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CMS RVU26D · Effective 2026-10-01

37290 in Delaware

Office / nonfacility

$10517.46

Base rate per service

Facility setting

$756.69

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 intervention

About 37290: Complex peripheral atherectomy, initial vessel

Reports endovascular atherectomy for a complex peripheral arterial lesion in the initial vessel treated during a revascularization session.

This code identifies catheter-based atherectomy to restore flow through a complex peripheral arterial lesion in the initial vessel treated. The operator advances endovascular devices to remove or modify obstructive plaque. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform this treatment in a hospital or outpatient procedural setting for symptomatic peripheral arterial disease. The code’s complex designation and vessel order distinguish it from the simple-lesion and additional-vessel entries in the atherectomy family.

Select the code using the documented lesion classification and treated vessel sequence under the applicable CPT rules; do not infer complexity from the device alone. The procedure report should identify the treated vessel and lesion, describe the atherectomy performed, and support the complex classification. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed 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 37290

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 RVU17.00 · 5%
  • Practice expense (office) RVU298.16 · 94%
  • Malpractice RVU3.58 · 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.

37290 compared with similar codes

Office rates for Delaware, from the same CMS release.

37288

Tibial atherectomy

Simple, initial vessel

$7,701.44

Use 37288 for an initial vessel with a simple lesion; 37290 identifies the complex-lesion initial-vessel service.

37291

Atherectomy

Complex, each additional vessel

$1,062.28

37291 is the additional-vessel entry for complex-lesion atherectomy. This code is the initial-vessel entry.

37294

Arterial revascularization

Complex first vessel

$15,015.73

37294 describes complex initial-vessel treatment that combines stenting and atherectomy; 37290 is the complex initial-vessel atherectomy entry.

The same code, a different location

How does Delaware compare?

37290 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $10517.46

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $12451.77

    $1934.31 higher than Delaware

  3. Dc + Md/Va Suburbs

    $12463.05

    $1945.59 higher than Delaware

  4. Miami

    $11237.34

    $719.88 higher than Delaware

  5. Chicago

    $10854.82

    $337.36 higher than Delaware

  6. Manhattan

    $12365.94

    $1848.48 higher than Delaware

  7. Alaska*

    $11523.74

    $1006.28 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, 37290 ranges from $9184.02 in Arkansas to $15054.97 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 · 37290

    Office

    $9349.46

    Facility

    $705.05

    $1168.00 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 37290

    Office

    $9184.02

    Facility

    $697.68

    $1333.44 lower than Delaware for the office setting.

  • Arizona

    Arizona · 37290

    Office

    $10320.26

    Facility

    $747.20

    $197.20 lower than Delaware for the office setting.

  • Bakersfield

    California · 37290

    Office

    $11566.28

    Facility

    $738.55

    $1048.82 higher than Delaware for the office setting.

  • Chico

    California · 37290

    Office

    $11556.42

    Facility

    $728.69

    $1038.96 higher than Delaware for the office setting.

  • El Centro

    California · 37290

    Office

    $11557.02

    Facility

    $729.28

    $1039.56 higher than Delaware for the office setting.

  • Fresno

    California · 37290

    Office

    $11556.42

    Facility

    $728.69

    $1038.96 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 37290

    Office

    $11556.42

    Facility

    $728.69

    $1038.96 higher than Delaware for the office setting.

  • Madera

    California · 37290

    Office

    $11556.42

    Facility

    $728.69

    $1038.96 higher than Delaware for the office setting.

  • Merced

    California · 37290

    Office

    $11556.42

    Facility

    $728.69

    $1038.96 higher than Delaware for the office setting.

  • Modesto

    California · 37290

    Office

    $11556.42

    Facility

    $728.69

    $1038.96 higher than Delaware for the office setting.

  • Napa

    California · 37290

    Office

    $13790.05

    Facility

    $769.11

    $3272.59 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 37290

    Office

    $12429.53

    Facility

    $752.17

    $1912.07 higher than Delaware for the office setting.

  • Redding

    California · 37290

    Office

    $11556.42

    Facility

    $728.69

    $1038.96 higher than Delaware for the office setting.

  • Rest Of California

    California · 37290

    Office

    $11556.42

    Facility

    $728.69

    $1038.96 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 37290

    Office

    $11594.89

    Facility

    $767.16

    $1077.43 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 37290

    Office

    $12234.45

    Facility

    $744.80

    $1716.99 higher than Delaware for the office setting.

  • Salinas

    California · 37290

    Office

    $12191.77

    Facility

    $741.64

    $1674.31 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 37290

    Office

    $12560.40

    Facility

    $744.73

    $2042.94 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 37290

    Office

    $14718.57

    Facility

    $788.73

    $4201.11 higher than Delaware for the office setting.

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

    California · 37290

    Office

    $14714.50

    Facility

    $784.66

    $4197.04 higher than Delaware for the office setting.

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

    California · 37290

    Office

    $15054.97

    Facility

    $809.00

    $4537.51 higher than Delaware for the office setting.

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

    California · 37290

    Office

    $15038.35

    Facility

    $792.38

    $4520.89 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 37290

    Office

    $11984.65

    Facility

    $732.10

    $1467.19 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 37290

    Office

    $12743.79

    Facility

    $740.42

    $2226.33 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 37290

    Office

    $12259.78

    Facility

    $740.50

    $1742.32 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 37290

    Office

    $12878.36

    Facility

    $746.56

    $2360.90 higher than Delaware for the office setting.

  • Stockton

    California · 37290

    Office

    $11556.42

    Facility

    $728.69

    $1038.96 higher than Delaware for the office setting.

  • Vallejo

    California · 37290

    Office

    $13784.19

    Facility

    $763.25

    $3266.73 higher than Delaware for the office setting.

  • Visalia

    California · 37290

    Office

    $11556.42

    Facility

    $728.69

    $1038.96 higher than Delaware for the office setting.

  • Yuba City

    California · 37290

    Office

    $11556.42

    Facility

    $728.69

    $1038.96 higher than Delaware for the office setting.

  • Colorado

    Colorado · 37290

    Office

    $11264.19

    Facility

    $752.60

    $746.73 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 37290

    Office

    $11449.50

    Facility

    $809.47

    $932.04 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 37290

    Office

    $10872.28

    Facility

    $864.53

    $354.82 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 37290

    Office

    $10268.16

    Facility

    $823.53

    $249.30 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 37290

    Office

    $10831.28

    Facility

    $793.89

    $313.82 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 37290

    Office

    $9593.61

    Facility

    $781.26

    $923.85 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 37290

    Office

    $11960.22

    Facility

    $727.43

    $1442.76 higher than Delaware for the office setting.

  • Iowa

    Iowa · 37290

    Office

    $9727.60

    Facility

    $688.02

    $789.86 lower than Delaware for the office setting.

  • Idaho

    Idaho · 37290

    Office

    $9786.48

    Facility

    $697.51

    $730.98 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 37290

    Office

    $9970.75

    Facility

    $881.77

    $546.71 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 37290

    Office

    $9847.11

    Facility

    $827.29

    $670.35 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 37290

    Office

    $11011.38

    Facility

    $865.32

    $493.92 higher than Delaware for the office setting.

  • Indiana

    Indiana · 37290

    Office

    $9857.75

    Facility

    $699.62

    $659.71 lower than Delaware for the office setting.

  • Kansas

    Kansas · 37290

    Office

    $9630.85

    Facility

    $699.94

    $886.61 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 37290

    Office

    $9530.61

    Facility

    $747.90

    $986.85 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 37290

    Office

    $10074.90

    Facility

    $778.46

    $442.56 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 37290

    Office

    $9495.92

    Facility

    $752.72

    $1021.54 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 37290

    Office

    $12588.34

    Facility

    $792.43

    $2070.88 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 37290

    Office

    $11158.83

    Facility

    $755.91

    $641.37 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 37290

    Office

    $11410.62

    Facility

    $810.11

    $893.16 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 37290

    Office

    $10761.58

    Facility

    $763.71

    $244.12 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 37290

    Office

    $9804.30

    Facility

    $715.33

    $713.16 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 37290

    Office

    $10512.45

    Facility

    $722.05

    $5.01 lower than Delaware for the office setting.

