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CMS RVU26D · Effective 2026-10-01

37293 Tibial revascularization Medicare reimbursement rates in Utah

Reports treatment of an additional tibial or peroneal artery with endovascular atherectomy and stenting during lower-extremity revascularization. Compare 37293 office and facility rates across CMS payment localities in Utah.

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 37293 in Utah?

Utah 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

$3309.70

1 of 1 localities have a supported rate.

Payment area: Utah

One mapped payment locality.

Facility setting

$291.83

1 of 1 localities have a supported rate.

Payment area: Utah

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 37293 in your payment locality →

Peripheral vascular intervention

About 37293: Additional tibial vessel stent and atherectomy

Reports treatment of an additional tibial or peroneal artery with endovascular atherectomy and stenting during lower-extremity revascularization.

This add-on code represents treatment of each additional tibial or peroneal artery using an endovascular approach that combines atherectomy with stent placement. Balloon angioplasty in the treated vessel, when performed, is part of the service. Vascular surgeons, interventional radiologists, and interventional cardiologists may perform these procedures for peripheral arterial disease, including disease associated with rest pain or tissue loss.

Report the code for an additional treated vessel when the intervention meets the straightforward category; it is not the code for the initial vessel. The operative report should identify the tibial or peroneal arteries treated and document the atherectomy and stent work. Angioplasty in that vessel is included rather than separately reported as another revascularization service. CMS classifies this as an add-on code: report it only with the applicable primary procedure, and its payment falls within that procedure's global period. For bilateral procedures, modifier 50 is paid at 150%.

CMS billing rules for 37293

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 RVU6.50 · 6%
  • Practice expense (office) RVU97.22 · 93%
  • Malpractice RVU1.34 · 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.

37293 compared with similar codes

Office rates for Utah, from the same CMS release.

37292

Arterial revascularization

Simple, initial vessel

$9,643.59

Use 37292 for the initial vessel in the straightforward atherectomy-and-stent treatment; use 37293 for each additional qualifying vessel.

37294

Arterial revascularization

Complex first vessel

$14,317.77

37294 is for the initial vessel when the atherectomy-and-stent treatment falls in the complex category. Code 37293 is for additional vessels in the straightforward category.

37295

Tibial revascularization

Complex additional vessel

$5,655.64

Both codes concern additional vessels, but 37295 is for the complex treatment category; 37293 is for the straightforward category.

37289

Arterial atherectomy

Additional simple vessel

$874.34

37289 covers an additional straightforward vessel treated with atherectomy without the combined stent service reported with 37293.

Compare 37293 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
  • Utah →

    Office / nonfacility

    $3309.70

    Facility

    $291.83

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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 37293 in Utah.

PPRRVU2026_Oct_nonQPP.csv

4,653

Code
37293
Physician work
6.50
Practice expense
97.22
Malpractice
1.34

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office / nonfacility calculation for 37293 in Utah
ComponentRVULocality factorAdjusted
Physician work6.50× 1.0006.5000
Practice expense97.22× 0.94091.3868
Malpractice1.34× 0.8981.2033
Total RVUs99.0901
Conversion factor× 33.4009

Office / nonfacility rate, Utah$3309.70

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
Work6.51
Practice expense97.220.94
Malpractice1.340.898

(6.5 × 1 + 97.22 × 0.94 + 1.34 × 0.898) × $33.4009 = $3309.70

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.51
Practice expense1.10.94
Malpractice1.340.898

(6.5 × 1 + 1.1 × 0.94 + 1.34 × 0.898) × $33.4009 = $291.83

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.

37293 billing questions

Which code is reported for the initial vessel?

For the same straightforward atherectomy-and-stent treatment, 37292 represents the initial vessel. Code 37293 is for each additional qualifying vessel.

Can 37293 be billed by itself?

No. It is an add-on code and must be reported with the applicable primary procedure, such as 37292 for the initial vessel.

Is angioplasty in the treated vessel separately reported?

Angioplasty performed in the vessel treated with atherectomy and stenting is included in this revascularization service.

What supports reporting an additional vessel?

Document the specific additional tibial or peroneal artery treated and the atherectomy and stent work performed there. The procedure documentation should support the straightforward classification.

How is a bilateral procedure handled?

CMS pays a bilateral procedure reported with modifier 50 at 150%.

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 37293PPRRVU2026_Oct_nonQPP.csv, line 4,653 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)