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CMS RVU26D · Effective 2026-10-01
37262 Arterial lithotripsy Medicare reimbursement rates in Illinois
Reports intravascular lithotripsy during peripheral revascularization of an additional small artery, with angioplasty in that same vessel. Compare 37262 office and facility rates across CMS payment localities in Illinois.
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 37262 in Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
$3134.37–$3514.21
4 of 4 localities have a supported rate.
Facility setting
$145.86–$162.67
4 of 4 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 37262 pays more and less in Illinois
4 payment localities
$3134.37 to $3514.21
Endovascular revascularization
About 37262: Small-artery intravascular lithotripsy add-on
Reports intravascular lithotripsy during peripheral revascularization of an additional small artery, with angioplasty in that same vessel.
This add-on represents intravascular lithotripsy used to modify calcified plaque in an additional small peripheral artery during an endovascular revascularization. A vascular surgeon, interventional radiologist, or other endovascular specialist may perform the treatment in an angiography suite or operating room. The lithotripsy is performed within the treated artery, with angioplasty in that same vessel included in the service. Small lower-extremity arteries such as tibial or peroneal arteries are typical sites when supported by the operative report.
Report 37262 only with a qualifying primary revascularization procedure for the same encounter; it is not a stand-alone service. The record should identify the treated artery, the additional-vessel status, use of intravascular lithotripsy, and the associated angioplasty. CMS treats payment as included within the primary procedure's global period. For bilateral reporting with modifier 50, CMS pays the code at 150% of its otherwise applicable amount.
CMS billing rules for 37262
- 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 RVU3.00 · 3%
- Practice expense (office) RVU98.47 · 96%
- Malpractice RVU0.60 · 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.
Compare 37262 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.
4 of 4 payment localities
Chicago →
Office / nonfacility
$3452.33
Facility
$162.67
East St. Louis →
Office / nonfacility
$3166.43
Facility
$155.01
Rest Of Illinois →
Office / nonfacility
$3134.37
Facility
$145.86
Suburban Chicago →
Office / nonfacility
$3514.21
Facility
$152.54
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37262 billing questions
Can 37262 be billed by itself?
No. It is an add-on code and must be reported with a qualifying primary procedure for the same encounter.
What documentation supports the additional-vessel reporting?
Document the specific artery treated, the separate additional-vessel treatment, and the intravascular lithotripsy and angioplasty performed in that vessel.
Does 37262 include angioplasty?
Yes. Angioplasty within the same vessel is part of the lithotripsy service described by this code.
How does the global-period rule affect payment?
CMS pays this add-on within the global period of its primary procedure; it is not separately paid as an independent service.
How is bilateral treatment reported?
When bilateral reporting with modifier 50 applies, CMS pays 37262 at 150% of its otherwise applicable amount.
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.