{
    "code": "37225",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/37225/2016/A",
    "release_specific_url": "https://localishealth.com/cpt/37225/2016/A",
    "description": "Reopening a narrowed or blocked artery in the thigh or behind the knee from the inside, using a catheter that actively removes plaque, by shaving, sanding, or vaporizing it, rather than simply pressing it aside. Balloon angioplasty performed in that same artery during the session counts as part of this entry rather than as a separate procedure. One code covers the whole femoral and popliteal territory in a leg no matter how many spots along it are treated, and neighbouring codes describe balloon work alone, a stent, or a stent combined with atherectomy.",
    "answer": {
        "question": "How much did Medicare pay for CPT 37225 in Q1 2016?",
        "text": "Medicare paid $11,244.34 for CPT 37225 in the office (non-facility) setting and $653.07 in a facility under the Q1 2016 Physician Fee Schedule, effective January 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.3% decrease from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2016,
        "quarter": "A",
        "label": "Q1 2016",
        "effective": "January 1 – March 31, 2016",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 11244.34,
        "facility": 653.07,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 12,
        "practice_expense_non_facility": 299.43,
        "practice_expense_facility": 3.62,
        "malpractice": 2.62
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8043,
    "source": {
        "label": "Physician relative value file (Q1 2016)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16a.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2016/A",
        "file": "PPRRVU16_V0122.csv",
        "row": 8174,
        "sha256": "e7973024293c4f8bd19119f0479a6b7bdc36435376c6b05a22fd3cd3cec5b13c"
    },
    "modified_at": "2026-08-04T03:06:29+00:00"
}