{
    "code": "37225",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/37225/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/37225/2020/D",
    "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 Q4 2020?",
        "text": "Medicare paid $11,581.87 for CPT 37225 in the office (non-facility) setting and $633.01 in a facility under the Q4 2020 Physician Fee Schedule, effective October 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2020, when it decreased 6.9%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "D",
        "label": "Q4 2020",
        "effective": "October 1 – December 31, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 11581.87,
        "facility": 633.01,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 11.75,
        "practice_expense_non_facility": 306.67,
        "practice_expense_facility": 3.29,
        "malpractice": 2.5
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0896,
    "source": {
        "label": "Physician relative value file (Q4 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20d-updated-11232020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/D",
        "file": "PPRRVU20_OCT.csv",
        "row": 9085,
        "sha256": "504fd19a9bc1d2eeebb290adac2d7de6c56d4e86cde7532df1862fe42494d319"
    },
    "modified_at": "2026-08-04T03:10:00+00:00"
}