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CMS RVU26D · Effective 2026-10-01

37258 in Modesto

Office / nonfacility

$3842.00

Base rate per service

Facility setting

$377.47

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 37258: Infrapopliteal artery stent revascularization

Reports endovascular stent revascularization of a straightforward infrapopliteal arterial lesion in the initial vessel treated during the session.

This code covers endovascular stent treatment of a straightforward lesion in an infrapopliteal artery, such as an anterior tibial, posterior tibial, or peroneal artery. A vascular surgeon, interventional radiologist, or interventional cardiologist may perform the catheter-based procedure for peripheral arterial disease, including limb ischemia, in a hospital or other procedural setting. The code identifies treatment of the initial vessel; the code family distinguishes straightforward from complex lesions and initial from additional vessels.

Report the code when the treated lesion and vessel meet the straightforward-lesion criteria and a stent is placed. The procedure report should identify the target artery, lesion, treatment performed, and whether it was the initial vessel treated. Same-day preoperative and postoperative care is included in the 0-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 for a bilateral procedure is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 37258

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 RVU8.75 · 8%
  • Practice expense (office) RVU95.81 · 90%
  • Malpractice RVU2.09 · 2%

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.

37258 compared with similar codes

Office rates for Modesto, from the same CMS release.

37254

Iliac angioplasty

Simple, first artery

$2,220.24

Both describe treatment of a straightforward lesion in the initial infrapopliteal vessel. Choose 37258 when a stent is placed; choose 37254 for angioplasty treatment.

37259

Iliac stenting

Additional simple-lesion vessel

$1,292.64

37258 is for the initial vessel treated; 37259 identifies a qualifying additional vessel in the straightforward-lesion stent series.

37260

Arterial stenting

Complex aortoiliac, first vessel

$9,153.39

Both describe stent treatment in the initial infrapopliteal vessel. The distinction is lesion classification: straightforward for 37258 and complex for 37260.

37263

Leg angioplasty

Simple lesion, first vessel

$5,896.22

37263 describes straightforward-lesion angioplasty in the femoropopliteal territory. Code 37258 describes stent treatment in the infrapopliteal territory.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 37258 is $3847.68—$5.68 higher than the $3842.00 rate in Modesto. Both use the same code, release and participation basis.

37258 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $3842.00

  2. Bakersfield

    $3847.68

    $5.68 higher than Modesto

  3. Chico

    $3842.00

    The same base rate than Modesto

  4. El Centro

    $3842.35

    $0.35 higher than Modesto

  5. Fresno

    $3842.00

    The same base rate than Modesto

  6. Hanford-Corcoran

    $3842.00

    The same base rate than Modesto

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

    $4136.36

    $294.36 higher than Modesto

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, 37258 ranges from $3077.13 in Arkansas to $4976.43 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 · 37258

    Office

    $3842.00

    Facility

    $377.47

    The same base rate than Modesto for the office setting.

  • Merced

    California · 37258

    Office

    $3842.00

    Facility

    $377.47

    The same base rate than Modesto for the office setting.

  • Napa

    California · 37258

    Office

    $4563.92

    Facility

    $397.64

    $721.92 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 37258

    Office

    $4126.50

    Facility

    $390.12

    $284.50 higher than Modesto for the office setting.

  • Redding

    California · 37258

    Office

    $3842.00

    Facility

    $377.47

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 37258

    Office

    $3842.00

    Facility

    $377.47

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 37258

    Office

    $3864.42

    Facility

    $399.90

    $22.42 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 37258

    Office

    $4061.96

    Facility

    $385.65

    $219.96 higher than Modesto for the office setting.

  • Salinas

    California · 37258

    Office

    $4047.70

    Facility

    $384.03

    $205.70 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 37258

    Office

    $4166.23

    Facility

    $385.60

    $324.23 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 37258

    Office

    $4864.26

    Facility

    $407.17

    $1022.26 higher than Modesto for the office setting.

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

    California · 37258

    Office

    $4861.89

    Facility

    $404.79

    $1019.89 higher than Modesto for the office setting.

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

    California · 37258

    Office

    $4976.43

    Facility

    $418.18

    $1134.43 higher than Modesto for the office setting.

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

    California · 37258

    Office

    $4966.72

    Facility

    $408.47

    $1124.72 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 37258

    Office

    $3979.60

    Facility

    $379.15

    $137.60 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 37258

    Office

    $4223.98

    Facility

    $383.29

    $381.98 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 37258

    Office

    $4069.22

    Facility

    $383.42

    $227.22 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 37258

    Office

    $4268.21

    Facility

    $386.43

    $426.21 higher than Modesto for the office setting.

  • Stockton

    California · 37258

    Office

    $3842.00

    Facility

    $377.47

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 37258

    Office

    $4560.50

    Facility

    $394.22

    $718.50 higher than Modesto for the office setting.

  • Visalia

    California · 37258

    Office

    $3842.00

    Facility

    $377.47

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 37258

    Office

    $3842.00

    Facility

    $377.47

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 37258

    Office

    $4155.50

    Facility

    $431.77

    $313.50 higher than Modesto for the office setting.

  • Miami

    Florida · 37258

    Office

    $3800.15

    Facility

    $509.48

    $41.85 lower than Modesto for the office setting.

  • Chicago

    Illinois · 37258

    Office

    $3670.65

    Facility

    $493.79

    $171.35 lower than Modesto for the office setting.

  • Manhattan

    New York · 37258

    Office

    $4140.24

    Facility

    $467.09

    $298.24 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 37258

    Office

    $3885.00

    Facility

    $518.47

    $43.00 higher than Modesto for the office setting.

  • Alabama

    Alabama · 37258

    Office

    $3131.89

    Facility

    $365.96

    $710.11 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 37258

    Office

    $3077.13

    Facility

    $361.78

    $764.87 lower than Modesto for the office setting.

  • Arizona

    Arizona · 37258

    Office

    $3452.95

    Facility

    $389.88

    $389.05 lower than Modesto for the office setting.

  • Colorado

    Colorado · 37258

    Office

    $3755.23

    Facility

    $391.87

    $86.77 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 37258

    Office

    $3829.12

    Facility

    $424.66

    $12.88 lower than Modesto for the office setting.

  • Delaware

    Delaware · 37258

    Office

    $3518.21

    Facility

    $395.09

    $323.79 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 37258

    Office

    $3660.21

    Facility

    $458.06

    $181.79 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 37258

    Office

    $3456.51

    Facility

    $434.54

    $385.49 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 37258

    Office

    $3628.32

    Facility

    $416.68

    $213.68 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 37258

    Office

    $3229.99

    Facility

    $410.33

    $612.01 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 37258

    Office

    $3971.24

    Facility

    $377.11

    $129.24 higher than Modesto for the office setting.

  • Iowa

    Iowa · 37258

    Office

    $3248.10

    Facility

    $355.73

    $593.90 lower than Modesto for the office setting.

  • Idaho

    Idaho · 37258

    Office

    $3269.41

    Facility

    $361.23

    $572.59 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 37258

    Office

    $3376.98

    Facility

    $468.80

    $465.02 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 37258

    Office

    $3323.10

    Facility

    $437.05

    $518.90 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 37258

    Office

    $3704.55

    Facility

    $458.14

    $137.45 lower than Modesto for the office setting.

  • Indiana

    Indiana · 37258

    Office

    $3292.71

    Facility

    $362.41

    $549.29 lower than Modesto for the office setting.

  • Kansas

    Kansas · 37258

    Office

    $3220.37

    Facility

    $362.77

    $621.63 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 37258

    Office

    $3201.06

    Facility

    $390.87

    $640.94 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 37258

    Office

    $3382.89

    Facility

    $408.33

    $459.11 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 37258

    Office

    $3191.26

    Facility

    $393.72

    $650.74 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 37258

    Office

    $4187.34

    Facility

    $413.03

    $345.34 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 37258

    Office

    $3722.32

    Facility

    $393.72

    $119.68 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 37258

    Office

    $3817.04

    Facility

    $425.22

    $24.96 lower than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 37258

    Office

    $3597.81

    Facility

    $398.81

    $244.19 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 37258

    Office

    $3279.81

    Facility

    $371.63

    $562.19 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 37258

    Office

    $3507.65

    Facility

    $375.03

    $334.35 lower than Modesto for the office setting.

  • Detroit

    Michigan · 37258

    Office

    $3498.09

    Facility

    $447.67

    $343.91 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 37258

    Office

    $3292.80

    Facility

    $406.75

    $549.20 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 37258

    Office

    $3605.87

    Facility

    $353.13

    $236.13 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 37258

    Office

    $3365.39

    Facility

    $397.16

    $476.61 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 37258

    Office

    $3408.74

    Facility

    $399.41

    $433.26 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 37258

    Office

    $3118.77

    Facility

    $393.94

    $723.23 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 37258

    Office

    $3099.17

    Facility

    $377.49

    $742.83 lower than Modesto for the office setting.

  • Montana**

    Montana · 37258

    Office

    $3562.07

    Facility

    $401.01

    $279.93 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 37258

    Office

    $3322.60

    Facility

    $373.33

    $519.40 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 37258

    Office

    $3520.74

    Facility

    $359.68

    $321.26 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 37258

    Office

    $3272.37

    Facility

    $354.72

    $569.63 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 37258

    Office

    $3684.69

    Facility

    $394.02

    $157.31 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 37258

    Office

    $4097.39

    Facility

    $430.56

    $255.39 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 37258

    Office

    $3875.08

    Facility

    $423.20

    $33.08 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 37258

    Office

    $3310.63

    Facility

    $411.93

    $531.37 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 37258

    Office

    $3553.75

    Facility

    $389.53

    $288.25 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 37258

    Office

    $4245.56

    Facility

    $487.06

    $403.56 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 37258

    Office

    $3894.03

    Facility

    $432.67

    $52.03 higher than Modesto for the office setting.

  • Queens

    New York · 37258

    Office

    $4194.19

    Facility

    $457.82

    $352.19 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 37258

    Office

    $3381.47

    Facility

    $378.46

    $460.53 lower than Modesto for the office setting.

  • Ohio

    Ohio · 37258

    Office

    $3284.35

    Facility

    $398.30

    $557.65 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 37258

    Office

    $3204.22

    Facility

    $381.40

    $637.78 lower than Modesto for the office setting.

  • Portland

    Oregon · 37258

    Office

    $3904.23

    Facility

    $392.29

    $62.23 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 37258

    Office

    $3528.67

    Facility

    $380.26

    $313.33 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 37258

    Office

    $3712.15

    Facility

    $421.48

    $129.85 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 37258

    Office

    $3295.96

    Facility

    $394.10

    $546.04 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 37258

    Office

    $3596.36

    Facility

    $400.53

    $245.64 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 37258

    Office

    $3665.82

    Facility

    $400.45

    $176.18 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 37258

    Office

    $3308.52

    Facility

    $387.70

    $533.48 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 37258

    Office

    $3515.85

    Facility

    $354.79

    $326.15 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 37258

    Office

    $3238.67

    Facility

    $365.27

    $603.33 lower than Modesto for the office setting.

  • Austin

    Texas · 37258

    Office

    $3740.44

    Facility

    $396.04

    $101.56 lower than Modesto for the office setting.

  • Beaumont

    Texas · 37258

    Office

    $3269.24

    Facility

    $392.67

    $572.76 lower than Modesto for the office setting.

  • Brazoria

    Texas · 37258

    Office

    $3520.39

    Facility

    $387.77

    $321.61 lower than Modesto for the office setting.

  • Dallas

    Texas · 37258

    Office

    $3542.12

    Facility

    $393.71

    $299.88 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 37258

    Office

    $3511.03

    Facility

    $394.22

    $330.97 lower than Modesto for the office setting.

  • Galveston

    Texas · 37258

    Office

    $3530.14

    Facility

    $391.20

    $311.86 lower than Modesto for the office setting.

  • Houston

    Texas · 37258

    Office

    $3568.39

    Facility

    $429.46

    $273.61 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 37258

    Office

    $3392.23

    Facility

    $392.38

    $449.77 lower than Modesto for the office setting.

  • Utah

    Utah · 37258

    Office

    $3363.08

    Facility

    $391.68

    $478.92 lower than Modesto for the office setting.

  • Virginia

    Virginia · 37258

    Office

    $3487.28

    Facility

    $379.96

    $354.72 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 37258

    Office

    $3596.36

    Facility

    $400.53

    $245.64 lower than Modesto for the office setting.

  • Vermont

    Vermont · 37258

    Office

    $3495.72

    Facility

    $366.27

    $346.28 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 37258

    Office

    $3718.93

    Facility

    $390.33

    $123.07 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 37258

    Office

    $4290.48

    Facility

    $411.85

    $448.48 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 37258

    Office

    $3379.49

    Facility

    $351.20

    $462.51 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 37258

    Office

    $3173.07

    Facility

    $426.11

    $668.93 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 37258

    Office

    $3544.06

    Facility

    $382.99

    $297.94 lower than Modesto for the office setting.

See how rates vary across the country

37258 · 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.

$3,077.13

$4,409.22

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$3,885.001
AL$3,131.891
AR$3,077.131
AZ$3,452.951
CA$3,842.00–$4,976.4329
CO$3,755.231
CT$3,829.121
DC$4,155.501
DE$3,518.211
FL$3,456.51–$3,800.153
GA$3,229.99–$3,628.322
GU$3,971.241
HI$3,971.241
IA$3,248.101
ID$3,269.411
IL$3,323.10–$3,704.554
IN$3,292.711
KS$3,220.371
KY$3,201.061
LA$3,191.26–$3,382.892
MA$3,722.32–$4,187.342
MD$3,597.81–$4,155.503
ME$3,279.81–$3,507.652
MI$3,292.80–$3,498.092
MN$3,605.871
MO$3,118.77–$3,408.743
MS$3,099.171
MT$3,562.071
NC$3,322.601
ND$3,520.741
NE$3,272.371
NH$3,684.691
NJ$3,875.08–$4,097.392
NM$3,310.631
NV$3,553.751
NY$3,381.47–$4,245.565
OH$3,284.351
OK$3,204.221
OR$3,528.67–$3,904.232
PA$3,295.96–$3,712.152
PR$3,596.361
RI$3,665.821
SC$3,308.521
SD$3,515.851
TN$3,238.671
TX$3,269.24–$3,740.448
UT$3,363.081
VA$3,487.28–$4,155.502
VI$3,596.361
VT$3,495.721
WA$3,718.93–$4,290.482
WI$3,379.491
WV$3,173.071
WY$3,544.061

Explore 37258 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 37258 in Modesto, the physician’s office rate is $3842.00 and the facility-setting rate is $377.47: a difference of $3464.53.

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 37258 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$4226.20

$3842.00 × 110% = $4226.20

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 37258 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

4,617

Code
37258
Physician work
8.75
Practice expense
95.81
Malpractice
2.09

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 37258 in Modesto
ComponentRVULocality factorAdjusted
Physician work8.75× 1.0178.8987
Practice expense95.81× 1.096105.0078
Malpractice2.09× 0.5361.1202
Total RVUs115.0267
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$3842.00

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

Open 37258 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work8.751.017
Practice expense95.811.096
Malpractice2.090.536

(8.75 × 1.017 + 95.81 × 1.096 + 2.09 × 0.536) × $33.4009 = $3842.00

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work8.751.017
Practice expense1.171.096
Malpractice2.090.536

(8.75 × 1.017 + 1.17 × 1.096 + 2.09 × 0.536) × $33.4009 = $377.47

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

37258 · Office / nonfacility

$3842.00

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$3842.00

    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$3842.00$377.47RVU26D
2026-07-01$3842.00$377.47RVU26C
2026-04-01$3842.00$377.47RVU26B
2026-01-01$3842.00$377.47RVU26A
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

37258 billing questions

How does this differ from 37254?

Code 37258 describes stent treatment of a straightforward infrapopliteal lesion in the initial vessel. Code 37254 describes angioplasty treatment for that lesion and vessel position.

When should 37259 be reported instead?

Use 37259 for a qualifying additional vessel treated after the initial vessel in the applicable straightforward-lesion stent series. Document the vessels treated and their sequence.

Can angioplasty be separately reported in the stented vessel?

Angioplasty performed as part of stent treatment in the same vessel is included in the revascularization service; do not report it separately for that same treatment.

How are bilateral procedures handled?

For a bilateral procedure reported with modifier 50, CMS pays the code at 150%. The operative documentation should support treatment on both sides.

What documentation supports the straightforward-lesion code?

Document the infrapopliteal target artery, lesion characteristics supporting the straightforward classification, stent treatment, and whether the vessel is the initial vessel treated.

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 37258PPRRVU2026_Oct_nonQPP.csv, line 4,617 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet