$7,165.78
37288 reports atherectomy in the initial simple tibial or peroneal vessel. Use 37289 for each additional vessel.
On this page
CMS RVU26D · Effective 2026-10-01
37289 Arterial atherectomy Medicare reimbursement rates in Idaho
Reports catheter-based plaque removal in each additional tibial or peroneal artery vessel treated during a simple endovascular revascularization procedure. Compare 37289 office and facility rates across CMS payment localities in Idaho.
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 37289 in Idaho?
Idaho 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
$845.42
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
Facility setting
$195.20
1 of 1 localities have a supported rate.
Payment area: Idaho
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.
Peripheral vascular intervention
About 37289: Additional tibial-peroneal artery atherectomy
Reports catheter-based plaque removal in each additional tibial or peroneal artery vessel treated during a simple endovascular revascularization procedure.
This add-on code describes catheter-based atherectomy in each additional tibial or peroneal artery vessel treated during lower-extremity endovascular revascularization. The intervention removes arterial plaque through an endovascular approach and is generally performed by an interventional radiologist, vascular surgeon, or cardiologist in an angiography suite or operating room. It is specific to additional vessels in the simple-procedure category; it does not describe the initial vessel or a combined atherectomy-and-stent service.
Report 37289 with the primary procedure for the initial vessel, typically 37288, when documentation supports atherectomy in an additional vessel and the applicable simple category. The operative report should identify the treated vessels and describe the atherectomy performed in each. As an add-on code, it is billed only with a primary procedure and paid within that procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays this code at 150%.
CMS billing rules for 37289
- 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 RVU4.75 · 17%
- Practice expense (office) RVU21.83 · 79%
- Malpractice RVU1.01 · 4%
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.
37289 compared with similar codes
Office rates for Idaho, from the same CMS release.
$9,786.48
37290 describes the initial vessel in the complex category; 37289 describes an additional vessel in the simple category.
$986.68
Both are for an additional vessel. Choose 37289 for the simple category and 37291 for the complex category.
$3,225.73
37293 is for atherectomy with stent placement in an additional vessel; 37289 is for atherectomy without that combined stent service.
Compare 37289 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
Idaho →
Office / nonfacility
$845.42
Facility
$195.20
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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 37289 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
4,649
- Code
- 37289
- Physician work
- 4.75
- Practice expense
- 21.83
- Malpractice
- 1.01
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.75 | × 1.000 | 4.7500 |
| Practice expense | 21.83 | × 0.920 | 20.0836 |
| Malpractice | 1.01 | × 0.473 | 0.4777 |
| Total RVUs | 25.3113 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$845.42
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.75 | 1 |
| Practice expense | 21.83 | 0.92 |
| Malpractice | 1.01 | 0.473 |
(4.75 × 1 + 21.83 × 0.92 + 1.01 × 0.473) × $33.4009 = $845.42
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.75 | 1 |
| Practice expense | 0.67 | 0.92 |
| Malpractice | 1.01 | 0.473 |
(4.75 × 1 + 0.67 × 0.92 + 1.01 × 0.473) × $33.4009 = $195.20
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.
37289 billing questions
Which code is reported for the initial simple tibial or peroneal vessel?
Use 37288 for the initial vessel when the procedure meets the simple-category criteria. Code 37289 is for each additional vessel.
Can 37289 be submitted by itself?
No. It is an add-on code and must be reported with a primary procedure, typically 37288 for the initial simple vessel.
How does 37289 differ from 37291?
Both describe an additional vessel, but 37289 is for the simple category and 37291 is for the complex category.
What documentation supports reporting an additional vessel?
The procedure report should identify each treated tibial or peroneal artery vessel and document atherectomy in the additional vessel.
How is modifier 50 handled for a bilateral procedure?
CMS pays a bilateral procedure reported with modifier 50 at 150%.
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.
4,64637286,,Revsc evasc tpvt st cplx 1st,A,,13.46,293.82,,2.00,,3.07,310.35,18.53,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64737287,,Revsc evasc tpvt st cplx ea,A,,5.00,141.79,,0.74,,1.12,147.91,6.86,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64837288,,Revsc evsc tpvt athrc sf 1st,A,,13.50,217.06,,1.91,,2.84,233.40,18.25,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64937289,,Revsc evsc tpvt athrc sf ea,A,,4.75,21.83,,0.67,,1.01,27.59,6.43,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65037290,,Revsc evsc tpvt athrc cplx 1,A,,17.00,298.16,,2.38,,3.58,318.74,22.96,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65137291,,Revsc evsc tpvt athr cplx ea,A,,6.50,24.35,,0.92,,1.35,32.20,8.77,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65237292,,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
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772