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CMS RVU26D · Effective 2026-10-01

37273 Peripheral atherectomy Medicare reimbursement rates in New Jersey

Reports complex endovascular atherectomy in the initial femoral or popliteal artery vessel treated for peripheral arterial disease. Compare 37273 office and facility rates across CMS payment localities in New Jersey.

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 37273 in New Jersey?

New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$14423.97–$15295.42

2 of 2 localities have a supported rate.

Lowest: Rest Of New Jersey

Highest: Northern Nj

A spread of $871.45 per service.

Facility setting

$607.71–$618.80

2 of 2 localities have a supported rate.

Lowest: Rest Of New Jersey

Highest: Northern Nj

A spread of $11.09 per service.

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.

Find 37273 in your payment locality →

Endovascular revascularization

About 37273: Complex femoropopliteal atherectomy, initial vessel

Reports complex endovascular atherectomy in the initial femoral or popliteal artery vessel treated for peripheral arterial disease.

This code represents endovascular atherectomy to restore flow through a complex lesion in a femoral or popliteal artery. It is typically performed by a vascular surgeon, interventional radiologist, or interventional cardiologist using catheter-based equipment. Balloon angioplasty in the treated vessel is included when performed. The code identifies the initial vessel treated with complex atherectomy; it is not the code for a simple atherectomy or for treatment that includes stent placement.

Select the complex level using the applicable CPT criteria, and document the target artery, laterality, lesion characteristics supporting that level, and the atherectomy performed. Use the corresponding additional-vessel code when another qualifying vessel is treated. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. With multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 for bilateral treatment is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 37273

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 RVU12.63 · 3%
  • Practice expense (office) RVU380.61 · 96%
  • Malpractice RVU2.81 · 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.

37273 compared with similar codes

Office rates for New Jersey, from the same CMS release.

37271

Atherectomy

Straightforward, initial vessel

$11,519.17–$12,217.43

Both describe initial-vessel femoropopliteal atherectomy, but 37271 is for the simple level; 37273 is for a lesion meeting the complex criteria.

37274

Atherectomy

Complex, additional vessel

$2,706.13–$2,862.97

37274 reports complex atherectomy in an additional vessel; 37273 identifies the initial vessel treated.

37277

Peripheral revascularization

Complex, initial vessel

$16,814.10–$17,829.12

Use 37277 when complex femoropopliteal treatment includes stent placement with atherectomy. Use 37273 when the treatment is atherectomy without stenting.

37265

Vessel angioplasty

Complex, initial vessel

$7,438.51–$7,879.01

37265 represents complex femoropopliteal angioplasty without atherectomy; 37273 represents complex atherectomy, with angioplasty included when performed.

Compare 37273 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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37273 billing questions

How is complex atherectomy distinguished from simple atherectomy?

Use the CPT criteria for the complex level rather than relying only on the operator's description. The record should support the lesion characteristics that qualify the treated vessel as complex.

Is balloon angioplasty separately reported in the treated vessel?

Angioplasty performed in the same vessel as this atherectomy is included in the revascularization service. Do not report a separate angioplasty code for that work.

When is 37274 used with this code?

37274 identifies each additional vessel treated with complex atherectomy. Use 37273 for the initial qualifying vessel and document each treated vessel.

What if a stent is also placed in the treated vessel?

Use the code describing the applicable stent-and-atherectomy treatment rather than reporting this atherectomy-only code for that vessel. For complex treatment, compare with 37277.

How is bilateral treatment reported?

Report bilateral treatment with modifier 50. CMS pays the bilateral procedure at 150%.

Can an assistant surgeon be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted 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.

RVUs for 37273PPRRVU2026_Oct_nonQPP.csv, line 4,633 (RVU26D)