$3,467.55
37278 is the primary femoropopliteal intravascular lithotripsy service; 37279 is an add-on for additional treatment in the same artery.
On this page
CMS RVU26D · Effective 2026-10-01
37279 Intravascular lithotripsy Medicare reimbursement rates in Kentucky
Reports additional intravascular lithotripsy treatment in the same femoral or popliteal artery, with angioplasty included when performed. Compare 37279 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 37279 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
$4136.98
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$177.07
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 37279: Additional femoropopliteal intravascular lithotripsy
Reports additional intravascular lithotripsy treatment in the same femoral or popliteal artery, with angioplasty included when performed.
This add-on describes additional intravascular lithotripsy treatment in a femoral or popliteal artery. The catheter-based technique uses sonic pressure waves to modify calcified plaque and may be paired with balloon angioplasty. Vascular surgeons and interventional radiologists typically perform these procedures in an endovascular suite or operating room as part of lower-extremity revascularization.
Report 37279 only with its primary procedure, 37278, when the additional same-artery treatment is supported by the operative report. Documentation should identify the treated artery and describe the intravascular lithotripsy performed; angioplasty is included when performed. CMS pays this add-on within the primary procedure’s global period. For bilateral reporting, CMS pays modifier 50 at 150%.
CMS billing rules for 37279
- 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 · 3%
- Practice expense (office) RVU133.99 · 97%
- Malpractice RVU0.81 · 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.
37279 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$4,664.64
37267 describes femoropopliteal revascularization with stent placement. Choose it when stenting is the coded treatment rather than additional intravascular lithotripsy.
$9,425.35
37271 describes femoropopliteal revascularization with atherectomy. It represents a different plaque-treatment method from the intravascular lithotripsy reported with 37279.
$9,178.14
37275 describes femoropopliteal revascularization combining stent placement and atherectomy, rather than an add-on for intravascular lithotripsy.
Compare 37279 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
$4136.98
Facility
$177.07
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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 37279 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
4,639
- Code
- 37279
- Physician work
- 4.00
- Practice expense
- 133.99
- Malpractice
- 0.81
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 | 133.99 | × 0.889 | 119.1171 |
| Malpractice | 0.81 | × 0.915 | 0.7412 |
| Total RVUs | 123.8583 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$4136.98
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4 | 1 |
| Practice expense | 133.99 | 0.889 |
| Malpractice | 0.81 | 0.915 |
(4 × 1 + 133.99 × 0.889 + 0.81 × 0.915) × $33.4009 = $4136.98
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4 | 1 |
| Practice expense | 0.63 | 0.889 |
| Malpractice | 0.81 | 0.915 |
(4 × 1 + 0.63 × 0.889 + 0.81 × 0.915) × $33.4009 = $177.07
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.
37279 billing questions
When should 37279 be reported instead of 37278?
Use 37278 for the primary intravascular lithotripsy service. Report 37279 only for additional treatment in the same artery and only with the primary procedure.
Can 37279 be billed by itself?
No. It is an add-on code and must be billed with its primary procedure, 37278.
Is balloon angioplasty separately reported with 37279?
Angioplasty is included when performed as part of the intravascular lithotripsy service represented by this code.
What documentation supports 37279?
The procedure report should identify the femoral or popliteal artery treated and document the additional intravascular lithotripsy performed in that same artery.
How does CMS handle bilateral reporting?
CMS pays bilateral reporting 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.
4,63637276,,Rvsc evsc fpvt st athr sf ea,A,,4.25,98.32,,0.54,,0.98,103.55,5.77,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63737277,,Rvsc evsc fpvt st athr cpx 1,A,,15.00,443.28,,2.00,,3.41,461.69,20.41,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63837278,,Rvsc evsc fpvt st ath cpx ea,A,,6.00,108.64,,0.76,,1.35,115.99,8.11,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63937279,,Iv lithotrp fpvt w/in sm art,A,,4.00,133.99,,0.63,,0.81,138.80,5.44,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64037280,,Revsc evsc tpvt angio sf 1st,A,,9.80,68.64,,1.29,,2.31,80.75,13.40,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64137281,,Revsc evsc tpvt angio sf ea,A,,3.00,18.38,,0.37,,0.66,22.04,4.03,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64237282,,Rvsc evsc tpvt angio cplx 1,A,,12.31,167.37,,1.60,,2.90,182.58,16.81,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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