$2,485.31–$2,821.95
37280 describes straightforward angioplasty in the tibial/peroneal territory. Use 37296 for an inframalleolar artery below the ankle.
On this page
CMS RVU26D · Effective 2026-10-01
37296 Foot artery angioplasty Medicare reimbursement rates in Texas
Endovascular angioplasty of the initial inframalleolar artery treats a straightforward lesion in a below-ankle foot vessel during lower-extremity revascularization. Compare 37296 office and facility rates across CMS payment localities in Texas.
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 37296 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$2794.85–$3173.72
8 of 8 localities have a supported rate.
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.
Where 37296 pays more and less in Texas
8 payment localities
$2794.85 to $3173.72
Peripheral vascular intervention
About 37296: Inframalleolar angioplasty, initial vessel
Endovascular angioplasty of the initial inframalleolar artery treats a straightforward lesion in a below-ankle foot vessel during lower-extremity revascularization.
This code describes endovascular balloon angioplasty of the initial inframalleolar artery for a straightforward lesion. Inframalleolar arteries are below the ankle, including pedal vessels such as the dorsalis pedis and plantar arteries. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform the treatment in a hospital or other endovascular setting, often to improve foot perfusion in a patient with limb-threatening ischemia.
Report the initial-vessel code when the treated lesion meets the straightforward classification; use the complex-lesion family when its criteria are met. Documentation should identify the treated artery, lesion, side, and angioplasty performed. The code has 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 other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 37296
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.00 · 12%
- Practice expense (office) RVU77.24 · 85%
- Malpractice RVU2.57 · 3%
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.
37296 compared with similar codes
Office rates for Texas, from the same CMS release.
$3,146.73–$3,565.23
Both describe initial-vessel inframalleolar angioplasty. Select 37296 for a straightforward lesion and 37298 when the lesion meets the complex classification.
$766.37–$863.85
37296 is for the initial treated vessel; 37297 is for an additional qualifying vessel with a straightforward lesion.
Compare 37296 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $3173.72 | Facility $495.09 |
| Beaumont | Office $2794.85 | Facility $490.92 |
| Brazoria | Office $2993.97 | Facility $484.97 |
| Dallas | Office $3013.93 | Facility $492.27 |
| Fort Worth | Office $2989.25 | Facility $492.91 |
| Galveston | Office $3003.25 | Facility $489.19 |
| Houston | Office $3050.29 | Facility $536.23 |
| Rest Of Texas | Office $2893.24 | Facility $490.57 |
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37296 billing questions
How is this code distinguished from 37280?
This code is for angioplasty in an inframalleolar artery below the ankle. Code 37280 covers angioplasty in the tibial/peroneal territory.
When should the complex-lesion code be used instead?
Use 37298 for an initial inframalleolar vessel when the lesion meets the complex classification. Document the lesion and treated vessel to support the selection.
Can an additional inframalleolar vessel be reported?
Yes. Code 37297 is the related additional-vessel code for a straightforward lesion; report it when another qualifying vessel is treated.
How is bilateral treatment reported?
CMS identifies this as a bilateral procedure: modifier 50 is paid at 150%. Document the treated side or sides.
Is same-day postoperative care separately reportable?
Same-day preoperative and postoperative care is included in this code's 0-day global period.
When is assistant-at-surgery payment allowed?
CMS allows assistant-at-surgery payment only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
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.
4,65337293,,Rvsc evsc tpvt st athr sf ea,A,,6.50,97.22,,1.10,,1.34,105.06,8.94,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65437294,,Rvsc evsc tpvt st athr cpx 1,A,,18.00,433.39,,2.72,,3.65,455.04,24.37,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65537295,,Rvsc evsc tpvt st ath cpx ea,A,,8.16,169.81,,1.39,,1.72,179.69,11.27,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65637296,,Revsc evasc imvt angio sf 1,A,,11.00,77.24,,1.44,,2.57,90.81,15.01,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65737297,,Revsc evasc imvt angio sf ea,A,,4.00,19.92,,0.50,,0.88,24.80,5.38,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65837298,,Revsc evsc imvt angio cplx 1,A,,13.70,85.36,,1.77,,3.05,102.11,18.52,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,65937299,,Revsc evsc imvt angio cpx ea,A,,5.00,20.83,,0.63,,1.07,26.90,6.70,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00