$2,156.84
37263 describes the first treated vessel in the simple-lesion category; 37264 describes each additional qualifying vessel.
On this page
CMS RVU26D · Effective 2026-10-01
37263 Leg angioplasty Medicare reimbursement rates in Delaware
Endovascular balloon angioplasty of a simple femoral-popliteal lesion is reported for the first treated vessel during lower-extremity revascularization. Compare 37263 office and facility rates across CMS payment localities in Delaware.
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 37263 in Delaware?
Delaware 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
$5363.46
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$350.74
1 of 1 localities have a supported rate.
Payment area: Delaware
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.
Endovascular revascularization
About 37263: Femoral-popliteal simple angioplasty, first vessel
Endovascular balloon angioplasty of a simple femoral-popliteal lesion is reported for the first treated vessel during lower-extremity revascularization.
Code 37263 represents endovascular balloon angioplasty to restore flow through a femoral or popliteal artery when the treated lesion meets CPT’s simple-lesion criteria and this is the first treated vessel. Vascular surgeons, interventional radiologists, and interventional cardiologists commonly perform the procedure in a hospital catheterization laboratory or angiography suite for peripheral arterial disease. Stent placement or atherectomy changes the applicable treatment code family.
Report the code for the first qualifying vessel, not for each balloon inflation. For another treated vessel, use the additional-vessel code when appropriate; choose a complex-lesion code when the lesion meets that category’s criteria. Document the target artery, laterality, lesion characteristics supporting the simple classification, treatment performed, and vessels treated. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others at 50%. Modifier 50 for bilateral treatment is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 37263
- 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 RVU7.75 · 5%
- Practice expense (office) RVU152.98 · 94%
- Malpractice RVU1.83 · 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.
37263 compared with similar codes
Office rates for Delaware, from the same CMS release.
$6,744.80
Both concern femoral-popliteal angioplasty, but 37265 is for a complex lesion in the first vessel rather than a simple lesion.
$5,144.79
37263 is the angioplasty treatment code for a simple lesion; 37267 is used when the treatment includes stent placement for a simple lesion.
$10,435.11
37263 represents angioplasty for a simple lesion, while 37271 is the simple-lesion code when atherectomy is performed.
Compare 37263 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
Delaware →
Office / nonfacility
$5363.46
Facility
$350.74
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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 37263 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,623
- Code
- 37263
- Physician work
- 7.75
- Practice expense
- 152.98
- Malpractice
- 1.83
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.75 | × 1.005 | 7.7887 |
| Practice expense | 152.98 | × 0.988 | 151.1442 |
| Malpractice | 1.83 | × 0.899 | 1.6452 |
| Total RVUs | 160.5782 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$5363.46
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.75 | 1.005 |
| Practice expense | 152.98 | 0.988 |
| Malpractice | 1.83 | 0.899 |
(7.75 × 1.005 + 152.98 × 0.988 + 1.83 × 0.899) × $33.4009 = $5363.46
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.75 | 1.005 |
| Practice expense | 1.08 | 0.988 |
| Malpractice | 1.83 | 0.899 |
(7.75 × 1.005 + 1.08 × 0.988 + 1.83 × 0.899) × $33.4009 = $350.74
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.
37263 billing questions
How does 37263 differ from 37264?
37263 is for the first treated vessel in the simple-lesion category. 37264 is the related code for each additional vessel when its criteria are met.
When should a complex-lesion code be considered instead?
Use the complex-lesion code when the treated lesion meets CPT’s complex classification rather than its simple classification. The medical record should support the selected lesion category.
Does 37263 apply when a stent or atherectomy is performed?
Stent placement or atherectomy changes the applicable treatment code family. Select the code that reflects the treatment performed and the lesion category.
Is the code reported for each lesion or balloon inflation?
No. It represents the first treated vessel, not each balloon inflation. Use an additional-vessel code when another qualifying vessel is treated.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%. Document treatment on both sides.
What documentation supports reporting 37263?
Document the femoral or popliteal target, laterality, lesion characteristics supporting the simple category, angioplasty performed, and whether this was the first treated vessel.
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.
4,62037260,,Revsc evasc ivt st cplx 1st,A,,12.69,236.79,,1.65,,3.02,252.50,17.36,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62137261,,Revsc evasc ivt st cplx ea,A,,4.25,95.35,,0.48,,1.04,100.64,5.77,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62237262,,Iv lithotrp ivt w/in sm art,A,,3.00,98.47,,0.47,,0.60,102.07,4.07,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62337263,,Revsc evasc fpvt angio sf 1,A,,7.75,152.98,,1.08,,1.83,162.56,10.66,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62437264,,Revsc evasc fpvt angio sf ea,A,,3.00,61.67,,0.38,,0.70,65.37,4.08,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62537265,,Revsc evsc fpvt angio cplx 1,A,,10.50,191.45,,1.44,,2.48,204.43,14.42,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62637266,,Rvsc evsc fpvt angio cplx ea,A,,4.00,68.15,,0.50,,0.93,73.08,5.43,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503