$6,422.55–$7,009.32
Use 37243 for tumor treatment or intended organ ischemia or infarction. Use 37242 for arterial embolization for another indication, such as an aneurysm or vascular malformation.
On this page
CMS RVU26D · Effective 2026-10-01
37243 Embolization Medicare reimbursement rates in Florida
Reports catheter-directed embolization to treat a tumor or cause organ ischemia or infarction, including uterine fibroid and prostate artery embolization. Compare 37243 office and facility rates across CMS payment localities in Florida.
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 37243 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$7683.96–$8371.91
3 of 3 localities have a supported rate.
Facility setting
$501.67–$551.01
3 of 3 localities have a supported rate.
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 37243 pays more and less in Florida
3 payment localities
$7683.96 to $8371.91
Vascular intervention
About 37243: Tumor or organ embolization procedure
Reports catheter-directed embolization to treat a tumor or cause organ ischemia or infarction, including uterine fibroid and prostate artery embolization.
An interventional radiologist or other qualified physician delivers embolic material through a catheter to reduce or stop blood flow to a tumor or targeted organ. Common settings include hospital interventional radiology suites, where procedures may address liver tumors, uterine fibroids, or benign prostatic hyperplasia. The embolic agent and catheter approach depend on the target vessels and treatment plan.
Choose this code when the embolization is performed for a tumor or to produce organ ischemia or infarction; embolization for bleeding or other arterial and venous indications belongs to different codes in the family. The report should identify the clinical indication, target organ or tumor, vessels treated, embolic technique, and imaging guidance. The code includes same-day preoperative and postoperative care under its 0-day global period. When multiple procedures occur in one session, CMS pays the highest-valued procedure in full and reduces the others by 50%. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery and does not permit co-surgeon or team-surgery payment.
CMS billing rules for 37243
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.45 · 5%
- Practice expense (office) RVU226.62 · 95%
- Malpractice RVU1.30 · 1%
18.8K
Medicare services in 2024 · #1171 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.
37243 compared with similar codes
Office rates for Florida, from the same CMS release.
$5,885.97–$6,415.09
Choose 37244 when the target is to control hemorrhage; choose 37243 when treating a tumor or producing organ ischemia or infarction.
$4,235.66–$4,624.78
37241 is for venous embolization for indications other than hemorrhage or tumor. This code covers embolization for tumors or organ ischemia or infarction.
Compare 37243 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
$8128.66
Facility
$518.13
Miami →
Office / nonfacility
$8371.91
Facility
$551.01
Rest Of Florida →
Office / nonfacility
$7683.96
Facility
$501.67
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37243 billing questions
When should this code be chosen instead of arterial embolization code 37242?
Use 37243 when the purpose is tumor treatment or organ ischemia or infarction. Code 37242 describes an arterial embolization for another indication, such as a vascular malformation or aneurysm.
How does this code differ from embolization for bleeding?
Use 37244 when the embolization treats hemorrhage. The indication for 37243 is a tumor or intended organ ischemia or infarction.
Can the imaging used to guide embolization be separately reported?
The code includes the imaging guidance, intraprocedural roadmapping, and radiological supervision and interpretation necessary to complete the intervention. Do not separately report those included services as though they were separate guidance for the same embolization.
Should modifier 50 be appended for embolization on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
What happens when other procedures are performed in the same session?
CMS pays the highest-valued procedure in full and reduces the other procedures by 50% under the standard multiple procedure rule.
Does Medicare pay an assistant or co-surgeon for this procedure?
CMS lists a statutory restriction on assistant-at-surgery payment and does not permit co-surgeon or team-surgery payment for this code.
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.
4,60237239,,Open/perq place stent ea add,A,,2.90,46.20,,0.45,,0.59,49.69,3.94,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60337241,,Vasc embolize/occlude venous,A,,8.53,121.73,,1.31,,1.27,131.53,11.11,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60437242,,Vasc embolize/occlude artery,A,,9.56,188.81,,1.34,,1.48,199.85,12.38,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60537243,,Vasc embolize/occlude organ,A,,11.45,226.62,,1.69,,1.30,239.37,14.44,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60637244,,Vasc embolize/occlude bleed,A,,13.41,167.90,,2.01,,1.53,182.84,16.95,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60737246,,Trluml balo angiop 1st art,A,,6.83,44.12,,1.06,,1.34,52.29,9.23,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60837247,,Trluml balo angiop addl art,A,,3.41,13.91,,0.52,,0.62,17.94,4.55,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00