$15,391.25
37277 reports the first complex femoral-popliteal artery treated with stenting and atherectomy; 37278 reports each additional artery treated with that combination.
On this page
CMS RVU26D · Effective 2026-10-01
37278 Stent and atherectomy Medicare reimbursement rates in Wyoming
Reports stent placement with atherectomy in each additional complex femoral or popliteal artery treated during endovascular revascularization. Compare 37278 office and facility rates across CMS payment localities in Wyoming.
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 37278 in Wyoming?
Wyoming 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
$3862.45
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$259.16
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Endovascular revascularization
About 37278: Complex femoral-popliteal stent and atherectomy, additional artery
Reports stent placement with atherectomy in each additional complex femoral or popliteal artery treated during endovascular revascularization.
This add-on represents treatment of an additional femoral or popliteal artery with both atherectomy and stent placement when the intervention meets the complex classification. The service is typically performed by an interventional radiologist, vascular surgeon, or other physician qualified to perform endovascular lower-extremity revascularization in an angiography suite or operating room. Code selection follows the treated arterial territory, the intervention performed, whether the artery is classified as complex, and whether it is the first or an additional artery treated.
Report this code with the applicable primary revascularization code; 37277 represents the first complex femoral-popliteal artery treated with stenting and atherectomy. The operative report should identify each treated artery, the intervention performed, and the basis for complex classification. CMS treats this as an add-on paid within the primary procedure’s global period. When the procedure is bilateral and modifier 50 is reported, CMS pays 150% of the applicable amount.
CMS billing rules for 37278
- 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 RVU6.00 · 5%
- Practice expense (office) RVU108.64 · 94%
- Malpractice RVU1.35 · 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.
37278 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$3,450.15
Both codes address additional arteries treated with stenting and atherectomy, but 37276 is for straightforward interventions and 37278 is for complex interventions.
$2,476.02
37274 is for complex atherectomy in an additional femoral-popliteal artery without the stent-and-atherectomy combination represented by 37278.
$3,485.32
37270 is for complex stenting in an additional femoral-popliteal artery without the stent-and-atherectomy combination represented by 37278.
Compare 37278 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
Wyoming** →
Office / nonfacility
$3862.45
Facility
$259.16
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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 37278 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
4,638
- Code
- 37278
- Physician work
- 6.00
- Practice expense
- 108.64
- Malpractice
- 1.35
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.00 | × 1.000 | 6.0000 |
| Practice expense | 108.64 | × 1.000 | 108.6400 |
| Malpractice | 1.35 | × 0.740 | 0.9990 |
| Total RVUs | 115.6390 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$3862.45
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6 | 1 |
| Practice expense | 108.64 | 1 |
| Malpractice | 1.35 | 0.74 |
(6 × 1 + 108.64 × 1 + 1.35 × 0.74) × $33.4009 = $3862.45
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6 | 1 |
| Practice expense | 0.76 | 1 |
| Malpractice | 1.35 | 0.74 |
(6 × 1 + 0.76 × 1 + 1.35 × 0.74) × $33.4009 = $259.16
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.
37278 billing questions
When is 37278 reported instead of 37277?
Use 37277 for the first complex femoral-popliteal artery treated with stenting and atherectomy. Report 37278 for each additional artery treated with that same combination and classification.
Can 37278 be billed by itself?
No. It is an add-on code and must accompany an applicable primary revascularization procedure.
What documentation supports 37278?
Document the femoral or popliteal artery treated, the use of both atherectomy and a stent, and the findings that support classifying the intervention as complex.
How does CMS handle bilateral reporting?
For a bilateral procedure reported with modifier 50, CMS pays 150% of the applicable amount.
Is payment for 37278 outside the primary procedure's global period?
No. CMS identifies 37278 as an add-on code paid within the primary procedure's global period.
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.
4,63537275,,Rvsc evsc fpvt st athrc sf 1,A,,11.00,294.14,,1.50,,2.51,307.65,15.01,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63637276,,Rvsc evsc fpvt st athr sf ea,A,,4.25,98.32,,0.54,,0.98,103.55,5.77,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63737277,,Rvsc evsc fpvt st athr cpx 1,A,,15.00,443.28,,2.00,,3.41,461.69,20.41,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63837278,,Rvsc evsc fpvt st ath cpx ea,A,,6.00,108.64,,0.76,,1.35,115.99,8.11,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,63937279,,Iv lithotrp fpvt w/in sm art,A,,4.00,133.99,,0.63,,0.81,138.80,5.44,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64037280,,Revsc evsc tpvt angio sf 1st,A,,9.80,68.64,,1.29,,2.31,80.75,13.40,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64137281,,Revsc evsc tpvt angio sf ea,A,,3.00,18.38,,0.37,,0.66,22.04,4.03,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,