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CMS RVU26D · Effective 2026-10-01

37260 in Merced

Office / nonfacility

$9153.39

Base rate per service

Facility setting

$545.53

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 37260: Complex aortoiliac stent revascularization

Reports endovascular stent treatment of a qualifying complex aortoiliac lesion in the first treated vessel for peripheral arterial disease.

This code describes catheter-based revascularization with stent placement for a qualifying complex lesion in the aortoiliac arterial territory, such as a lesion involving the iliac arteries. It is used in treatment of peripheral arterial disease when the treating specialist selects stenting rather than angioplasty alone. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform the procedure in a hospital or other procedural setting.

Report this code for the first treated vessel when the documented lesion and treatment meet the complex-stenting criteria for this code family. The operative report should identify the arterial territory and vessel, lesion characteristics supporting complex classification, and stent treatment. The code has a 0-day global period, so same-day preoperative and postoperative care is included. With multiple procedures 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 37260

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 RVU12.69 · 5%
  • Practice expense (office) RVU236.79 · 94%
  • Malpractice RVU3.02 · 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.

37260 compared with similar codes

Office rates for Merced, from the same CMS release.

37258

Arterial stenting

Straightforward lesion, initial vessel

$3,842.00

Both cover first-vessel aortoiliac stent treatment, but 37258 is for a simple lesion and 37260 is for a qualifying complex lesion.

37261

Iliac stenting

Complex, each additional vessel

$3,653.50

37260 reports the first vessel treated with complex stenting; 37261 reports each additional vessel and is an add-on code.

37256

Iliac angioplasty

Complex lesion, initial vessel

$2,588.24

Both concern complex aortoiliac revascularization of the first vessel. Use 37256 for angioplasty without stenting and 37260 for stent treatment.

37263

Leg angioplasty

Simple lesion, first vessel

$5,896.22

37263 concerns femoropopliteal angioplasty, not aortoiliac stent revascularization; the arterial territory and intervention differ.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 37260 is $9161.60—$8.21 higher than the $9153.39 rate in Merced. Both use the same code, release and participation basis.

37260 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $9153.39

  2. Bakersfield

    $9161.60

    $8.21 higher than Merced

  3. Chico

    $9153.39

    The same base rate than Merced

  4. El Centro

    $9153.90

    $0.51 higher than Merced

  5. Fresno

    $9153.39

    The same base rate than Merced

  6. Hanford-Corcoran

    $9153.39

    The same base rate than Merced

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

    $9864.56

    $711.17 higher than Merced

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, 37260 ranges from $7269.64 in Arkansas to $11929.33 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

  • Madera

    California · 37260

    Office

    $9153.39

    Facility

    $545.53

    The same base rate than Merced for the office setting.

  • Modesto

    California · 37260

    Office

    $9153.39

    Facility

    $545.53

    The same base rate than Merced for the office setting.

  • Napa

    California · 37260

    Office

    $10925.86

    Facility

    $574.44

    $1772.47 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 37260

    Office

    $9847.00

    Facility

    $563.71

    $693.61 higher than Merced for the office setting.

  • Redding

    California · 37260

    Office

    $9153.39

    Facility

    $545.53

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 37260

    Office

    $9153.39

    Facility

    $545.53

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 37260

    Office

    $9185.79

    Facility

    $577.93

    $32.40 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 37260

    Office

    $9691.35

    Facility

    $557.28

    $537.96 higher than Merced for the office setting.

  • Salinas

    California · 37260

    Office

    $9657.59

    Facility

    $554.94

    $504.20 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 37260

    Office

    $9950.41

    Facility

    $557.16

    $797.02 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 37260

    Office

    $11662.11

    Facility

    $588.13

    $2508.72 higher than Merced for the office setting.

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

    California · 37260

    Office

    $11658.68

    Facility

    $584.70

    $2505.29 higher than Merced for the office setting.

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

    California · 37260

    Office

    $11929.33

    Facility

    $604.02

    $2775.94 higher than Merced for the office setting.

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

    California · 37260

    Office

    $11915.30

    Facility

    $590.00

    $2761.91 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 37260

    Office

    $9493.48

    Facility

    $547.90

    $340.09 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 37260

    Office

    $10096.26

    Facility

    $553.79

    $942.87 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 37260

    Office

    $9711.69

    Facility

    $554.05

    $558.30 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 37260

    Office

    $10202.89

    Facility

    $558.32

    $1049.50 higher than Merced for the office setting.

  • Stockton

    California · 37260

    Office

    $9153.39

    Facility

    $545.53

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 37260

    Office

    $10920.92

    Facility

    $569.50

    $1767.53 higher than Merced for the office setting.

  • Visalia

    California · 37260

    Office

    $9153.39

    Facility

    $545.53

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 37260

    Office

    $9153.39

    Facility

    $545.53

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 37260

    Office

    $9875.82

    Facility

    $623.94

    $722.43 higher than Merced for the office setting.

  • Miami

    Florida · 37260

    Office

    $8912.23

    Facility

    $736.33

    $241.16 lower than Merced for the office setting.

  • Chicago

    Illinois · 37260

    Office

    $8606.87

    Facility

    $713.71

    $546.52 lower than Merced for the office setting.

  • Manhattan

    New York · 37260

    Office

    $9801.22

    Facility

    $675.00

    $647.83 higher than Merced for the office setting.

  • Alaska*

    Alaska · 37260

    Office

    $9114.45

    Facility

    $750.06

    $38.94 lower than Merced for the office setting.

  • Alabama

    Alabama · 37260

    Office

    $7401.32

    Facility

    $529.17

    $1752.07 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 37260

    Office

    $7269.64

    Facility

    $523.15

    $1883.75 lower than Merced for the office setting.

  • Arizona

    Arizona · 37260

    Office

    $8174.02

    Facility

    $563.61

    $979.37 lower than Merced for the office setting.

  • Colorado

    Colorado · 37260

    Office

    $8922.90

    Facility

    $566.36

    $230.49 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 37260

    Office

    $9072.38

    Facility

    $613.74

    $81.01 lower than Merced for the office setting.

  • Delaware

    Delaware · 37260

    Office

    $8330.75

    Facility

    $571.11

    $822.64 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 37260

    Office

    $8618.05

    Facility

    $662.06

    $535.34 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 37260

    Office

    $8136.47

    Facility

    $628.15

    $1016.92 lower than Merced for the office setting.

  • Atlanta

    Georgia · 37260

    Office

    $8581.82

    Facility

    $602.27

    $571.57 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 37260

    Office

    $7598.92

    Facility

    $593.25

    $1554.47 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 37260

    Office

    $9474.79

    Facility

    $544.92

    $321.40 higher than Merced for the office setting.

  • Iowa

    Iowa · 37260

    Office

    $7700.64

    Facility

    $514.33

    $1452.75 lower than Merced for the office setting.

  • Idaho

    Idaho · 37260

    Office

    $7747.85

    Facility

    $522.27

    $1405.54 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 37260

    Office

    $7903.29

    Facility

    $677.71

    $1250.10 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 37260

    Office

    $7802.43

    Facility

    $631.84

    $1350.96 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 37260

    Office

    $8728.11

    Facility

    $662.17

    $425.28 lower than Merced for the office setting.

  • Indiana

    Indiana · 37260

    Office

    $7804.52

    Facility

    $523.97

    $1348.87 lower than Merced for the office setting.

  • Kansas

    Kansas · 37260

    Office

    $7624.43

    Facility

    $524.52

    $1528.96 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 37260

    Office

    $7547.25

    Facility

    $565.15

    $1606.14 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 37260

    Office

    $7980.81

    Facility

    $590.31

    $1172.58 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 37260

    Office

    $7519.96

    Facility

    $569.27

    $1633.43 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 37260

    Office

    $9974.36

    Facility

    $596.81

    $820.97 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 37260

    Office

    $8839.21

    Facility

    $569.07

    $314.18 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 37260

    Office

    $9041.77

    Facility

    $614.55

    $111.62 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 37260

    Office

    $8524.60

    Facility

    $576.47

    $628.79 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 37260

    Office

    $7762.88

    Facility

    $537.30

    $1390.51 lower than Merced for the office setting.

  • Southern Maine

    Maine · 37260

    Office

    $8325.32

    Facility

    $542.12

    $828.07 lower than Merced for the office setting.

  • Detroit

    Michigan · 37260

    Office

    $8226.11

    Facility

    $647.11

    $927.28 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 37260

    Office

    $7758.66

    Facility

    $588.06

    $1394.73 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 37260

    Office

    $8592.08

    Facility

    $510.42

    $561.31 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 37260

    Office

    $7948.96

    Facility

    $574.16

    $1204.43 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 37260

    Office

    $8054.30

    Facility

    $577.40

    $1099.09 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 37260

    Office

    $7339.66

    Facility

    $569.61

    $1813.73 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 37260

    Office

    $7308.05

    Facility

    $545.85

    $1845.34 lower than Merced for the office setting.

  • Montana**

    Montana · 37260

    Office

    $8433.53

    Facility

    $579.64

    $719.86 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 37260

    Office

    $7867.41

    Facility

    $539.73

    $1285.98 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 37260

    Office

    $8373.81

    Facility

    $519.92

    $779.58 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 37260

    Office

    $7761.99

    Facility

    $512.85

    $1391.40 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 37260

    Office

    $8745.39

    Facility

    $569.49

    $408.00 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 37260

    Office

    $9732.73

    Facility

    $622.22

    $579.34 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 37260

    Office

    $9188.09

    Facility

    $611.65

    $34.70 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 37260

    Office

    $7797.56

    Facility

    $595.54

    $1355.83 lower than Merced for the office setting.

  • Nevada**

    Nevada · 37260

    Office

    $8424.79

    Facility

    $563.05

    $728.60 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 37260

    Office

    $10042.10

    Facility

    $703.83

    $888.71 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 37260

    Office

    $9225.34

    Facility

    $625.33

    $71.95 higher than Merced for the office setting.

  • Queens

    New York · 37260

    Office

    $9944.88

    Facility

    $661.58

    $791.49 higher than Merced for the office setting.

  • Rest Of New York

    New York · 37260

    Office

    $8008.32

    Facility

    $547.13

    $1145.07 lower than Merced for the office setting.

  • Ohio

    Ohio · 37260

    Office

    $7746.45

    Facility

    $575.85

    $1406.94 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 37260

    Office

    $7564.97

    Facility

    $551.45

    $1588.42 lower than Merced for the office setting.

  • Portland

    Oregon · 37260

    Office

    $9292.58

    Facility

    $566.92

    $139.19 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 37260

    Office

    $8372.13

    Facility

    $549.66

    $781.26 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 37260

    Office

    $8785.09

    Facility

    $609.20

    $368.30 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 37260

    Office

    $7779.64

    Facility

    $569.77

    $1373.75 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 37260

    Office

    $8519.21

    Facility

    $578.93

    $634.18 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 37260

    Office

    $8691.88

    Facility

    $578.82

    $461.51 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 37260

    Office

    $7817.51

    Facility

    $560.52

    $1335.88 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 37260

    Office

    $8366.75

    Facility

    $512.86

    $786.64 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 37260

    Office

    $7667.31

    Facility

    $528.12

    $1486.08 lower than Merced for the office setting.

  • Austin

    Texas · 37260

    Office

    $8881.80

    Facility

    $572.38

    $271.59 lower than Merced for the office setting.

  • Beaumont

    Texas · 37260

    Office

    $7714.76

    Facility

    $567.72

    $1438.63 lower than Merced for the office setting.

  • Brazoria

    Texas · 37260

    Office

    $8343.75

    Facility

    $560.54

    $809.64 lower than Merced for the office setting.

  • Dallas

    Texas · 37260

    Office

    $8391.58

    Facility

    $569.11

    $761.81 lower than Merced for the office setting.

  • Fort Worth

    Texas · 37260

    Office

    $8313.80

    Facility

    $569.87

    $839.59 lower than Merced for the office setting.

  • Galveston

    Texas · 37260

    Office

    $8364.41

    Facility

    $565.49

    $788.98 lower than Merced for the office setting.

  • Houston

    Texas · 37260

    Office

    $8419.68

    Facility

    $620.77

    $733.71 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 37260

    Office

    $8020.58

    Facility

    $567.24

    $1132.81 lower than Merced for the office setting.

  • Utah

    Utah · 37260

    Office

    $7948.90

    Facility

    $566.24

    $1204.49 lower than Merced for the office setting.

  • Virginia

    Virginia · 37260

    Office

    $8269.62

    Facility

    $549.25

    $883.77 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 37260

    Office

    $8519.21

    Facility

    $578.93

    $634.18 lower than Merced for the office setting.

  • Vermont

    Vermont · 37260

    Office

    $8304.81

    Facility

    $529.46

    $848.58 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 37260

    Office

    $8834.31

    Facility

    $564.16

    $319.08 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 37260

    Office

    $10231.80

    Facility

    $595.08

    $1078.41 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 37260

    Office

    $8031.75

    Facility

    $507.72

    $1121.64 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 37260

    Office

    $7441.12

    Facility

    $616.10

    $1712.27 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 37260

    Office

    $8407.50

    Facility

    $553.61

    $745.89 lower than Merced for the office setting.

See how rates vary across the country

37260 · 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.

$7,269.64

$10,541.36

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$9,114.451
AL$7,401.321
AR$7,269.641
AZ$8,174.021
CA$9,153.39–$11,929.3329
CO$8,922.901
CT$9,072.381
DC$9,875.821
DE$8,330.751
FL$8,136.47–$8,912.233
GA$7,598.92–$8,581.822
GU$9,474.791
HI$9,474.791
IA$7,700.641
ID$7,747.851
IL$7,802.43–$8,728.114
IN$7,804.521
KS$7,624.431
KY$7,547.251
LA$7,519.96–$7,980.812
MA$8,839.21–$9,974.362
MD$8,524.60–$9,875.823
ME$7,762.88–$8,325.322
MI$7,758.66–$8,226.112
MN$8,592.081
MO$7,339.66–$8,054.303
MS$7,308.051
MT$8,433.531
NC$7,867.411
ND$8,373.811
NE$7,761.991
NH$8,745.391
NJ$9,188.09–$9,732.732
NM$7,797.561
NV$8,424.791
NY$8,008.32–$10,042.105
OH$7,746.451
OK$7,564.971
OR$8,372.13–$9,292.582
PA$7,779.64–$8,785.092
PR$8,519.211
RI$8,691.881
SC$7,817.511
SD$8,366.751
TN$7,667.311
TX$7,714.76–$8,881.808
UT$7,948.901
VA$8,269.62–$9,875.822
VI$8,519.211
VT$8,304.811
WA$8,834.31–$10,231.802
WI$8,031.751
WV$7,441.121
WY$8,407.501

Explore 37260 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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 37260 in Merced, the physician’s office rate is $9153.39 and the facility-setting rate is $545.53: a difference of $8607.86.

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 37260 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$10068.73

$9153.39 × 110% = $10068.73

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

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Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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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 37260 in Merced.

PPRRVU2026_Oct_nonQPP.csv

4,620

Code
37260
Physician work
12.69
Practice expense
236.79
Malpractice
3.02

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 37260 in Merced
ComponentRVULocality factorAdjusted
Physician work12.69× 1.01712.9057
Practice expense236.79× 1.096259.5218
Malpractice3.02× 0.5361.6187
Total RVUs274.0463
Conversion factor× 33.4009

Office / nonfacility rate, Merced$9153.39

Open 37260 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work12.691.017
Practice expense236.791.096
Malpractice3.020.536

(12.69 × 1.017 + 236.79 × 1.096 + 3.02 × 0.536) × $33.4009 = $9153.39

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work12.691.017
Practice expense1.651.096
Malpractice3.020.536

(12.69 × 1.017 + 1.65 × 1.096 + 3.02 × 0.536) × $33.4009 = $545.53

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

37260 · Office / nonfacility

$9153.39

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$9153.39

    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$9153.39$545.53RVU26D
2026-07-01$9153.39$545.53RVU26C
2026-04-01$9153.39$545.53RVU26B
2026-01-01$9153.39$545.53RVU26A
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

37260 billing questions

How does this differ from 37258?

Both report first-vessel aortoiliac stent revascularization. Use 37260 when the lesion meets the code family's complex criteria; use 37258 for a simple lesion.

When is 37261 reported with this code?

37261 is the add-on code for each additional vessel treated with complex stent revascularization. Report it with the applicable primary code, not by itself.

What documentation supports complex classification?

Document the treated aortoiliac vessel, lesion features supporting the complex category, and the stent intervention performed. The record should make clear which vessel is first and which, if any, are additional.

Can angioplasty be reported separately for the stented lesion?

Do not assume that balloon treatment of the same lesion is separately reportable from the stent service. Follow the CPT family instructions and distinguish any separately treated lesion in the procedure documentation.

How is bilateral treatment reported?

For bilateral procedures reported with modifier 50, CMS pays this code at 150%. The code has a 0-day global period, including same-day preoperative and postoperative care.

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 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 37260PPRRVU2026_Oct_nonQPP.csv, line 4,620 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet