Billing code 37259: Iliac stentingMedicare rate & RVUs in Texas
Reports stent treatment of each additional iliac artery with a simple lesion during endovascular revascularization, alongside the required initial-vessel procedure.
Medicare pays $1,109.90–$1,262.60 for 37259 in the office in Texas, from Beaumont to Austin. 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 9 sections
What 37259 covers
This add-on describes catheter-based stent treatment of an additional iliac artery with a simple lesion during endovascular revascularization. For example, an interventional radiologist or vascular surgeon may place a stent in another diseased iliac artery during a procedure for lower-extremity arterial disease. Angioplasty performed in the same treated vessel is included when performed as part of the revascularization service.
Report this code for each additional qualifying iliac vessel, not for each stent or each lesion within one vessel. The record should identify the treated arteries, support the simple-lesion classification, and document the stent placement. This add-on must be reported with the initial-vessel simple-lesion stent service, 37258, and is paid within that primary procedure's global period. For a bilateral procedure, CMS pays the service reported with modifier 50 at 150%.
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.
Where 37259 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$1109.90 to $1262.60
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $1,262.60 | $178.77 |
| Beaumont | $1,109.90 | $177.69 |
| Brazoria | $1,190.29 | $175.10 |
| Dallas | $1,198.17 | $177.86 |
| Fort Worth | $1,188.20 | $178.14 |
| Galveston | $1,193.94 | $176.70 |
| Houston | $1,211.87 | $194.64 |
| Rest Of Texas | $1,149.59 | $177.43 |
How the 37259 rate is calculated
Each of 37259’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 · 37259
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.00Practice expense 31.12Malpractice 0.98
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 37259
The CMS indicators that decide how 37259 is paid alongside other services.
CMS payment indicators · 37259
Iliac stenting
| 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
37259 without 50 · national office
$1,205.77
Iliac stenting
37259-50 · Bilateral: 150%
$1,808.66
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).
37259 compared with similar codes
Compare codes
37259 vs 37258 vs 37261 vs 37255: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 37258Arterial stenting
- 37258 covers the initial iliac vessel treated for a simple lesion; 37259 covers each additional qualifying vessel.
- 37261Iliac stenting
- Both apply to additional iliac vessels treated with stents. Choose 37261 for a complex lesion and 37259 for a simple lesion.
- 37255Angioplasty
- 37255 is for additional-vessel simple-lesion iliac angioplasty without the stent service described by 37259.
37259 billing questions
When is 37259 reported instead of 37258?
Use 37258 for the initial iliac vessel treated for a simple lesion. Use 37259 for each additional qualifying vessel treated during the procedure.
Can 37259 be billed without 37258?
No. It is an add-on code and must be reported with the initial-vessel simple-lesion stent service, 37258.
Is 37259 reported for each stent?
No. The unit is based on each additional treated vessel, not the number of stents or lesions in that vessel.
How does 37259 differ from 37261?
Both describe an additional iliac vessel treated with a stent, but 37259 is for a simple lesion and 37261 is for a complex lesion.
What modifier applies when the procedure is bilateral?
For a bilateral procedure, report modifier 50; CMS pays this service at 150%.
What documentation supports reporting 37259?
Document the additional iliac artery treated, the lesion classification, and the stent placement, along with the initial-vessel procedure.
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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