$8,174.02
37260 reports the primary complex iliac stent vessel. Use 37261 only for each additional vessel treated in the same procedure.
On this page
CMS RVU26D · Effective 2026-10-01
37261 Iliac stenting Medicare reimbursement rates in Arizona
Reports complex endovascular stent revascularization of each additional iliac vessel treated after the primary complex iliac stent procedure. Compare 37261 office and facility rates across CMS payment localities in Arizona.
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 37261 in Arizona?
Arizona 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
$3257.74
1 of 1 localities have a supported rate.
Payment area: Arizona
One mapped payment locality.
Facility setting
$187.22
1 of 1 localities have a supported rate.
Payment area: Arizona
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 37261: Complex iliac stent revascularization, additional vessel
Reports complex endovascular stent revascularization of each additional iliac vessel treated after the primary complex iliac stent procedure.
This add-on code represents complex endovascular stent revascularization in an additional vessel of the iliac vascular territory. It is used during treatment of iliac arterial disease, such as flow-limiting disease associated with claudication or limb ischemia. Vascular surgeons and interventional radiologists commonly perform these procedures in an angiography suite or operating room, using catheter-based imaging and tools to place the stent.
Report it for each additional treated vessel that meets the complex stent service criteria, alongside the primary complex iliac stent code 37260. Documentation should identify the vessels treated, the stent work performed in each, and the findings supporting the complex classification. This add-on is paid within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays 150% under the stated bilateral rule.
CMS billing rules for 37261
- 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 RVU4.25 · 4%
- Practice expense (office) RVU95.35 · 95%
- Malpractice RVU1.04 · 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.
37261 compared with similar codes
Office rates for Arizona, from the same CMS release.
$1,168.84
37259 represents each additional iliac vessel treated with a simple stent service; 37261 is for an additional vessel meeting complex stent criteria.
$562.10
37257 covers complex angioplasty in each additional iliac vessel. Choose 37261 when complex stent revascularization is performed instead.
Compare 37261 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
Arizona →
Office / nonfacility
$3257.74
Facility
$187.22
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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 37261 in Arizona.
PPRRVU2026_Oct_nonQPP.csv
4,621
- Code
- 37261
- Physician work
- 4.25
- Practice expense
- 95.35
- Malpractice
- 1.04
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.25 | × 1.000 | 4.2500 |
| Practice expense | 95.35 | × 0.969 | 92.3941 |
| Malpractice | 1.04 | × 0.856 | 0.8902 |
| Total RVUs | 97.5344 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arizona$3257.74
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.25 | 1 |
| Practice expense | 95.35 | 0.969 |
| Malpractice | 1.04 | 0.856 |
(4.25 × 1 + 95.35 × 0.969 + 1.04 × 0.856) × $33.4009 = $3257.74
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.25 | 1 |
| Practice expense | 0.48 | 0.969 |
| Malpractice | 1.04 | 0.856 |
(4.25 × 1 + 0.48 × 0.969 + 1.04 × 0.856) × $33.4009 = $187.22
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.
37261 billing questions
What code is reported for the first complex iliac vessel?
Report 37260 for the primary complex iliac stent vessel. Code 37261 represents each additional vessel and is not reported alone.
Is 37261 counted by vessel or by lesion?
It is reported for each additional treated vessel, not for every lesion within a vessel. Document the vessels treated and the work performed in each.
How should the complex service be distinguished from simple iliac stenting?
Use 37261 only for an additional vessel meeting the complex stent service criteria. A simple additional iliac stent vessel is represented by 37259.
How is a bilateral procedure handled?
CMS specifies modifier 50 for a bilateral procedure and pays 150% under that rule. The documentation should support treatment on both sides.
Is 37261 paid outside the primary procedure's global period?
No. CMS identifies it as an add-on code 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.
4,61837259,,Revsc evasc ivt stent sf ea,A,,4.00,31.12,,0.45,,0.98,36.10,5.43,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,6193725F,,Screen depression performed,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62037260,,Revsc evasc ivt st cplx 1st,A,,12.69,236.79,,1.65,,3.02,252.50,17.36,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62137261,,Revsc evasc ivt st cplx ea,A,,4.25,95.35,,0.48,,1.04,100.64,5.77,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62237262,,Iv lithotrp ivt w/in sm art,A,,3.00,98.47,,0.47,,0.60,102.07,4.07,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62337263,,Revsc evasc fpvt angio sf 1,A,,7.75,152.98,,1.08,,1.83,162.56,10.66,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62437264,,Revsc evasc fpvt angio sf ea,A,,3.00,61.67,,0.38,,0.70,65.37,4.08,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536