$3,201.06
37258 covers the initial iliac vessel treated for a simple lesion; 37259 covers each additional qualifying vessel.
On this page
CMS RVU26D · Effective 2026-10-01
37259 Iliac stenting Medicare reimbursement rates in Kentucky
Reports stent treatment of each additional iliac artery with a simple lesion during endovascular revascularization, alongside the required initial-vessel procedure. Compare 37259 office and facility rates across CMS payment localities in Kentucky.
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 37259 in Kentucky?
Kentucky 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
$1087.61
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$176.92
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 37259: Additional simple iliac stent placement
Reports stent treatment of each additional iliac artery with a simple lesion during endovascular revascularization, alongside the required initial-vessel procedure.
This add-on describes catheter-based stent treatment of an additional iliac artery with a simple lesion during endovascular revascularization. For example, an interventional radiologist or vascular surgeon may place a stent in another diseased iliac artery during a procedure for lower-extremity arterial disease. Angioplasty performed in the same treated vessel is included when performed as part of the revascularization service.
Report this code for each additional qualifying iliac vessel, not for each stent or each lesion within one vessel. The record should identify the treated arteries, support the simple-lesion classification, and document the stent placement. This add-on must be reported with the initial-vessel simple-lesion stent service, 37258, and is paid within that primary procedure's global period. For a bilateral procedure, CMS pays the service reported with modifier 50 at 150%.
CMS billing rules for 37259
- 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 RVU4.00 · 11%
- Practice expense (office) RVU31.12 · 86%
- Malpractice RVU0.98 · 3%
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.
37259 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$3,005.00
Both apply to additional iliac vessels treated with stents. Choose 37261 for a complex lesion and 37259 for a simple lesion.
$465.16
37255 is for additional-vessel simple-lesion iliac angioplasty without the stent service described by 37259.
Compare 37259 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
Kentucky →
Office / nonfacility
$1087.61
Facility
$176.92
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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 37259 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
4,618
- Code
- 37259
- Physician work
- 4.00
- Practice expense
- 31.12
- Malpractice
- 0.98
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.00 | × 1.000 | 4.0000 |
| Practice expense | 31.12 | × 0.889 | 27.6657 |
| Malpractice | 0.98 | × 0.915 | 0.8967 |
| Total RVUs | 32.5624 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$1087.61
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4 | 1 |
| Practice expense | 31.12 | 0.889 |
| Malpractice | 0.98 | 0.915 |
(4 × 1 + 31.12 × 0.889 + 0.98 × 0.915) × $33.4009 = $1087.61
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4 | 1 |
| Practice expense | 0.45 | 0.889 |
| Malpractice | 0.98 | 0.915 |
(4 × 1 + 0.45 × 0.889 + 0.98 × 0.915) × $33.4009 = $176.92
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.
37259 billing questions
When is 37259 reported instead of 37258?
Use 37258 for the initial iliac vessel treated for a simple lesion. Use 37259 for each additional qualifying vessel treated during the procedure.
Can 37259 be billed without 37258?
No. It is an add-on code and must be reported with the initial-vessel simple-lesion stent service, 37258.
Is 37259 reported for each stent?
No. The unit is based on each additional treated vessel, not the number of stents or lesions in that vessel.
How does 37259 differ from 37261?
Both describe an additional iliac vessel treated with a stent, but 37259 is for a simple lesion and 37261 is for a complex lesion.
What modifier applies when the procedure is bilateral?
For a bilateral procedure, report modifier 50; CMS pays this service at 150%.
What documentation supports reporting 37259?
Document the additional iliac artery treated, the lesion classification, and the stent placement, along with the initial-vessel 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.
4,61537256,,Revsc evasc ivt angio cplx 1,A,,10.75,59.50,,1.47,,2.51,72.76,14.73,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61637257,,Revsc evsc ivt angio cplx ea,A,,3.89,12.54,,0.46,,0.92,17.35,5.27,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61737258,,Revsc evasc ivt stent sf 1st,A,,8.75,95.81,,1.17,,2.09,106.65,12.01,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61837259,,Revsc evasc ivt stent sf ea,A,,4.00,31.12,,0.45,,0.98,36.10,5.43,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,6193725F,,Screen depression performed,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62037260,,Revsc evasc ivt st cplx 1st,A,,12.69,236.79,,1.65,,3.02,252.50,17.36,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62137261,,Revsc evasc ivt st cplx ea,A,,4.25,95.35,,0.48,,1.04,100.64,5.77,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631