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.
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.
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.
On this page 11 sections
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.
- El Centro · this page$3,803.98
- Bakersfield · California$3,807.46+$3.48
- Chico · California$3,803.76−$0.22
- Fresno · California$3,803.76−$0.22
- Hanford-Corcoran · California$3,803.76−$0.22
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$4,097.21+$293.23
- Madera · California$3,803.76−$0.22
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| SalinasCalifornia | $4,011.37 | $290.41 |
| San Diego-Chula Vista-CarlsbadCalifornia | $4,131.57 | $291.82 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | $4,836.88 | $310.08 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | $4,835.35 | $308.56 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | $4,947.49 | $317.96 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | $4,941.27 | $311.74 |
| San Luis Obispo-Paso RoblesCalifornia | $3,943.39 | $286.63 |
| Santa Cruz-WatsonvilleCalifornia | $4,191.05 | $290.30 |
| Santa Maria-Santa BarbaraCalifornia | $4,033.45 | $290.01 |
| Santa Rosa-PetalumaCalifornia | $4,235.21 | $292.73 |
| StocktonCalifornia | $3,803.76 | $285.05 |
| VallejoCalifornia | $4,531.18 | $299.75 |
| VisaliaCalifornia | $3,803.76 | $285.05 |
| Yuba CityCalifornia | $3,803.76 | $285.05 |
| Dc + Md/Va SuburbsDistrict of Columbia | $4,103.89 | $321.93 |
| MiamiFlorida | $3,710.67 | $368.54 |
| ChicagoIllinois | $3,584.82 | $358.27 |
| ManhattanNew York | $4,075.27 | $344.68 |
| Alaska*Alaska | $3,808.63 | $389.45 |
| AlabamaAlabama | $3,083.77 | $274.59 |
| ArkansasArkansas | $3,029.53 | $271.72 |
| ArizonaArizona | $3,401.99 | $291.02 |
| ColoradoColorado | $3,709.73 | $293.76 |
| ConnecticutConnecticut | $3,772.88 | $315.17 |
| DelawareDelaware | $3,466.70 | $294.73 |
| Fort LauderdaleFlorida | $3,587.48 | $335.25 |
| Rest Of FloridaFlorida | $3,388.73 | $319.50 |
| AtlantaGeorgia | $3,570.70 | $308.84 |
| Rest Of GeorgiaGeorgia | $3,166.99 | $303.23 |
| Hawaii, GuamHawaii | $3,935.13 | $284.79 |
| IowaIowa | $3,206.09 | $268.49 |
| IdahoIdaho | $3,225.73 | $272.08 |
| East St. LouisIllinois | $3,294.70 | $341.05 |
| Rest Of IllinoisIllinois | $3,251.79 | $320.61 |
| Suburban ChicagoIllinois | $3,632.85 | $335.67 |
| IndianaIndiana | $3,249.05 | $272.92 |
| KansasKansas | $3,175.16 | $272.88 |
| KentuckyKentucky | $3,144.85 | $290.72 |
| New OrleansLouisiana | $3,323.60 | $302.52 |
| Rest Of LouisianaLouisiana | $3,133.79 | $292.50 |
| Metropolitan BostonMassachusetts | $4,143.04 | $309.71 |
| Rest Of MassachusettsMassachusetts | $3,675.59 | $294.94 |
| Baltimore/Surr. CntysMaryland | $3,760.23 | $315.37 |
| Rest Of MarylandMaryland | $3,546.57 | $297.55 |
| Rest Of MaineMaine | $3,232.40 | $278.75 |
| Southern MaineMaine | $3,463.36 | $281.76 |
| DetroitMichigan | $3,426.15 | $328.02 |
| Rest Of MichiganMichigan | $3,232.36 | $301.18 |
| MinnesotaMinnesota | $3,571.76 | $268.16 |
| Metropolitan Kansas CityMissouri | $3,309.99 | $295.33 |
| Metropolitan St. LouisMissouri | $3,353.32 | $296.93 |
| Rest Of MissouriMissouri | $3,059.82 | $292.37 |
| MississippiMississippi | $3,046.05 | $281.82 |
| Montana**Montana | $3,509.01 | $298.51 |
| North CarolinaNorth Carolina | $3,275.38 | $279.99 |
| North Dakota**North Dakota | $3,482.51 | $272.02 |
| NebraskaNebraska | $3,231.22 | $267.94 |
| New HampshireNew Hampshire | $3,636.64 | $294.52 |
| Northern NjNew Jersey | $4,045.38 | $321.20 |
| Rest Of New JerseyNew Jersey | $3,820.87 | $315.01 |
| New MexicoNew Mexico | $3,248.57 | $304.55 |
| Nevada**Nevada | $3,504.87 | $291.17 |
| Nyc Suburbs/Long IslandNew York | $4,175.08 | $357.80 |
| Poughkpsie/N Nyc SuburbsNew York | $3,836.75 | $321.26 |
| QueensNew York | $4,133.77 | $338.97 |
| Rest Of New YorkNew York | $3,333.44 | $283.47 |
| OhioOhio | $3,226.95 | $295.77 |
| OklahomaOklahoma | $3,151.66 | $284.69 |
