$5,017.83
37263 is for the first vessel treated with simple-category femoral-popliteal angioplasty; 37264 is for each additional vessel.
On this page
CMS RVU26D · Effective 2026-10-01
37264 Peripheral angioplasty Medicare reimbursement rates in New Mexico
Reports balloon angioplasty of each additional vessel in the femoral-popliteal territory during simple-category endovascular revascularization. Compare 37264 office and facility rates across CMS payment localities in New Mexico.
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 37264 in New Mexico?
New Mexico 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
$2017.15
1 of 1 localities have a supported rate.
Payment area: New Mexico
One mapped payment locality.
Facility setting
$139.92
1 of 1 localities have a supported rate.
Payment area: New Mexico
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.
Endovascular revascularization
About 37264: Additional simple femoral-popliteal angioplasty
Reports balloon angioplasty of each additional vessel in the femoral-popliteal territory during simple-category endovascular revascularization.
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%.
CMS billing rules for 37264
- 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 RVU3.00 · 5%
- Practice expense (office) RVU61.67 · 94%
- Malpractice RVU0.70 · 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.
37264 compared with similar codes
Office rates for New Mexico, from the same CMS release.
$6,314.04
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.
$2,258.25
37266 is the additional-vessel code for complex-category angioplasty; 37264 is for the simple category.
$3,100.02
37268 describes additional-vessel simple stent treatment. Code 37264 describes additional-vessel simple angioplasty.
Compare 37264 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
New Mexico →
Office / nonfacility
$2017.15
Facility
$139.92
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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 37264 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
4,624
- Code
- 37264
- Physician work
- 3.00
- Practice expense
- 61.67
- Malpractice
- 0.70
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.00 | × 1.000 | 3.0000 |
| Practice expense | 61.67 | × 0.917 | 56.5514 |
| Malpractice | 0.70 | × 1.201 | 0.8407 |
| Total RVUs | 60.3921 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, New Mexico$2017.15
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3 | 1 |
| Practice expense | 61.67 | 0.917 |
| Malpractice | 0.7 | 1.201 |
(3 × 1 + 61.67 × 0.917 + 0.7 × 1.201) × $33.4009 = $2017.15
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3 | 1 |
| Practice expense | 0.38 | 0.917 |
| Malpractice | 0.7 | 1.201 |
(3 × 1 + 0.38 × 0.917 + 0.7 × 1.201) × $33.4009 = $139.92
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.
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 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.
4,62137261,,Revsc evasc ivt st cplx ea,A,,4.25,95.35,,0.48,,1.04,100.64,5.77,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62237262,,Iv lithotrp ivt w/in sm art,A,,3.00,98.47,,0.47,,0.60,102.07,4.07,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62337263,,Revsc evasc fpvt angio sf 1,A,,7.75,152.98,,1.08,,1.83,162.56,10.66,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62437264,,Revsc evasc fpvt angio sf ea,A,,3.00,61.67,,0.38,,0.70,65.37,4.08,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62537265,,Revsc evsc fpvt angio cplx 1,A,,10.50,191.45,,1.44,,2.48,204.43,14.42,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62637266,,Rvsc evsc fpvt angio cplx ea,A,,4.00,68.15,,0.50,,0.93,73.08,5.43,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,62737267,,Revsc evsc fpvt stent sf 1st,A,,8.75,145.10,,1.18,,2.09,155.94,12.02,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210