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CMS RVU26D · Effective 2026-10-01

37285 in Merced

Office / nonfacility

$3033.15

Base rate per service

Facility setting

$144.46

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.

Peripheral vascular intervention

About 37285: Straightforward tibial-peroneal vessel stenting, additional

Reports endovascular stenting of each additional tibial or peroneal vessel treated with a straightforward revascularization approach during the same procedure.

This add-on code represents stent-based endovascular revascularization of an additional tibial or peroneal artery in the lower leg. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform these procedures in an angiography suite or operating room to improve blood flow in a diseased vessel. The code distinguishes treatment of additional vessels from the first vessel treated in the same straightforward intervention.

Report it with the applicable primary procedure, identifying the additional vessel treated and documenting the intervention and its straightforward classification. The CMS payment rule treats this as an add-on service paid within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays 150% under the stated bilateral rule. The record should support the treated anatomy, stent placement, and the number of additional vessels.

CMS billing rules for 37285

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 RVU3.34 · 4%
  • Practice expense (office) RVU79.40 · 95%
  • Malpractice RVU0.73 · 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.

37285 compared with similar codes

Office rates for Merced, from the same CMS release.

37284

Venous revascularization

Straightforward, initial vessel

$6,102.23

37284 reports the first vessel treated with straightforward stenting; 37285 reports each additional vessel in that procedure.

37287

Peripheral stenting

Complex lesion, each additional vessel

$5,380.46

Both are additional-vessel stenting codes, but 37287 is selected for a complex procedure rather than a straightforward one.

37281

Leg angioplasty

Additional simple vessel

$786.57

37281 describes angioplasty of each additional tibial-peroneal vessel. Choose 37285 when the additional vessel is treated with stenting.

37292

Arterial revascularization

Simple, initial vessel

$11,117.50

37292 covers first-vessel treatment that combines stenting and atherectomy; 37285 is for additional-vessel stenting without that combination.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 37285 is $3035.15—$2.00 higher than the $3033.15 rate in Merced. Both use the same code, release and participation basis.

37285 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $3033.15

  2. Bakersfield

    $3035.15

    $2.00 higher than Merced

  3. Chico

    $3033.15

    The same base rate than Merced

  4. El Centro

    $3033.27

    $0.12 higher than Merced

  5. Fresno

    $3033.15

    The same base rate than Merced

  6. Hanford-Corcoran

    $3033.15

    The same base rate than Merced

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

    $3269.68

    $236.53 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, 37285 ranges from $2402.21 in Arkansas to $3961.13 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 · 37285

    Office

    $3033.15

    Facility

    $144.46

    The same base rate than Merced for the office setting.

  • Modesto

    California · 37285

    Office

    $3033.15

    Facility

    $144.46

    The same base rate than Merced for the office setting.

  • Napa

    California · 37285

    Office

    $3626.35

    Facility

    $152.54

    $593.20 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 37285

    Office

    $3264.57

    Facility

    $149.22

    $231.42 higher than Merced for the office setting.

  • Redding

    California · 37285

    Office

    $3033.15

    Facility

    $144.46

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 37285

    Office

    $3033.15

    Facility

    $144.46

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 37285

    Office

    $3040.99

    Facility

    $152.30

    $7.84 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 37285

    Office

    $3212.96

    Facility

    $147.68

    $179.81 higher than Merced for the office setting.

  • Salinas

    California · 37285

    Office

    $3201.79

    Facility

    $147.06

    $168.64 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 37285

    Office

    $3299.95

    Facility

    $147.70

    $266.80 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 37285

    Office

    $3872.71

    Facility

    $156.43

    $839.56 higher than Merced for the office setting.

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

    California · 37285

    Office

    $3871.88

    Facility

    $155.60

    $838.73 higher than Merced for the office setting.

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

    California · 37285

    Office

    $3961.13

    Facility

    $160.50

    $927.98 higher than Merced for the office setting.

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

    California · 37285

    Office

    $3957.74

    Facility

    $157.11

    $924.59 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 37285

    Office

    $3147.19

    Facility

    $145.17

    $114.04 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 37285

    Office

    $3349.19

    Facility

    $146.86

    $316.04 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 37285

    Office

    $3220.02

    Facility

    $146.84

    $186.87 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 37285

    Office

    $3384.67

    Facility

    $148.07

    $351.52 higher than Merced for the office setting.

  • Stockton

    California · 37285

    Office

    $3033.15

    Facility

    $144.46

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 37285

    Office

    $3625.16

    Facility

    $151.35

    $592.01 higher than Merced for the office setting.

  • Visalia

    California · 37285

    Office

    $3033.15

    Facility

    $144.46

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 37285

    Office

    $3033.15

    Facility

    $144.46

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 37285

    Office

    $3268.81

    Facility

    $164.00

    $235.66 higher than Merced for the office setting.

  • Miami

    Florida · 37285

    Office

    $2933.99

    Facility

    $190.26

    $99.16 lower than Merced for the office setting.

  • Chicago

    Illinois · 37285

    Office

    $2833.59

    Facility

    $184.75

    $199.56 lower than Merced for the office setting.

  • Manhattan

    New York · 37285

    Office

    $3239.03

    Facility

    $176.39

    $205.88 higher than Merced for the office setting.

  • Alaska*

    Alaska · 37285

    Office

    $3005.19

    Facility

    $198.20

    $27.96 lower than Merced for the office setting.

  • Alabama

    Alabama · 37285

    Office

    $2445.89

    Facility

    $139.68

    $587.26 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 37285

    Office

    $2402.21

    Facility

    $138.17

    $630.94 lower than Merced for the office setting.

  • Arizona

    Arizona · 37285

    Office

    $2702.25

    Facility

    $148.29

    $330.90 lower than Merced for the office setting.

  • Colorado

    Colorado · 37285

    Office

    $2953.70

    Facility

    $149.35

    $79.45 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 37285

    Office

    $2999.53

    Facility

    $160.92

    $33.62 lower than Merced for the office setting.

  • Delaware

    Delaware · 37285

    Office

    $2754.24

    Facility

    $150.21

    $278.91 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 37285

    Office

    $2842.15

    Facility

    $172.22

    $191.00 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 37285

    Office

    $2683.55

    Facility

    $163.85

    $349.60 lower than Merced for the office setting.

  • Atlanta

    Georgia · 37285

    Office

    $2835.64

    Facility

    $157.81

    $197.51 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 37285

    Office

    $2506.24

    Facility

    $155.22

    $526.91 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 37285

    Office

    $3141.04

    Facility

    $144.29

    $107.89 higher than Merced for the office setting.

  • Iowa

    Iowa · 37285

    Office

    $2547.85

    Facility

    $136.21

    $485.30 lower than Merced for the office setting.

  • Idaho

    Idaho · 37285

    Office

    $2562.96

    Facility

    $138.15

    $470.19 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 37285

    Office

    $2600.53

    Facility

    $175.72

    $432.62 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 37285

    Office

    $2570.97

    Facility

    $164.61

    $462.18 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 37285

    Office

    $2879.18

    Facility

    $172.35

    $153.97 lower than Merced for the office setting.

  • Indiana

    Indiana · 37285

    Office

    $2581.84

    Facility

    $138.58

    $451.31 lower than Merced for the office setting.

  • Kansas

    Kansas · 37285

    Office

    $2521.28

    Facility

    $138.64

    $511.87 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 37285

    Office

    $2491.53

    Facility

    $148.42

    $541.62 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 37285

    Office

    $2634.82

    Facility

    $154.66

    $398.33 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 37285

    Office

    $2481.97

    Facility

    $149.40

    $551.18 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 37285

    Office

    $3304.36

    Facility

    $157.38

    $271.21 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 37285

    Office

    $2925.37

    Facility

    $150.01

    $107.78 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 37285

    Office

    $2989.14

    Facility

    $161.07

    $44.01 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 37285

    Office

    $2818.91

    Facility

    $151.62

    $214.24 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 37285

    Office

    $2566.59

    Facility

    $141.78

    $466.56 lower than Merced for the office setting.

  • Southern Maine

    Maine · 37285

    Office

    $2755.11

    Facility

    $143.16

    $278.04 lower than Merced for the office setting.

  • Detroit

    Michigan · 37285

    Office

    $2711.88

    Facility

    $168.46

    $321.27 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 37285

    Office

    $2560.39

    Facility

    $154.03

    $472.76 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 37285

    Office

    $2847.72

    Facility

    $135.62

    $185.43 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 37285

    Office

    $2625.64

    Facility

    $150.75

    $407.51 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 37285

    Office

    $2660.72

    Facility

    $151.57

    $372.43 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 37285

    Office

    $2421.36

    Facility

    $149.42

    $611.79 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 37285

    Office

    $2412.98

    Facility

    $143.67

    $620.17 lower than Merced for the office setting.

  • Montana**

    Montana · 37285

    Office

    $2787.92

    Facility

    $152.26

    $245.23 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 37285

    Office

    $2601.48

    Facility

    $142.41

    $431.67 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 37285

    Office

    $2773.49

    Facility

    $137.82

    $259.66 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 37285

    Office

    $2568.60

    Facility

    $135.88

    $464.55 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 37285

    Office

    $2893.66

    Facility

    $149.93

    $139.49 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 37285

    Office

    $3220.98

    Facility

    $163.61

    $187.83 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 37285

    Office

    $3038.79

    Facility

    $160.64

    $5.64 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 37285

    Office

    $2572.76

    Facility

    $155.85

    $460.39 lower than Merced for the office setting.

  • Nevada**

    Nevada · 37285

    Office

    $2786.55

    Facility

    $148.25

    $246.60 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 37285

    Office

    $3317.24

    Facility

    $183.44

    $284.09 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 37285

    Office

    $3050.06

    Facility

    $164.00

    $16.91 higher than Merced for the office setting.

  • Queens

    New York · 37285

    Office

    $3288.56

    Facility

    $173.20

    $255.41 higher than Merced for the office setting.

  • Rest Of New York

    New York · 37285

    Office

    $2648.13

    Facility

    $144.25

    $385.02 lower than Merced for the office setting.

  • Ohio

    Ohio · 37285

    Office

    $2557.44

    Facility

    $151.08

    $475.71 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 37285

    Office

    $2498.77

    Facility

    $145.12

    $534.38 lower than Merced for the office setting.

  • Portland

    Oregon · 37285

    Office

    $3077.89

    Facility

    $149.67

    $44.74 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 37285

    Office

    $2770.12

    Facility

    $145.00

    $263.03 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 37285

    Office

    $2903.42

    Facility

    $159.69

    $129.73 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 37285

    Office

    $2569.17

    Facility

    $149.63

    $463.98 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 37285

    Office

    $2816.78

    Facility

    $152.12

    $216.37 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 37285

    Office

    $2874.98

    Facility

    $152.33

    $158.17 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 37285

    Office

    $2582.76

    Facility

    $147.41

    $450.39 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 37285

    Office

    $2771.78

    Facility

    $136.12

    $261.37 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 37285

    Office

    $2535.35

    Facility

    $139.53

    $497.80 lower than Merced for the office setting.

  • Austin

    Texas · 37285

    Office

    $2939.23

    Facility

    $150.70

    $93.92 lower than Merced for the office setting.

  • Beaumont

    Texas · 37285

    Office

    $2547.56

    Facility

    $149.10

    $485.59 lower than Merced for the office setting.

  • Brazoria

    Texas · 37285

    Office

    $2759.63

    Facility

    $147.69

    $273.52 lower than Merced for the office setting.

  • Dallas

    Texas · 37285

    Office

    $2774.91

    Facility

    $149.78

    $258.24 lower than Merced for the office setting.

  • Fort Worth

    Texas · 37285

    Office

    $2748.70

    Facility

    $149.94

    $284.45 lower than Merced for the office setting.

  • Galveston

    Texas · 37285

    Office

    $2766.11

    Facility

    $148.89

    $267.04 lower than Merced for the office setting.

  • Houston

    Texas · 37285

    Office

    $2779.47

    Facility

    $162.25

    $253.68 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 37285

    Office

    $2650.35

    Facility

    $149.11

    $382.80 lower than Merced for the office setting.

  • Utah

    Utah · 37285

    Office

    $2626.36

    Facility

    $148.84

    $406.79 lower than Merced for the office setting.

  • Virginia

    Virginia · 37285

    Office

    $2735.72

    Facility

    $144.86

    $297.43 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 37285

    Office

    $2816.78

    Facility

    $152.12

    $216.37 lower than Merced for the office setting.

  • Vermont

    Vermont · 37285

    Office

    $2749.41

    Facility

    $140.10

    $283.74 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 37285

    Office

    $2924.15

    Facility

    $148.80

    $109.00 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 37285

    Office

    $3391.10

    Facility

    $157.14

    $357.95 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 37285

    Office

    $2659.72

    Facility

    $134.75

    $373.43 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 37285

    Office

    $2451.07

    Facility

    $160.67

    $582.08 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 37285

    Office

    $2781.63

    Facility

    $145.97

    $251.52 lower than Merced for the office setting.

See how rates vary across the country

37285 · 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.

$2,402.21

$3,497.14

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$3,005.191
AL$2,445.891
AR$2,402.211
AZ$2,702.251
CA$3,033.15–$3,961.1329
CO$2,953.701
CT$2,999.531
DC$3,268.811
DE$2,754.241
FL$2,683.55–$2,933.993
GA$2,506.24–$2,835.642
GU$3,141.041
HI$3,141.041
IA$2,547.851
ID$2,562.961
IL$2,570.97–$2,879.184
IN$2,581.841
KS$2,521.281
KY$2,491.531
LA$2,481.97–$2,634.822
MA$2,925.37–$3,304.362
MD$2,818.91–$3,268.813
ME$2,566.59–$2,755.112
MI$2,560.39–$2,711.882
MN$2,847.721
MO$2,421.36–$2,660.723
MS$2,412.981
MT$2,787.921
NC$2,601.481
ND$2,773.491
NE$2,568.601
NH$2,893.661
NJ$3,038.79–$3,220.982
NM$2,572.761
NV$2,786.551
NY$2,648.13–$3,317.245
OH$2,557.441
OK$2,498.771
OR$2,770.12–$3,077.892
PA$2,569.17–$2,903.422
PR$2,816.781
RI$2,874.981
SC$2,582.761
SD$2,771.781
TN$2,535.351
TX$2,547.56–$2,939.238
UT$2,626.361
VA$2,735.72–$3,268.812
VI$2,816.781
VT$2,749.411
WA$2,924.15–$3,391.102
WI$2,659.721
WV$2,451.071
WY$2,781.631

Explore 37285 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 37285 in Merced, the physician’s office rate is $3033.15 and the facility-setting rate is $144.46: a difference of $2888.69.

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 37285 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$3336.47

$3033.15 × 110% = $3336.47

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.

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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 37285 in Merced.

PPRRVU2026_Oct_nonQPP.csv

4,645

Code
37285
Physician work
3.34
Practice expense
79.40
Malpractice
0.73

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 37285 in Merced
ComponentRVULocality factorAdjusted
Physician work3.34× 1.0173.3968
Practice expense79.40× 1.09687.0224
Malpractice0.73× 0.5360.3913
Total RVUs90.8105
Conversion factor× 33.4009

Office / nonfacility rate, Merced$3033.15

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

Open 37285 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.341.017
Practice expense79.41.096
Malpractice0.730.536

(3.34 × 1.017 + 79.4 × 1.096 + 0.73 × 0.536) × $33.4009 = $3033.15

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.341.017
Practice expense0.491.096
Malpractice0.730.536

(3.34 × 1.017 + 0.49 × 1.096 + 0.73 × 0.536) × $33.4009 = $144.46

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

37285 · Office / nonfacility

$3033.15

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$3033.15

    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$3033.15$144.46RVU26D
2026-07-01$3033.15$144.46RVU26C
2026-04-01$3033.15$144.46RVU26B
2026-01-01$3033.15$144.46RVU26A
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

37285 billing questions

When should 37285 be chosen instead of 37284?

Use 37284 for the first vessel in a straightforward tibial-peroneal stenting procedure. Use 37285 for each additional vessel treated in that same procedure.

Can 37285 be billed by itself?

No. It is an add-on code and must be reported with the applicable primary procedure.

How is the number of units determined?

Count each additional tibial or peroneal vessel treated beyond the first vessel. Document the specific vessels and the treatment performed.

What distinguishes 37285 from 37287?

Both describe additional-vessel stenting in this vascular territory, but 37285 is for a straightforward procedure and 37287 is for a complex procedure.

How does the bilateral payment rule affect this code?

When the procedure is bilateral and reported with modifier 50, CMS pays 150% under the stated rule.

Is the service paid separately from the primary procedure’s global period?

No. CMS identifies 37285 as an add-on paid within the primary procedure’s global period.

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 37285PPRRVU2026_Oct_nonQPP.csv, line 4,645 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet