$17,130.58
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.
On this page
CMS RVU26D · Effective 2026-10-01
37295 Tibial revascularization Medicare reimbursement rates in Hawaii
Reports complex endovascular treatment of an additional tibial or peroneal artery vessel using both atherectomy and stent placement. Compare 37295 office and facility rates across CMS payment localities in Hawaii.
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 37295 in Hawaii?
Hawaii 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
$6754.66
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$358.60
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 37295: Complex tibial-peroneal stent and atherectomy
Reports complex endovascular treatment of an additional tibial or peroneal artery vessel using both atherectomy and stent placement.
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 CPT 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%.
CMS billing rules for 37295
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
Where the value comes from
- Work RVU8.16 · 5%
- Practice expense (office) RVU169.81 · 95%
- Malpractice RVU1.72 · 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.
37295 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$3,935.13
37293 is for an additional vessel in the simple category. Use 37295 when the additional vessel meets the CPT criteria for complex treatment.
$1,167.95
37291 covers complex atherectomy in an additional vessel without the stent-and-atherectomy combination represented by 37295.
$5,573.40
37287 covers complex stent treatment in an additional vessel without the combined atherectomy service represented by 37295.
Compare 37295 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
Hawaii, Guam →
Office / nonfacility
$6754.66
Facility
$358.60
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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 37295 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
4,655
- Code
- 37295
- Physician work
- 8.16
- Practice expense
- 169.81
- Malpractice
- 1.72
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.16 | × 1.000 | 8.1600 |
| Practice expense | 169.81 | × 1.137 | 193.0740 |
| Malpractice | 1.72 | × 0.579 | 0.9959 |
| Total RVUs | 202.2298 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$6754.66
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.16 | 1 |
| Practice expense | 169.81 | 1.137 |
| Malpractice | 1.72 | 0.579 |
(8.16 × 1 + 169.81 × 1.137 + 1.72 × 0.579) × $33.4009 = $6754.66
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.16 | 1 |
| Practice expense | 1.39 | 1.137 |
| Malpractice | 1.72 | 0.579 |
(8.16 × 1 + 1.39 × 1.137 + 1.72 × 0.579) × $33.4009 = $358.60
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.
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 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.
4,65237292,,Rvsc evsc tpvt st athrc sf 1,A,,15.00,288.29,,2.29,,3.04,306.33,20.33,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65337293,,Rvsc evsc tpvt st athr sf ea,A,,6.50,97.22,,1.10,,1.34,105.06,8.94,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65437294,,Rvsc evsc tpvt st athr cpx 1,A,,18.00,433.39,,2.72,,3.65,455.04,24.37,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65537295,,Rvsc evsc tpvt st ath cpx ea,A,,8.16,169.81,,1.39,,1.72,179.69,11.27,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65637296,,Revsc evasc imvt angio sf 1,A,,11.00,77.24,,1.44,,2.57,90.81,15.01,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65737297,,Revsc evasc imvt angio sf ea,A,,4.00,19.92,,0.50,,0.88,24.80,5.38,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65837298,,Revsc evsc imvt angio cplx 1,A,,13.70,85.36,,1.77,,3.05,102.11,18.52,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014