$9,885.68–$10,806.78
Choose 37275 for the simple-category initial-vessel service that combines stent placement and atherectomy; use 37277 when the documented service meets the complex category.
On this page
CMS RVU26D · Effective 2026-10-01
37277 Peripheral revascularization Medicare reimbursement rates in Florida
Reports complex endovascular treatment of an initial femoral or popliteal artery vessel using both atherectomy and stent placement. Compare 37277 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 37277 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
$14826.69–$16202.05
3 of 3 localities have a supported rate.
Facility setting
$736.06–$858.60
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 37277 pays more and less in Florida
3 payment localities
$14826.69 to $16202.05
Vascular intervention
About 37277: Complex femoropopliteal stent and atherectomy
Reports complex endovascular treatment of an initial femoral or popliteal artery vessel using both atherectomy and stent placement.
This code represents catheter-based revascularization of a femoral or popliteal artery in which the operator performs atherectomy and places a stent in the treated vessel. Balloon angioplasty in that same vessel, when performed, is part of the revascularization service. Vascular surgeons, interventional radiologists, and interventional cardiologists commonly perform these procedures for peripheral arterial disease, including symptomatic limb ischemia, in a hospital or outpatient procedural setting.
Use the complex initial-vessel code when the documentation supports the complex category in the femoropopliteal revascularization family and identifies the treated vessel and both atherectomy and stent placement. The family separates initial-vessel services from services for additional vessels and distinguishes complex from simple procedures. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with 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 37277
- 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 RVU15.00 · 3%
- Practice expense (office) RVU443.28 · 96%
- Malpractice RVU3.41 · 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.
37277 compared with similar codes
Office rates for Florida, from the same CMS release.
$3,737.19–$4,091.89
37278 is for an additional vessel in the complex combination service. 37277 identifies the initial vessel.
$12,716.28–$13,893.15
37273 represents complex initial-vessel atherectomy without the stent-and-atherectomy combination reported by 37277.
$11,131.19–$12,182.30
37269 represents complex initial-vessel stent placement without the stent-and-atherectomy combination reported by 37277.
Compare 37277 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
$15705.37
Facility
$774.61
Miami →
Office / nonfacility
$16202.05
Facility
$858.60
Rest Of Florida →
Office / nonfacility
$14826.69
Facility
$736.06
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37277 billing questions
How does 37277 differ from 37275?
Both cover femoropopliteal revascularization using stent placement and atherectomy in an initial vessel. 37277 is for the complex category; 37275 is the simple-category counterpart.
When is 37278 used instead?
37278 is the complex combination code for an additional femoropopliteal vessel. Use 37277 for the initial vessel.
Can angioplasty in the treated vessel be reported separately?
Angioplasty performed in the same vessel is included in the revascularization service. The code selection should reflect the documented procedures in that vessel.
What should the procedure note support?
Document the femoral or popliteal target vessel, the procedures performed, and the details supporting the complex category. The note should establish that both atherectomy and stent placement occurred.
How is bilateral treatment reported under the CMS payment rule?
For bilateral procedures, modifier 50 is paid at 150% under the stated CMS rule. The 0-day global period includes same-day preoperative and postoperative care.
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.
4,63437274,,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
4,63537275,,Rvsc evsc fpvt st athrc sf 1,A,,11.00,294.14,,1.50,,2.51,307.65,15.01,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63637276,,Rvsc evsc fpvt st athr sf ea,A,,4.25,98.32,,0.54,,0.98,103.55,5.77,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63737277,,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