher than Beaumont for the office setting.
Fort Lauderdale
Florida · 37285
Office
$2842.15
Facility
$172.22
$294.59 higher than Beaumont for the office setting.
Rest Of Florida
Florida · 37285
Office
$2683.55
Facility
$163.85
$135.99 higher than Beaumont for the office setting.
Atlanta
Georgia · 37285
Office
$2835.64
Facility
$157.81
$288.08 higher than Beaumont for the office setting.
Rest Of Georgia
Georgia · 37285
Office
$2506.24
Facility
$155.22
$41.32 lower than Beaumont for the office setting.
Hawaii, Guam
Hawaii · 37285
Office
$3141.04
Facility
$144.29
$593.48 higher than Beaumont for the office setting.
Iowa
Iowa · 37285
Office
$2547.85
Facility
$136.21
$0.29 higher than Beaumont for the office setting.
Idaho
Idaho · 37285
Office
$2562.96
Facility
$138.15
$15.40 higher than Beaumont for the office setting.
East St. Louis
Illinois · 37285
Office
$2600.53
Facility
$175.72
$52.97 higher than Beaumont for the office setting.
Rest Of Illinois
Illinois · 37285
Office
$2570.97
Facility
$164.61
$23.41 higher than Beaumont for the office setting.
Suburban Chicago
Illinois · 37285
Office
$2879.18
Facility
$172.35
$331.62 higher than Beaumont for the office setting.
Indiana
Indiana · 37285
Office
$2581.84
Facility
$138.58
$34.28 higher than Beaumont for the office setting.
Kansas
Kansas · 37285
Office
$2521.28
Facility
$138.64
$26.28 lower than Beaumont for the office setting.
Kentucky
Kentucky · 37285
Office
$2491.53
Facility
$148.42
$56.03 lower than Beaumont for the office setting.
New Orleans
Louisiana · 37285
Office
$2634.82
Facility
$154.66
$87.26 higher than Beaumont for the office setting.
Rest Of Louisiana
Louisiana · 37285
Office
$2481.97
Facility
$149.40
$65.59 lower than Beaumont for the office setting.
Metropolitan Boston
Massachusetts · 37285
Office
$3304.36
Facility
$157.38
$756.80 higher than Beaumont for the office setting.
Rest Of Massachusetts
Massachusetts · 37285
Office
$2925.37
Facility
$150.01
$377.81 higher than Beaumont for the office setting.
Baltimore/Surr. Cntys
Maryland · 37285
Office
$2989.14
Facility
$161.07
$441.58 higher than Beaumont for the office setting.
Rest Of Maryland
Maryland · 37285
Office
$2818.91
Facility
$151.62
$271.35 higher than Beaumont for the office setting.
Rest Of Maine
Maine · 37285
Office
$2566.59
Facility
$141.78
$19.03 higher than Beaumont for the office setting.
Southern Maine
Maine · 37285
Office
$2755.11
Facility
$143.16
$207.55 higher than Beaumont for the office setting.
Detroit
Michigan · 37285
Office
$2711.88
Facility
$168.46
$164.32 higher than Beaumont for the office setting.
Rest Of Michigan
Michigan · 37285
Office
$2560.39
Facility
$154.03
$12.83 higher than Beaumont for the office setting.
Minnesota
Minnesota · 37285
Office
$2847.72
Facility
$135.62
$300.16 higher than Beaumont for the office setting.
Metropolitan Kansas City
Missouri · 37285
Office
$2625.64
Facility
$150.75
$78.08 higher than Beaumont for the office setting.
Metropolitan St. Louis
Missouri · 37285
Office
$2660.72
Facility
$151.57
$113.16 higher than Beaumont for the office setting.
Rest Of Missouri
Missouri · 37285
Office
$2421.36
Facility
$149.42
$126.20 lower than Beaumont for the office setting.
Mississippi
Mississippi · 37285
Office
$2412.98
Facility
$143.67
$134.58 lower than Beaumont for the office setting.
Montana**
Montana · 37285
Office
$2787.92
Facility
$152.26
$240.36 higher than Beaumont for the office setting.
North Carolina
North Carolina · 37285
Office
$2601.48
Facility
$142.41
$53.92 higher than Beaumont for the office setting.
North Dakota**
North Dakota · 37285
Office
$2773.49
Facility
$137.82
$225.93 higher than Beaumont for the office setting.
Nebraska
Nebraska · 37285
Office
$2568.60
Facility
$135.88
$21.04 higher than Beaumont for the office setting.
New Hampshire
New Hampshire · 37285
Office
$2893.66
Facility
$149.93
$346.10 higher than Beaumont for the office setting.
Northern Nj
New Jersey · 37285
Office
$3220.98
Facility
$163.61
$673.42 higher than Beaumont for the office setting.
Rest Of New Jersey
New Jersey · 37285
Office
$3038.79
Facility
$160.64
$491.23 higher than Beaumont for the office setting.
New Mexico
New Mexico · 37285
Office
$2572.76
Facility
$155.85
$25.20 higher than Beaumont for the office setting.
Nevada**
Nevada · 37285
Office
$2786.55
Facility
$148.25
$238.99 higher than Beaumont for the office setting.
Nyc Suburbs/Long Island
New York · 37285
Office
$3317.24
Facility
$183.44
$769.68 higher than Beaumont for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 37285
Office
$3050.06
Facility
$164.00
$502.50 higher than Beaumont for the office setting.
Queens
New York · 37285
Office
$3288.56
Facility
$173.20
$741.00 higher than Beaumont for the office setting.
Rest Of New York
New York · 37285
Office
$2648.13
Facility
$144.25
$100.57 higher than Beaumont for the office setting.
Ohio
Ohio · 37285
Office
$2557.44
Facility
$151.08
$9.88 higher than Beaumont for the office setting.
Oklahoma
Oklahoma · 37285
Office
$2498.77
Facility
$145.12
$48.79 lower than Beaumont for the office setting.
Portland
Oregon · 37285
Office
$3077.89
Facility
$149.67
$530.33 higher than Beaumont for the office setting.
Rest Of Oregon
Oregon · 37285
Office
$2770.12
Facility
$145.00
$222.56 higher than Beaumont for the office setting.
Metropolitan Philadelphia
Pennsylvania · 37285
Office
$2903.42
Facility
$159.69
$355.86 higher than Beaumont for the office setting.
Rest Of Pennsylvania
Pennsylvania · 37285
Office
$2569.17
Facility
$149.63
$21.61 higher than Beaumont for the office setting.
Puerto Rico
Puerto Rico · 37285
Office
$2816.78
Facility
$152.12
$269.22 higher than Beaumont for the office setting.
Rhode Island
Rhode Island · 37285
Office
$2874.98
Facility
$152.33
$327.42 higher than Beaumont for the office setting.
South Carolina
South Carolina · 37285
Office
$2582.76
Facility
$147.41
$35.20 higher than Beaumont for the office setting.
South Dakota**
South Dakota · 37285
Office
$2771.78
Facility
$136.12
$224.22 higher than Beaumont for the office setting.
Tennessee
Tennessee · 37285
Office
$2535.35
Facility
$139.53
$12.21 lower than Beaumont for the office setting.
Utah
Utah · 37285
Office
$2626.36
Facility
$148.84
$78.80 higher than Beaumont for the office setting.
Virginia
Virginia · 37285
Office
$2735.72
Facility
$144.86
$188.16 higher than Beaumont for the office setting.
Virgin Islands
United States Virgin Islands · 37285
Office
$2816.78
Facility
$152.12
$269.22 higher than Beaumont for the office setting.
Vermont
Vermont · 37285
Office
$2749.41
Facility
$140.10
$201.85 higher than Beaumont for the office setting.
Rest Of Washington
Washington · 37285
Office
$2924.15
Facility
$148.80
$376.59 higher than Beaumont for the office setting.
Seattle (King Cnty)
Washington · 37285
Office
$3391.10
Facility
$157.14
$843.54 higher than Beaumont for the office setting.
Wisconsin
Wisconsin · 37285
Office
$2659.72
Facility
$134.75
$112.16 higher than Beaumont for the office setting.
West Virginia
West Virginia · 37285
Office
$2451.07
Facility
$160.67
$96.49 lower than Beaumont for the office setting.
Wyoming**
Wyoming · 37285
Office
$2781.63
Facility
$145.97
$234.07 higher than Beaumont for the office setting.
See how rates vary across the country
37285 · 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.
$2,402.21
$3,497.14
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 | $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 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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.
Why are the office and facility amounts different?
For 37285 in Beaumont, the physician’s office rate is $2547.56 and the facility-setting rate is $149.10: a difference of $2398.46.
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 37285 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2802.32
$2547.56 × 110% = $2802.32
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 37285 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
4,645
- Code
- 37285
- Physician work
- 3.34
- Practice expense
- 79.40
- Malpractice
- 0.73
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.34 | × 1.000 | 3.3400 |
| Practice expense | 79.40 | × 0.910 | 72.2540 |
| Malpractice | 0.73 | × 0.929 | 0.6782 |
| Total RVUs | 76.2722 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Beaumont$2547.56
Open 37285 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.34 | 1 |
| Practice expense | 79.4 | 0.91 |
| Malpractice | 0.73 | 0.929 |
(3.34 × 1 + 79.4 × 0.91 + 0.73 × 0.929) × $33.4009 = $2547.56
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.34 | 1 |
| Practice expense | 0.49 | 0.91 |
| Malpractice | 0.73 | 0.929 |
(3.34 × 1 + 0.49 × 0.91 + 0.73 × 0.929) × $33.4009 = $149.10
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
37285 · Office / nonfacility
$2547.56
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$2547.56
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 | $2547.56 | $149.10 | RVU26D |
| 2026-07-01 | $2547.56 | $149.10 | RVU26C |
| 2026-04-01 | $2547.56 | $149.10 | RVU26B |
| 2026-01-01 | $2547.56 | $149.10 | 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 |
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 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.
