Billing code 37264: Peripheral angioplastyMedicare rate & RVUs in Nevada
Reports balloon angioplasty of each additional vessel in the femoral-popliteal territory during simple-category endovascular revascularization.
Medicare pays $2,181.57 for 37264 in the office in Nevada (Nevada**). 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 37264 covers
This add-on represents balloon angioplasty in an additional vessel of the femoral-popliteal arterial territory, such as an artery in the thigh or behind the knee. The intervention opens a narrowed or occluded peripheral artery to improve blood flow. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform this catheter-based treatment for peripheral artery disease, including symptomatic claudication or limb-threatening ischemia.
Report the code for each qualifying additional vessel treated with angioplasty in the simple category, alongside the applicable first-vessel procedure. The operative report should identify the treated vessels and document the intervention and the basis for classifying it as simple. This is an add-on code and is paid within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays this code at 150%.
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.
37264 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | $2,181.57 | $132.38 |
How the 37264 rate is calculated
Each of 37264’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 · 37264
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.00Practice expense 61.67Malpractice 0.70
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 37264
The CMS indicators that decide how 37264 is paid alongside other services.
CMS payment indicators · 37264
Peripheral angioplasty
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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
37264 without 50 · national office
$2,183.42
Peripheral angioplasty
37264-50 · Bilateral: 150%
$3,275.13
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).
37264 compared with similar codes
Compare codes
37264 vs 37263 vs 37265 vs 37266 vs 37268: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 37263Leg angioplasty
- 37263 is for the first vessel treated with simple-category femoral-popliteal angioplasty; 37264 is for each additional vessel.
- 37265Vessel angioplasty
- 37265 reports the first vessel when the angioplasty is classified as complex. Use 37264 for additional vessels only when the treatment is in the simple category.
- 37266Angioplasty
- 37266 is the additional-vessel code for complex-category angioplasty; 37264 is for the simple category.
- 37268Arterial stent
- 37268 describes additional-vessel simple stent treatment. Code 37264 describes additional-vessel simple angioplasty.
37264 billing questions
Which code is reported for the first vessel?
For simple-category angioplasty in the femoral-popliteal territory, 37263 identifies the first vessel. Code 37264 is for each additional vessel and cannot be reported alone.
Is 37264 reported per lesion or per vessel?
It is an additional-vessel code, not a code for each lesion or balloon inflation. Documentation should identify each separately treated vessel.
When is 37265 used instead?
37265 describes the first vessel when the femoral-popliteal angioplasty falls in the complex category. Code 37264 is for additional vessels in the simple category.
How does modifier 50 affect payment?
For a bilateral procedure reported with modifier 50, CMS pays 37264 at 150%.
What documentation supports reporting an additional vessel?
The procedure report should name the additional femoral-popliteal vessel treated, describe the angioplasty performed, and support the simple-category classification.
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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