37237 reports each additional treated artery in the same session; 37236 reports the first artery in this code family.
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CMS RVU26D · Effective 2026-10-01
37236 Arterial stent Medicare reimbursement rates in California
Report 37236 for open or percutaneous stent placement in the first treated artery outside the code-specific carotid, intracranial, and lower-extremity categories. Compare 37236 office and facility rates across CMS payment localities in California.
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 37236 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$2789.43–$3593.93
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $804.50 per service.
Facility setting
$368.22–$408.35
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $40.13 per service.
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.
Where 37236 pays more and less in California
29 payment localities
$2789.43 to $3593.93
Vascular intervention
About 37236: Initial arterial stent placement
Report 37236 for open or percutaneous stent placement in the first treated artery outside the code-specific carotid, intracranial, and lower-extremity categories.
37236 covers open or catheter-based placement of an intravascular stent in an artery, outside the separately coded lower-extremity, cervical carotid, and intracranial services. Interventional radiologists, vascular surgeons, and other physicians performing vascular interventions may use it for sites such as renal, mesenteric, or subclavian arteries. The service includes imaging supervision and interpretation for the stent procedure, as well as balloon angioplasty performed in the same vessel.
Report 37236 for the first treated artery in this code family; use 37237 for each additional treated artery. Documentation should identify the treated artery, the stent placement, and any angioplasty performed in that vessel. 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 multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 37236
- 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 RVU8.53 · 11%
- Practice expense (office) RVU67.32 · 87%
- Malpractice RVU1.97 · 3%
10.5K
Medicare services in 2024 · #1444 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.
37236 compared with similar codes
Office rates for California, from the same CMS release.
Use 37238 for initial venous stent placement. Use 37236 when the treated vessel is an artery.
37246 is for arterial balloon angioplasty without the stent placement reported by 37236; angioplasty in the stented vessel is included in 37236.
Transcath stent cca w/eps
37215 is the specific transcatheter stenting code for a cervical carotid artery, an anatomy category excluded from 37236.
Compare 37236 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $2794.80 | Facility $373.59 |
| Chico | Office $2789.43 | Facility $368.22 |
| El Centro | Office $2789.76 | Facility $368.55 |
| Fresno | Office $2789.43 | Facility $368.22 |
| Hanford-Corcoran | Office $2789.43 | Facility $368.22 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $3000.32 | Facility $386.91 |
| Madera | Office $2789.43 | Facility $368.22 |
| Merced | Office $2789.43 | Facility $368.22 |
| Modesto | Office $2789.43 | Facility $368.22 |
| Napa | Office $3299.87 | Facility $388.23 |
| Oxnard-Thousand Oaks-Ventura | Office $2991.66 | Facility $380.47 |
| Redding | Office $2789.43 | Facility $368.22 |
| Rest Of California | Office $2789.43 | Facility $368.22 |
| Riverside-San Bernardino-Ontario | Office $2810.57 | Facility $389.36 |
| Sacramento-Roseville-Folsom | Office $2945.50 | Facility $376.27 |
| Salinas | Office $2935.08 | Facility $374.69 |
| San Diego-Chula Vista-Carlsbad | Office $3018.38 | Facility $376.26 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $3512.63 | Facility $397.75 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $3510.39 | Facility $395.51 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $3593.93 | Facility $408.35 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $3584.78 | Facility $399.21 |
| San Luis Obispo-Paso Robles | Office $2886.12 | Facility $369.91 |
| Santa Cruz-Watsonville | Office $3058.15 | Facility $374.05 |
| Santa Maria-Santa Barbara | Office $2949.96 | Facility $374.11 |
| Santa Rosa-Petaluma | Office $3089.94 | Facility $377.12 |
| Stockton | Office $2789.43 | Facility $368.22 |
| Vallejo | Office $3296.65 | Facility $385.01 |
| Visalia | Office $2789.43 | Facility $368.22 |
| Yuba City | Office $2789.43 | Facility $368.22 |
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37236 billing questions
When should 37236 be used instead of 37238?
37236 is for an artery; 37238 is the corresponding initial-vessel code for a vein. Select based on the treated vessel, not the access route.
How is another treated artery reported?
Use add-on code 37237 for each additional artery treated in the same session. Multiple stents in one artery do not, by themselves, make it an additional artery.
Is angioplasty in the stented artery separately reported?
Angioplasty performed in the same vessel is included in 37236. The code also includes imaging supervision and interpretation for the stent procedure.
Can modifier 50 be used for bilateral arterial stenting?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What payment rules apply when other procedures are performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are reduced. The 0-day global period includes same-day preoperative and postoperative care.
When is an assistant at surgery payable?
Assistant-at-surgery payment is available only when documentation supports medical necessity. Co-surgeon and team-surgery payment 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.
