$6,055.83
37284 reports the first vessel treated with straightforward stenting; 37285 reports each additional vessel in that procedure.
On this page
CMS RVU26D · Effective 2026-10-01
37285 Peripheral stenting Medicare reimbursement rates in Connecticut
Reports endovascular stenting of each additional tibial or peroneal vessel treated with a straightforward revascularization approach during the same procedure. Compare 37285 office and facility rates across CMS payment localities in Connecticut.
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 37285 in Connecticut?
Connecticut 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
$2999.53
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$160.92
1 of 1 localities have a supported rate.
Payment area: Connecticut
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.
Peripheral vascular intervention
About 37285: Straightforward tibial-peroneal vessel stenting, additional
Reports endovascular stenting of each additional tibial or peroneal vessel treated with a straightforward revascularization approach during the same procedure.
This add-on code represents stent-based endovascular revascularization of an additional tibial or peroneal artery in the lower leg. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform these procedures in an angiography suite or operating room to improve blood flow in a diseased vessel. The code distinguishes treatment of additional vessels from the first vessel treated in the same straightforward intervention.
Report it with the applicable primary procedure, identifying the additional vessel treated and documenting the intervention and its straightforward classification. The CMS payment rule treats this as an add-on service paid within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays 150% under the stated bilateral rule. The record should support the treated anatomy, stent placement, and the number of additional vessels.
CMS billing rules for 37285
- 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 RVU3.34 · 4%
- Practice expense (office) RVU79.40 · 95%
- Malpractice RVU0.73 · 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.
37285 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$5,316.19
Both are additional-vessel stenting codes, but 37287 is selected for a complex procedure rather than a straightforward one.
$790.06
37281 describes angioplasty of each additional tibial-peroneal vessel. Choose 37285 when the additional vessel is treated with stenting.
$11,004.49
37292 covers first-vessel treatment that combines stenting and atherectomy; 37285 is for additional-vessel stenting without that combination.
Compare 37285 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
Connecticut →
Office / nonfacility
$2999.53
Facility
$160.92
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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 37285 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
4,645
- Code
- 37285
- Physician work
- 3.34
- Practice expense
- 79.40
- Malpractice
- 0.73
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.34 | × 1.020 | 3.4068 |
| Practice expense | 79.40 | × 1.077 | 85.5138 |
| Malpractice | 0.73 | × 1.210 | 0.8833 |
| Total RVUs | 89.8039 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$2999.53
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.34 | 1.02 |
| Practice expense | 79.4 | 1.077 |
| Malpractice | 0.73 | 1.21 |
(3.34 × 1.02 + 79.4 × 1.077 + 0.73 × 1.21) × $33.4009 = $2999.53
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.34 | 1.02 |
| Practice expense | 0.49 | 1.077 |
| Malpractice | 0.73 | 1.21 |
(3.34 × 1.02 + 0.49 × 1.077 + 0.73 × 1.21) × $33.4009 = $160.92
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.
37285 billing questions
When should 37285 be chosen instead of 37284?
Use 37284 for the first vessel in a straightforward tibial-peroneal stenting procedure. Use 37285 for each additional vessel treated in that same procedure.
Can 37285 be billed by itself?
No. It is an add-on code and must be reported with the applicable primary procedure.
How is the number of units determined?
Count each additional tibial or peroneal vessel treated beyond the first vessel. Document the specific vessels and the treatment performed.
What distinguishes 37285 from 37287?
Both describe additional-vessel stenting in this vascular territory, but 37285 is for a straightforward procedure and 37287 is for a complex procedure.
How does the bilateral payment rule affect this code?
When the procedure is bilateral and reported with modifier 50, CMS pays 150% under the stated rule.
Is the service paid separately from the primary procedure’s global period?
No. CMS identifies 37285 as an add-on 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.
4,64237282,,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
4,64437284,,Revsc evasc tpvt st sf 1st,A,,10.00,156.29,,1.52,,2.30,168.59,13.82,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64537285,,Revsc evasc tpvt st sf ea,A,,3.34,79.40,,0.49,,0.73,83.47,4.56,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64637286,,Revsc evasc tpvt st cplx 1st,A,,13.46,293.82,,2.00,,3.07,310.35,18.53,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64737287,,Revsc evasc tpvt st cplx ea,A,,5.00,141.79,,0.74,,1.12,147.91,6.86,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64837288,,Revsc evsc tpvt athrc sf 1st,A,,13.50,217.06,,1.91,,2.84,233.40,18.25,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808