Choose 37275 for the simple-category initial-vessel service that combines stent placement and atherectomy; use 37277 when the documented service meets the complex category.
On this page
CMS RVU26D · Effective 2026-10-01
37277 in Delaware
Office / nonfacility
$15234.19
Base rate per service
Facility setting
$671.91
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.
Vascular intervention
About 37277: Complex femoropopliteal stent and atherectomy
Reports complex endovascular treatment of an initial femoral or popliteal artery vessel using both atherectomy and stent placement.
This code represents catheter-based revascularization of a femoral or popliteal artery in which the operator performs atherectomy and places a stent in the treated vessel. Balloon angioplasty in that same vessel, when performed, is part of the revascularization service. Vascular surgeons, interventional radiologists, and interventional cardiologists commonly perform these procedures for peripheral arterial disease, including symptomatic limb ischemia, in a hospital or outpatient procedural setting.
Use the complex initial-vessel code when the documentation supports the complex category in the femoropopliteal revascularization family and identifies the treated vessel and both atherectomy and stent placement. The family separates initial-vessel services from services for additional vessels and distinguishes complex from simple procedures. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 37277
- 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 RVU15.00 · 3%
- Practice expense (office) RVU443.28 · 96%
- Malpractice RVU3.41 · 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.
37277 compared with similar codes
Office rates for Delaware, from the same CMS release.
37278 is for an additional vessel in the complex combination service. 37277 identifies the initial vessel.
37273 represents complex initial-vessel atherectomy without the stent-and-atherectomy combination reported by 37277.
37269 represents complex initial-vessel stent placement without the stent-and-atherectomy combination reported by 37277.
The same code, a different location
How does Delaware compare?
37277 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
$15234.19
$2878.43 higher than Delaware
$18096.25
$2862.06 higher than Delaware
$16202.05
$967.86 higher than Delaware
$15645.90
$411.71 higher than Delaware
$17918.23
$2684.04 higher than Delaware
$16582.62
$1348.43 higher than Delaware
Other payment areas listed in Delaware 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, 37277 ranges from $13277.98 in Arkansas to $21967.36 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
Alabama
Alabama · 37277
Office
$13520.69
Facility
$623.93
$1713.50 lower than Delaware for the office setting.
Arkansas
Arkansas · 37277
Office
$13277.98
Facility
$617.05
$1956.21 lower than Delaware for the office setting.
Arizona
Arizona · 37277
Office
$14945.48
Facility
$663.24
$288.71 lower than Delaware for the office setting.
Bakersfield
California · 37277
Office
$16807.22
Facility
$653.11
$1573.03 higher than Delaware for the office setting.
Chico
California · 37277
Office
$16797.90
Facility
$643.79
$1563.71 higher than Delaware for the office setting.
El Centro
California · 37277
Office
$16798.47
Facility
$644.36
$1564.28 higher than Delaware for the office setting.
Fresno
California · 37277
Office
$16797.90
Facility
$643.79
$1563.71 higher than Delaware for the office setting.
Hanford-Corcoran
California · 37277
Office
$16797.90
Facility
$643.79
$1563.71 higher than Delaware for the office setting.
Madera
California · 37277
Office
$16797.90
Facility
$643.79
$1563.71 higher than Delaware for the office setting.
Merced
California · 37277
Office
$16797.90
Facility
$643.79
$1563.71 higher than Delaware for the office setting.
Modesto
California · 37277
Office
$16797.90
Facility
$643.79
$1563.71 higher than Delaware for the office setting.
Napa
California · 37277
Office
$20104.68
Facility
$678.48
$4870.49 higher than Delaware for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 37277
Office
$18086.63
Facility
$664.96
$2852.44 higher than Delaware for the office setting.
Redding
California · 37277
Office
$16797.90
Facility
$643.79
$1563.71 higher than Delaware for the office setting.
Rest Of California
California · 37277
Office
$16797.90
Facility
$643.79
$1563.71 higher than Delaware for the office setting.
Riverside-San Bernardino-Ontario
California · 37277
Office
$16834.51
Facility
$680.40
$1600.32 higher than Delaware for the office setting.
