$1,301.20
37248 is for the initial vein treated with balloon angioplasty; 37249 is for each additional vein in the procedure.
On this page
CMS RVU26D · Effective 2026-10-01
37249 Venous angioplasty Medicare reimbursement rates in Nevada
Reports balloon dilation of each additional non-dialysis-circuit vein treated after the initial vein during open or percutaneous venous intervention. Compare 37249 office and facility rates across CMS payment localities in Nevada.
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 37249 in Nevada?
Nevada 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
$424.83
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$125.26
1 of 1 localities have a supported rate.
Payment area: Nevada**
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.
Vascular intervention
About 37249: Additional venous balloon angioplasty
Reports balloon dilation of each additional non-dialysis-circuit vein treated after the initial vein during open or percutaneous venous intervention.
An endovascular specialist, interventional radiologist, or vascular surgeon uses a balloon catheter to widen a narrowed segment in an additional vein after treating the initial vein. The service may be performed through percutaneous access or during open vascular surgery, commonly to address venous outflow obstruction. This code is for venous angioplasty outside a dialysis circuit; dialysis-access circuit treatment follows a separate code family.
Report one unit for each additional vein treated, rather than for repeated balloon inflations or multiple stenoses within one vein. The operative or procedure report should identify the treated veins and document the stenosis and balloon treatment. This is an add-on code and must be reported with a primary procedure, typically 37248 for the initial vein; CMS pays it within that primary procedure's global period. For bilateral treatment reported with modifier 50, CMS pays 150%.
CMS billing rules for 37249
- 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 RVU2.90 · 23%
- Practice expense (office) RVU9.36 · 73%
- Malpractice RVU0.54 · 4%
3.5K
Medicare services in 2024 · #2078 by national volume
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.
37249 compared with similar codes
Office rates for Nevada, from the same CMS release.
$596.22
37247 is the additional-vessel balloon angioplasty code for an artery. Use 37249 when the additional vessel treated is a vein.
$1,657.94
37239 describes stent placement in an additional vein, whereas 37249 describes balloon angioplasty of an additional vein.
$1,187.74
36902 applies to angioplasty within a dialysis access circuit; 37249 applies to venous angioplasty outside that circuit.
Compare 37249 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
Nevada** →
Office / nonfacility
$424.83
Facility
$125.26
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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 37249 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
4,610
- Code
- 37249
- Physician work
- 2.90
- Practice expense
- 9.36
- Malpractice
- 0.54
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.90 | × 1.000 | 2.9000 |
| Practice expense | 9.36 | × 1.001 | 9.3694 |
| Malpractice | 0.54 | × 0.833 | 0.4498 |
| Total RVUs | 12.7192 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$424.83
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.9 | 1 |
| Practice expense | 9.36 | 1.001 |
| Malpractice | 0.54 | 0.833 |
(2.9 × 1 + 9.36 × 1.001 + 0.54 × 0.833) × $33.4009 = $424.83
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.9 | 1 |
| Practice expense | 0.4 | 1.001 |
| Malpractice | 0.54 | 0.833 |
(2.9 × 1 + 0.4 × 1.001 + 0.54 × 0.833) × $33.4009 = $125.26
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.
37249 billing questions
When is 37249 used instead of 37248?
Use 37248 for the initial vein and 37249 for each additional vein treated in the same procedure. Multiple treated segments or balloon inflations within one vein do not make it an additional vein.
Can 37249 be reported by itself?
No. It is an add-on code and must be reported with a primary procedure, typically 37248 for the initial vein.
How are units counted?
Count each additional vein treated, not the number of stenoses or balloon inflations in that vein. Document the additional veins treated.
How is bilateral treatment reported?
CMS specifies modifier 50 for bilateral treatment and pays the procedure at 150%.
Does 37249 describe angioplasty in a dialysis access circuit?
No. This code is for venous angioplasty outside a dialysis circuit; dialysis-access circuit interventions use the dialysis-circuit code family.
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.
4,60737246,,Trluml balo angiop 1st art,A,,6.83,44.12,,1.06,,1.34,52.29,9.23,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60837247,,Trluml balo angiop addl art,A,,3.41,13.91,,0.52,,0.62,17.94,4.55,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,60937248,,Trluml balo angiop 1st vein,A,,5.85,32.30,,1.01,,0.93,39.08,7.79,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097