Billing code 37295: Tibial revascularizationMedicare rate & RVUs in Florida
Reports complex endovascular treatment of an additional tibial or peroneal artery vessel using both atherectomy and stent placement.
Medicare pays $5,781.15–$6,322.19 for 37295 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 37295 covers
This add-on code represents treatment of an additional tibial or peroneal artery vessel in a lower-extremity endovascular revascularization, when the work includes both atherectomy and stent placement and meets the billing code criteria for a complex service. Vascular surgeons, interventional radiologists, and other physicians performing peripheral endovascular procedures may report it for qualifying below-knee arterial disease. The code describes the combined treatment in an additional vessel, not a first-vessel service.
Report 37295 only with the corresponding primary procedure, 37294, and only for an additional vessel that meets the complex-code criteria. The operative report should identify the treated tibial or peroneal vessel, the atherectomy and stent work, and the basis for the complex classification. As an add-on code, it is paid within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays the procedure at 150%.
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.
Where 37295 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$5781.15 to $6322.19
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $6,121.96 | $423.45 |
| Miami | $6,322.19 | $466.17 |
| Rest Of Florida | $5,781.15 | $403.28 |
How the 37295 rate is calculated
Each of 37295’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 37295
RVUs × geographic indexes × conversion factor
Work8.16
8.16 RVUs× 1.000 GPCI
Practice expense169.81
169.81 RVUs× 1.000 GPCI
Malpractice1.72
1.72 RVUs× 1.000 GPCI
Adjusted RVUs
179.6900
Conversion factor
$33.4009
Medicare rate
$6,001.81
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 37295
The CMS indicators that decide how 37295 is paid alongside other services.
CMS payment indicators · 37295
Tibial revascularization
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
37295 without 50 · national office
$6,001.81
Tibial revascularization
37295-50 · Bilateral: 150%
$9,002.72
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
37295 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 37294Arterial revascularization
- 37294 reports the first complex vessel in the treatment sequence; 37295 is for an additional complex vessel and must be paired with the primary procedure.
- 37293Tibial revascularization
- 37293 is for an additional vessel in the simple category. Use 37295 when the additional vessel meets the billing code criteria for complex treatment.
- 37291Atherectomy
- 37291 covers complex atherectomy in an additional vessel without the stent-and-atherectomy combination represented by 37295.
- 37287Peripheral stenting
- 37287 covers complex stent treatment in an additional vessel without the combined atherectomy service represented by 37295.
37295 billing questions
When should 37295 be reported instead of 37294?
Use 37294 for the first qualifying complex vessel and 37295 for each additional qualifying complex vessel. The record should support the complex classification for each vessel.
Can 37295 be billed by itself?
No. It is an add-on code and must be reported with the corresponding primary procedure, 37294.
How does 37295 differ from 37293?
Both describe an additional vessel treated with atherectomy and stent placement, but 37293 is for the simple category and 37295 is for the complex category.
Should atherectomy and stent placement be reported separately for the same vessel?
This code represents their combined treatment in the additional vessel. Do not separately report those same-vessel components as if they were separate add-on services.
How is bilateral treatment handled?
For a bilateral procedure reported with modifier 50, CMS pays at 150%. The add-on code still requires its corresponding primary procedure.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 37295 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →