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CMS RVU26D · Effective 2026-10-01

37294 in Redding

Office / nonfacility

$16542.06

Base rate per service

Facility setting

$776.35

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 37294: Complex tibial peroneal stent and atherectomy

Reports complex endovascular treatment of an initial tibial or peroneal artery vessel using atherectomy and stent placement during peripheral arterial revascularization.

This code describes catheter-based treatment of a complex lesion in an initial tibial or peroneal artery vessel, combining atherectomy with stent placement. It is typically performed by an interventional radiologist, vascular surgeon, or interventional cardiologist in a hospital or other procedural setting. Angioplasty within the treated vessel is part of this revascularization service. The code is specific to the tibial/peroneal vascular territory; femoral or popliteal interventions belong to a different territory family.

Select the complex first-vessel code when the documented intervention meets the CPT criteria for complex treatment and includes both atherectomy and stenting. The operative report should identify the treated vessel, the intervention performed, and the basis for classifying the work as complex. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, CMS pays the highest-valued procedure in full and other procedures 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 37294

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 RVU18.00 · 4%
  • Practice expense (office) RVU433.39 · 95%
  • Malpractice RVU3.65 · 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.

37294 compared with similar codes

Office rates for Redding, from the same CMS release.

37292

Arterial revascularization

Simple, initial vessel

$11,117.50

Both codes combine stenting and atherectomy in an initial tibial/peroneal vessel; 37292 is for the simple category, while 37294 is for the complex category.

37295

Tibial revascularization

Complex additional vessel

$6,524.28

37294 reports the initial complex vessel. Use 37295 for an additional complex vessel rather than treating it as another initial-vessel service.

37290

Peripheral atherectomy

Complex, initial vessel

$11,556.42

37290 describes complex atherectomy without the combined stent service. Use 37294 when both atherectomy and stenting are performed in the vessel.

37286

Venous stenting

Complex, initial vein

$11,268.16

37286 describes complex stenting without the combined atherectomy service. Use 37294 when atherectomy and stenting are both performed.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 37294 is $16552.16—$10.10 higher than the $16542.06 rate in Redding. Both use the same code, release and participation basis.

37294 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $16542.06

  2. Bakersfield

    $16552.16

    $10.10 higher than Redding

  3. Chico

    $16542.06

    The same base rate than Redding

  4. El Centro

    $16542.67

    $0.61 higher than Redding

  5. Fresno

    $16542.06

    The same base rate than Redding

  6. Hanford-Corcoran

    $16542.06

    The same base rate than Redding

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

    $17831.47

    $1289.41 higher than Redding

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, 37294 ranges from $13098.56 in Arkansas to $21606.53 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 · 37294

    Office

    $16542.06

    Facility

    $776.35

    The same base rate than Redding for the office setting.

  • Merced

    California · 37294

    Office

    $16542.06

    Facility

    $776.35

    The same base rate than Redding for the office setting.

  • Modesto

    California · 37294

    Office

    $16542.06

    Facility

    $776.35

    The same base rate than Redding for the office setting.

  • Napa

    California · 37294

    Office

    $19779.89

    Facility

    $820.77

    $3237.83 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 37294

    Office

    $17804.18

    Facility

    $801.39

    $1262.12 higher than Redding for the office setting.

  • Rest Of California

    California · 37294

    Office

    $16542.06

    Facility

    $776.35

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 37294

    Office

    $16581.31

    Facility

    $815.60

    $39.25 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 37294

    Office

    $17523.35

    Facility

    $793.86

    $981.29 higher than Redding for the office setting.

  • Salinas

    California · 37294

    Office

    $17462.44

    Facility

    $790.50

    $920.38 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 37294

    Office

    $17998.17

    Facility

    $793.99

    $1456.11 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 37294

    Office

    $21124.91

    Facility

    $842.39

    $4582.85 higher than Redding for the office setting.

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

    California · 37294

    Office

    $21120.76

    Facility

    $838.24

    $4578.70 higher than Redding for the office setting.

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

    California · 37294

    Office

    $21606.53

    Facility

    $863.70

    $5064.47 higher than Redding for the office setting.

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

    California · 37294

    Office

    $21589.59

    Facility

    $846.76

    $5047.53 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 37294

    Office

    $17164.51

    Facility

    $780.26

    $622.45 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 37294

    Office

    $18267.06

    Facility

    $789.57

    $1725.00 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 37294

    Office

    $17561.96

    Facility

    $789.33

    $1019.90 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 37294

    Office

    $18460.65

    Facility

    $796.16

    $1918.59 higher than Redding for the office setting.

  • Stockton

    California · 37294

    Office

    $16542.06

    Facility

    $776.35

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 37294

    Office

    $19773.91

    Facility

    $814.79

    $3231.85 higher than Redding for the office setting.

  • Visalia

    California · 37294

    Office

    $16542.06

    Facility

    $776.35

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 37294

    Office

    $16542.06

    Facility

    $776.35

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 37294

    Office

    $17821.65

    Facility

    $876.39

    $1279.59 higher than Redding for the office setting.

  • Miami

    Florida · 37294

    Office

    $15978.65

    Facility

    $1004.11

    $563.41 lower than Redding for the office setting.

  • Chicago

    Illinois · 37294

    Office

    $15433.21

    Facility

    $976.52

    $1108.85 lower than Redding for the office setting.

  • Manhattan

    New York · 37294

    Office

    $17653.71

    Facility

    $938.62

    $1111.65 higher than Redding for the office setting.

  • Alaska*

    Alaska · 37294

    Office

    $16385.53

    Facility

    $1065.75

    $156.53 lower than Redding for the office setting.

  • Alabama

    Alabama · 37294

    Office

    $13336.38

    Facility

    $749.71

    $3205.68 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 37294

    Office

    $13098.56

    Facility

    $742.04

    $3443.50 lower than Redding for the office setting.

  • Arizona

    Arizona · 37294

    Office

    $14732.45

    Facility

    $793.61

    $1809.61 lower than Redding for the office setting.

  • Colorado

    Colorado · 37294

    Office

    $16105.70

    Facility

    $800.31

    $436.36 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 37294

    Office

    $16350.99

    Facility

    $858.60

    $191.07 lower than Redding for the office setting.

  • Delaware

    Delaware · 37294

    Office

    $15015.73

    Facility

    $803.58

    $1526.33 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 37294

    Office

    $15485.43

    Facility

    $913.67

    $1056.63 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 37294

    Office

    $14623.14

    Facility

    $871.30

    $1918.92 lower than Redding for the office setting.

  • Atlanta

    Georgia · 37294

    Office

    $15456.66

    Facility

    $841.74

    $1085.40 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 37294

    Office

    $13658.79

    Facility

    $827.58

    $2883.27 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 37294

    Office

    $17130.58

    Facility

    $775.10

    $588.52 higher than Redding for the office setting.

  • Iowa

    Iowa · 37294

    Office

    $13894.80

    Facility

    $732.74

    $2647.26 lower than Redding for the office setting.

  • Idaho

    Idaho · 37294

    Office

    $13976.45

    Facility

    $742.46

    $2565.61 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 37294

    Office

    $14164.32

    Facility

    $930.33

    $2377.74 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 37294

    Office

    $14008.00

    Facility

    $874.71

    $2534.06 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 37294

    Office

    $15687.91

    Facility

    $914.76

    $854.15 lower than Redding for the office setting.

  • Indiana

    Indiana · 37294

    Office

    $14079.36

    Facility

    $744.68

    $2462.70 lower than Redding for the office setting.

  • Kansas

    Kansas · 37294

    Office

    $13748.62

    Facility

    $744.79

    $2793.44 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 37294

    Office

    $13581.59

    Facility

    $793.53

    $2960.47 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 37294

    Office

    $14361.26

    Facility

    $825.20

    $2180.80 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 37294

    Office

    $13528.93

    Facility

    $798.41

    $3013.13 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 37294

    Office

    $18018.25

    Facility

    $842.84

    $1476.19 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 37294

    Office

    $15950.82

    Facility

    $803.67

    $591.24 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 37294

    Office

    $16293.98

    Facility

    $859.12

    $248.08 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 37294

    Office

    $15368.47

    Facility

    $811.09

    $1173.59 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 37294

    Office

    $13994.61

    Facility

    $760.63

    $2547.45 lower than Redding for the office setting.

  • Southern Maine

    Maine · 37294

    Office

    $15023.48

    Facility

    $768.18

    $1518.58 lower than Redding for the office setting.

