$2,289.63
37236 is for an initial artery; 37238 is for an initial vein. Identify the vessel treated before selecting the code.
On this page
CMS RVU26D · Effective 2026-10-01
37238 Venous stenting Medicare reimbursement rates in Alabama
Reports initial venous stent placement by open or percutaneous approach, including same-vessel angioplasty and imaging, for treated venous stenosis or obstruction. Compare 37238 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 37238 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$2877.09
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$248.81
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Vascular intervention
About 37238: Initial venous stent placement
Reports initial venous stent placement by open or percutaneous approach, including same-vessel angioplasty and imaging, for treated venous stenosis or obstruction.
Code 37238 reports placement of one or more stents in the initial vein treated, using an open or percutaneous approach. It is used for venous narrowing or obstruction, such as iliac or central venous disease. Interventional radiologists and vascular surgeons commonly perform the procedure in an angiography suite or operating room. The code includes radiological supervision and interpretation and angioplasty performed in the same vein; multiple stents placed in that vein do not make it an additional vein.
Report 37238 for the initial vein and use 37239 for each additional vein treated. The operative or procedure report should identify the treated vein, the stent placement, and any same-vein angioplasty. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral adjustment is not appropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 37238
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU5.89 · 6%
- Practice expense (office) RVU90.91 · 93%
- Malpractice RVU1.24 · 1%
9.6K
Medicare services in 2024 · #1487 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
37238 compared with similar codes
Office rates for Alabama, from the same CMS release.
$1,458.25
37239 reports each additional vein treated. 37238 reports the initial vein, including multiple stents placed in that vein.
$1,156.97
37248 is for venous angioplasty without stent placement. When a stent is placed, angioplasty in that same vein is included in 37238.
Compare 37238 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$2877.09
Facility
$248.81
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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 37238 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
4,601
- Code
- 37238
- Physician work
- 5.89
- Practice expense
- 90.91
- Malpractice
- 1.24
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.89 | × 1.000 | 5.8900 |
| Practice expense | 90.91 | × 0.875 | 79.5463 |
| Malpractice | 1.24 | × 0.566 | 0.7018 |
| Total RVUs | 86.1381 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$2877.09
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.89 | 1 |
| Practice expense | 90.91 | 0.875 |
| Malpractice | 1.24 | 0.566 |
(5.89 × 1 + 90.91 × 0.875 + 1.24 × 0.566) × $33.4009 = $2877.09
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.89 | 1 |
| Practice expense | 0.98 | 0.875 |
| Malpractice | 1.24 | 0.566 |
(5.89 × 1 + 0.98 × 0.875 + 1.24 × 0.566) × $33.4009 = $248.81
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.
37238 billing questions
When should 37238 be chosen over 37236?
Use 37238 for stent placement in a vein and 37236 for stent placement in an artery. The vessel treated determines which code applies.
How are additional stents or veins reported?
Multiple stents in the initial vein are reported with 37238. Use add-on code 37239 for each additional vein treated.
Can angioplasty in the stented vein be reported separately?
Angioplasty performed in the same vein is included in 37238. The code also includes radiological supervision and interpretation.
What documentation supports 37238?
The procedure report should identify the vein treated and document stent placement. It should also describe any angioplasty performed in that same vein.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
When is assistant-at-surgery payment allowed?
CMS allows assistant-at-surgery payment only when the record documents medical necessity. 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.
4,59837218,,Stent placemt ante carotid,A,,14.38,4.25,NA,4.25,,3.58,22.21,22.21,0,090,0.09,0.84,0.07,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,59937236,,Open/perq place stent 1st,A,,8.53,67.32,,1.18,,1.97,77.82,11.68,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60037237,,Open/perq place stent ea add,A,,4.14,31.27,,0.48,,1.00,36.41,5.62,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60137238,,Open/perq place stent same,A,,5.89,90.91,,0.98,,1.24,98.04,8.11,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60237239,,Open/perq place stent ea add,A,,2.90,46.20,,0.45,,0.59,49.69,3.94,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60337241,,Vasc embolize/occlude venous,A,,8.53,121.73,,1.31,,1.27,131.53,11.11,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60437242,,Vasc embolize/occlude artery,A,,9.56,188.81,,1.34,,1.48,199.85,12.38,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515