$2,308.64
37271 is for atherectomy in the initial vessel; 37272 is for an additional vessel in the same territory and session.
On this page
CMS RVU26D · Effective 2026-10-01
37271 Atherectomy Medicare reimbursement rates in Delaware
Reports endovascular atherectomy for a straightforward femoral or popliteal artery lesion, for the first treated vessel on one side. Compare 37271 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 37271 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
$10435.11
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$405.73
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 37271: Femoral-popliteal atherectomy, straightforward lesion
Reports endovascular atherectomy for a straightforward femoral or popliteal artery lesion, for the first treated vessel on one side.
This code covers catheter-based atherectomy to treat atherosclerotic disease in a femoral or popliteal artery. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform it for lower-extremity peripheral artery disease. It applies to a straightforward lesion in the initial vessel treated on that side. Angioplasty performed in the same vessel is included when done with the atherectomy.
Select this code based on the treated artery, lesion classification, treatment method, and whether it is the first vessel. The procedure report should identify the vessel and document the atherectomy and lesion characteristics supporting the straightforward classification. A 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 37271
- 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 RVU9.00 · 3%
- Practice expense (office) RVU305.24 · 97%
- Malpractice RVU2.00 · 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.
37271 compared with similar codes
Office rates for Delaware, from the same CMS release.
$13,068.50
Both report femoral-popliteal atherectomy in an initial vessel, but 37273 is for a complex lesion rather than a straightforward one.
$10,151.26
Use 37275 when the straightforward initial-vessel treatment includes both atherectomy and stenting; 37271 represents atherectomy without the combined stent service.
$5,363.46
37263 represents straightforward femoral-popliteal angioplasty without atherectomy. Angioplasty in the same vessel as atherectomy is included in 37271.
Compare 37271 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
$10435.11
Facility
$405.73
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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 37271 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,631
- Code
- 37271
- Physician work
- 9.00
- Practice expense
- 305.24
- Malpractice
- 2.00
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.00 | × 1.005 | 9.0450 |
| Practice expense | 305.24 | × 0.988 | 301.5771 |
| Malpractice | 2.00 | × 0.899 | 1.7980 |
| Total RVUs | 312.4201 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$10435.11
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9 | 1.005 |
| Practice expense | 305.24 | 0.988 |
| Malpractice | 2 | 0.899 |
(9 × 1.005 + 305.24 × 0.988 + 2 × 0.899) × $33.4009 = $10435.11
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9 | 1.005 |
| Practice expense | 1.32 | 0.988 |
| Malpractice | 2 | 0.899 |
(9 × 1.005 + 1.32 × 0.988 + 2 × 0.899) × $33.4009 = $405.73
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.
37271 billing questions
When is 37271 used instead of 37272?
Use 37271 for atherectomy of the initial vessel in the femoral-popliteal territory on that side. Code 37272 represents atherectomy of an additional vessel.
Can angioplasty in the treated vessel be reported separately?
Angioplasty performed in the same vessel as the atherectomy is included in this service. Do not separately report the angioplasty code for that same-vessel treatment.
What if a stent is also placed?
When atherectomy and stenting are performed in the vessel, compare the combined stent-and-atherectomy code, 37275, rather than treating this as atherectomy alone.
How should bilateral treatment be reported?
For bilateral procedures, modifier 50 applies; CMS pays the procedure at 150%.
What documentation supports the straightforward lesion classification?
Document the femoral or popliteal vessel treated, the lesion characteristics supporting the straightforward classification, and the atherectomy performed. Identify whether it was the initial vessel on that side.
Can an assistant surgeon be paid for this procedure?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery 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.
4,62837268,,Revsc evasc fpvt stent sf ea,A,,3.73,95.98,,0.46,,0.89,100.60,5.08,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62937269,,Revsc evasc fpvt st cplx 1st,A,,14.75,327.62,,1.92,,3.53,345.90,20.20,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63037270,,Revsc evasc fpvt st cplx ea,A,,5.00,98.46,,0.62,,1.20,104.66,6.82,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63137271,,Revsc evsc fpvt athrc sf 1st,A,,9.00,305.24,,1.32,,2.00,316.24,12.32,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63237272,,Revsc evsc fpvt athrc sf ea,A,,4.00,65.08,,0.54,,0.89,69.97,5.43,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63337273,,Revsc evsc fpvt athrc cplx 1,A,,12.63,380.61,,1.81,,2.81,396.05,17.25,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63437274,,Rvsc evsc fpvt athrc cplx ea,A,,5.50,67.72,,0.75,,1.23,74.45,7.48,0,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