  • Detroit

    Michigan · 37290

    Office

    $10379.67

    Facility

    $846.13

    $137.79 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 37290

    Office

    $9795.21

    Facility

    $775.39

    $722.25 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 37290

    Office

    $10850.83

    Facility

    $685.01

    $333.37 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 37290

    Office

    $10035.97

    Facility

    $759.29

    $481.49 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 37290

    Office

    $10168.42

    Facility

    $763.31

    $349.04 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 37290

    Office

    $9268.78

    Facility

    $752.81

    $1248.68 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 37290

    Office

    $9230.72

    Facility

    $724.63

    $1286.74 lower than Delaware for the office setting.

  • Montana**

    Montana · 37290

    Office

    $10645.96

    Facility

    $766.65

    $128.50 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 37290

    Office

    $9935.80

    Facility

    $718.39

    $581.66 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 37290

    Office

    $10575.18

    Facility

    $695.86

    $57.72 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · 37290

    Office

    $9805.00

    Facility

    $686.39

    $712.46 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 37290

    Office

    $11039.57

    Facility

    $755.20

    $522.11 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 37290

    Office

    $12283.52

    Facility

    $823.51

    $1766.06 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 37290

    Office

    $11596.73

    Facility

    $808.51

    $1079.27 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 37290

    Office

    $9843.66

    Facility

    $784.32

    $673.80 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 37290

    Office

    $10636.19

    Facility

    $747.00

    $118.73 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 37290

    Office

    $12667.23

    Facility

    $920.73

    $2149.77 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 37290

    Office

    $11642.95

    Facility

    $825.10

    $1125.49 higher than Delaware for the office setting.

  • Queens

    New York · 37290

    Office

    $12547.90

    Facility

    $870.55

    $2030.44 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 37290

    Office

    $10112.75

    Facility

    $727.40

    $404.71 lower than Delaware for the office setting.

  • Ohio

    Ohio · 37290

    Office

    $9780.74

    Facility

    $760.93

    $736.72 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 37290

    Office

    $9553.94

    Facility

    $731.71

    $963.52 lower than Delaware for the office setting.

  • Portland

    Oregon · 37290

    Office

    $11730.10

    Facility

    $754.18

    $1212.64 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 37290

    Office

    $10570.85

    Facility

    $731.05

    $53.39 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 37290

    Office

    $11087.81

    Facility

    $803.44

    $570.35 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 37290

    Office

    $9823.00

    Facility

    $753.79

    $694.46 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 37290

    Office

    $10753.96

    Facility

    $765.97

    $236.50 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 37290

    Office

    $10972.72

    Facility

    $767.38

    $455.26 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 37290

    Office

    $9871.40

    Facility

    $742.91

    $646.06 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 37290

    Office

    $10566.80

    Facility

    $687.49

    $49.34 higher than Delaware for the office setting.

  • Tennessee

    Tennessee · 37290

    Office

    $9684.59

    Facility

    $704.29

    $832.87 lower than Delaware for the office setting.

  • Austin

    Texas · 37290

    Office

    $11211.32

    Facility

    $759.00

    $693.86 higher than Delaware for the office setting.

  • Beaumont

    Texas · 37290

    Office

    $9741.42

    Facility

    $751.24

    $776.04 lower than Delaware for the office setting.

  • Brazoria

    Texas · 37290

    Office

    $10534.81

    Facility

    $744.41

    $17.35 higher than Delaware for the office setting.

  • Dallas

    Texas · 37290

    Office

    $10594.50

    Facility

    $754.70

    $77.04 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 37290

    Office

    $10496.46

    Facility

    $755.46

    $21.00 lower than Delaware for the office setting.

  • Galveston

    Texas · 37290

    Office

    $10560.47

    Facility

    $750.30

    $43.01 higher than Delaware for the office setting.

  • Houston

    Texas · 37290

    Office

    $10625.99

    Facility

    $815.83

    $108.53 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 37290

    Office

    $10126.70

    Facility

    $751.23

    $390.76 lower than Delaware for the office setting.

  • Utah

    Utah · 37290

    Office

    $10036.48

    Facility

    $749.92

    $480.98 lower than Delaware for the office setting.

  • Virginia

    Virginia · 37290

    Office

    $10441.75

    Facility

    $730.38

    $75.71 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 37290

    Office

    $10753.96

    Facility

    $765.97

    $236.50 higher than Delaware for the office setting.

  • Vermont

    Vermont · 37290

    Office

    $10487.54

    Facility

    $707.02

    $29.92 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 37290

    Office

    $11152.82

    Facility

    $749.90

    $635.36 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 37290

    Office

    $12913.36

    Facility

    $791.44

    $2395.90 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 37290

    Office

    $10145.19

    Facility

    $680.80

    $372.27 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 37290

    Office

    $9393.14

    Facility

    $808.01

    $1124.32 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 37290

    Office

    $10615.11

    Facility

    $735.80

    $97.65 higher than Delaware for the office setting.

See how rates vary across the country

37290 · 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.

$9,184.02

$13,305.70

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$11,523.741
AL$9,349.461
AR$9,184.021
AZ$10,320.261
CA$11,556.42–$15,054.9729
CO$11,264.191
CT$11,449.501
DC$12,463.051
DE$10,517.461
FL$10,268.16–$11,237.343
GA$9,593.61–$10,831.282
GU$11,960.221
HI$11,960.221
IA$9,727.601
ID$9,786.481
IL$9,847.11–$11,011.384
IN$9,857.751
KS$9,630.851
KY$9,530.611
LA$9,495.92–$10,074.902
MA$11,158.83–$12,588.342
MD$10,761.58–$12,463.053
ME$9,804.30–$10,512.452
MI$9,795.21–$10,379.672
MN$10,850.831
MO$9,268.78–$10,168.423
MS$9,230.721
MT$10,645.961
NC$9,935.801
ND$10,575.181
NE$9,805.001
NH$11,039.571
NJ$11,596.73–$12,283.522
NM$9,843.661
NV$10,636.191
NY$10,112.75–$12,667.235
OH$9,780.741
OK$9,553.941
OR$10,570.85–$11,730.102
PA$9,823.00–$11,087.812
PR$10,753.961
RI$10,972.721
SC$9,871.401
SD$10,566.801
TN$9,684.591
TX$9,741.42–$11,211.328
UT$10,036.481
VA$10,441.75–$12,463.052
VI$10,753.961
VT$10,487.541
WA$11,152.82–$12,913.362
WI$10,145.191
WV$9,393.141
WY$10,615.111

Explore 37290 on the national rate map →

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.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 37290 in Delaware, the physician’s office rate is $10517.46 and the facility-setting rate is $756.69: a difference of $9760.77.

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 37290 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$11569.21

$10517.46 × 110% = $11569.21

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.

Compare your contract offer →

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 37290 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

4,650

Code
37290
Physician work
17.00
Practice expense
298.16
Malpractice
3.58

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 37290 in Delaware
ComponentRVULocality factorAdjusted
Physician work17.00× 1.00517.0850
Practice expense298.16× 0.988294.5821
Malpractice3.58× 0.8993.2184
Total RVUs314.8855
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$10517.46

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 37290 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work171.005
Practice expense298.160.988
Malpractice3.580.899

(17 × 1.005 + 298.16 × 0.988 + 3.58 × 0.899) × $33.4009 = $10517.46

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work171.005
Practice expense2.380.988
Malpractice3.580.899

(17 × 1.005 + 2.38 × 0.988 + 3.58 × 0.899) × $33.4009 = $756.69

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

37290 · Office / nonfacility

$10517.46

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$10517.46

    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$10517.46$756.69RVU26D
2026-07-01$10517.46$756.69RVU26C
2026-04-01$10517.46$756.69RVU26B
2026-01-01$10517.46$756.69RVU26A
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

37290 billing questions

How is this code distinguished from 37288?

Both describe peripheral atherectomy, but 37290 is for a complex lesion in the initial vessel. Code 37288 is the simple-lesion initial-vessel entry.

When is 37291 reported with 37290?

Use 37291 for an additional vessel treated for a complex lesion when the applicable CPT rules support reporting an additional-vessel service. The procedure note should identify each treated vessel and its lesion classification.

What documentation supports the complex initial-vessel selection?

Document the target vessel, lesion characteristics supporting the complex classification, the atherectomy performed, and the order of vessels treated. Follow the CPT family’s criteria rather than relying only on device choice.

How does CMS handle bilateral reporting and other procedures in the session?

Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in the same session, CMS pays the highest-valued procedure in full and the others at 50%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted under the CMS rules 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.

RVUs for 37290PPRRVU2026_Oct_nonQPP.csv, line 4,650 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet