$10,897.64
37271 reports the initial simple femoropopliteal artery treated with atherectomy; 37272 is for each additional qualifying artery.
On this page
CMS RVU26D · Effective 2026-10-01
37272 Vessel atherectomy Medicare reimbursement rates in Rhode Island
Reports atherectomy in each additional simple femoropopliteal artery treated during endovascular revascularization after the first artery. Compare 37272 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 37272 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
$2408.12
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$181.29
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.
Peripheral vascular intervention
About 37272: Additional simple femoropopliteal atherectomy
Reports atherectomy in each additional simple femoropopliteal artery treated during endovascular revascularization after the first artery.
This add-on represents catheter-based removal of atherosclerotic material from an additional femoral or popliteal artery during endovascular revascularization. It is used after the initial artery in the same unilateral femoropopliteal territory has been treated. Vascular surgeons, interventional radiologists, and interventional cardiologists commonly perform these procedures in a hospital angiography or catheterization suite. The simple-lesion code family applies when the documented intervention meets the CPT definition for simple rather than complex treatment.
Report one unit for each additional qualifying artery beyond the first, with the corresponding initial-vessel procedure. The operative report should identify the treated arteries, describe atherectomy in each, and support the simple-lesion classification. Angioplasty performed in the same vessel is included when performed. CMS classifies this as an add-on: it must be billed with a primary procedure and is paid within that procedure’s global period. For bilateral reporting with modifier 50, CMS pays 150%.
CMS billing rules for 37272
- 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 · 6%
- Practice expense (office) RVU65.08 · 93%
- Malpractice RVU0.89 · 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.
37272 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$13,645.82
37273 is for the initial artery when the lesion meets the complex-treatment criteria. Use 37272 only for an additional artery classified as simple.
$2,560.39
37274 reports each additional artery treated for a complex lesion; 37272 is the additional-artery code for simple treatment.
$3,566.20
37276 represents each additional femoropopliteal artery treated with atherectomy and stent placement. 37272 describes additional-artery atherectomy without that stent combination.
Compare 37272 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
$2408.12
Facility
$181.29
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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 37272 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
4,632
- Code
- 37272
- Physician work
- 4.00
- Practice expense
- 65.08
- Malpractice
- 0.89
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.00 | × 1.019 | 4.0760 |
| Practice expense | 65.08 | × 1.033 | 67.2276 |
| Malpractice | 0.89 | × 0.892 | 0.7939 |
| Total RVUs | 72.0975 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$2408.12
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4 | 1.019 |
| Practice expense | 65.08 | 1.033 |
| Malpractice | 0.89 | 0.892 |
(4 × 1.019 + 65.08 × 1.033 + 0.89 × 0.892) × $33.4009 = $2408.12
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4 | 1.019 |
| Practice expense | 0.54 | 1.033 |
| Malpractice | 0.89 | 0.892 |
(4 × 1.019 + 0.54 × 1.033 + 0.89 × 0.892) × $33.4009 = $181.29
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.
37272 billing questions
When is 37272 reported instead of 37271?
37271 represents the initial simple femoropopliteal artery treated with atherectomy. Report 37272 for each additional qualifying artery treated after that initial artery.
Can 37272 be billed by itself?
No. It is an add-on code and must be reported with the applicable primary procedure for the initial artery.
Is angioplasty separately reported in the same artery?
Angioplasty performed in the same vessel as the atherectomy is included. The report should identify the artery and describe the work performed.
How is bilateral treatment reported?
For bilateral treatment, report modifier 50 as applicable. CMS pays bilateral procedures reported with modifier 50 at 150%.
What documentation supports an additional unit?
Document each distinct additional artery treated with atherectomy and the basis for classifying its lesion as simple. The first treated artery is represented by the primary code, not an additional unit of 37272.
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.
4,62937269,,Revsc evasc fpvt st cplx 1st,A,,14.75,327.62,,1.92,,3.53,345.90,20.20,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63037270,,Revsc evasc fpvt st cplx ea,A,,5.00,98.46,,0.62,,1.20,104.66,6.82,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63137271,,Revsc evsc fpvt athrc sf 1st,A,,9.00,305.24,,1.32,,2.00,316.24,12.32,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63237272,,Revsc evsc fpvt athrc sf ea,A,,4.00,65.08,,0.54,,0.89,69.97,5.43,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63337273,,Revsc evsc fpvt athrc cplx 1,A,,12.63,380.61,,1.81,,2.81,396.05,17.25,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63437274,,Rvsc evsc fpvt athrc cplx ea,A,,5.50,67.72,,0.75,,1.23,74.45,7.48,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63537275,,Rvsc evsc fpvt st athrc sf 1,A,,11.00,294.14,,1.50,,2.51,307.65,15.01,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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