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CMS RVU26D · Effective 2026-10-01

37266 Angioplasty Medicare reimbursement rates in Rhode Island

Reports angioplasty of each additional complex femoral or popliteal artery vessel treated during an endovascular revascularization, after the applicable first-vessel procedure. Compare 37266 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 37266 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

$2515.24

1 of 1 localities have a supported rate.

Payment area: Rhode Island

One mapped payment locality.

Facility setting

$181.10

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.

Find 37266 in your payment locality →

Peripheral vascular intervention

About 37266: Complex femoral-popliteal angioplasty, additional vessel

Reports angioplasty of each additional complex femoral or popliteal artery vessel treated during an endovascular revascularization, after the applicable first-vessel procedure.

This add-on service represents angioplasty in an additional femoral or popliteal artery vessel when the intervention meets CPT criteria for complex treatment. Vascular surgeons, interventional radiologists, and other qualified specialists commonly perform these procedures in an angiography suite or operating room using endovascular access and imaging. The code counts an additional qualifying vessel, not each separate lesion treated within one vessel; it is for angioplasty rather than a service that includes stent placement.

Report it only with an eligible primary revascularization procedure. Select the complex level using the applicable CPT criteria and document the treated vessel, its anatomy, the intervention performed, and the basis for classifying the work as complex. As an add-on, its payment is within the primary procedure's global period. When the procedure is bilateral and modifier 50 is reported, CMS pays 150% under the stated bilateral rule.

CMS billing rules for 37266

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 RVU4.00 · 5%
  • Practice expense (office) RVU68.15 · 93%
  • Malpractice RVU0.93 · 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.

37266 compared with similar codes

Office rates for Rhode Island, from the same CMS release.

37265

Vessel angioplasty

Complex, initial vessel

$7,036.89

37265 covers the first vessel treated at the complex angioplasty level. Use 37266 for each additional qualifying vessel in the same treatment context.

37264

Peripheral angioplasty

Additional vessel, simple category

$2,250.77

37264 is for each additional vessel treated at the simple angioplasty level; 37266 is for additional vessels meeting complex criteria.

37270

Arterial stenting

Complex, each additional vessel

$3,603.11

37270 covers complex stent treatment of each additional vessel. Use 37266 when the additional-vessel service is complex angioplasty without stent placement.

Compare 37266 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

Office and facility base rates · shared scale starting at $0

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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 37266 in Rhode Island.

PPRRVU2026_Oct_nonQPP.csv

4,626

Code
37266
Physician work
4.00
Practice expense
68.15
Malpractice
0.93

GPCI2026.csv

92

Locality
Rhode Island
Physician work
1.019
Practice expense
1.033
Malpractice
0.892
Office / nonfacility calculation for 37266 in Rhode Island
ComponentRVULocality factorAdjusted
Physician work4.00× 1.0194.0760
Practice expense68.15× 1.03370.3989
Malpractice0.93× 0.8920.8296
Total RVUs75.3045
Conversion factor× 33.4009

Office / nonfacility rate, Rhode Island$2515.24

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work41.019
Practice expense68.151.033
Malpractice0.930.892

(4 × 1.019 + 68.15 × 1.033 + 0.93 × 0.892) × $33.4009 = $2515.24

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work41.019
Practice expense0.51.033
Malpractice0.930.892

(4 × 1.019 + 0.5 × 1.033 + 0.93 × 0.892) × $33.4009 = $181.10

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.

37266 billing questions

When should 37266 be used instead of 37265?

Use 37265 for the first vessel meeting the complex angioplasty criteria and 37266 for each additional qualifying vessel. The code is not assigned once per lesion within a vessel.

Can 37266 be reported by itself?

No. It is an add-on code and must be billed with an eligible primary revascularization procedure.

Is angioplasty with stent placement reported with 37266?

No. This code represents angioplasty without the stent-placement service. For complex stent treatment of an additional vessel, compare the applicable stent code, including 37270.

How does the global-period payment rule affect 37266?

Payment for this add-on is within the primary procedure's global period; it does not establish a separate global period.

How is bilateral reporting handled?

For a bilateral procedure reported with modifier 50, CMS pays 150% under the bilateral rule supplied 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.

RVUs for 37266PPRRVU2026_Oct_nonQPP.csv, line 4,626 (RVU26D)
Geographic factors for Rhode IslandGPCI2026.csv, line 92 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet