Billing code 37262: Arterial lithotripsyMedicare rate & RVUs in Rhode Island
Reports intravascular lithotripsy during peripheral revascularization of an additional small artery, with angioplasty in that same vessel.
Medicare pays $3,517.51 for 37262 in the office in Rhode Island (Rhode Island). 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 7 sections
What 37262 covers
This add-on represents intravascular lithotripsy used to modify calcified plaque in an additional small peripheral artery during an endovascular revascularization. A vascular surgeon, interventional radiologist, or other endovascular specialist may perform the treatment in an angiography suite or operating room. The lithotripsy is performed within the treated artery, with angioplasty in that same vessel included in the service. Small lower-extremity arteries such as tibial or peroneal arteries are typical sites when supported by the operative report.
Report 37262 only with a qualifying primary revascularization procedure for the same encounter; it is not a stand-alone service. The record should identify the treated artery, the additional-vessel status, use of intravascular lithotripsy, and the associated angioplasty. CMS treats payment as included within the primary procedure's global period. For bilateral reporting with modifier 50, CMS pays the code at 150% of its otherwise applicable amount.
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.
37262 in Rhode Island
| Payment locality | Office | Facility |
|---|---|---|
| Rhode Island | $3,517.51 | $136.20 |
How the 37262 rate is calculated
Each of 37262’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 · 37262
RVUs × geographic indexes × conversion factor
Work3.00
3.00 RVUs× 1.000 GPCI
Practice expense98.47
98.47 RVUs× 1.000 GPCI
Malpractice0.60
0.60 RVUs× 1.000 GPCI
Adjusted RVUs
102.0700
Conversion factor
$33.4009
Medicare rate
$3,409.23
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 37262
The CMS indicators that decide how 37262 is paid alongside other services.
CMS payment indicators · 37262
Arterial lithotripsy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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
37262 without 50 · national office
$3,409.23
Arterial lithotripsy
37262-50 · Bilateral: 150%
$5,113.85
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).
37262 billing questions
Can 37262 be billed by itself?
No. It is an add-on code and must be reported with a qualifying primary procedure for the same encounter.
What documentation supports the additional-vessel reporting?
Document the specific artery treated, the separate additional-vessel treatment, and the intravascular lithotripsy and angioplasty performed in that vessel.
Does 37262 include angioplasty?
Yes. Angioplasty within the same vessel is part of the lithotripsy service described by this code.
How does the global-period rule affect payment?
CMS pays this add-on within the global period of its primary procedure; it is not separately paid as an independent service.
How is bilateral treatment reported?
When bilateral reporting with modifier 50 applies, CMS pays 37262 at 150% of its otherwise applicable amount.
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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