Sacramento-Roseville-Folsom
California · 37277
Office
$17799.42
Facility
$657.79
$2565.23 higher than Delaware for the office setting.
Salinas
California · 37277
Office
$17737.69
Facility
$655.02
$2503.50 higher than Delaware for the office setting.
San Diego-Chula Vista-Carlsbad
California · 37277
Office
$18285.69
Facility
$657.67
$3051.50 higher than Delaware for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 37277
Office
$21477.28
Facility
$695.08
$6243.09 higher than Delaware for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 37277
Office
$21473.41
Facility
$691.21
$6239.22 higher than Delaware for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 37277
Office
$21967.36
Facility
$713.50
$6733.17 higher than Delaware for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 37277
Office
$21951.52
Facility
$697.67
$6717.33 higher than Delaware for the office setting.
San Luis Obispo-Paso Robles
California · 37277
Office
$17434.56
Facility
$646.67
$2200.37 higher than Delaware for the office setting.
Santa Cruz-Watsonville
California · 37277
Office
$18561.81
Facility
$653.75
$3327.62 higher than Delaware for the office setting.
Santa Maria-Santa Barbara
California · 37277
Office
$17839.83
Facility
$653.98
$2605.64 higher than Delaware for the office setting.
Santa Rosa-Petaluma
California · 37277
Office
$18758.80
Facility
$659.13
$3524.61 higher than Delaware for the office setting.
Stockton
California · 37277
Office
$16797.90
Facility
$643.79
$1563.71 higher than Delaware for the office setting.
Vallejo
California · 37277
Office
$20099.10
Facility
$672.90
$4864.91 higher than Delaware for the office setting.
Visalia
California · 37277
Office
$16797.90
Facility
$643.79
$1563.71 higher than Delaware for the office setting.
Yuba City
California · 37277
Office
$16797.90
Facility
$643.79
$1563.71 higher than Delaware for the office setting.
Colorado
Colorado · 37277
Office
$16349.51
Facility
$667.06
$1115.32 higher than Delaware for the office setting.
Connecticut
Connecticut · 37277
Office
$16594.86
Facility
$720.79
$1360.67 higher than Delaware for the office setting.
Fort Lauderdale
Florida · 37277
Office
$15705.37
Facility
$774.61
$471.18 higher than Delaware for the office setting.
Rest Of Florida
Florida · 37277
Office
$14826.69
Facility
$736.06
$407.50 lower than Delaware for the office setting.
Atlanta
Georgia · 37277
Office
$15682.15
Facility
$707.18
$447.96 higher than Delaware for the office setting.
Rest Of Georgia
Georgia · 37277
Office
$13843.69
Facility
$696.37
$1390.50 lower than Delaware for the office setting.
Hawaii, Guam
Hawaii · 37277
Office
$17401.33
Facility
$642.91
$2167.14 higher than Delaware for the office setting.
Iowa
Iowa · 37277
Office
$14093.68
Facility
$607.35
$1140.51 lower than Delaware for the office setting.
Idaho
Idaho · 37277
Office
$14176.36
Facility
$616.34
$1057.83 lower than Delaware for the office setting.
East St. Louis
Illinois · 37277
Office
$14351.88
Facility
$791.86
$882.31 lower than Delaware for the office setting.
Rest Of Illinois
Illinois · 37277
Office
$14196.87
Facility
$740.02
$1037.32 lower than Delaware for the office setting.
Suburban Chicago
Illinois · 37277
Office
$15912.06
Facility
$774.95
$677.87 higher than Delaware for the office setting.
Indiana
Indiana · 37277
Office
$14281.48
Facility
$618.29
$952.71 lower than Delaware for the office setting.
Kansas
Kansas · 37277
Office
$13943.00
Facility
$618.81
$1291.19 lower than Delaware for the office setting.
Kentucky
Kentucky · 37277
Office
$13767.72
Facility
$664.62
$1466.47 lower than Delaware for the office setting.
New Orleans
Louisiana · 37277
Office
$14562.80
Facility
$693.26
$671.39 lower than Delaware for the office setting.
Rest Of Louisiana
Louisiana · 37277
Office
$13713.39
Facility
$669.25
$1520.80 lower than Delaware for the office setting.
Metropolitan Boston
Massachusetts · 37277
Office
$18301.23
Facility
$702.68
$3067.04 higher than Delaware for the office setting.
Rest Of Massachusetts
Massachusetts · 37277
Office
$16190.47
Facility
$670.15
$956.28 higher than Delaware for the office setting.
Baltimore/Surr. Cntys
Maryland · 37277
Office
$16536.71
Facility
$721.60
$1302.52 higher than Delaware for the office setting.
Rest Of Maryland
Maryland · 37277
Office
$15594.20
Facility
$678.18
$360.01 higher than Delaware for the office setting.
Rest Of Maine
Maine · 37277
Office
$14193.33
Facility
$633.32
$1040.86 lower than Delaware for the office setting.
Southern Maine
Maine · 37277
Office
$15245.58
Facility
$639.08
$11.39 higher than Delaware for the office setting.
Detroit
Michigan · 37277
Office
$14980.79
Facility
$757.51
$253.40 lower than Delaware for the office setting.
Rest Of Michigan
Michigan · 37277
Office
$14147.44
Facility
$690.59
$1086.75 lower than Delaware for the office setting.
Minnesota
Minnesota · 37277
Office
$15770.05
Facility
$603.47
$535.86 higher than Delaware for the office setting.
Metropolitan Kansas City
Missouri · 37277
Office
$14515.08
Facility
$675.02
$719.11 lower than Delaware for the office setting.
Metropolitan St. Louis
Missouri · 37277
Office
$14710.40
Facility
$678.73
$523.79 lower than Delaware for the office setting.
Rest Of Missouri
Missouri · 37277
Office
$13374.68
Facility
$669.53
$1859.51 lower than Delaware for the office setting.
Mississippi
Mississippi · 37277
Office
$13333.11
Facility
$642.70
$1901.08 lower than Delaware for the office setting.
Montana**
Montana · 37277
Office
$15420.63
Facility
$681.48
$186.44 higher than Delaware for the office setting.
North Carolina
North Carolina · 37277
Office
$14387.75
Facility
$636.12
$846.44 lower than Delaware for the office setting.
North Dakota**
North Dakota · 37277
Office
$15353.21
Facility
$614.06
$119.02 higher than Delaware for the office setting.
Nebraska
Nebraska · 37277
Office
$14209.96
Facility
$605.72
$1024.23 lower than Delaware for the office setting.
New Hampshire
New Hampshire · 37277
Office
$16013.67
Facility
$670.21
$779.48 higher than Delaware for the office setting.
Northern Nj
New Jersey · 37277
Office
$17829.12
Facility
$731.71
$2594.93 higher than Delaware for the office setting.
Rest Of New Jersey
New Jersey · 37277
Office
$16814.10
Facility
$718.95
$1579.91 higher than Delaware for the office setting.
New Mexico
New Mexico · 37277
Office
$14214.86
Facility
$699.06
$1019.33 lower than Delaware for the office setting.
Nevada**
Nevada · 37277
Office
$15416.65
Facility
$662.76
$182.46 higher than Delaware for the office setting.
Nyc Suburbs/Long Island
New York · 37277
Office
$18348.86
Facility
$824.01
$3114.67 higher than Delaware for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 37277
Office
$16873.89
Facility
$734.52
$1639.70 higher than Delaware for the office setting.
Queens
New York · 37277
Office
$18197.95
Facility
$776.28
$2963.76 higher than Delaware for the office setting.
Rest Of New York
New York · 37277
Office
$14646.74
Facility
$644.54
$587.45 lower than Delaware for the office setting.
Ohio
Ohio · 37277
Office
$14133.65
Facility
$676.81
$1100.54 lower than Delaware for the office setting.
Oklahoma
Oklahoma · 37277
Office
$13811.23
Facility
$649.17
$1422.96 lower than Delaware for the office setting.
Portland
Oregon · 37277
Office
$17043.18
Facility
$667.99
$1808.99 higher than Delaware for the office setting.
Rest Of Oregon
Oregon · 37277
Office
$15327.81
Facility
$647.62
$93.62 higher than Delaware for the office setting.
