$9,530.61
37290 is for complex atherectomy in the first vessel; 37291 is for each additional qualifying vessel.
On this page
CMS RVU26D · Effective 2026-10-01
37291 Atherectomy Medicare reimbursement rates in Kentucky
Reports complex atherectomy in an additional tibial or peroneal vessel during catheter-based lower-extremity revascularization for peripheral arterial disease. Compare 37291 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 37291 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
$981.40
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$285.68
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.
Peripheral vascular intervention
About 37291: Complex tibial atherectomy, additional vessel
Reports complex atherectomy in an additional tibial or peroneal vessel during catheter-based lower-extremity revascularization for peripheral arterial disease.
This add-on code describes atherectomy in an additional tibial or peroneal vessel during endovascular treatment of lower-extremity arterial disease. A vascular surgeon, interventional radiologist, or interventional cardiologist may perform the catheter-based procedure in an angiography or operating suite for limb ischemia caused by obstructive disease. Atherectomy removes or debulks plaque to restore blood flow; angioplasty associated with the atherectomy is part of the revascularization service, rather than a separate angioplasty-only service in that vessel.
Report 37291 only with the appropriate primary procedure, such as 37290 for complex atherectomy in the first vessel. Use it for an additional vessel that meets the complex category’s criteria; document the treated vessels, lesion characteristics supporting that classification, and the atherectomy performed. CMS pays this add-on within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays 150%.
CMS billing rules for 37291
- 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 RVU6.50 · 20%
- Practice expense (office) RVU24.35 · 76%
- Malpractice RVU1.35 · 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.
37291 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$837.73
37289 describes atherectomy in an additional vessel in the simple category. Use 37291 when the additional-vessel service meets the complex category’s criteria.
$5,367.35
37295 applies when complex treatment in each additional vessel combines stenting and atherectomy; 37291 describes the complex atherectomy service without that combined treatment.
$783.90
37283 is for complex angioplasty in an additional vessel without atherectomy. Use 37291 when atherectomy is performed in the additional vessel.
Compare 37291 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
$981.40
Facility
$285.68
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 37291 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
4,651
- Code
- 37291
- Physician work
- 6.50
- Practice expense
- 24.35
- Malpractice
- 1.35
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.50 | × 1.000 | 6.5000 |
| Practice expense | 24.35 | × 0.889 | 21.6471 |
| Malpractice | 1.35 | × 0.915 | 1.2353 |
| Total RVUs | 29.3824 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$981.40
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.5 | 1 |
| Practice expense | 24.35 | 0.889 |
| Malpractice | 1.35 | 0.915 |
(6.5 × 1 + 24.35 × 0.889 + 1.35 × 0.915) × $33.4009 = $981.40
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.5 | 1 |
| Practice expense | 0.92 | 0.889 |
| Malpractice | 1.35 | 0.915 |
(6.5 × 1 + 0.92 × 0.889 + 1.35 × 0.915) × $33.4009 = $285.68
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.
37291 billing questions
When is 37291 used instead of 37290?
Use 37290 for the first vessel treated with complex atherectomy. Report 37291 for each additional qualifying vessel in the complex category.
Can 37291 be billed by itself?
No. It is an add-on code and must be reported with an appropriate primary procedure, such as 37290.
Is angioplasty separately reported in the atherectomy vessel?
Angioplasty associated with atherectomy in that vessel is included in the revascularization service; 37291 represents the additional-vessel atherectomy service.
What documentation supports the complex additional-vessel service?
Document the treated tibial or peroneal vessel, the lesion characteristics supporting complex classification, and the atherectomy performed.
How does CMS handle bilateral reporting?
For a bilateral procedure reported with modifier 50, CMS pays 150%. The add-on code must still be reported with its primary 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.
4,64837288,,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
4,65337293,,Rvsc evsc tpvt st athr sf ea,A,,6.50,97.22,,1.10,,1.34,105.06,8.94,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65437294,,Rvsc evsc tpvt st athr cpx 1,A,,18.00,433.39,,2.72,,3.65,455.04,24.37,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,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