37246 reports angioplasty of the first eligible artery. Use 37247 for each additional eligible artery treated during the session.
On this page
CMS RVU26D · Effective 2026-10-01
37247 Balloon angioplasty Medicare reimbursement rates in Arkansas
Reports balloon angioplasty of an additional noncoronary artery during a session that includes primary arterial angioplasty. Compare 37247 office and facility rates across CMS payment localities in Arkansas.
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 37247 in Arkansas?
Arkansas 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
$523.66
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
$139.48
1 of 1 localities have a supported rate.
Payment area: Arkansas
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 37247: Additional artery balloon angioplasty
Reports balloon angioplasty of an additional noncoronary artery during a session that includes primary arterial angioplasty.
This add-on represents balloon dilation of a second or subsequent eligible artery, such as a renal, mesenteric, or upper-extremity artery, to improve blood flow through a narrowed segment. It is used for open or endovascular treatment outside the code families for coronary, intracranial, and lower-extremity occlusive-disease interventions. Vascular surgeons and interventional radiologists commonly perform these procedures in operating rooms or endovascular suites.
Report 37247 with 37246 for the first treated artery; it is not a stand-alone service. The record should identify each artery treated, the lesion and clinical indication, and the angioplasty performed in the additional artery. Necessary imaging guidance and radiological supervision and interpretation are included in the angioplasty service. CMS treats this as an add-on paid within the primary procedure’s global period. When the service is bilateral and reported with modifier 50, CMS pays 150% of the applicable amount.
CMS billing rules for 37247
- 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 RVU3.41 · 19%
- Practice expense (office) RVU13.91 · 78%
- Malpractice RVU0.62 · 3%
696
Medicare services in 2024 · #3266 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.
37247 compared with similar codes
Office rates for Arkansas, from the same CMS release.
37248 applies to balloon angioplasty of the first eligible vein; 37247 is for an additional artery.
37249 reports angioplasty of an additional vein. Choose 37247 when the additional treated vessel is an artery.
37236 describes arterial stent placement. 37247 is for balloon angioplasty of an additional artery when the service is angioplasty rather than stent placement.
Compare 37247 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
Arkansas →
Office / nonfacility
$523.66
Facility
$139.48
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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 37247 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
4,608
- Code
- 37247
- Physician work
- 3.41
- Practice expense
- 13.91
- Malpractice
- 0.62
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.41 | × 1.000 | 3.4100 |
| Practice expense | 13.91 | × 0.859 | 11.9487 |
| Malpractice | 0.62 | × 0.515 | 0.3193 |
| Total RVUs | 15.6780 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$523.66
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.41 | 1 |
| Practice expense | 13.91 | 0.859 |
| Malpractice | 0.62 | 0.515 |
(3.41 × 1 + 13.91 × 0.859 + 0.62 × 0.515) × $33.4009 = $523.66
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.41 | 1 |
| Practice expense | 0.52 | 0.859 |
| Malpractice | 0.62 | 0.515 |
(3.41 × 1 + 0.52 × 0.859 + 0.62 × 0.515) × $33.4009 = $139.48
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.
37247 billing questions
When should 37247 be used instead of 37246?
Use 37246 for the first eligible artery treated with balloon angioplasty. Use 37247 for each additional eligible artery treated in the same session.
Can 37247 be reported by itself?
No. It is an add-on code reported with the primary arterial angioplasty code 37246.
Can imaging guidance be billed separately?
Necessary imaging guidance and radiological supervision and interpretation are included in the angioplasty service.
What documentation supports reporting an additional unit?
Document the additional artery and its treated lesion, the reason for intervention, and the balloon angioplasty performed there. The record should distinguish it from the artery represented by 37246.
How is bilateral treatment handled under the CMS payment rule?
For a bilateral procedure reported with modifier 50, CMS pays 150% of the applicable amount.
How does 37247 relate to the primary procedure's global period?
CMS identifies 37247 as an add-on paid within the global period of the primary procedure. Report it with the primary angioplasty service rather than as a separate stand-alone procedure.
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.