| PortlandOregon | $3,861.56 | $294.70 |
| Rest Of OregonOregon | $3,482.82 | $285.16 |
| Metropolitan PhiladelphiaPennsylvania | $3,654.78 | $312.66 |
| Rest Of PennsylvaniaPennsylvania | $3,240.36 | $293.13 |
| Puerto RicoPuerto Rico | $3,544.15 | $298.34 |
| Rhode IslandRhode Island | $3,615.55 | $299.11 |
| South CarolinaSouth Carolina | $3,255.60 | $289.10 |
| South Dakota**South Dakota | $3,479.38 | $268.89 |
| TennesseeTennessee | $3,192.88 | $274.54 |
| AustinTexas | $3,692.77 | $296.07 |
| BeaumontTexas | $3,213.67 | $292.12 |
| BrazoriaTexas | $3,471.76 | $290.16 |
| DallasTexas | $3,491.71 | $294.06 |
| Fort WorthTexas | $3,459.82 | $294.27 |
| GalvestonTexas | $3,480.41 | $292.39 |
| HoustonTexas | $3,504.93 | $316.91 |
| Rest Of TexasTexas | $3,339.15 | $292.39 |
| UtahUtah | $3,309.70 | $291.83 |
| VirginiaVirginia | $3,440.74 | $284.82 |
| Virgin IslandsUnited States Virgin Islands | $3,544.15 | $298.34 |
| VermontVermont | $3,454.52 | $276.13 |
| Rest Of WashingtonWashington | $3,673.33 | $292.68 |
| Seattle (King Cnty)Washington | $4,248.89 | $309.61 |
| WisconsinWisconsin | $3,341.74 | $266.09 |
| West VirginiaWest Virginia | $3,103.00 | $313.08 |
| Wyoming**Wyoming | $3,497.46 | $286.97 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $3,808.63 | 1 |
| AL | $3,083.77 | 1 |
| AR | $3,029.53 | 1 |
| AZ | $3,401.99 | 1 |
| CA | $3,803.76–$4,947.49 | 29 |
| CO | $3,709.73 | 1 |
| CT | $3,772.88 | 1 |
| DC | $4,103.89 | 1 |
| DE | $3,466.70 | 1 |
| FL | $3,388.73–$3,710.67 | 3 |
| GA | $3,166.99–$3,570.70 | 2 |
| GU | $3,935.13 | 1 |
| HI | $3,935.13 | 1 |
| IA | $3,206.09 | 1 |
| ID | $3,225.73 | 1 |
| IL | $3,251.79–$3,632.85 | 4 |
| IN | $3,249.05 | 1 |
| KS | $3,175.16 | 1 |
| KY | $3,144.85 | 1 |
| LA | $3,133.79–$3,323.60 | 2 |
| MA | $3,675.59–$4,143.04 | 2 |
| MD | $3,546.57–$4,103.89 | 3 |
| ME | $3,232.40–$3,463.36 | 2 |
| MI | $3,232.36–$3,426.15 | 2 |
| MN | $3,571.76 | 1 |
| MO | $3,059.82–$3,353.32 | 3 |
| MS | $3,046.05 | 1 |
| MT | $3,509.01 | 1 |
| NC | $3,275.38 | 1 |
| ND | $3,482.51 | 1 |
| NE | $3,231.22 | 1 |
| NH | $3,636.64 | 1 |
| NJ | $3,820.87–$4,045.38 | 2 |
| NM | $3,248.57 | 1 |
| NV | $3,504.87 | 1 |
| NY | $3,333.44–$4,175.08 | 5 |
| OH | $3,226.95 | 1 |
| OK | $3,151.66 | 1 |
| OR | $3,482.82–$3,861.56 | 2 |
| PA | $3,240.36–$3,654.78 | 2 |
| PR | $3,544.15 | 1 |
| RI | $3,615.55 | 1 |
| SC | $3,255.60 | 1 |
| SD | $3,479.38 | 1 |
| TN | $3,192.88 | 1 |
| TX | $3,213.67–$3,692.77 | 8 |
| UT | $3,309.70 | 1 |
| VA | $3,440.74–$4,103.89 | 2 |
| VI | $3,544.15 | 1 |
| VT | $3,454.52 | 1 |
| WA | $3,673.33–$4,248.89 | 2 |
| WI | $3,341.74 | 1 |
| WV | $3,103.00 | 1 |
| WY | $3,497.46 | 1 |
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.50 | × 1.017 | 6.6105 |
| Practice expense | 97.22 | × 1.096 | 106.5531 |
| Malpractice | 1.34 | × 0.541 | 0.7249 |
| Total RVUs | 113.8886 | ||
| 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
Payment rules and modifiers for 37293
The CMS indicators that decide how 37293 is paid alongside other services.
CMS payment indicators · 37293
Tibial revascularization
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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).
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.
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$3803.98
Held through RVU26B, RVU26C, RVU26D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $3,803.98 | $285.28 | RVU26D |
| 2026-07-01 | $3,803.98 | $285.28 | RVU26C |
| 2026-04-01 | $3,803.98 | $285.28 | RVU26B |
| 2026-01-01 | $3,803.98 | $285.28 | 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 |
| 2024-10-01 | Not in this release | Not in this release | RVU24D |
| 2022-07-01 | Not in this release | Not in this release | RVU22C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
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.
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
Fee sheets
Put 37293 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →