Billing code 37283: AngioplastyMedicare rate & RVUs in Virginia
Reports complex endovascular angioplasty of each additional tibial or peroneal vessel treated after the primary complex vessel procedure.
Medicare pays $842.04–$997.00 for 37283 in the office in Virginia, from Virginia to Dc + Md/Va Suburbs. 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 37283 covers
This add-on code describes complex endovascular angioplasty in an additional tibial or peroneal artery during lower-extremity revascularization. The service is typically performed by a vascular surgeon, interventional radiologist, or interventional cardiologist in an angiography or catheterization setting. It is for an additional vessel, not the first vessel treated in the complex angioplasty service.
Report 37283 with the primary complex angioplasty code, 37282, when another vessel in the tibial/peroneal territory receives treatment meeting the applicable complex-service criteria. Documentation should identify the treated vessel and lesion, describe the intervention, and support the complex designation. The code is an add-on and is paid within the primary procedure’s global period. For a bilateral procedure reported with modifier 50, CMS pays this code 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 37283 pays more and less in Virginia
| Payment locality | Office | Facility |
|---|---|---|
| Dc + Md/Va Suburbs | $997.00 | $206.14 |
| Virginia | $842.04 | $182.09 |
How the 37283 rate is calculated
Each of 37283’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 · 37283
RVUs × geographic indexes × conversion factor
Work4.26
4.26 RVUs× 1.000 GPCI
Practice expense20.63
20.63 RVUs× 1.000 GPCI
Malpractice0.95
0.95 RVUs× 1.000 GPCI
Adjusted RVUs
25.8400
Conversion factor
$33.4009
Medicare rate
$863.08
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 37283
The CMS indicators that decide how 37283 is paid alongside other services.
CMS payment indicators · 37283
Angioplasty
| 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
37283 without 50 · national office
$863.08
Angioplasty
37283-50 · Bilateral: 150%
$1,294.62
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).
37283 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 37282Venous angioplasty
- 37282 reports the first vessel treated with complex tibial/peroneal angioplasty; 37283 reports each additional qualifying vessel.
- 37281Leg angioplasty
- 37281 is for each additional vessel at the straightforward level. Choose 37283 when the additional-vessel service meets the complex criteria.
- 37284Venous revascularization
- 37284 is in the tibial/peroneal stent family. Distinguish it from 37283 by the intervention performed and the applicable service criteria.
37283 billing questions
What primary code is reported with 37283?
Report 37283 with 37282 for the first vessel treated with complex tibial/peroneal angioplasty. Use 37283 for each qualifying additional vessel.
How does 37283 differ from 37281?
Both describe angioplasty of an additional vessel, but 37283 is for the complex service level and 37281 is for the straightforward service level.
What documentation supports 37283?
Document the additional tibial or peroneal vessel treated, the lesion and intervention, and the details supporting the complex classification.
Can 37283 be billed by itself?
No. It is an add-on code and must be reported with the applicable primary procedure, such as 37282.
How is bilateral reporting handled?
When the bilateral procedure is reported with modifier 50, CMS pays 37283 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 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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