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CMS RVU26D · Effective 2026-10-01

37269 Arterial stenting Medicare reimbursement rates in Michigan

Reports stent-based endovascular treatment of a complex lesion in the femoral or popliteal artery, for the initial treated vessel. Compare 37269 office and facility rates across CMS payment localities in Michigan.

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 37269 in Michigan?

Michigan 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

$10616.56–$11251.26

2 of 2 localities have a supported rate.

Lowest: Rest Of Michigan

Highest: Detroit

A spread of $634.70 per service.

Facility setting

$684.33–$753.34

2 of 2 localities have a supported rate.

Lowest: Rest Of Michigan

Highest: Detroit

A spread of $69.01 per service.

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.

Find 37269 in your payment locality →

Endovascular revascularization

About 37269: Complex femoral-popliteal stent revascularization

Reports stent-based endovascular treatment of a complex lesion in the femoral or popliteal artery, for the initial treated vessel.

An endovascular specialist treats an obstructive lesion in a femoral or popliteal artery by placing a stent to restore blood flow. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform this service in a hospital or outpatient angiography suite. This code identifies complex-lesion stenting in the initial treated vessel. Selection depends on the arterial territory, the documented lesion classification, and the treatment performed; it is distinct from angioplasty-only treatment and from procedures combining stenting with atherectomy.

Document the target artery and vessel, lesion features supporting complex classification, and stent placement. For an additional treated vessel, use the corresponding additional-vessel code rather than reporting this initial-vessel code again. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.

CMS billing rules for 37269

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 RVU14.75 · 4%
  • Practice expense (office) RVU327.62 · 95%
  • Malpractice RVU3.53 · 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.

37269 compared with similar codes

Office rates for Michigan, from the same CMS release.

37267

Arterial stenting

Simple lesion, initial vessel

$4,795.90–$5,086.80

Both report stenting in the femoral-popliteal territory for the initial vessel. Choose 37269 for a complex lesion and 37267 for a simple lesion.

37270

Arterial stenting

Complex, each additional vessel

$3,214.80–$3,408.13

This code is for the initial vessel; 37270 is the corresponding additional-vessel code for complex-lesion stenting.

37277

Peripheral revascularization

Complex, initial vessel

$14,147.44–$14,980.79

37269 reports complex-lesion stenting, while 37277 represents complex treatment combining stenting and atherectomy.

37265

Vessel angioplasty

Complex, initial vessel

$6,282.50–$6,661.16

37265 represents complex femoral-popliteal angioplasty. Use 37269 when the documented treatment includes stent placement.

Compare 37269 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

Office and facility base rates · shared scale starting at $0

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37269 billing questions

How is this code different from the simple-lesion stent code?

This code is for complex-lesion stenting in the femoral or popliteal territory. Use the simple-lesion code when the lesion meets the family’s simple classification instead.

Does this code represent the first or every treated vessel?

It represents the initial treated vessel. Report the corresponding additional-vessel code for another vessel treated in the same territory.

What documentation supports the complex classification?

Record the target artery and vessel, relevant lesion features supporting complex classification, and the stent treatment performed. The documented anatomy and procedure should support the selected code level.

Can angioplasty be separately reported with the stent?

Do not report angioplasty as a separate service solely for balloon work that is part of the stent treatment in the same vessel. Select the code family that matches the treatment performed.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure’s 0-day global period.

How is bilateral treatment reported under the CMS facts?

For a bilateral procedure, modifier 50 is paid at 150%. The standard multiple-procedure reduction also applies when multiple procedures are performed in the same session.

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.

RVUs for 37269PPRRVU2026_Oct_nonQPP.csv, line 4,629 (RVU26D)