$7,213.09
Use 37288 for an initial vessel with a simple lesion; 37290 identifies the complex-lesion initial-vessel service.
On this page
CMS RVU26D · Effective 2026-10-01
37290 Peripheral atherectomy Medicare reimbursement rates in New Mexico
Reports endovascular atherectomy for a complex peripheral arterial lesion in the initial vessel treated during a revascularization session. Compare 37290 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 37290 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
$9843.66
1 of 1 localities have a supported rate.
Payment area: New Mexico
One mapped payment locality.
Facility setting
$784.32
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 intervention
About 37290: Complex peripheral atherectomy, initial vessel
Reports endovascular atherectomy for a complex peripheral arterial lesion in the initial vessel treated during a revascularization session.
This code identifies catheter-based atherectomy to restore flow through a complex peripheral arterial lesion in the initial vessel treated. The operator advances endovascular devices to remove or modify obstructive plaque. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform this treatment in a hospital or outpatient procedural setting for symptomatic peripheral arterial disease. The code’s complex designation and vessel order distinguish it from the simple-lesion and additional-vessel entries in the atherectomy family.
Select the code using the documented lesion classification and treated vessel sequence under the applicable CPT rules; do not infer complexity from the device alone. The procedure report should identify the treated vessel and lesion, describe the atherectomy performed, and support the complex classification. 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%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 37290
- 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 RVU17.00 · 5%
- Practice expense (office) RVU298.16 · 94%
- Malpractice RVU3.58 · 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.
37290 compared with similar codes
Office rates for New Mexico, from the same CMS release.
$1,017.07
37291 is the additional-vessel entry for complex-lesion atherectomy. This code is the initial-vessel entry.
$14,021.77
37294 describes complex initial-vessel treatment that combines stenting and atherectomy; 37290 is the complex initial-vessel atherectomy entry.
Compare 37290 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
$9843.66
Facility
$784.32
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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 37290 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
4,650
- Code
- 37290
- Physician work
- 17.00
- Practice expense
- 298.16
- Malpractice
- 3.58
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.00 | × 1.000 | 17.0000 |
| Practice expense | 298.16 | × 0.917 | 273.4127 |
| Malpractice | 3.58 | × 1.201 | 4.2996 |
| Total RVUs | 294.7123 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, New Mexico$9843.66
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17 | 1 |
| Practice expense | 298.16 | 0.917 |
| Malpractice | 3.58 | 1.201 |
(17 × 1 + 298.16 × 0.917 + 3.58 × 1.201) × $33.4009 = $9843.66
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17 | 1 |
| Practice expense | 2.38 | 0.917 |
| Malpractice | 3.58 | 1.201 |
(17 × 1 + 2.38 × 0.917 + 3.58 × 1.201) × $33.4009 = $784.32
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.
37290 billing questions
How is this code distinguished from 37288?
Both describe peripheral atherectomy, but 37290 is for a complex lesion in the initial vessel. Code 37288 is the simple-lesion initial-vessel entry.
When is 37291 reported with 37290?
Use 37291 for an additional vessel treated for a complex lesion when the applicable CPT rules support reporting an additional-vessel service. The procedure note should identify each treated vessel and its lesion classification.
What documentation supports the complex initial-vessel selection?
Document the target vessel, lesion characteristics supporting the complex classification, the atherectomy performed, and the order of vessels treated. Follow the CPT family’s criteria rather than relying only on device choice.
How does CMS handle bilateral reporting and other procedures in the session?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in the same session, CMS pays the highest-valued procedure in full and the others at 50%.
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 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.
4,64737287,,Revsc evasc tpvt st cplx ea,A,,5.00,141.79,,0.74,,1.12,147.91,6.86,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64837288,,Revsc evsc tpvt athrc sf 1st,A,,13.50,217.06,,1.91,,2.84,233.40,18.25,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64937289,,Revsc evsc tpvt athrc sf ea,A,,4.75,21.83,,0.67,,1.01,27.59,6.43,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65037290,,Revsc evsc tpvt athrc cplx 1,A,,17.00,298.16,,2.38,,3.58,318.74,22.96,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65137291,,Revsc evsc tpvt athr cplx ea,A,,6.50,24.35,,0.92,,1.35,32.20,8.77,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65237292,,Rvsc evsc tpvt st athrc sf 1,A,,15.00,288.29,,2.29,,3.04,306.33,20.33,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65337293,,Rvsc evsc tpvt st athr sf ea,A,,6.50,97.22,,1.10,,1.34,105.06,8.94,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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