$2,493.60
37256 covers the first vessel treated for complex iliac angioplasty; 37257 covers each additional vessel and is reported as an add-on.
On this page
CMS RVU26D · Effective 2026-10-01
37257 Iliac angioplasty Medicare reimbursement rates in Rhode Island
Reports complex endovascular balloon angioplasty of each additional iliac vessel treated after the primary vessel in a peripheral revascularization procedure. Compare 37257 office and facility rates across CMS payment localities in Rhode Island.
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 37257 in Rhode Island?
Rhode Island 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
$592.48
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$175.68
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 37257: Complex iliac angioplasty, additional vessel
Reports complex endovascular balloon angioplasty of each additional iliac vessel treated after the primary vessel in a peripheral revascularization procedure.
This add-on code represents balloon angioplasty of an additional iliac artery vessel in a complex endovascular revascularization. Vascular surgeons, interventional radiologists, and other physicians who perform peripheral arterial interventions may use it for iliac atherosclerotic narrowing or occlusion treated in an angiography or catheterization suite. It describes the angioplasty pathway, rather than the corresponding pathway for treatment with a stent.
Report 37257 for each additional vessel treated when the case meets the CPT family’s complex-lesion criteria; the operative report should identify the iliac vessels treated, the angioplasty performed, and the basis for complex classification. It is an add-on code and must be reported with the primary procedure, typically 37256 for the first complex angioplasty vessel. CMS pays it within that primary procedure’s global period. For bilateral reporting with modifier 50, CMS pays 150%.
CMS billing rules for 37257
- 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 RVU3.89 · 22%
- Practice expense (office) RVU12.54 · 72%
- Malpractice RVU0.92 · 5%
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.
37257 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$522.12
37255 is for an additional iliac angioplasty vessel meeting straightforward-lesion criteria. 37257 is for an additional vessel meeting complex-lesion criteria.
$3,465.51
37261 represents an additional vessel treated through the complex iliac stent pathway; 37257 is the complex angioplasty pathway.
Compare 37257 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
Rhode Island →
Office / nonfacility
$592.48
Facility
$175.68
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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 37257 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
4,616
- Code
- 37257
- Physician work
- 3.89
- Practice expense
- 12.54
- Malpractice
- 0.92
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.89 | × 1.019 | 3.9639 |
| Practice expense | 12.54 | × 1.033 | 12.9538 |
| Malpractice | 0.92 | × 0.892 | 0.8206 |
| Total RVUs | 17.7384 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$592.48
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.89 | 1.019 |
| Practice expense | 12.54 | 1.033 |
| Malpractice | 0.92 | 0.892 |
(3.89 × 1.019 + 12.54 × 1.033 + 0.92 × 0.892) × $33.4009 = $592.48
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.89 | 1.019 |
| Practice expense | 0.46 | 1.033 |
| Malpractice | 0.92 | 0.892 |
(3.89 × 1.019 + 0.46 × 1.033 + 0.92 × 0.892) × $33.4009 = $175.68
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.
37257 billing questions
Can 37257 be reported by itself?
No. It is an add-on for an additional complex iliac angioplasty vessel and is reported with the applicable primary procedure, typically 37256.
Is 37257 reported for each additional lesion or each additional vessel?
The code is for each additional vessel, not each separate lesion within a vessel. The record should identify the vessels treated.
How does 37257 differ from 37255?
Both represent additional-vessel iliac angioplasty. Use 37257 when the lesion meets the family’s complex criteria; 37255 is for the straightforward-lesion pathway.
What documentation supports reporting 37257?
Document the additional iliac vessel treated, the balloon angioplasty performed, and the facts supporting classification as a complex lesion.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
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.
4,61337254,,Revsc evasc ivt angio sf 1st,A,,7.30,53.04,,1.04,,1.71,62.05,10.05,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61437255,,Revsc evasc ivt angio sf ea,A,,3.00,11.56,,0.36,,0.71,15.27,4.07,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61537256,,Revsc evasc ivt angio cplx 1,A,,10.75,59.50,,1.47,,2.51,72.76,14.73,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61637257,,Revsc evsc ivt angio cplx ea,A,,3.89,12.54,,0.46,,0.92,17.35,5.27,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61737258,,Revsc evasc ivt stent sf 1st,A,,8.75,95.81,,1.17,,2.09,106.65,12.01,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,61837259,,Revsc evasc ivt stent sf ea,A,,4.00,31.12,,0.45,,0.98,36.10,5.43,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,6193725F,,Screen depression performed,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537