Both cover first-vessel aortoiliac stent treatment, but 37258 is for a simple lesion and 37260 is for a qualifying complex lesion.
On this page
CMS RVU26D · Effective 2026-10-01
37260 Arterial stenting Medicare reimbursement rates in Oregon
Reports endovascular stent treatment of a qualifying complex aortoiliac lesion in the first treated vessel for peripheral arterial disease. Compare 37260 office and facility rates across CMS payment localities in Oregon.
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 37260 in Oregon?
Oregon 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
$8372.13–$9292.58
2 of 2 localities have a supported rate.
Facility setting
$549.66–$566.92
2 of 2 localities have a supported rate.
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.
Vascular intervention
About 37260: Complex aortoiliac stent revascularization
Reports endovascular stent treatment of a qualifying complex aortoiliac lesion in the first treated vessel for peripheral arterial disease.
This code describes catheter-based revascularization with stent placement for a qualifying complex lesion in the aortoiliac arterial territory, such as a lesion involving the iliac arteries. It is used in treatment of peripheral arterial disease when the treating specialist selects stenting rather than angioplasty alone. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform the procedure in a hospital or other procedural setting.
Report this code for the first treated vessel when the documented lesion and treatment meet the complex-stenting criteria for this code family. The operative report should identify the arterial territory and vessel, lesion characteristics supporting complex classification, and stent treatment. The code 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 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 37260
- 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 RVU12.69 · 5%
- Practice expense (office) RVU236.79 · 94%
- Malpractice RVU3.02 · 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.
37260 compared with similar codes
Office rates for Oregon, from the same CMS release.
37260 reports the first vessel treated with complex stenting; 37261 reports each additional vessel and is an add-on code.
Both concern complex aortoiliac revascularization of the first vessel. Use 37256 for angioplasty without stenting and 37260 for stent treatment.
37263 concerns femoropopliteal angioplasty, not aortoiliac stent revascularization; the arterial territory and intervention differ.
Compare 37260 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
Portland →
Office / nonfacility
$9292.58
Facility
$566.92
Rest Of Oregon →
Office / nonfacility
$8372.13
Facility
$549.66
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37260 billing questions
How does this differ from 37258?
Both report first-vessel aortoiliac stent revascularization. Use 37260 when the lesion meets the code family's complex criteria; use 37258 for a simple lesion.
When is 37261 reported with this code?
37261 is the add-on code for each additional vessel treated with complex stent revascularization. Report it with the applicable primary code, not by itself.
What documentation supports complex classification?
Document the treated aortoiliac vessel, lesion features supporting the complex category, and the stent intervention performed. The record should make clear which vessel is first and which, if any, are additional.
Can angioplasty be reported separately for the stented lesion?
Do not assume that balloon treatment of the same lesion is separately reportable from the stent service. Follow the CPT family instructions and distinguish any separately treated lesion in the procedure documentation.
How is bilateral treatment reported?
For bilateral procedures reported with modifier 50, CMS pays this code at 150%. The code has a 0-day global period, including same-day preoperative and postoperative care.
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 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.
