Billing code 37293: Tibial revascularizationMedicare rate & RVUs in Minooka, Illinois

Compare Medicare physician payments in Minooka, IL. Census city boundaries cover Grundy County, Kendall County, Will County. Use the service ZIP to confirm the payment locality for a specific address.

CMS RVU26DEffective Oct 1, 20262 payment localities

Medicare pays $3,251.79–$3,632.85 for 37293 in the office in Minooka, Illinois, from Rest Of Illinois to Suburban Chicago. Which amount applies depends on the service address.

$3,251.79–$3,632.85Office (non-facility)
$320.61–$335.67Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 37293 for the payment locality that covers the ZIP.

On this page 6 sections
  1. Rate in Minooka, Illinois
  2. By payment locality
  3. City and payment areas
  4. How it’s calculated
  5. Payment rules
  6. Sources

Where 37293 pays more and less in Minooka, Illinois

Minooka, Illinois maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.

37293 office and facility rates by payment locality
Payment localityOfficeFacility
Rest Of Illinois$3,251.79$320.61
Suburban Chicago$3,632.85$335.67

How payment areas work in Minooka

City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.

  • Rest of Illinois · Grundy County, Kendall County
  • Suburban Chicago · Will County

City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions

How the 37293 rate is calculated

Each of 37293’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 · 37293

RVUs × geographic indexes × conversion factor

Work6.50

6.50 RVUs× 1.000 GPCI

Practice expense97.22

97.22 RVUs× 1.000 GPCI

Malpractice1.34

1.34 RVUs× 1.000 GPCI

Adjusted RVUs

105.0600

Conversion factor

$33.4009

Medicare rate

$3,509.10

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 37293

The CMS indicators that decide how 37293 is paid alongside other services.

CMS payment indicators · 37293

Tibial revascularization

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

37293 without 50 · national office

$3,509.10

Tibial revascularization

37293-50 · Bilateral: 150%

$5,263.65

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).

When to use modifier 50

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
RVUs for 37293PPRRVU2026_Oct_nonQPP.csv, line 4,653 (RVU26D)

Open CMS sourceHow we calculate rates

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