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CMS RVU26D · Effective 2026-10-01

37247 in Madera

Office / nonfacility

$636.14

Base rate per service

Facility setting

$145.97

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 37247: Additional artery balloon angioplasty

Reports balloon angioplasty of an additional noncoronary artery during a session that includes primary arterial angioplasty.

This add-on represents balloon dilation of a second or subsequent eligible artery, such as a renal, mesenteric, or upper-extremity artery, to improve blood flow through a narrowed segment. It is used for open or endovascular treatment outside the code families for coronary, intracranial, and lower-extremity occlusive-disease interventions. Vascular surgeons and interventional radiologists commonly perform these procedures in operating rooms or endovascular suites.

Report 37247 with 37246 for the first treated artery; it is not a stand-alone service. The record should identify each artery treated, the lesion and clinical indication, and the angioplasty performed in the additional artery. Necessary imaging guidance and radiological supervision and interpretation are included in the angioplasty service. CMS treats this as an add-on paid within the primary procedure’s global period. When the service is bilateral and reported with modifier 50, CMS pays 150% of the applicable amount.

CMS billing rules for 37247

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 RVU3.41 · 19%
  • Practice expense (office) RVU13.91 · 78%
  • Malpractice RVU0.62 · 3%

696

Medicare services in 2024 · #3266 by national volume

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.

37247 compared with similar codes

Office rates for Madera, from the same CMS release.

37246

Arterial angioplasty

Initial artery

$1,871.11

37246 reports angioplasty of the first eligible artery. Use 37247 for each additional eligible artery treated during the session.

37248

Venous angioplasty

Initial vein

$1,397.79

37248 applies to balloon angioplasty of the first eligible vein; 37247 is for an additional artery.

37249

Venous angioplasty

Each additional vein

$450.82

37249 reports angioplasty of an additional vein. Choose 37247 when the additional treated vessel is an artery.

37236

Arterial stent

First treated artery

$2,789.43

37236 describes arterial stent placement. 37247 is for balloon angioplasty of an additional artery when the service is angioplasty rather than stent placement.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 37247 is $637.88—$1.74 higher than the $636.14 rate in Madera. Both use the same code, release and participation basis.

37247 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $636.14

  2. Bakersfield

    $637.88

    $1.74 higher than Madera

  3. Chico

    $636.14

    The same base rate than Madera

  4. El Centro

    $636.25

    $0.11 higher than Madera

  5. Fresno

    $636.14

    The same base rate than Madera

  6. Hanford-Corcoran

    $636.14

    The same base rate than Madera

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

    $681.95

    $45.81 higher than Madera

Other payment areas listed in California 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, 37247 ranges from $523.66 in Arkansas to $807.49 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

  • Merced

    California · 37247

    Office

    $636.14

    Facility

    $145.97

    The same base rate than Madera for the office setting.

  • Modesto

    California · 37247

    Office

    $636.14

    Facility

    $145.97

    The same base rate than Madera for the office setting.

  • Napa

    California · 37247

    Office

    $743.94

    Facility

    $154.48

    $107.80 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 37247

    Office

    $679.15

    Facility

    $150.52

    $43.01 higher than Madera for the office setting.

  • Redding

    California · 37247

    Office

    $636.14

    Facility

    $145.97

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 37247

    Office

    $636.14

    Facility

    $145.97

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 37247

    Office

    $642.82

    Facility

    $152.65

    $6.68 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 37247

    Office

    $669.43

    Facility

    $149.30

    $33.29 higher than Madera for the office setting.

  • Salinas

    California · 37247

    Office

    $667.01

    Facility

    $148.66

    $30.87 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 37247

    Office

    $684.21

    Facility

    $149.31

    $48.07 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 37247

    Office

    $789.32

    Facility

    $158.71

    $153.18 higher than Madera for the office setting.

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

    California · 37247

    Office

    $788.61

    Facility

    $158.01

    $152.47 higher than Madera for the office setting.

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

    California · 37247

    Office

    $807.49

    Facility

    $162.57

    $171.35 higher than Madera for the office setting.

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

    California · 37247

    Office

    $804.61

    Facility

    $159.69

    $168.47 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 37247

    Office

    $656.12

    Facility

    $146.72

    $19.98 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 37247

    Office

    $691.89

    Facility

    $148.49

    $55.75 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 37247

    Office

    $669.92

    Facility

    $148.44

    $33.78 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 37247

    Office

    $698.95

    Facility

    $149.74

    $62.81 higher than Madera for the office setting.

