Billing code 37296: Foot artery angioplastyMedicare rate & RVUs in Utah
Endovascular angioplasty of the initial inframalleolar artery treats a straightforward lesion in a below-ankle foot vessel during lower-extremity revascularization.
Medicare pays $2,869.59 for 37296 in the office in Utah (Utah). 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 37296 covers
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.
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 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $2,869.59 | $489.71 |
How the 37296 rate is calculated
Each of 37296’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 · 37296
RVUs × geographic indexes × conversion factor
Work11.00
11.00 RVUs× 1.000 GPCI
Practice expense77.24
77.24 RVUs× 1.000 GPCI
Malpractice2.57
2.57 RVUs× 1.000 GPCI
Adjusted RVUs
90.8100
Conversion factor
$33.4009
Medicare rate
$3,033.14
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 37296
The CMS indicators that decide how 37296 is paid alongside other services.
CMS payment indicators · 37296
Foot artery 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
37296 without 50 · national office
$3,033.14
Foot artery angioplasty
37296-50 · Bilateral: 150%
$4,549.71
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).
37296 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 37280Tibial angioplasty
- 37280 describes straightforward angioplasty in the tibial/peroneal territory. Use 37296 for an inframalleolar artery below the ankle.
- 37298Foot artery angioplasty
- Both describe initial-vessel inframalleolar angioplasty. Select 37296 for a straightforward lesion and 37298 when the lesion meets the complex classification.
- 37297Vascular lithotripsy
- 37296 is for the initial treated vessel; 37297 is for an additional qualifying vessel with a straightforward lesion.
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 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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