$786.57–$1,008.30
Choose 37280 for the initial treated artery; 37281 identifies a qualifying additional straightforward artery in the tibial/peroneal territory.
On this page
CMS RVU26D · Effective 2026-10-01
37280 Tibial angioplasty Medicare reimbursement rates in California
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 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 37280 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
$2886.98–$3710.67
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $823.69 per service.
Facility setting
$421.47–$466.82
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $45.35 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 37280 pays more and less in California
29 payment localities
$2886.98 to $3710.67
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 California, from the same CMS release.
$6,597.05–$8,569.54
Both describe angioplasty of the initial tibial/peroneal artery. The distinction is whether the treated lesion is classified as straightforward or complex.
$6,102.23–$7,939.49
37280 describes angioplasty for a straightforward lesion. 37284 is the corresponding initial-vessel option when the intervention is stent treatment.
$11,515.56–$15,071.09
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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $2893.27 | Facility $427.76 |
| Chico | Office $2886.98 | Facility $421.47 |
| El Centro | Office $2887.37 | Facility $421.86 |
| Fresno | Office $2886.98 | Facility $421.47 |
| Hanford-Corcoran | Office $2886.98 | Facility $421.47 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $3104.17 | Facility $442.95 |
| Madera | Office $2886.98 | Facility $421.47 |
| Merced | Office $2886.98 | Facility $421.47 |
| Modesto | Office $2886.98 | Facility $421.47 |
| Napa | Office $3408.84 | Facility $443.93 |
| Oxnard-Thousand Oaks-Ventura | Office $3094.46 | Facility $435.49 |
| Redding | Office $2886.98 | Facility $421.47 |
| Rest Of California | Office $2886.98 | Facility $421.47 |
| Riverside-San Bernardino-Ontario | Office $2911.77 | Facility $446.26 |
| Sacramento-Roseville-Folsom | Office $3046.81 | Facility $430.58 |
| Salinas | Office $3036.00 | Facility $428.77 |
| San Diego-Chula Vista-Carlsbad | Office $3120.96 | Facility $430.50 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $3626.46 | Facility $454.59 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $3623.84 | Facility $451.97 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $3710.67 | Facility $466.82 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $3699.95 | Facility $456.10 |
| San Luis Obispo-Paso Robles | Office $2985.56 | Facility $423.33 |
| Santa Cruz-Watsonville | Office $3161.11 | Facility $427.91 |
| Santa Maria-Santa Barbara | Office $3051.07 | Facility $428.09 |
| Santa Rosa-Petaluma | Office $3193.86 | Facility $431.42 |
| Stockton | Office $2886.98 | Facility $421.47 |
| Vallejo | Office $3405.06 | Facility $440.15 |
| Visalia | Office $2886.98 | Facility $421.47 |
| Yuba City | Office $2886.98 | Facility $421.47 |
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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.
4,63737277,,Rvsc evsc fpvt st athr cpx 1,A,,15.00,443.28,,2.00,,3.41,461.69,20.41,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63837278,,Rvsc evsc fpvt st ath cpx ea,A,,6.00,108.64,,0.76,,1.35,115.99,8.11,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63937279,,Iv lithotrp fpvt w/in sm art,A,,4.00,133.99,,0.63,,0.81,138.80,5.44,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64037280,,Revsc evsc tpvt angio sf 1st,A,,9.80,68.64,,1.29,,2.31,80.75,13.40,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64137281,,Revsc evsc tpvt angio sf ea,A,,3.00,18.38,,0.37,,0.66,22.04,4.03,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64237282,,Rvsc evsc tpvt angio cplx 1,A,,12.31,167.37,,1.60,,2.90,182.58,16.81,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64337283,,Rvsc evsc tpvt angio cplx ea,A,,4.26,20.63,,0.53,,0.95,25.84,5.74,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00