$2,964.04–$3,521.90
Both cover initial-vessel inframalleolar angioplasty, but 37296 is for simple lesions and 37298 is for lesions meeting the CPT complex criteria.
On this page
CMS RVU26D · Effective 2026-10-01
37298 Foot artery angioplasty Medicare reimbursement rates in Virginia
Reports complex endovascular angioplasty in an inframalleolar artery, such as a foot artery, for the initial treated vessel in that territory. Compare 37298 office and facility rates across CMS payment localities in Virginia.
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 37298 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$3332.15–$3954.28
2 of 2 localities have a supported rate.
Facility setting
$587.63–$665.33
2 of 2 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.
Endovascular revascularization
About 37298: Complex inframalleolar angioplasty, initial vessel
Reports complex endovascular angioplasty in an inframalleolar artery, such as a foot artery, for the initial treated vessel in that territory.
This service is endovascular balloon angioplasty of an artery below the ankle, such as a pedal artery, when the treated lesion meets the CPT definition of complex. It is commonly performed by a vascular surgeon, interventional radiologist, or interventional cardiologist in a hospital or outpatient angiography suite for limb-threatening ischemia, including patients with foot wounds and impaired distal blood flow. The code identifies angioplasty in the inframalleolar territory; it is not selected merely because the patient has a complex medical history or a difficult procedure overall.
Report this code for the initial treated vessel in the inframalleolar territory when the lesion qualifies as complex under the CPT code-set criteria. The procedure note should identify the treated artery, lesion and intervention, and document the features supporting complex classification. 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 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 documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 37298
- 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 RVU13.70 · 13%
- Practice expense (office) RVU85.36 · 84%
- Malpractice RVU3.05 · 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.
37298 compared with similar codes
Office rates for Virginia, from the same CMS release.
$876.15–$1,035.38
37298 is for the initial treated inframalleolar vessel; 37299 is for each additional vessel treated with complex angioplasty.
$5,974.82–$7,126.56
Both describe complex angioplasty of an initial vessel, but 37282 is for the tibial-peroneal territory, while 37298 is for the inframalleolar territory.
Compare 37298 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
$3954.28
Facility
$665.33
Virginia →
Office / nonfacility
$3332.15
Facility
$587.63
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37298 billing questions
How does this differ from 37296?
Both describe angioplasty in the inframalleolar territory for the initial vessel. Use 37298 when the lesion meets the CPT definition of complex; use 37296 for a simple lesion.
When is 37299 reported with this code?
37299 describes complex angioplasty in each additional inframalleolar vessel. Report it for qualifying additional vessels, rather than using 37298 again for each vessel.
What documentation supports complex classification?
Document the treated inframalleolar artery, lesion characteristics, and procedural details that establish the CPT complex category. The patient's overall clinical complexity alone does not determine the code level.
How does CMS handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple-procedure reduction.
Can modifier 50 be used for bilateral treatment?
CMS identifies this as a bilateral procedure; reporting with modifier 50 is paid at 150%. Documentation should support treatment on both sides.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed 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.
4,65537295,,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
4,66037501,,Unlisted vasc endoscopy px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,6613750F,,Ptnotrcvngsteroid>=10mg/day,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00