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CMS RVU26D · Effective 2026-10-01

37280 Tibial angioplasty Medicare reimbursement rates in Arizona

Endovascular balloon angioplasty treats a straightforward lesion in an initial tibial or peroneal artery during lower-extremity revascularization. Compare 37280 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 37280 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

$2614.94

1 of 1 localities have a supported rate.

Payment area: Arizona

One mapped payment locality.

Facility setting

$435.13

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.

Find 37280 in your payment locality →

Vascular intervention

About 37280: Tibial/peroneal angioplasty, straightforward lesion

Endovascular balloon angioplasty treats a straightforward lesion in an initial tibial or peroneal artery during lower-extremity revascularization.

This service uses an endovascular approach to widen a narrowed or occluded tibial or peroneal artery with balloon angioplasty. It is performed by vascular surgeons, interventional radiologists, or interventional cardiologists treating peripheral artery disease, including limb ischemia. The procedure is generally performed in a hospital or endovascular suite, with imaging used to guide treatment of the target artery. This code identifies the straightforward-lesion angioplasty service for the initial treated artery in this territory; it is not the code for a stent or atherectomy procedure.

Select the code based on the treated arterial territory, the documented lesion classification, the treatment performed, and whether this is the initial or an additional artery treated. The operative report should identify the tibial or peroneal target and describe the intervention and lesion. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 for a bilateral procedure is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 37280

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 RVU9.80 · 12%
  • Practice expense (office) RVU68.64 · 85%
  • Malpractice RVU2.31 · 3%

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.

37280 compared with similar codes

Office rates for Arizona, from the same CMS release.

37281

Leg angioplasty

Additional simple vessel

$713.95

Choose 37280 for the initial treated artery; 37281 identifies a qualifying additional straightforward artery in the tibial/peroneal territory.

37282

Venous angioplasty

Complex, initial vessel

$5,911.09

Both describe angioplasty of the initial tibial/peroneal artery. The distinction is whether the treated lesion is classified as straightforward or complex.

37284

Venous revascularization

Straightforward, initial vessel

$5,458.17

37280 describes angioplasty for a straightforward lesion. 37284 is the corresponding initial-vessel option when the intervention is stent treatment.

37271

Atherectomy

Straightforward, initial vessel

$10,237.03

37271 applies to straightforward angioplasty in the femoral/popliteal territory; 37280 is for the tibial/peroneal territory.

Compare 37280 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

Office and facility base rates · shared scale starting at $0

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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 37280 in Arizona.

PPRRVU2026_Oct_nonQPP.csv

4,640

Code
37280
Physician work
9.80
Practice expense
68.64
Malpractice
2.31

GPCI2026.csv

6

Locality
Arizona
Physician work
1.000
Practice expense
0.969
Malpractice
0.856
Office / nonfacility calculation for 37280 in Arizona
ComponentRVULocality factorAdjusted
Physician work9.80× 1.0009.8000
Practice expense68.64× 0.96966.5122
Malpractice2.31× 0.8561.9774
Total RVUs78.2895
Conversion factor× 33.4009

Office / nonfacility rate, Arizona$2614.94

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work9.81
Practice expense68.640.969
Malpractice2.310.856

(9.8 × 1 + 68.64 × 0.969 + 2.31 × 0.856) × $33.4009 = $2614.94

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work9.81
Practice expense1.290.969
Malpractice2.310.856

(9.8 × 1 + 1.29 × 0.969 + 2.31 × 0.856) × $33.4009 = $435.13

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.

37280 billing questions

How is 37280 different from 37281?

37280 is for angioplasty of the initial tibial or peroneal artery when the lesion is straightforward. Use 37281 for the qualifying additional artery in the same territory.

When should 37282 be considered instead?

37282 is for the initial tibial or peroneal artery when the lesion meets the complex classification. Use the documented lesion characteristics and applicable CPT guidance to determine the classification.

Is 37280 the code when a stent or atherectomy is performed?

No. This code describes angioplasty; the tibial/peroneal code family has separate options for stent and atherectomy treatment. Select the code that matches the intervention performed.

How many units are reported when more than one artery is treated?

37280 identifies the initial treated artery, not each artery treated. For a qualifying additional artery, use the corresponding additional-vessel code rather than repeating 37280.

What should the procedure note establish?

Document the tibial or peroneal target artery, lesion classification, angioplasty performed, and whether it was the initial or an additional treated artery.

How does Medicare handle bilateral reporting and other procedures in the session?

CMS pays a bilateral procedure reported with modifier 50 at 150%. The standard multiple-procedure reduction applies when other procedures are performed in the same session.

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 37280PPRRVU2026_Oct_nonQPP.csv, line 4,640 (RVU26D)
Geographic factors for ArizonaGPCI2026.csv, line 6 (RVU26D)