Billing code 37293: Tibial revascularizationMedicare rate & RVUs in El Centro

Reports treatment of an additional tibial or peroneal artery with endovascular atherectomy and stenting during lower-extremity revascularization.

CMS RVU26DEffective Oct 1, 2026One payment locality

In El Centro, Medicare pays $3,803.98 for 37293 in the office and $285.28 when it’s performed in a hospital or facility.

$3,803.98Office (non-facility)
$285.28Hospital or facility
+8.4%vs the national office rate ($3,509.10)

Check a contract rate as a % of Medicare · 37293 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 37293 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in El Centro
  2. What 37293 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 37293 covers

This add-on code represents treatment of each additional tibial or peroneal artery using an endovascular approach that combines atherectomy with stent placement. Balloon angioplasty in the treated vessel, when performed, is part of the service. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform these procedures for peripheral arterial disease, including disease associated with rest pain or tissue loss.

Report the code for an additional treated vessel when the intervention meets the straightforward category; it is not the code for the initial vessel. The operative report should identify the tibial or peroneal arteries treated and document the atherectomy and stent work. Angioplasty in that vessel is included rather than separately reported as another revascularization service. CMS classifies this as an add-on code: report it only with the applicable primary procedure, and its payment falls within that procedure's global period. For bilateral procedures, modifier 50 is paid at 150%.

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.

How El Centro compares for 37293

Across 109 of 109 payment localities, the office rate for 37293 runs from $3,029.53 in Arkansas to $4,947.49 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). El Centro pays $3,803.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

37293 in El Centro vs other payment areas
  1. El Centro · this page$3,803.98
  2. Bakersfield · California$3,807.46+$3.48
  3. Chico · California$3,803.76−$0.22
  4. Fresno · California$3,803.76−$0.22
  5. Hanford-Corcoran · California$3,803.76−$0.22
  6. Madera · California$3,803.76−$0.22

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

37293 in every other Medicare payment locality
Payment localityOfficeFacility
MercedCalifornia$3,803.76$285.05
ModestoCalifornia$3,803.76$285.05
NapaCalifornia$4,533.38$301.94
Oxnard-Thousand Oaks-VenturaCalifornia$4,089.30$294.50
ReddingCalifornia$3,803.76$285.05
Rest Of CaliforniaCalifornia$3,803.76$285.05
Riverside-San Bernardino-OntarioCalifornia$3,818.16$299.46
Sacramento-Roseville-FolsomCalifornia$4,025.45$291.64

37293 rates by state

Office rate range in each state. Select a state to see its payment localities.

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.

$3,029.53

$4,375.63

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

View every state and territory as a table
37293 office rate range by state
State / territoryOffice rate rangeLocalities
AK$3,808.631
AL$3,083.771
AR$3,029.531
AZ$3,401.991
CA$3,803.76–$4,947.4929
CO$3,709.731
CT$3,772.881
DC$4,103.891
DE$3,466.701
FL$3,388.73–$3,710.673
GA$3,166.99–$3,570.702
GU$3,935.131
HI$3,935.131
IA$3,206.091
ID$3,225.731
IL$3,251.79–$3,632.854
IN$3,249.051
KS$3,175.161
KY$3,144.851
LA$3,133.79–$3,323.602
MA$3,675.59–$4,143.042
MD$3,546.57–$4,103.893
ME$3,232.40–$3,463.362
MI$3,232.36–$3,426.152
MN$3,571.761
MO$3,059.82–$3,353.323
MS$3,046.051
MT$3,509.011
NC$3,275.381
ND$3,482.511
NE$3,231.221
NH$3,636.641
NJ$3,820.87–$4,045.382
NM$3,248.571
NV$3,504.871
NY$3,333.44–$4,175.085
OH$3,226.951
OK$3,151.661
OR$3,482.82–$3,861.562
PA$3,240.36–$3,654.782
PR$3,544.151
RI$3,615.551
SC$3,255.601
SD$3,479.381
TN$3,192.881
TX$3,213.67–$3,692.778
UT$3,309.701
VA$3,440.74–$4,103.892
VI$3,544.151
VT$3,454.521
WA$3,673.33–$4,248.892
WI$3,341.741
WV$3,103.001
WY$3,497.461

See 37293 in every payment locality

How the 37293 rate is calculated

Each of 37293’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 37293

RVUs × geographic indexes × conversion factor

Work6.50

6.50 RVUs× 1.000 GPCI

Practice expense97.22

97.22 RVUs× 1.000 GPCI

Malpractice1.34

1.34 RVUs× 1.000 GPCI

Adjusted RVUs

105.0600

Conversion factor

$33.4009

Medicare rate

$3,509.10

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact El Centro inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,653

Code
37293
Physician work
6.50
Practice expense
97.22
Malpractice
1.34

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office calculation for 37293 in El Centro
ComponentRVULocality factorAdjusted
Physician work6.50× 1.0176.6105
Practice expense97.22× 1.096106.5531
Malpractice1.34× 0.5410.7249
Total RVUs113.8886
Conversion factor× 33.4009

Office rate, El Centro$3803.98

Office: (6.5 × 1.017 + 97.22 × 1.096 + 1.34 × 0.541) × $33.4009 = $3803.98

Facility: (6.5 × 1.017 + 1.1 × 1.096 + 1.34 × 0.541) × $33.4009 = $285.28

Open 37293 in the RVU calculator

Payment rules and modifiers for 37293

The CMS indicators that decide how 37293 is paid alongside other services.

CMS payment indicators · 37293

Tibial revascularization

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

37293 without 50 · national office

$3,509.10

Tibial revascularization

37293-50 · Bilateral: 150%

$5,263.65

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 37293 has changed in El Centro

37293 · Office / nonfacility

$3803.98

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$3803.98

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU22C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$3,803.98$285.28RVU26D
2026-07-01$3,803.98$285.28RVU26C
2026-04-01$3,803.98$285.28RVU26B
2026-01-01$3,803.98$285.28RVU26A
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
2024-10-01Not in this releaseNot in this releaseRVU24D
2022-07-01Not in this releaseNot in this releaseRVU22C
2021-04-01Not in this releaseNot in this releaseRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 37293 for an earlier date of service

Where the El Centro rate applies

El Centro is a Medicare payment area, not a city. Our Census mapping connects it to 18 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in California

37293 billing questions

Which code is reported for the initial vessel?

For the same straightforward atherectomy-and-stent treatment, 37292 represents the initial vessel. Code 37293 is for each additional qualifying vessel.

Can 37293 be billed by itself?

No. It is an add-on code and must be reported with the applicable primary procedure, such as 37292 for the initial vessel.

Is angioplasty in the treated vessel separately reported?

Angioplasty performed in the vessel treated with atherectomy and stenting is included in this revascularization service.

What supports reporting an additional vessel?

Document the specific additional tibial or peroneal artery treated and the atherectomy and stent work performed there. The procedure documentation should support the straightforward classification.

How is a bilateral procedure handled?

CMS pays a bilateral procedure reported with modifier 50 at 150%.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 37293PPRRVU2026_Oct_nonQPP.csv, line 4,653 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)

Open CMS sourceHow we calculate rates

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