$2,428.86
Both are iliac-territory angioplasty codes. Choose 37254 for treatment meeting the simple-category criteria and 37256 for treatment meeting the complex-category criteria.
On this page
CMS RVU26D · Effective 2026-10-01
37254 Iliac angioplasty Medicare reimbursement rates in Minnesota
Reports endovascular angioplasty for a simple lesion in the first treated iliac artery during revascularization for iliac arterial disease. Compare 37254 office and facility rates across CMS payment localities in Minnesota.
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 37254 in Minnesota?
Minnesota 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
$2083.69
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$296.48
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 37254: Simple iliac artery angioplasty
Reports endovascular angioplasty for a simple lesion in the first treated iliac artery during revascularization for iliac arterial disease.
This service treats an iliac artery narrowing or blockage by advancing an endovascular device to the affected site and expanding a balloon to improve blood flow. Vascular surgeons, interventional radiologists, and other physicians with appropriate endovascular training commonly perform it in an angiography suite or hospital procedure room. The code identifies treatment in the iliac territory and the simple category, not angioplasty elsewhere in the leg.
Select it when the documented intervention meets the CPT criteria for simple treatment and is the first treated artery in the iliac territory. The procedure report should identify the treated artery, lesion, approach, and intervention. 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%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 37254
- 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 RVU7.30 · 12%
- Practice expense (office) RVU53.04 · 85%
- Malpractice RVU1.71 · 3%
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.
37254 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$3,605.87
This code represents simple-category iliac angioplasty; 37258 is the related simple-category code when the iliac intervention involves stent placement.
$5,534.80
Both cover simple-category angioplasty, but 37254 is for the iliac territory and 37263 is for the femoropopliteal territory.
Compare 37254 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
Minnesota →
Office / nonfacility
$2083.69
Facility
$296.48
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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 37254 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
4,613
- Code
- 37254
- Physician work
- 7.30
- Practice expense
- 53.04
- Malpractice
- 1.71
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.30 | × 1.000 | 7.3000 |
| Practice expense | 53.04 | × 1.029 | 54.5782 |
| Malpractice | 1.71 | × 0.296 | 0.5062 |
| Total RVUs | 62.3843 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$2083.69
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.3 | 1 |
| Practice expense | 53.04 | 1.029 |
| Malpractice | 1.71 | 0.296 |
(7.3 × 1 + 53.04 × 1.029 + 1.71 × 0.296) × $33.4009 = $2083.69
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.3 | 1 |
| Practice expense | 1.04 | 1.029 |
| Malpractice | 1.71 | 0.296 |
(7.3 × 1 + 1.04 × 1.029 + 1.71 × 0.296) × $33.4009 = $296.48
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.
37254 billing questions
How is this code distinguished from 37256?
Both describe iliac-territory angioplasty, but 37254 is for treatment meeting the simple-category criteria. Use 37256 when the documented treatment meets the complex-category criteria.
When is 37255 relevant?
37255 is the related simple-category code for an additional treated iliac artery. Identify the arteries treated and their order in the procedure documentation.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
How does CMS handle bilateral reporting and multiple procedures?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment is allowed 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.
4,61037249,,Trluml balo angiop addl vein,A,,2.90,9.36,,0.40,,0.54,12.80,3.84,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61137252,,Intrvasc us noncoronary 1st,A,,1.76,24.68,,0.24,,0.37,26.81,2.37,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61237253,,Intrvasc us noncoronary addl,A,,1.40,3.40,,0.19,,0.28,5.08,1.87,0,ZZZ,0.00,0.00,0.00,0,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61337254,,Revsc evasc ivt angio sf 1st,A,,7.30,53.04,,1.04,,1.71,62.05,10.05,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61437255,,Revsc evasc ivt angio sf ea,A,,3.00,11.56,,0.36,,0.71,15.27,4.07,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61537256,,Revsc evasc ivt angio cplx 1,A,,10.75,59.50,,1.47,,2.51,72.76,14.73,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61637257,,Revsc evsc ivt angio cplx ea,A,,3.89,12.54,,0.46,,0.92,17.35,5.27,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002