  • Stockton

    California · 37247

    Office

    $636.14

    Facility

    $145.97

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 37247

    Office

    $742.93

    Facility

    $153.47

    $106.79 higher than Madera for the office setting.

  • Visalia

    California · 37247

    Office

    $636.14

    Facility

    $145.97

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 37247

    Office

    $636.14

    Facility

    $145.97

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 37247

    Office

    $690.40

    Facility

    $163.56

    $54.26 higher than Madera for the office setting.

  • Miami

    Florida · 37247

    Office

    $649.92

    Facility

    $184.35

    $13.78 higher than Madera for the office setting.

  • Chicago

    Illinois · 37247

    Office

    $629.15

    Facility

    $179.68

    $6.99 lower than Madera for the office setting.

  • Manhattan

    New York · 37247

    Office

    $693.90

    Facility

    $174.21

    $57.76 higher than Madera for the office setting.

  • Alaska*

    Alaska · 37247

    Office

    $677.06

    Facility

    $200.75

    $40.92 higher than Madera for the office setting.

  • Alabama

    Alabama · 37247

    Office

    $532.15

    Facility

    $140.82

    $103.99 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 37247

    Office

    $523.66

    Facility

    $139.48

    $112.48 lower than Madera for the office setting.

  • Arizona

    Arizona · 37247

    Office

    $581.83

    Facility

    $148.45

    $54.31 lower than Madera for the office setting.

  • Colorado

    Colorado · 37247

    Office

    $625.78

    Facility

    $149.92

    $10.36 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 37247

    Office

    $641.61

    Facility

    $159.94

    $5.47 higher than Madera for the office setting.

  • Delaware

    Delaware · 37247

    Office

    $592.11

    Facility

    $150.24

    $44.03 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 37247

    Office

    $621.98

    Facility

    $168.93

    $14.16 lower than Madera for the office setting.

  • Rest Of Florida

    Florida · 37247

    Office

    $589.19

    Facility

    $161.63

    $46.95 lower than Madera for the office setting.

  • Atlanta

    Georgia · 37247

    Office

    $611.15

    Facility

    $156.76

    $24.99 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 37247

    Office

    $553.01

    Facility

    $154.07

    $83.13 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 37247

    Office

    $654.14

    Facility

    $145.64

    $18.00 higher than Madera for the office setting.

  • Iowa

    Iowa · 37247

    Office

    $547.23

    Facility

    $138.01

    $88.91 lower than Madera for the office setting.

  • Idaho

    Idaho · 37247

    Office

    $551.13

    Facility

    $139.67

    $85.01 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 37247

    Office

    $583.04

    Facility

    $171.58

    $53.10 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 37247

    Office

    $570.45

    Facility

    $162.12

    $65.69 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 37247

    Office

    $628.54

    Facility

    $169.23

    $7.60 lower than Madera for the office setting.

  • Indiana

    Indiana · 37247

    Office

    $554.65

    Facility

    $140.06

    $81.49 lower than Madera for the office setting.

  • Kansas

    Kansas · 37247

    Office

    $544.34

    Facility

    $140.04

    $91.80 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 37247

    Office

    $545.88

    Facility

    $148.29

    $90.26 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 37247

    Office

    $574.62

    Facility

    $153.77

    $61.52 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 37247

    Office

    $544.91

    Facility

    $149.11

    $91.23 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 37247

    Office

    $691.74

    Facility

    $157.74

    $55.60 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 37247

    Office

    $621.45

    Facility

    $150.51

    $14.69 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 37247

    Office

    $639.86

    Facility

    $159.97

    $3.72 higher than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 37247

    Office

    $604.23

    Facility

    $151.62

    $31.91 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 37247

    Office

    $554.22

    Facility

    $142.76

    $81.92 lower than Madera for the office setting.

  • Southern Maine

    Maine · 37247

    Office

    $587.39

    Facility

    $144.18

    $48.75 lower than Madera for the office setting.

  • Detroit

    Michigan · 37247

    Office

    $597.16

    Facility

    $165.57

    $38.98 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 37247

    Office

    $561.46

    Facility

    $153.13

    $74.68 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 37247

    Office

    $598.11

    Facility

    $137.90

    $38.03 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 37247

    Office

    $570.39

    Facility

    $150.44

    $65.75 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 37247

    Office

    $576.95

    Facility

    $151.18

    $59.19 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 37247

    Office

    $534.56

    Facility

    $149.04

    $101.58 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 37247

    Office

    $529.23

    Facility

    $144.15

    $106.91 lower than Madera for the office setting.

