$9,407.06–$9,964.33
Both codes combine stenting and atherectomy in an initial tibial/peroneal vessel; 37292 is for the simple category, while 37294 is for the complex category.
On this page
CMS RVU26D · Effective 2026-10-01
37294 Arterial revascularization Medicare reimbursement rates in Michigan
Reports complex endovascular treatment of an initial tibial or peroneal artery vessel using atherectomy and stent placement during peripheral arterial revascularization. Compare 37294 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 37294 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
$13955.09–$14775.73
2 of 2 localities have a supported rate.
Facility setting
$821.80–$894.43
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.
Peripheral vascular intervention
About 37294: Complex tibial peroneal stent and atherectomy
Reports complex endovascular treatment of an initial tibial or peroneal artery vessel using atherectomy and stent placement during peripheral arterial revascularization.
This code describes catheter-based treatment of a complex lesion in an initial tibial or peroneal artery vessel, combining atherectomy with stent placement. It is typically performed by an interventional radiologist, vascular surgeon, or interventional cardiologist in a hospital or other procedural setting. Angioplasty within the treated vessel is part of this revascularization service. The code is specific to the tibial/peroneal vascular territory; femoral or popliteal interventions belong to a different territory family.
Select the complex first-vessel code when the documented intervention meets the CPT criteria for complex treatment and includes both atherectomy and stenting. The operative report should identify the treated vessel, the intervention performed, and the basis for classifying the work as complex. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, CMS pays the highest-valued procedure in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 37294
- 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 RVU18.00 · 4%
- Practice expense (office) RVU433.39 · 95%
- Malpractice RVU3.65 · 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.
37294 compared with similar codes
Office rates for Michigan, from the same CMS release.
$5,515.77–$5,842.70
37294 reports the initial complex vessel. Use 37295 for an additional complex vessel rather than treating it as another initial-vessel service.
$9,795.21–$10,379.67
37290 describes complex atherectomy without the combined stent service. Use 37294 when both atherectomy and stenting are performed in the vessel.
$9,525.39–$10,092.83
37286 describes complex stenting without the combined atherectomy service. Use 37294 when atherectomy and stenting are both performed.
Compare 37294 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
Detroit →
Office / nonfacility
$14775.73
Facility
$894.43
Rest Of Michigan →
Office / nonfacility
$13955.09
Facility
$821.80
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37294 billing questions
How does 37294 differ from 37292?
Both describe tibial/peroneal treatment using stenting and atherectomy in an initial vessel. Use 37294 for a lesion meeting the CPT complex criteria and 37292 for the simple category.
Does 37294 include both atherectomy and stent placement?
Yes. It represents the combined treatment in the same complex tibial/peroneal vessel, including angioplasty within that vessel.
Which code reports another complex vessel?
Use 37295 for each additional complex tibial/peroneal vessel treated with stenting and atherectomy, subject to the applicable CPT instructions.
What documentation supports 37294?
Document the tibial or peroneal vessel treated, the atherectomy and stent work performed, and the facts supporting complex rather than simple classification.
How does CMS handle other procedures in the same session?
CMS pays the highest-valued procedure in full and other procedures at 50% under the standard multiple procedure reduction. Bilateral reporting with modifier 50 is paid at 150%.
Can an assistant surgeon be paid with 37294?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
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.
4,65137291,,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
4,65537295,,Rvsc evsc tpvt st ath cpx ea,A,,8.16,169.81,,1.39,,1.72,179.69,11.27,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65637296,,Revsc evasc imvt angio sf 1,A,,11.00,77.24,,1.44,,2.57,90.81,15.01,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65737297,,Revsc evasc imvt angio sf ea,A,,4.00,19.92,,0.50,,0.88,24.80,5.38,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00