Billing code 37286: Venous stentingMedicare rate & RVUs in Nebraska
Reports complex endovascular stent treatment in the initial peripheral vein treated for obstructive venous disease, such as chronic iliofemoral venous obstruction.
Medicare pays $9,546.52 for 37286 in the office in Nebraska (Nebraska). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 37286 covers
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.
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 in Nebraska
| Payment locality | Office | Facility |
|---|---|---|
| Nebraska | $9,546.52 | $549.99 |
How the 37286 rate is calculated
Each of 37286’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 37286
RVUs × geographic indexes × conversion factor
Work13.46
13.46 RVUs× 1.000 GPCI
Practice expense293.82
293.82 RVUs× 1.000 GPCI
Malpractice3.07
3.07 RVUs× 1.000 GPCI
Adjusted RVUs
310.3500
Conversion factor
$33.4009
Medicare rate
$10,365.97
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 37286
The CMS indicators that decide how 37286 is paid alongside other services.
CMS payment indicators · 37286
Venous stenting
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
37286 without 50 · national office
$10,365.97
Venous stenting
37286-50 · Bilateral: 150%
$15,548.96
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
37286 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 37284Venous revascularization
- Both cover stenting in the initial vein. Choose 37286 for a complex lesion and 37284 for a simple lesion.
- 37287Peripheral stenting
- 37286 represents the initial complex vein; 37287 represents each additional complex vein treated in the same procedure.
- 37282Venous angioplasty
- Both address an initial complex venous lesion, but 37282 is for angioplasty without stent placement; 37286 is for stent treatment.
- 37280Tibial angioplasty
- 37280 is initial-vein angioplasty for a simple lesion. This code is for complex stent treatment in the initial vein.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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