  • Montana**

    Montana · 37247

    Office

    $599.17

    Facility

    $151.93

    $36.97 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 37247

    Office

    $560.61

    Facility

    $143.33

    $75.53 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 37247

    Office

    $586.91

    Facility

    $139.67

    $49.23 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 37247

    Office

    $550.56

    Facility

    $137.76

    $85.58 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 37247

    Office

    $615.67

    Facility

    $150.10

    $20.47 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 37247

    Office

    $682.13

    Facility

    $163.34

    $45.99 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 37247

    Office

    $648.52

    Facility

    $160.14

    $12.38 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 37247

    Office

    $564.81

    Facility

    $154.69

    $71.33 lower than Madera for the office setting.

  • Nevada**

    Nevada · 37247

    Office

    $596.22

    Facility

    $148.53

    $39.92 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 37247

    Office

    $712.06

    Facility

    $180.29

    $75.92 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 37247

    Office

    $652.82

    Facility

    $163.10

    $16.68 higher than Madera for the office setting.

  • Queens

    New York · 37247

    Office

    $700.21

    Facility

    $171.58

    $64.07 higher than Madera for the office setting.

  • Rest Of New York

    New York · 37247

    Office

    $569.83

    Facility

    $144.96

    $66.31 lower than Madera for the office setting.

  • Ohio

    Ohio · 37247

    Office

    $558.96

    Facility

    $150.63

    $77.18 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 37247

    Office

    $544.88

    Facility

    $145.50

    $91.26 lower than Madera for the office setting.

  • Portland

    Oregon · 37247

    Office

    $647.30

    Facility

    $150.42

    $11.16 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 37247

    Office

    $591.20

    Facility

    $145.75

    $44.94 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 37247

    Office

    $624.31

    Facility

    $158.73

    $11.83 lower than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 37247

    Office

    $559.98

    Facility

    $149.41

    $76.16 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 37247

    Office

    $604.01

    Facility

    $151.85

    $32.13 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 37247

    Office

    $614.47

    Facility

    $152.47

    $21.67 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 37247

    Office

    $560.80

    Facility

    $147.55

    $75.34 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 37247

    Office

    $585.46

    Facility

    $138.22

    $50.68 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 37247

    Office

    $547.34

    Facility

    $140.81

    $88.80 lower than Madera for the office setting.

  • Austin

    Texas · 37247

    Office

    $624.03

    Facility

    $150.85

    $12.11 lower than Madera for the office setting.

  • Beaumont

    Texas · 37247

    Office

    $555.93

    Facility

    $148.94

    $80.21 lower than Madera for the office setting.

  • Brazoria

    Texas · 37247

    Office

    $591.39

    Facility

    $148.17

    $44.75 lower than Madera for the office setting.

  • Dallas

    Texas · 37247

    Office

    $595.44

    Facility

    $149.99

    $40.70 lower than Madera for the office setting.

  • Fort Worth

    Texas · 37247

    Office

    $591.06

    Facility

    $150.08

    $45.08 lower than Madera for the office setting.

  • Galveston

    Texas · 37247

    Office

    $593.31

    Facility

    $149.20

    $42.83 lower than Madera for the office setting.

  • Houston

    Texas · 37247

    Office

    $604.66

    Facility

    $160.55

    $31.48 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 37247

    Office

    $573.51

    Facility

    $149.08

    $62.63 lower than Madera for the office setting.

  • Utah

    Utah · 37247

    Office

    $569.22

    Facility

    $148.82

    $66.92 lower than Madera for the office setting.

  • Virginia

    Virginia · 37247

    Office

    $585.23

    Facility

    $145.59

    $50.91 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 37247

    Office

    $604.01

    Facility

    $151.85

    $32.13 lower than Madera for the office setting.

  • Vermont

    Vermont · 37247

    Office

    $584.34

    Facility

    $141.57

    $51.80 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 37247

    Office

    $620.37

    Facility

    $149.43

    $15.77 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 37247

    Office

    $706.58

    Facility

    $157.82

    $70.44 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 37247

    Office

    $565.37

    Facility

    $136.91

    $70.77 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 37247

    Office

    $547.27

    Facility

    $158.62

    $88.87 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 37247

    Office

    $593.83

    Facility

    $146.59

    $42.31 lower than Madera for the office setting.

See how rates vary across the country

37247 · 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.

$523.66

$721.82

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$677.061
AL$532.151
AR$523.661
AZ$581.831
CA$636.14–$807.4929
CO$625.781
CT$641.611
DC$690.401
DE$592.111
FL$589.19–$649.923
GA$553.01–$611.152
GU$654.141
HI$654.141
IA$547.231
ID$551.131
IL$570.45–$629.154
IN$554.651
KS$544.341
KY$545.881
LA$544.91–$574.622
MA$621.45–$691.742
MD$604.23–$690.403
ME$554.22–$587.392
MI$561.46–$597.162
MN$598.111
MO$534.56–$576.953
MS$529.231
MT$599.171
NC$560.611
ND$586.911
NE$550.561
NH$615.671
NJ$648.52–$682.132
NM$564.811
NV$596.221
NY$569.83–$712.065
OH$558.961
OK$544.881
OR$591.20–$647.302
PA$559.98–$624.312
PR$604.011
RI$614.471
SC$560.801
SD$585.461
TN$547.341
TX$555.93–$624.038
UT$569.221
VA$585.23–$690.402
VI$604.011
VT$584.341
WA$620.37–$706.582
WI$565.371
WV$547.271
WY$593.831

Explore 37247 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 37247 in Madera, the physician’s office rate is $636.14 and the facility-setting rate is $145.97: a difference of $490.17.

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 37247 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$699.75

$636.14 × 110% = $699.75

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 37247 in Madera.

PPRRVU2026_Oct_nonQPP.csv

4,608

Code
37247
Physician work
3.41
Practice expense
13.91
Malpractice
0.62

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 37247 in Madera
ComponentRVULocality factorAdjusted
Physician work3.41× 1.0173.4680
Practice expense13.91× 1.09615.2454
Malpractice0.62× 0.5360.3323
Total RVUs19.0457
Conversion factor× 33.4009

Office / nonfacility rate, Madera$636.14

Open 37247 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.411.017
Practice expense13.911.096
Malpractice0.620.536

(3.41 × 1.017 + 13.91 × 1.096 + 0.62 × 0.536) × $33.4009 = $636.14

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.411.017
Practice expense0.521.096
Malpractice0.620.536

(3.41 × 1.017 + 0.52 × 1.096 + 0.62 × 0.536) × $33.4009 = $145.97

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

37247 · Office / nonfacility

$636.14

Effective 2026-10-01

The base rate is $40.42 higher than on 2025-10-01, moving from $595.72 to $636.14 (6.8%).

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

    $595.72changed to$636.14

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.50 changed to 3.41
    • Practice expense RVU 13.28 changed to 13.91
    • Malpractice RVU 0.63 changed to 0.62
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $595.72

    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$636.14$145.97RVU26D
2026-07-01$636.14$145.97RVU26C
2026-04-01$636.14$145.97RVU26B
2026-01-01$636.14$145.97RVU26A
2025-10-01$595.72$160.15RVU25D
2025-07-01$595.72$160.15RVU25C
2025-04-01$595.72$160.15RVU25B
2025-01-01$595.72$160.15RVU25A

37247 billing questions

When should 37247 be used instead of 37246?

Use 37246 for the first eligible artery treated with balloon angioplasty. Use 37247 for each additional eligible artery treated in the same session.

Can 37247 be reported by itself?

No. It is an add-on code reported with the primary arterial angioplasty code 37246.

Can imaging guidance be billed separately?

Necessary imaging guidance and radiological supervision and interpretation are included in the angioplasty service.

What documentation supports reporting an additional unit?

Document the additional artery and its treated lesion, the reason for intervention, and the balloon angioplasty performed there. The record should distinguish it from the artery represented by 37246.

How is bilateral treatment handled under the CMS payment rule?

For a bilateral procedure reported with modifier 50, CMS pays 150% of the applicable amount.

How does 37247 relate to the primary procedure's global period?

CMS identifies 37247 as an add-on paid within the global period of the primary procedure. Report it with the primary angioplasty service rather than as a separate stand-alone procedure.

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 37247PPRRVU2026_Oct_nonQPP.csv, line 4,608 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet