$2,677.06
37280 describes straightforward angioplasty of the initial vessel without stent placement. Use 37284 when the initial vessel is stented; same-vessel angioplasty is included.
On this page
CMS RVU26D · Effective 2026-10-01
37284 Venous revascularization Medicare reimbursement rates in Wyoming
Reports straightforward endovascular stent revascularization of an initial tibial or peroneal vein, including same-vessel angioplasty when performed. Compare 37284 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 37284 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
$5611.08
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$441.63
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.
Peripheral vascular intervention
About 37284: Tibial/peroneal vein stent revascularization
Reports straightforward endovascular stent revascularization of an initial tibial or peroneal vein, including same-vessel angioplasty when performed.
This code describes endovascular stent treatment of an initial tibial or peroneal vein as part of deep vein revascularization. The service may include angioplasty in that same vein when performed. It is used in procedures such as deep vein arterialization for limb-threatening ischemia, generally performed by an interventional radiologist, vascular surgeon, or other physician with endovascular expertise in a hospital setting.
Report this code for the initial treated vein when the procedure meets CPT’s straightforward criteria; use the applicable complex code when those criteria are met instead. Documentation should identify the treated vein, the stent placement, any same-vein angioplasty, and the basis for classifying the intervention as straightforward. 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 is paid in full and the others at 50%. Modifier 50 is paid at 150% for bilateral procedures. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeons and team surgery are not permitted.
CMS billing rules for 37284
- 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 RVU10.00 · 6%
- Practice expense (office) RVU156.29 · 93%
- Malpractice RVU2.30 · 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.
37284 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$2,781.63
37285 is for an additional straightforward vessel after the initial vessel. 37284 reports the initial vessel.
$10,339.31
Both codes include stent treatment of the initial vessel, but 37286 is for an intervention meeting the CPT complex criteria.
$10,205.30
37292 includes atherectomy with stent treatment of the initial vessel. 37284 is the straightforward stent code without that combined atherectomy service.
Compare 37284 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
$5611.08
Facility
$441.63
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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 37284 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
4,644
- Code
- 37284
- Physician work
- 10.00
- Practice expense
- 156.29
- Malpractice
- 2.30
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.00 | × 1.000 | 10.0000 |
| Practice expense | 156.29 | × 1.000 | 156.2900 |
| Malpractice | 2.30 | × 0.740 | 1.7020 |
| Total RVUs | 167.9920 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$5611.08
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10 | 1 |
| Practice expense | 156.29 | 1 |
| Malpractice | 2.3 | 0.74 |
(10 × 1 + 156.29 × 1 + 2.3 × 0.74) × $33.4009 = $5611.08
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10 | 1 |
| Practice expense | 1.52 | 1 |
| Malpractice | 2.3 | 0.74 |
(10 × 1 + 1.52 × 1 + 2.3 × 0.74) × $33.4009 = $441.63
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.
37284 billing questions
When should 37284 be selected instead of an angioplasty code?
Use 37284 when a stent is placed in the initial tibial or peroneal vein and the intervention meets the straightforward criteria. The code includes angioplasty in that same vein when performed.
Can angioplasty in the stented vein be reported separately?
No. Angioplasty performed within the same vein as the stent is included in 37284.
How is treatment of another straightforward vein reported?
37285 is the add-on code for an additional straightforward vessel treated after the initial vessel. Report the number of additional vessels supported by the operative documentation.
What supports reporting the straightforward rather than complex code?
Document the treated vein, the intervention performed, and the procedural details that support the CPT straightforward classification. Use the complex code when the CPT criteria for complexity are met.
How does modifier 50 affect Medicare payment?
CMS pays a bilateral procedure reported with modifier 50 at 150%.
Can an assistant surgeon be paid for this procedure?
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 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.
4,64137281,,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
4,64237282,,Rvsc evsc tpvt angio cplx 1,A,,12.31,167.37,,1.60,,2.90,182.58,16.81,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64337283,,Rvsc evsc tpvt angio cplx ea,A,,4.26,20.63,,0.53,,0.95,25.84,5.74,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64437284,,Revsc evasc tpvt st sf 1st,A,,10.00,156.29,,1.52,,2.30,168.59,13.82,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64537285,,Revsc evasc tpvt st sf ea,A,,3.34,79.40,,0.49,,0.73,83.47,4.56,0,ZZZ,0.00,0.00,0.00,0,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64637286,,Revsc evasc tpvt st cplx 1st,A,,13.46,293.82,,2.00,,3.07,310.35,18.53,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,64737287,,Revsc evasc tpvt st cplx ea,A,,5.00,141.79,,0.74,,1.12,147.91,6.86,0,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.,,,,,,