Metropolitan Philadelphia
Pennsylvania · 37277
Office
$16058.91
Facility
$715.45
$824.72 higher than Delaware for the office setting.
Rest Of Pennsylvania
Pennsylvania · 37277
Office
$14200.51
Facility
$669.97
$1033.68 lower than Delaware for the office setting.
Puerto Rico
Puerto Rico · 37277
Office
$15582.02
Facility
$680.74
$347.83 higher than Delaware for the office setting.
Rhode Island
Rhode Island · 37277
Office
$15906.68
Facility
$681.14
$672.49 higher than Delaware for the office setting.
South Carolina
South Carolina · 37277
Office
$14278.52
Facility
$659.55
$955.67 lower than Delaware for the office setting.
South Dakota**
South Dakota · 37277
Office
$15345.23
Facility
$606.08
$111.04 higher than Delaware for the office setting.
Tennessee
Tennessee · 37277
Office
$14020.79
Facility
$622.90
$1213.40 lower than Delaware for the office setting.
Austin
Texas · 37277
Office
$16267.62
Facility
$673.60
$1033.43 higher than Delaware for the office setting.
Beaumont
Texas · 37277
Office
$14080.24
Facility
$667.61
$1153.95 lower than Delaware for the office setting.
Brazoria
Texas · 37277
Office
$15266.56
Facility
$660.06
$32.37 higher than Delaware for the office setting.
Dallas
Texas · 37277
Office
$15349.97
Facility
$669.78
$115.78 higher than Delaware for the office setting.
Fort Worth
Texas · 37277
Office
$15203.39
Facility
$670.59
$30.80 lower than Delaware for the office setting.
Galveston
Texas · 37277
Office
$15301.64
Facility
$665.66
$67.45 higher than Delaware for the office setting.
Houston
Texas · 37277
Office
$15364.05
Facility
$728.08
$129.86 higher than Delaware for the office setting.
Rest Of Texas
Texas · 37277
Office
$14654.71
Facility
$667.26
$579.48 lower than Delaware for the office setting.
Utah
Utah · 37277
Office
$14520.89
Facility
$666.09
$713.30 lower than Delaware for the office setting.
Virginia
Virginia · 37277
Office
$15135.67
Facility
$647.09
$98.52 lower than Delaware for the office setting.
Virgin Islands
United States Virgin Islands · 37277
Office
$15582.02
Facility
$680.74
$347.83 higher than Delaware for the office setting.
Vermont
Vermont · 37277
Office
$15216.54
Facility
$624.78
$17.65 lower than Delaware for the office setting.
Rest Of Washington
Washington · 37277
Office
$16184.87
Facility
$664.54
$950.68 higher than Delaware for the office setting.
Seattle (King Cnty)
Washington · 37277
Office
$18786.02
Facility
$701.08
$3551.83 higher than Delaware for the office setting.
Wisconsin
Wisconsin · 37277
Office
$14720.19
Facility
$600.09
$514.00 lower than Delaware for the office setting.
West Virginia
West Virginia · 37277
Office
$13530.37
Facility
$722.05
$1703.82 lower than Delaware for the office setting.
Wyoming**
Wyoming · 37277
Office
$15391.25
Facility
$652.10
$157.06 higher than Delaware for the office setting.
See how rates vary across the country
37277 · 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.
$13,277.98
$19,382.63
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 | $16,582.62 | 1 |
| AL | $13,520.69 | 1 |
| AR | $13,277.98 | 1 |
| AZ | $14,945.48 | 1 |
| CA | $16,797.90–$21,967.36 | 29 |
| CO | $16,349.51 | 1 |
| CT | $16,594.86 | 1 |
| DC | $18,096.25 | 1 |
| DE | $15,234.19 | 1 |
| FL | $14,826.69–$16,202.05 | 3 |
| GA | $13,843.69–$15,682.15 | 2 |
| GU | $17,401.33 | 1 |
| HI | $17,401.33 | 1 |
| IA | $14,093.68 | 1 |
| ID | $14,176.36 | 1 |
| IL | $14,196.87–$15,912.06 | 4 |
| IN | $14,281.48 | 1 |
| KS | $13,943.00 | 1 |
| KY | $13,767.72 | 1 |
| LA | $13,713.39–$14,562.80 | 2 |
| MA | $16,190.47–$18,301.23 | 2 |
| MD | $15,594.20–$18,096.25 | 3 |
| ME | $14,193.33–$15,245.58 | 2 |
| MI | $14,147.44–$14,980.79 | 2 |
| MN | $15,770.05 | 1 |
| MO | $13,374.68–$14,710.40 | 3 |
| MS | $13,333.11 | 1 |
| MT | $15,420.63 | 1 |
| NC | $14,387.75 | 1 |
| ND | $15,353.21 | 1 |
| NE | $14,209.96 | 1 |
| NH | $16,013.67 | 1 |
| NJ | $16,814.10–$17,829.12 | 2 |
| NM | $14,214.86 | 1 |
| NV | $15,416.65 | 1 |
| NY | $14,646.74–$18,348.86 | 5 |
| OH | $14,133.65 | 1 |
| OK | $13,811.23 | 1 |
| OR | $15,327.81–$17,043.18 | 2 |
| PA | $14,200.51–$16,058.91 | 2 |
| PR | $15,582.02 | 1 |
| RI | $15,906.68 | 1 |
| SC | $14,278.52 | 1 |
| SD | $15,345.23 | 1 |
| TN | $14,020.79 | 1 |
| TX | $14,080.24–$16,267.62 | 8 |
| UT | $14,520.89 | 1 |
| VA | $15,135.67–$18,096.25 | 2 |
| VI | $15,582.02 | 1 |
| VT | $15,216.54 | 1 |
| WA | $16,184.87–$18,786.02 | 2 |
| WI | $14,720.19 | 1 |
| WV | $13,530.37 | 1 |
| WY | $15,391.25 | 1 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 37277 in Delaware, the physician’s office rate is $15234.19 and the facility-setting rate is $671.91: a difference of $14562.28.
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 37277 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$16757.61
$15234.19 × 110% = $16757.61
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 37277 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,637
- Code
- 37277
- Physician work
- 15.00
- Practice expense
- 443.28
- Malpractice
- 3.41
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.00 | × 1.005 | 15.0750 |
| Practice expense | 443.28 | × 0.988 | 437.9606 |
| Malpractice | 3.41 | × 0.899 | 3.0656 |
| Total RVUs | 456.1012 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$15234.19
Open 37277 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15 | 1.005 |
| Practice expense | 443.28 | 0.988 |
| Malpractice | 3.41 | 0.899 |
(15 × 1.005 + 443.28 × 0.988 + 3.41 × 0.899) × $33.4009 = $15234.19
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15 | 1.005 |
| Practice expense | 2 | 0.988 |
| Malpractice | 3.41 | 0.899 |
(15 × 1.005 + 2 × 0.988 + 3.41 × 0.899) × $33.4009 = $671.91
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
37277 · Office / nonfacility
$15234.19
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$15234.19
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 | $15234.19 | $671.91 | RVU26D |
| 2026-07-01 | $15234.19 | $671.91 | RVU26C |
| 2026-04-01 | $15234.19 | $671.91 | RVU26B |
| 2026-01-01 | $15234.19 | $671.91 | 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 |
37277 billing questions
How does 37277 differ from 37275?
Both cover femoropopliteal revascularization using stent placement and atherectomy in an initial vessel. 37277 is for the complex category; 37275 is the simple-category counterpart.
When is 37278 used instead?
37278 is the complex combination code for an additional femoropopliteal vessel. Use 37277 for the initial vessel.
Can angioplasty in the treated vessel be reported separately?
Angioplasty performed in the same vessel is included in the revascularization service. The code selection should reflect the documented procedures in that vessel.
What should the procedure note support?
Document the femoral or popliteal target vessel, the procedures performed, and the details supporting the complex category. The note should establish that both atherectomy and stent placement occurred.
How is bilateral treatment reported under the CMS payment rule?
For bilateral procedures, modifier 50 is paid at 150% under the stated CMS rule. The 0-day global period includes same-day preoperative and postoperative care.
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.
