37265 covers the first vessel treated at the complex angioplasty level. Use 37266 for each additional qualifying vessel in the same treatment context.
On this page
CMS RVU26D · Effective 2026-10-01
37266 Angioplasty Medicare reimbursement rates in Missouri
Reports angioplasty of each additional complex femoral or popliteal artery vessel treated during an endovascular revascularization, after the applicable first-vessel procedure. Compare 37266 office and facility rates across CMS payment localities in Missouri.
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 37266 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$2126.00–$2331.74
3 of 3 localities have a supported rate.
Facility setting
$178.25–$180.63
3 of 3 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.
Where 37266 pays more and less in Missouri
3 payment localities
$2126.00 to $2331.74
Peripheral vascular intervention
About 37266: Complex femoral-popliteal angioplasty, additional vessel
Reports angioplasty of each additional complex femoral or popliteal artery vessel treated during an endovascular revascularization, after the applicable first-vessel procedure.
This add-on service represents angioplasty in an additional femoral or popliteal artery vessel when the intervention meets CPT criteria for complex treatment. Vascular surgeons, interventional radiologists, and other qualified specialists commonly perform these procedures in an angiography suite or operating room using endovascular access and imaging. The code counts an additional qualifying vessel, not each separate lesion treated within one vessel; it is for angioplasty rather than a service that includes stent placement.
Report it only with an eligible primary revascularization procedure. Select the complex level using the applicable CPT criteria and document the treated vessel, its anatomy, the intervention performed, and the basis for classifying the work as complex. As an add-on, its payment is within the primary procedure's global period. When the procedure is bilateral and modifier 50 is reported, CMS pays 150% under the stated bilateral rule.
CMS billing rules for 37266
- 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 RVU4.00 · 5%
- Practice expense (office) RVU68.15 · 93%
- Malpractice RVU0.93 · 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.
37266 compared with similar codes
Office rates for Missouri, from the same CMS release.
37264 is for each additional vessel treated at the simple angioplasty level; 37266 is for additional vessels meeting complex criteria.
37270 covers complex stent treatment of each additional vessel. Use 37266 when the additional-vessel service is complex angioplasty without stent placement.
Compare 37266 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$2301.37
Facility
$179.63
Metropolitan St. Louis →
Office / nonfacility
$2331.74
Facility
$180.63
Rest Of Missouri →
Office / nonfacility
$2126.00
Facility
$178.25
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37266 billing questions
When should 37266 be used instead of 37265?
Use 37265 for the first vessel meeting the complex angioplasty criteria and 37266 for each additional qualifying vessel. The code is not assigned once per lesion within a vessel.
Can 37266 be reported by itself?
No. It is an add-on code and must be billed with an eligible primary revascularization procedure.
Is angioplasty with stent placement reported with 37266?
No. This code represents angioplasty without the stent-placement service. For complex stent treatment of an additional vessel, compare the applicable stent code, including 37270.
How does the global-period payment rule affect 37266?
Payment for this add-on is within the primary procedure's global period; it does not establish a separate global period.
How is bilateral reporting handled?
For a bilateral procedure reported with modifier 50, CMS pays 150% under the bilateral rule supplied 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.
