Billing code 37269: Arterial stentingMedicare rate & RVUs in Ohio
Reports stent-based endovascular treatment of a complex lesion in the femoral or popliteal artery, for the initial treated vessel.
Medicare pays $10,602.29 for 37269 in the office in Ohio (Ohio). 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 37269 covers
An endovascular specialist treats an obstructive lesion in a femoral or popliteal artery by placing a stent to restore blood flow. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform this service in a hospital or outpatient angiography suite. This code identifies complex-lesion stenting in the initial treated vessel. Selection depends on the arterial territory, the documented lesion classification, and the treatment performed; it is distinct from angioplasty-only treatment and from procedures combining stenting with atherectomy.
Document the target artery and vessel, lesion features supporting complex classification, and stent placement. For an additional treated vessel, use the corresponding additional-vessel code rather than reporting this initial-vessel code again. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery is paid only when medical necessity is documented; 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.
37269 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $10,602.29 | $670.06 |
How the 37269 rate is calculated
Each of 37269’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 · 37269
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 14.75Practice expense 327.62Malpractice 3.53
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 37269
The CMS indicators that decide how 37269 is paid alongside other services.
CMS payment indicators · 37269
Arterial stenting
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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
37269 without 50 · national office
$11,553.37
Arterial stenting
37269-50 · Bilateral: 150%
$17,330.06
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).
37269 compared with similar codes
Compare codes
37269 vs 37267 vs 37270 vs 37277 vs 37265: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 37267Arterial stenting
- Both report stenting in the femoral-popliteal territory for the initial vessel. Choose 37269 for a complex lesion and 37267 for a simple lesion.
- 37270Arterial stenting
- This code is for the initial vessel; 37270 is the corresponding additional-vessel code for complex-lesion stenting.
- 37277Peripheral revascularization
- 37269 reports complex-lesion stenting, while 37277 represents complex treatment combining stenting and atherectomy.
- 37265Vessel angioplasty
- 37265 represents complex femoral-popliteal angioplasty. Use 37269 when the documented treatment includes stent placement.
37269 billing questions
How is this code different from the simple-lesion stent code?
This code is for complex-lesion stenting in the femoral or popliteal territory. Use the simple-lesion code when the lesion meets the family’s simple classification instead.
Does this code represent the first or every treated vessel?
It represents the initial treated vessel. Report the corresponding additional-vessel code for another vessel treated in the same territory.
What documentation supports the complex classification?
Record the target artery and vessel, relevant lesion features supporting complex classification, and the stent treatment performed. The documented anatomy and procedure should support the selected code level.
Can angioplasty be separately reported with the stent?
Do not report angioplasty as a separate service solely for balloon work that is part of the stent treatment in the same vessel. Select the code family that matches the treatment performed.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure’s 0-day global period.
How is bilateral treatment reported under the CMS facts?
For a bilateral procedure, modifier 50 is paid at 150%. The standard multiple-procedure reduction also applies when multiple procedures are performed in the same session.
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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