$5,184.40–$5,555.73
Both cover stenting in the initial vein. Choose 37286 for a complex lesion and 37284 for a simple lesion.
On this page
CMS RVU26D · Effective 2026-10-01
37286 Venous stenting Medicare reimbursement rates in Maine
Reports complex endovascular stent treatment in the initial peripheral vein treated for obstructive venous disease, such as chronic iliofemoral venous obstruction. Compare 37286 office and facility rates across CMS payment localities in Maine.
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 37286 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$9542.10–$10239.81
2 of 2 localities have a supported rate.
Facility setting
$574.81–$580.48
2 of 2 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.
Venous intervention
About 37286: Complex peripheral venous stent placement
Reports complex endovascular stent treatment in the initial peripheral vein treated for obstructive venous disease, such as chronic iliofemoral venous obstruction.
This code represents endovascular stent treatment of a complex obstruction in the first peripheral vein treated during the procedure. It is used for venous disease such as chronic iliofemoral obstruction, including post-thrombotic narrowing or compression-related obstruction. Interventional radiologists and vascular surgeons commonly perform the work in a hospital or ambulatory procedure suite, using catheter-based access and imaging to cross and treat the lesion. The code distinguishes a complex lesion from a simple one; the stent device alone does not determine that classification.
Report it for the initial treated vein when the procedure meets the complex criteria, and use the additional-vein code for each qualifying subsequent vein. The operative report should identify the treated venous anatomy, the nature and extent of the obstruction, the approach used to cross it, and stent placement. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 identifies bilateral work and is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 37286
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.46 · 4%
- Practice expense (office) RVU293.82 · 95%
- Malpractice RVU3.07 · 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.
37286 compared with similar codes
Office rates for Maine, from the same CMS release.
$4,547.31–$4,883.90
37286 represents the initial complex vein; 37287 represents each additional complex vein treated in the same procedure.
$5,614.50–$6,012.28
Both address an initial complex venous lesion, but 37282 is for angioplasty without stent placement; 37286 is for stent treatment.
$2,484.55–$2,648.02
37280 is initial-vein angioplasty for a simple lesion. This code is for complex stent treatment in the initial vein.
Compare 37286 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$9542.10
Facility
$574.81
Southern Maine →
Office / nonfacility
$10239.81
Facility
$580.48
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.
37286 billing questions
How is this code different from 37284?
Both report initial-vein stent treatment. Use 37286 for a complex lesion and 37284 for a simple lesion; the documented lesion and procedure determine the classification.
When is 37287 reported with this code?
37287 reports complex stent treatment in an additional vein after the initial vein represented by 37286. Document each treated vein and its qualifying work.
Can angioplasty in the stented vein be reported separately?
Do not separately report angioplasty as another revascularization service for the same treated vein when it is part of the stent treatment. Distinct work in another vein requires separate evaluation under the applicable code.
What documentation supports the complex classification?
Document the vein treated, the obstruction's location and extent, the procedural features supporting complex treatment, and stent placement. Do not rely on the number or type of stents alone.
How does Medicare handle bilateral treatment?
CMS identifies this as a bilateral procedure; report modifier 50 for bilateral work. The CMS payment rule is 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
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.
4,64337283,,Rvsc evsc tpvt angio cplx ea,A,,4.26,20.63,,0.53,,0.95,25.84,5.74,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64437284,,Revsc evasc tpvt st sf 1st,A,,10.00,156.29,,1.52,,2.30,168.59,13.82,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64537285,,Revsc evasc tpvt st sf ea,A,,3.34,79.40,,0.49,,0.73,83.47,4.56,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64637286,,Revsc evasc tpvt st cplx 1st,A,,13.46,293.82,,2.00,,3.07,310.35,18.53,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64737287,,Revsc evasc tpvt st cplx ea,A,,5.00,141.79,,0.74,,1.12,147.91,6.86,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64837288,,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