Billing code 37267: Arterial stentingMedicare rate & RVUs in Ohio

Reports endovascular stent treatment of a simple lesion in the first femoral or popliteal artery vessel treated during lower-extremity revascularization.

CMS RVU26DEffective Oct 1, 20261 payment locality

Medicare pays $4,787.45 for 37267 in the office in Ohio (Ohio). Which amount applies depends on the service address.

$4,787.45Office (non-facility)
$398.61Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 37267 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Ohio
  2. What 37267 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 37267 covers

A vascular surgeon or interventional radiologist reports this service when placing a stent to restore blood flow through a simple lesion in a femoral or popliteal artery. It is used for endovascular treatment of lower-extremity arterial disease, such as symptomatic stenosis or occlusion. Angioplasty performed in the same vessel as the stent is included when performed; this code identifies the initial treated vessel in this territory.

Choose the code based on the treated arterial territory, the procedure performed, lesion complexity, and whether the vessel is the first treated. Document the vessel, lesion and its complexity, the stent placement, and any angioplasty performed in that vessel. For another femoral or popliteal vessel treated with a stent for a simple lesion, report the corresponding additional-vessel code. The 0-day global period includes same-day preoperative and postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

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.

37267 in Ohio

37267 office and facility rates by payment locality
Payment localityOfficeFacility
Ohio$4,787.45$398.61

How the 37267 rate is calculated

Each of 37267’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 · 37267

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 8.75Practice expense 145.10Malpractice 2.09

155.9400 adjusted RVUs×$33.4009 conversion factor=$5,208.54

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 37267

The CMS indicators that decide how 37267 is paid alongside other services.

CMS payment indicators · 37267

Arterial stenting

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

37267 without 50 · national office

$5,208.54

Arterial stenting

37267-50 · Bilateral: 150%

$7,812.81

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).

When to use modifier 50

37267 compared with similar codes

Compare codes

37267 vs 37263 vs 37268 vs 37269 vs 37271: national Medicare rates

Swap in your local Medicare rate.

  • 37267
    Arterial stenting · 8.75 wRVU
    $5,208.54
  • 37263
    Leg angioplasty · 7.75 wRVU
    $5,429.65+$221.11
  • 37268
    Arterial stent · 3.73 wRVU
    $3,360.13−$1,848.41
  • 37269
    Arterial stenting · 14.75 wRVU
    $11,553.37+$6,344.83
  • 37271
    Atherectomy · 9 wRVU
    $10,562.70+$5,354.16

How to choose

37263Leg angioplasty
37263 is for simple-lesion angioplasty in the initial femoral or popliteal vessel without stenting. Use 37267 when a stent is placed.
37268Arterial stent
37268 is for each additional femoral or popliteal vessel stented for a simple lesion; 37267 is for the initial vessel.
37269Arterial stenting
37269 reports stent treatment of a complex lesion in the initial femoral or popliteal vessel. Use 37267 for a simple lesion.
37271Atherectomy
37271 reports atherectomy for a simple lesion in the initial femoral or popliteal vessel. Use 37267 when the treatment is stent placement rather than atherectomy.

37267 billing questions

When is this code chosen instead of an angioplasty code?

Use this code when a stent is placed for a simple lesion in the initial femoral or popliteal vessel. The simple-lesion angioplasty code is for angioplasty without stent placement.

Can angioplasty in the stented vessel be reported separately?

Angioplasty performed in the same vessel as the stent is included in this service. The code represents the stent treatment, including that angioplasty when performed.

Which code applies when another femoral or popliteal vessel is stented?

Use 37268 for each additional vessel treated with a stent for a simple lesion. This code represents the initial vessel.

How should bilateral treatment be reported?

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

What documentation supports the simple-lesion code?

Record the femoral or popliteal vessel treated, lesion location and complexity, and stent placement. Include whether angioplasty was performed in the same vessel.

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
RVUs for 37267PPRRVU2026_Oct_nonQPP.csv, line 4,627 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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