  • Detroit

    Michigan · 37294

    Office

    $14775.73

    Facility

    $894.43

    $1766.33 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 37294

    Office

    $13955.09

    Facility

    $821.80

    $2586.97 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 37294

    Office

    $15532.71

    Facility

    $730.79

    $1009.35 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 37294

    Office

    $14312.93

    Facility

    $805.63

    $2229.13 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 37294

    Office

    $14504.16

    Facility

    $809.86

    $2037.90 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 37294

    Office

    $13197.94

    Facility

    $798.27

    $3344.12 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 37294

    Office

    $13154.82

    Facility

    $769.53

    $3387.24 lower than Redding for the office setting.

  • Montana**

    Montana · 37294

    Office

    $15198.50

    Facility

    $813.74

    $1343.56 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 37294

    Office

    $14184.87

    Facility

    $763.88

    $2357.19 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 37294

    Office

    $15126.33

    Facility

    $741.56

    $1415.73 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 37294

    Office

    $14008.29

    Facility

    $731.15

    $2533.77 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 37294

    Office

    $15777.01

    Facility

    $802.47

    $765.05 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 37294

    Office

    $17561.01

    Facility

    $874.68

    $1018.95 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 37294

    Office

    $16566.38

    Facility

    $858.21

    $24.32 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 37294

    Office

    $14021.77

    Facility

    $830.94

    $2520.29 lower than Redding for the office setting.

  • Nevada**

    Nevada · 37294

    Office

    $15192.86

    Facility

    $793.71

    $1349.20 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 37294

    Office

    $18077.59

    Facility

    $974.11

    $1535.53 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 37294

    Office

    $16626.59

    Facility

    $875.27

    $84.53 higher than Redding for the office setting.

  • Queens

    New York · 37294

    Office

    $17925.67

    Facility

    $922.88

    $1383.61 higher than Redding for the office setting.

  • Rest Of New York

    New York · 37294

    Office

    $14438.76

    Facility

    $773.23

    $2103.30 lower than Redding for the office setting.

  • Ohio

    Ohio · 37294

    Office

    $13940.34

    Facility

    $807.05

    $2601.72 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 37294

    Office

    $13622.67

    Facility

    $777.07

    $2919.39 lower than Redding for the office setting.

  • Portland

    Oregon · 37294

    Office

    $16783.95

    Facility

    $802.47

    $241.89 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 37294

    Office

    $15104.63

    Facility

    $777.41

    $1437.43 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 37294

    Office

    $15826.60

    Facility

    $852.06

    $715.46 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 37294

    Office

    $14005.04

    Facility

    $799.82

    $2537.02 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 37294

    Office

    $15356.15

    Facility

    $813.15

    $1185.91 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 37294

    Office

    $15674.70

    Facility

    $815.23

    $867.36 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 37294

    Office

    $14080.31

    Facility

    $788.79

    $2461.75 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 37294

    Office

    $15117.80

    Facility

    $733.03

    $1424.26 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 37294

    Office

    $13825.02

    Facility

    $749.27

    $2717.04 lower than Redding for the office setting.

  • Austin

    Texas · 37294

    Office

    $16025.64

    Facility

    $806.55

    $516.42 lower than Redding for the office setting.

  • Beaumont

    Texas · 37294

    Office

    $13887.28

    Facility

    $797.15

    $2654.78 lower than Redding for the office setting.

  • Brazoria

    Texas · 37294

    Office

    $15046.45

    Facility

    $791.15

    $1495.61 lower than Redding for the office setting.

  • Dallas

    Texas · 37294

    Office

    $15128.94

    Facility

    $801.72

    $1413.12 lower than Redding for the office setting.

  • Fort Worth

    Texas · 37294

    Office

    $14985.77

    Facility

    $802.39

    $1556.29 lower than Redding for the office setting.

  • Galveston

    Texas · 37294

    Office

    $15081.26

    Facility

    $797.18

    $1460.80 lower than Redding for the office setting.

  • Houston

    Texas · 37294

    Office

    $15148.07

    Facility

    $863.99

    $1393.99 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 37294

    Office

    $14448.66

    Facility

    $797.52

    $2093.40 lower than Redding for the office setting.

  • Utah

    Utah · 37294

    Office

    $14317.77

    Facility

    $796.09

    $2224.29 lower than Redding for the office setting.

  • Virginia

    Virginia · 37294

    Office

    $14916.82

    Facility

    $776.59

    $1625.24 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 37294

    Office

    $15356.15

    Facility

    $813.15

    $1185.91 lower than Redding for the office setting.

  • Vermont

    Vermont · 37294

    Office

    $14993.76

    Facility

    $752.85

    $1548.30 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 37294

    Office

    $15944.63

    Facility

    $797.47

    $597.43 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 37294

    Office

    $18492.46

    Facility

    $842.35

    $1950.40 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 37294

    Office

    $14506.41

    Facility

    $725.80

    $2035.65 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 37294

    Office

    $13354.98

    Facility

    $854.62

    $3187.08 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 37294

    Office

    $15167.05

    Facility

    $782.28

    $1375.01 lower than Redding for the office setting.

See how rates vary across the country

37294 · 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.

$13,098.56

$19,074.30

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$16,385.531
AL$13,336.381
AR$13,098.561
AZ$14,732.451
CA$16,542.06–$21,606.5329
CO$16,105.701
CT$16,350.991
DC$17,821.651
DE$15,015.731
FL$14,623.14–$15,978.653
GA$13,658.79–$15,456.662
GU$17,130.581
HI$17,130.581
IA$13,894.801
ID$13,976.451
IL$14,008.00–$15,687.914
IN$14,079.361
KS$13,748.621
KY$13,581.591
LA$13,528.93–$14,361.262
MA$15,950.82–$18,018.252
MD$15,368.47–$17,821.653
ME$13,994.61–$15,023.482
MI$13,955.09–$14,775.732
MN$15,532.711
MO$13,197.94–$14,504.163
MS$13,154.821
MT$15,198.501
NC$14,184.871
ND$15,126.331
NE$14,008.291
NH$15,777.011
NJ$16,566.38–$17,561.012
NM$14,021.771
NV$15,192.861
NY$14,438.76–$18,077.595
OH$13,940.341
OK$13,622.671
OR$15,104.63–$16,783.952
PA$14,005.04–$15,826.602
PR$15,356.151
RI$15,674.701
SC$14,080.311
SD$15,117.801
TN$13,825.021
TX$13,887.28–$16,025.648
UT$14,317.771
VA$14,916.82–$17,821.652
VI$15,356.151
VT$14,993.761
WA$15,944.63–$18,492.462
WI$14,506.411
WV$13,354.981
WY$15,167.051

Explore 37294 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 37294 in Redding, the physician’s office rate is $16542.06 and the facility-setting rate is $776.35: a difference of $15765.71.

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 37294 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$18196.27

$16542.06 × 110% = $18196.27

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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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 37294 in Redding.

PPRRVU2026_Oct_nonQPP.csv

4,654

Code
37294
Physician work
18.00
Practice expense
433.39
Malpractice
3.65

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 37294 in Redding
ComponentRVULocality factorAdjusted
Physician work18.00× 1.01718.3060
Practice expense433.39× 1.096474.9954
Malpractice3.65× 0.5361.9564
Total RVUs495.2578
Conversion factor× 33.4009

Office / nonfacility rate, Redding$16542.06

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

Open 37294 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work181.017
Practice expense433.391.096
Malpractice3.650.536

(18 × 1.017 + 433.39 × 1.096 + 3.65 × 0.536) × $33.4009 = $16542.06

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work181.017
Practice expense2.721.096
Malpractice3.650.536

(18 × 1.017 + 2.72 × 1.096 + 3.65 × 0.536) × $33.4009 = $776.35

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

37294 · Office / nonfacility

$16542.06

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$16542.06

    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$16542.06$776.35RVU26D
2026-07-01$16542.06$776.35RVU26C
2026-04-01$16542.06$776.35RVU26B
2026-01-01$16542.06$776.35RVU26A
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

37294 billing questions

How does 37294 differ from 37292?

Both describe tibial/peroneal treatment using stenting and atherectomy in an initial vessel. Use 37294 for a lesion meeting the CPT complex criteria and 37292 for the simple category.

Does 37294 include both atherectomy and stent placement?

Yes. It represents the combined treatment in the same complex tibial/peroneal vessel, including angioplasty within that vessel.

Which code reports another complex vessel?

Use 37295 for each additional complex tibial/peroneal vessel treated with stenting and atherectomy, subject to the applicable CPT instructions.

What documentation supports 37294?

Document the tibial or peroneal vessel treated, the atherectomy and stent work performed, and the facts supporting complex rather than simple classification.

How does CMS handle other procedures in the same session?

CMS pays the highest-valued procedure in full and other procedures at 50% under the standard multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%.

Can an assistant surgeon be paid with 37294?

Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

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 37294PPRRVU2026_Oct_nonQPP.csv, line 4,654 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet