Billing code 37282: Venous angioplastyMedicare rate & RVUs in Texas
Reports complex endovascular balloon angioplasty in the initial peripheral vein treated for venous obstruction, without placement of a venous stent.
Medicare pays $5,588.33–$6,412.35 for 37282 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 37282 covers
This service restores flow through a diseased or obstructed peripheral vein using endovascular balloon angioplasty. It may be performed by an interventional radiologist, vascular surgeon, or other physician with endovascular expertise, often for chronic venous obstruction such as post-thrombotic disease involving the iliac or femoral veins. The code is for the complex level of treatment and the initial vessel in the intervention; it describes angioplasty, not stent placement.
Select this code when the treated lesion meets the billing code family's complex criteria, and document the target vessel, the lesion and its complexity, and the angioplasty performed. Additional treated vessels are reported using the applicable additional-vessel code rather than as another initial vessel. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
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 37282 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
$5588.33 to $6412.35
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $6,412.35 | $554.35 |
| Beaumont | $5,588.33 | $549.78 |
| Brazoria | $6,030.00 | $542.97 |
| Dallas | $6,065.92 | $551.20 |
| Fort Worth | $6,011.28 | $551.93 |
| Galveston | $6,045.83 | $547.72 |
| Houston | $6,098.91 | $600.80 |
| Rest Of Texas | $5,803.83 | $549.35 |
How the 37282 rate is calculated
Each of 37282’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 · 37282
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 12.31Practice expense 167.37Malpractice 2.90
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 37282
The CMS indicators that decide how 37282 is paid alongside other services.
CMS payment indicators · 37282
Venous angioplasty
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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
37282 without 50 · national office
$6,098.34
Venous angioplasty
37282-50 · Bilateral: 150%
$9,147.51
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).
37282 compared with similar codes
Compare codes
37282 vs 37280 vs 37283 vs 37286: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 37280Tibial angioplasty
- Both cover angioplasty of the initial peripheral vein. Choose 37282 for a complex lesion and 37280 for a simple lesion.
- 37283Angioplasty
- 37282 applies to the initial vessel; 37283 applies to each additional vessel treated with complex angioplasty.
- 37286Venous stenting
- Both concern complex treatment of the initial vessel, but 37282 is angioplasty and 37286 is the stent-placement code.
37282 billing questions
How is 37282 different from 37280?
Both report angioplasty in the initial peripheral vein. Use 37282 for a lesion meeting the code family's complex criteria; 37280 is for the simple level.
When is 37283 reported with 37282?
37283 describes complex angioplasty in each additional vessel. Report it for qualifying additional vessels in the same intervention, not for another initial vessel.
Does 37282 include placement of a venous stent?
No. This code describes angioplasty without stent placement. Use the applicable venous stent code when a stent is placed.
What documentation supports the complex level?
Document the target vein, the lesion and its complexity, and the angioplasty performed. The record should support the complex classification under the code family's criteria.
How does CMS pay for bilateral reporting?
CMS pays bilateral reporting with modifier 50 at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery 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 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
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